NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

Week 1: Legal and Ethical Considerations for Group and Family Therapy

Members of a cohesive group feel warmth and comfort in the group and a sense of belongingness; they value the group and feel in turn that they are valued, accepted, and supported by other members.

—Irvin D. Yalom, The Theory and Practice of Group Psychotherapy

Laureate Education (Producer). (2017). Introduction to psychotherapy with groups and families [Video file]. Baltimore, MD: Author.
 
Note: The approximate length of this media piece is 2 minutes.
 

Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Group and family therapy offers a unique sense of community and support that may not be achieved through other therapeutic approaches. As you help clients effect change within themselves, they are able to in turn help others within the group change. Although many clients thrive in this environment, it is important to recognize that group and family therapy is not appropriate for everyone. Like any other therapeutic approach, group and family therapy has limitations that must be considered.
This week, as you begin exploring group and family therapy, you examine legal and ethical considerations of this therapeutic approach. You also prepare for your practicum experience by examining counseling theories and developing goals to guide your practice. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

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

• Chapter 11, “Group Therapy” (pp. 407–428)

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

• Chapter 1, “The Foundations of Family Therapy” (pp. 1–6)
• Chapter 2, “The Evolution of Family Therapy” (pp. 7–28)

Breeskin, J. (2011). Procedures and guidelines for group therapy. The Group Psychologist, 21(1). Retrieved from http://www.apadivisions.org/division-49/publications/newsletter/group-psychologist/2011/04/group-procedures.aspx. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

Khawaja, I. S., Pollock, K., & Westermeyer, J. J. (2011). The diminishing role of psychiatry in group psychotherapy: A commentary and recommendations for change. Innovations in Clinical Neuroscience, 8(11), 20–23. Retrieved from http://innovationscns.com/
Note: You will access this article from the Walden Library databases.

Koukourikos, K., & Pasmatzi, E. (2014). Group therapy in psychotic inpatients. Health Science Journal, 8(3), 400–408. Retrieved from http://www.hsj.gr/medicine/group-therapy-in-psychotic-inpatients.php?aid=2644
Note: You will access this article from the Walden Library databases.

Lego, S. (1998). The application of Peplau’s theory to group psychotherapy. Journal of Psychiatric & Mental Health Nursing, 5(3), 193–196. doi:10.1046/j.1365-2850.1998.00129.x
Note: You will access this article from the Walden Library databases.

McClanahan, K. K. (2014). Can confidentiality be maintained in group therapy? Retrieved from http://nationalpsychologist.com/2014/07/can-confidentiality-be-maintained-in-group-therapy/102566.html. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

U.S. Department of Health & Human Services. (2014). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/special/mhguidancepdf.pdf

Document: Practicum Journal Template (Word document)

Document: Midterm Exam Study Guide (Word document)

Document: Final Exam Study Guide (Word document)

Required Media

Laureate Education (Producer). (2015). Microskills: Family counseling techniques 1 [Video file]. Baltimore, MD: Author. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.
 
Note: The approximate length of this media piece is 32 minutes.
 

Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2015). Microskills: Family counseling techniques 2 [Video file]. Baltimore, MD: Author.
 
Note: The approximate length of this media piece is 32 minutes.
 

Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education (Producer). (2015). Microskills: Family counseling techniques 3 [Video file]. Baltimore, MD: Author.
 
Note: The approximate length of this media piece is 24 minutes.
 

Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008a). Legal and ethical issues for mental health professionals, volume 1: Confidentiality, privilege, reporting, and duty to warn [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 140 minutes.

Optional Resources

Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008b). Legal and ethical issues for mental health professionals, volume 2: Dual relationships, boundaries, standards of care and termination [Video file]. Mill Valley, CA: Psychotherapy.net. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 191 minutes.

Discussion: Legal and Ethical Considerations for Group and Family Therapy

Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. For this Discussion, consider how limited confidentiality and other legal and ethical considerations might impact therapeutic approaches for clients in group and family therapy.

Learning Objectives

Students will:

• Compare legal and ethical considerations for group and family therapy to legal and ethical considerations for individual therapy
• Analyze the impact of legal and ethical considerations on therapeutic approaches for clients in group and family therapy
• Recommend strategies to address legal and ethical considerations for group and family therapy

To prepare:

• Review this week’s Learning Resources and consider the insights they provide on group and family therapy.
• View the media, Legal and Ethical Issues for Mental Health Professions, Volume I, and reflect on legal and ethical considerations for group and family therapy and individual therapy. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

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 you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post an explanation of how legal and ethical considerations for group and family therapy differ from those for individual therapy. Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy. Support your rationale with evidence-based literature. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.

By Day 6

Respond to at least two of your colleagues by suggesting strategies to address the legal and ethical considerations your colleagues discussed. Support your responses with evidence-based literature.

