ACTION: Think about the individual’s contribution to community/public health

• GRADED ELEMENT : Analyze the impact of your individual’s contribution on today’s public health system.
  • HELP: You are asking “what happened as a result of this contribution at the national and community level?” For example, some elements you could address include:
    • did it change attitudes
    • did it change protocols and policies
    • did behavior change result
    • did it add/eliminate laws
• GRADED ELEMENT : Analyze how this contribution is still relevant today
  • HELP: Was this contribution only applicable at the time it occurred, or is it still applied today? Why or why not? Explain your response
• GRADED ELEMENT : Examine how this contribution could support or be expanded for future community and public health benefits
  • HELP: Using solid critical thinking, look at the historical value of the contribution and examine how it could be used for the future (is it applicable to another health issue, can it lead to more policy change, could it promote advocacy work or public health laws, etc.)

You have a choice of which format you wish to present your findings:
 

Format 1: Written Paper

• Must be at least 6 pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.
• Must include a separate title page with the following:
  • Title of paper
  • Students name
  • Course name and number
  • Instructor’s name
  • Date submitted
• Must use at least eight scholarly sources (one of those may be the course text).
• Must document all sources in APA style as outlined in the Ashford Writing Center.
• Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.

 

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Learning Objectives

Students will:

· Assess progress for clients receiving psychotherapy

· Differentiate progress notes from privileged notes

· Analyze preceptor’s use of privileged notes

To prepare:

· Reflect on the client you selected for the Week 3 Practicum Assignment.

· Review the Cameron and Turtle-Song (2002) article in this week’s Learning Resources for guidance on writing case notes using the SOAP format.

The Assignment

Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

· Treatment modality used and efficacy of approach

· Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)

· Modification(s) of the treatment plan that were made based on progress/lack of progress

· Clinical impressions regarding diagnosis and/or symptoms

· Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)

· Safety issues

· Clinical emergencies/actions taken

· Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)

· Treatment compliance/lack of compliance

· Clinical consultations

· Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)

· Therapist’s recommendations, including whether the client agreed to the recommendations

· Referrals made/reasons for making referrals

· Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)

· Issues related to consent and/or informed consent for treatment

· Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported

· Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

· The privileged note should include items that you would not typically include in a note as part of the clinical record.

· Explain why the items you included in the privileged note would not be included in the client’s progress note.

· Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

 

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Link for pathways to safer opioid use simulation https://health.gov/hcq/trainings/pathways/index.html

Character: James Parker

(Previous paper attached)

These are the decisions used in the previous Simulation, please pick different answer from the ones below.

1. Tell him is an 8 explain why

2. Ask about alternative treatment options

3. Risk having to stay longer

4.Yes ask why it is necessary

5.Do Both

6.Go see a pyschologist

• You will proceed through the simulation as James Parker again, but make different decisions to see the different effects they cause. 
• You will then write a 3 page paper describing the process you went through and the results in comparison to last week that you got based on the different decisions you made as James. State how James became addicted and what both the patient and the caregivers could have done to prevent this. 
• Provide and integrate at least two scholarly resources within your paper that support prevention of opioid addiction.
•  This paper must be written in APA format, typed in Times New Roman with 12-point font, double-spaced with 1-inch margins. 

 

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