Psychotherapy With Older Adults

Week 10: Psychotherapy With Older Adults

According to the Institute of Medicine, more than 20% of the growing older adult population has a mental health disorder (IOM, 2012). In the past, many older adults avoided psychotherapy because of the associated social stigma, but with the growing acceptance of therapy and awareness of mental health issues, more of this population is seeking the help they need. In your role, as the psychiatric mental health nurse practitioner, you have the opportunity to help these older adult clients overcome challenges that may have plagued them for a lifetime. Psychotherapy With Older Adults.
ORDER A PLAGIARISM-FREE PAPER HERE
This week, as you explore psychotherapy with older adults, you assess clients and consider the appropriateness of various therapeutic approaches. You also examine the theories, goals, and objectives that guided your practicum experience throughout this course. Psychotherapy With Older Adults.

Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

• Chapter 18, “Psychotherapy With Older Adults” (pp. 625–660)
• Chapter 20, “Termination and Outcome Evaluation” (pp. 693–712)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Note: You will access this text from the Walden Library databases.

McGuire, J. (2009). Ethical considerations when working with older adults in psychology. Ethics & Behavior, 19(2), 112–128. doi:10.1080/10508420902772702. Psychotherapy With Older Adults
Note: You will access this article from the Walden Library databases.

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002
Note: You will access this resource from the Walden Library databases.

Discussion: Clinical Supervision

Personal reflection and discussion with colleagues is essential to your development as a psychiatric mental health nurse practitioner. In Week 8, you collaborated with colleagues as you participated in your first Clinical Supervision. This week, you have the opportunity to continue your collaboration as you reflect on and discuss your experiences with counseling older adults. Keep in mind that although there may be challenges to counseling this population, these clients offer unique learning opportunities. For this Clinical Supervision, consider an older client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes. Psychotherapy With Older Adults.

Learning Objectives

Students will:

• Assess clients presenting for psychotherapy
• Evaluate effectiveness of therapeutic approaches for clients receiving psychotherapy

To prepare:

• Review this week’s media and consider the insights provided.
• Reflect on the clients you are currently counseling at your practicum site.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit! Psychotherapy With Older Adults

By Day 3

Post a 3- to 5-minute Kaltura video that addresses the following:

• Describe an older client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes.

Note: Do not use the client’s actual name.

• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
• Identify any additional information about this client that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner. Psychotherapy With Older Adults.

View a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by sharing additional insights or alternative perspectives. Support your feedback with evidence-based literature and/or your own experiences with clients.

Note about uploading media: Refer to the Kaltura Media Uploader instructions document, which provides guidance on how to upload media for the Clinical Supervision Discussions.

Submission and Grading Information

Grading Criteria

To access your rubric:
Week 10 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 10 Discussion
Psychotherapy With Older Adults

Assignment 1: Practicum – Client Termination Summary

Learning Objectives

Students will:

• Develop client termination summaries

To prepare:

• For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.
• Identify a client who may be ready to complete therapy.

The Assignment

With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):

• Identifying information of client (i.e., hypothetical name, age, etc.)
• Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
• Total number of sessions, including number of missed sessions
• Termination planned or unplanned
• Presenting problem
• Major psychosocial issues
• Types of services rendered (i.e., individual, couple/family therapy, group therapy, etc.)
• Overview of treatment process
• Goal status (goals met, partially met, unmet)
• Treatment limitations (if any)
• Remaining difficulties and/or concerns
• Recommendations
• Follow-up plan (if indicated)
• Instructions for future contact
• Signatures

By Day 7

Submit your Assignment.

Submission

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the following naming convention: “WK10Assgn1+lastname+first initial”.
• Click the Week 10 Assignment 1 link.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn1+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:
Week 10 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 10 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:
Week 10 Assignment

Assignment 2: Practicum – Week 8 Journal Entry

Learning Objectives

Students will:

• Develop diagnoses for clients receiving psychotherapy
• Evaluate the efficacy of existential-humanistic therapy for clients
• Analyze legal and ethical implications of counseling clients with psychiatric disorders
• Analyze clinical supervision experiences
• Analyze how nursing and counseling theories guided personal practice in psychotherapy
• Analyze goals and objectives for personal practicum experiences
• Analyze the impact of psychotherapy on social change

The Learning Objectives are related to the Practicum Journal Assignments presented in Weeks 8, 9, and 10.
Week 10 Journal Entry
Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal:

• Explain whether your therapeutic theory has changed as a result of your practicum experiences. Recall the theories you selected in Week 1.
• Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1.
• Explain how you might impact social change through your work with clients who have mental health issues.
• Support your approach with evidence-based literature. Psychotherapy With Older Adults.

Note: Be sure to use the Practicum Journal Template, located in the Learning Resources.

