Case Assessment and Treatment Plan
Order Instructions
Case Assessment and Treatment Plan
For Large Group Assignment Discussion:
Important contextual, demographic, or descriptive information about this client.
Presenting problem (what do you see as a problem that might bring the client to seek help?)
How would the client describe the problem (or problems)?
How long has this problem, or these problems, been around?
Describe behaviors that are attempts to cope with the problem (e.g., substance use, avoidance, blaming others, etc.)
Describe any attempts to get help for the problem(s).
Using the DSM-5 diagnostic system, state your diagnosis. Be sure to include the diagnostic code, the proper name for the disorder, and any relevant specifiers. What diagnosis would you give this client? Why?
What diagnostic assessment might you use to formally diagnose this disorder?
What criteria for the diagnosis are met?
What evidence do you have to support your diagnosis?
What type of treatment would be most appropriate for this client given their diagnosis?
Describe how the client’s gender, race, ethnicity, cultural background, sexual orientation, or other issues of diversity might affect his or her diagnosis and treatment plan?
What historical, social, political, cultural, or religious issues do you need to consider in applying this diagnosis?
What ethical issues arise in applying this diagnosis (e.g., social stigma, labeling, etc.).
What are the client’s strengths and how can they be utilized in the counseling process/treatment plan?
Identify Long and Short Term Goals: The goals should be linked to the diagnosis and the needs of the client.
What are short term goals for this client?
What are long term goals for this client?
Specific Considerations for Treatment:
What is the anticipated length of treatment?
Is the client motivated to seek treatment?
If not, how do we encourage motivation?
Describe any previous treatment attempts.
Assess the client’s social support system.
How might the severity or nature of disorder affect treatment?
How might cultural variables affect treatment?
What additional services (besides counseling) might be beneficial for this client? (Medications, in-patient services, other groups, additional therapies, etc.)
https://www.youtube.com/watch?v=OTyWj2quLOQ
Reflection Paper Prompt for Large Group Assignment:
Write a double spaced, Times New Roman font, 1 to 2 page reflection on this case assessment and treatment planning meeting. Make sure to include what film you watched , (antoine Fisher, link is listed above) as well as what diagnosis and treatment you decided on (even if it differed from the large group consensus).
Some things you can reflect on:
What made it challenging to diagnose the client?
Was there dissent or conflicting opinions on a diagnosis or treatment plan? If so, how did you navigate this?
What did you learn about working in a team context?
What did you learn about this disorder through this experience?
How will you apply what you’ve learned through this experience going forward?
Note: you do not need to answer all of these questions. The questions are simply offered to help generate meaningful reflection for you.
Rubric
Some Rubric (1)
Some Rubric (1)
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDescription of criterion
5 pts
Full Marks
0 pts
No Marks
5 pts
This criterion is linked to a Learning OutcomeC1D46L02
Demonstrates ability to use reflection (meta-cognition) to process ethical ethical standards in the course of ethical decision making
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC1D46L03
Demonstrates ability to use reflection (meta-cognition) to process competing roles and loyalties in the course of ethical decision making
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC1D46L04
Demonstrates ability to use reflection (meta-cognition) to arrive at ethically sound decisions
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC1D46LO1
Demonstrates ability to use reflection to process ways in which personal values might influence ethical choices
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC1D44L01
Writing or behavior displays acceptance of the values of service, social justice, dignity and worth of the individual, integrity, importance of interpersonal relationships, and competence
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC1D44L02
Expresses that the social work core values are consistent with their own values
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC2D51L01
Describes their ability to remain functional despite experiencing discomfort
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC2D51L02
Describes or displays ability to remain reflective in the midst of experiencing practice-related discomfort due to work with dissimilar client(s).
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC3D54L01
Assertively expresses that an individual’s or a population’s position in society, should not hinder fundamental human rights (i.e., freedom, safety, privacy, an adequate standard of living, health care, and education).
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
5 pts
This criterion is linked to a Learning OutcomeC3D54L02
Expresses a conviction that having a mental illnesses should not hinder fundamental human rights (i.e., freedom, safety, privacy, an adequate standard of living, health care, and education).
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
5 pts
This criterion is linked to a Learning OutcomeC7D65L01
Demonstrates ability to accurately assess individuals, groups, organizations or communities
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC7D66L01
Demonstrates capacity to make evidence-informed recommendations for assessment tools or strategies for assessing individuals, families, communities, or larger systems.
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC7D66L02
Demonstrates capacity to make evidence-informed recommendations about reliable and valid assessment tools or strategies
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC7D67L01
Demonstrates ability to use theory to formulate hypotheses that guide assessment decisions
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC7D67L02
Demonstrates ability to critically evaluate assessment literature and make informed decisions about assessment methods or assessment instrument choices
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC7D68L01
Shows ability to identify ways in which structural issues may confound validity of assessment
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
This criterion is linked to a Learning OutcomeC7D68L02
Shows ability to account for the contribution systemic issues may have on assessment conclusions (e.g., diagnosis, causes of behavior, or problems)
threshold: 3.0 pts
5 pts
Exceptional
4 pts
Exceeds Standard
3 pts
Meets Standard
2 pts
Approaching Standard
1 pts
Does Not Meet Standard
0 pts
Insufficient Information
5 pts
Total Points: 90
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