approach · Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the

Assignment: Practicum – Assessing Client Progress · 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 Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):………THE WEEK 3 ASSIGNMENT IS ATTACHED · 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,

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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 Wheeler, K. (Ed.). (2014). (2nd ed.). New York, NY: Springer Publishing Company. American Psychiatric Association. (2013). (5th ed.). Washington, DC: Author. Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), (pp. 723–740). Washington, DC: American Psychological Association. doi:10.1037/12353-048 Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. , 80(3), 286–292. Retrieved from the Academic Search Complete database. (Accession No. 7164780) Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). [Video file]. Mill Valley, CA: Psychotherapy.net. Stuart, S. (2010). Interpersonal psychotherapy: [Video file]. Mill Valley, CA: Psychotherapy.net.

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