By Day 7

Submit your Practicum Journal entries for Weeks 8, 9, and 10. Refer to the weekly instructions for additional guidance.

Submission

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignments using the following naming convention: “WK10Journal1+lastname+first initial,” “WK10Journal2+lastname+first initial,” and “WK10Journal3+lastname+first initial.”
• Click the Week 10 Assignment 2 link.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Journal1+last name+first initial.(extension)” and click Open. Repeat for each of the Practicum Journal submissions.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:
Week 10 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 10 Assignment draft and review the originality report. Psychotherapy With Older Adults

Submit Your Assignment by Day 7

To submit your Assignment:
Week 10 Assignment 2

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.
These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Psychotherapy With Older Adults.
You can access Board Vitals through the link sent to you in email or by following the link below:
https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Practicum Reminder

Time Logs

You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. Psychotherapy With Older Adults.

Week in Review

Now that you have:

• Assessed clients presenting for psychotherapy
• Evaluated the effectiveness of therapeutic approaches for clients receiving psychotherapy
• Developed client termination summaries
• Analyzed how nursing and counseling theories guided personal practice in psychotherapy
• Evaluated goals and objectives for personal practicum experiences
• Analyzed the impact of psychotherapy on social change

Next week, you will:

• Analyze therapeutic approaches to treating clients with personality disorders
• Assess knowledge of concepts, principles, and theories. Psychotherapy With Older Adults.

HCA 383 Biostatistics Lab
Spring 2018
Assignment 5
Use the dataset named “Fear of Litigation” to complete this assignment.  This assignment is due December 6th, 2017.
(1) Report the descriptive characteristics of your sample in a single table (e.g. breakdown by gender, age range, and other factors that describe the sample).  An example of a table is given below. (10 points)

(2) What is the correlation between age of the physician and litigation fear scale. Write up two or three sentences to report and explain this finding. (5 points)
· Look up how to report statistics in APA format. Here are some websites to guide you.
· http://my.ilstu.edu/~jhkahn/apastats.html
· http://statistics-help-for-students.com/How_do_I_report_Pearsons_r_and_scatterplots_in_APA_style.htm#.WKG38lMrLIU
Now go back to the SPSS data file and split the file by gender of the physician separately and run the same correlation.
Data — Split File — Compare Groups — Groups based on: — gender3 — OK
(3) Is there a difference in the correlations when men and women analyzed separately?  In other words is there a gender difference in fear of litigation? (Hint: There is! When the data is split by gender, it appears that the correlation is significant for one gender and not for the other) Report this finding. (5 points)
Repeat for practice location.  Go back and split the file by practice location instead of gender and run the same correlation.
Data — Split File — Compare Groups — Groups based on: — pracloc9 — OK
(4) Do rural, urban/private, medical school practice physicians have the same fear of litigation? Report this finding. (5 Points)
· When you are done you can reset the file to analyze the whole group. Go back to the Split file screen. Check Analyze all cases, do not create groups and then hit Reset, then OK.
(5) Check and report on the correlation between age of the physician and risk management beliefs scale.  Is there a relationship between getting older and physicians’ feelings/beliefs that they are better able to manage risk? (5 points)
(6) Check and report on the correlation between the number of patients per month and litigation fear scale. Why would this make sense?
(7) Run frequencies on the variables insur10, sued11, insur16, board22, likely12, riskmg13, diffmg14, protec15, (include them in one frequency analysis rather than doing them one by one).  Now, look at the output.  (15 points)

(a) Summarize this information in 2 separate graphs: One graph that has the Yes/No questions: and one that has the Likert Scale questions.  Create the graphs in Microsoft Office.  See the two examples in the attached file (The numbers are not correct. You have to run the frequencies yourself).

(b) Then write a few statements summarizing the main issues that the data and the charts reveal. For example:

In this sample, 46% of the physicians surveyed have had a previous lawsuit. Very few physicians surveyed (less than 10%) have less than one million dollars-worth of litigation coverage….

Figure 1: Physician malpractice data

Figure 2: Physicians beliefs about litigation exposure and risk management

(8) What is medical malpractice and what impact does litigation against physicians (or medical malpractice lawsuits) have on the healthcare industry in the USA? Use at least three references to help support your answer. (350 words) Use APA format. (20 points)

· Students must answer each of the two parts of the question and use references to support their points.

Little/Not at All

Likely to be sued How effective is Risk Management? Is risk Management difficult for you? How well protected in current Position? 0.10299999999999999 0.10199999999999999 0.377 0.439 Somewhat

Likely to be sued How effective is Risk Management? Is risk Management difficult for you? How well protected in current Position? 0.23200000000000001 0.30099999999999999 0.38400000000000001 0.36499999999999999 Very

Likely to be sued How effective is Risk Management? Is risk Management difficult for you? How well protected in current Position? 0.66500000000000004 0.59699999999999998 0.24 0.19500000000000001

Yes

$1 Million Liability Ins Malpractice claim filed Malpractice Insurance Board Certified 0.92100000000000004 0.46 0.97199999999999998 0.86199999999999999 No

$1 Million Liability Ins Malpractice claim filed Malpractice Insurance Board Certified 7.9000000000000001E-2 0.54 2.8000000000000001E-2 0.13800000000000001

Psychotherapy With Children and Adolescents Discussion Essay Assignment papers

Week 9: Psychotherapy With Children and Adolescents

Approximately 1 in 5 children and adolescents have a mental health disorder, which may lead to issues at home, school, and other areas of their lives (Prout & Fedewa, 2015). When working with this population, it is important to recognize that children and adolescents are not “mini adults” and should not be treated as such. Psychotherapy with these clients is often more complex than psychotherapy with the general adult population, particularly in terms of communication. As a result, strong therapeutic relationships are essential to success.
ORDER A PLAGIARISM-FREE PAPER HERE
This week, as you explore psychotherapy with children and adolescents, you assess clients presenting with disruptive behaviors. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.

Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

• Chapter 17, “Psychotherapy With Children” (pp. 597–624)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.
Note: You will access this text from the Walden Library databases.

Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991
 
Note: You will access this article from the Walden Library databases.

Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959
 
Note: You will access this article from the Walden Library databases.

McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464. doi:10.1037/ccp0000081. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.
 
Note: You will access this article from the Walden Library databases.

Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103. doi:10.1037/a0030930
 
Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2013a). Disruptive behaviors – Part 1 [Multimedia file]. Baltimore, MD: Author.

Laureate Education (Producer). (2013a). Disruptive behaviors – Part 2 [Multimedia file]. Baltimore, MD: Author.

Walker, R. (n.d.). Making child therapy work [Video file]. Mill Valley, CA: Psychotherapy.net.
 
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 95 minutes.

Optional Resources

Bruce, T., & Jongsma, A. (2010a). Evidence-based treatment planning for disruptive child and adolescent behavior [Video file]. Mill Valley, CA: Psychotherapy.net.
 
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 63 minutes. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.

Discussion: Counseling Adolescents

The adolescent population is often referred to as “young adults,” but in some ways, this is a misrepresentation. Adolescents are not children, but they are not yet adults either. This transition from childhood to adulthood often poses many unique challenges to working with adolescent clients, particularly in terms of disruptive behavior. In your role, you must overcome these behaviors to effectively counsel clients. For this Discussion, as you examine the Disruptive Behaviors media in this week’s Learning Resources, consider how you might assess and treat adolescent clients presenting with disruptive behavior. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.

Learning Objectives

Students will:

• Assess clients presenting with disruptive behavior
• Analyze therapeutic approaches for treating clients presenting with disruptive behavior
• Evaluate outcomes for clients presenting with disruptive behavior

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide.
• View the media, Disruptive Behaviors. Select one of the four case studies and assess the client.
• For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.

Note: To complete this Discussion, you must assess the client, but you are not required to submit a formal Comprehensive Client Assessment.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post an explanation of your observations of the client in the case study you selected, including behaviors that align to the criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.
Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.

Submission and Grading Information

Grading Criteria

To access your rubric:
Week 9 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 9 Discussion

Assignment 1: Practicum – Week 9 Journal Entry

Learning Objectives

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.
Select a child or adolescent client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain any legal and/or ethical implications related to counseling this client.
• Support your position with evidence-based literature. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.

By Day 7 of Week 10

Submit your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.
These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.
You can access Board Vitals through the link sent to you in email or by following the link below:
https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Week in Review

Now that you have:

• Assessed clients presenting with disruptive behavior
• Analyzed therapeutic approaches for treating clients presenting with disruptive behavior
• Evaluated outcomes for clients presenting with disruptive behavior
• Developed diagnoses for clients receiving psychotherapy
• Analyzed legal and ethical implications of counseling clients with psychiatric disorders

Next week, you will:

• Assess clients presenting for psychotherapy
• Evaluate the effectiveness of therapeutic approaches for clients receiving psychotherapy
• Develop client termination summaries
• Analyze how nursing and counseling theories guided personal practice in psychotherapy
• Evaluate goals and objectives for personal practicum experiences
• Analyze the impact of psychotherapy on social change
• Psychotherapy With Children and Adolescents Discussion Essay Assignment papers

Looking Ahead: Week 10 Clinical Supervision Discussion

Week 10 Discussion: In 3- to 5-minute Kaltura video, you will discuss an older adult client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 10 Discussion for additional guidance. Psychotherapy With Children and Adolescents Discussion Essay Assignment papers.