Submission and Grading Information

Grading Criteria

To access your rubric:
Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 1 Discussion

Assignment 1: Practicum – Week 1 Journal Entry

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.

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

Learning Objectives

Students will:

• Analyze nursing and counseling theories to guide practice in psychotherapy*
• Summarize goals and objectives for personal practicum experiences*
• Produce timelines for practicum activities*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.
In preparation for this course’s practicum experience, address the following in your Practicum Journal:

• Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
  Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources.
• Explain why you selected these theories. Support your approach with evidence-based literature.
• Develop at least three goals and at least three objectives for the practicum experience in this course.
• Create a timeline of practicum activities based on your practicum requirements.
• NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

By Day 7 of Week 4

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. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy
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.

Making Connections

Now that you have:

• Explored legal and ethical considerations for group and family therapy
• Prepared for your practicum experience by examining counseling theories and developing goals to guide your practice

Next week, you will:

• Explore family assessment and therapy as you assess client families presenting for psychotherapy
• Develop diagnoses for clients receiving family psychotherapy and consider legal and ethical implications of counseling these clients

Looking Ahead 1: Didactic Assignments

Week 3 Discussion: In a 3- to 5-minute Kaltura video, you will discuss a client family 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 3 Discussion for additional guidance.
Week 10 Discussion: In a 3- to 5-minute Kaltura video, you will discuss a child or adolescent group 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.
Week 11 Discussion: In a standard Discussion thread, you will discuss an older adult group 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 11 Discussion for additional guidance. NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.

Looking Ahead 2: Practicum Assignments

Each week, you will complete practicum-related Assignments. It is highly recommended that you review the practicum assignments for Weeks 2–11 before Day 7 of Week 1. This will give you time to meet with your preceptor so that you can fulfill the requirements of each Assignment.

• Week 2:You will write about two clients from a family you observed or counseled. (Assignment to be submitted by Day 7 of Week 4)
• Week 3: You will complete a comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 4)
• Week 5: You will write about two clients from a family you observed or counseled and explain whether solution-focused or cognitive behavioral therapy would be effective with the family. (Assignment to be submitted by Day 7 of Week 7). NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy.
• Week 7: You will write a progress note and privileged psychotherapy note for the client family you assessed in Week 3 for the comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 7.)
• Week 8: You will write about two clients you observed or counseled during a group therapy session and explain whether cognitive behavioral therapy would be effective with the group. (Assignment to be submitted by Day 7 of Week 10)
• Week 10: You will write about two clients you observed or counseled during a group therapy session for children and adolescents. (Assignment to be submitted by Day 7 of Week 10)
• Week 10: You will write a client termination summary for a client who is ready to complete group therapy. (Assignment to be submitted by Day 7 of Week 11). NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

Please answer the questions based on the case study, and dig deep! How good are you at identifying risk?

Short Paper: Evaluation Of Programs
Technology to Use and How to Promote Information on STSs
By. Kristi Felch
Cases of Sexually Transmitted Infections have increasingly been heard in young people. A study has shown that in twelfth grade, about 65% of the students in high school will have engaged in sexual intercourse and five of them, one might have more than four sexual partners, this became the reason why they are the target and the most vulnerable people to such infections like syphilis, gonorrhea, and others. After high school, the numbers continue to increase. Young people especially teenagers and young adults are caught up in the situation because of the make decisions and act in ways that put them in risks of getting STIs.
Such young people are likely to have many sex partners, usually choose to engage in unprotected sex, most of them are exposed to drug and alcohol abuse and while under the influence of the drugs or alcohol, and they end up engaging in activities that make them vulnerable to contracting STIs. Coming up with statistics of how many STIs that are occurring among young people is not an easy task since many of the infections are silent with no noticeable symptoms. As a result, the only way to diagnose them is through testing. However, routine screening programs are not widespread to mean that no every teenager can access any, social stigma and lack of public awareness is another hindrance for open discussions between the health care nurses and the victims about the risk associated with the infections and why testing is essential. The young generation for this reason, therefore, have always bored a large portion of the burden of STIs. This will paper will talk about the technology, and the outlet used to give insights on STIs health problem to the young people which include creating a program with information to read and audios to listen to and using the blog to market it so that the target population can get information in the comfort of their homes.
To help young people from suffering so much, I will create a blog that will major and round up all the issues related to STIs. In this platform, young people will get educated on matters concerning STIs and any questions they will have will be answered through the blog. The blog will open a platform where questions are received worldwide, and contributions from various experts on the issues are welcomed.
While talking STIs can be beneficial since it is educative, but it is true that the infections come from having unprotected sex and that is why the blog will also involve discussions concerning condoms and their importance as well as when to use and not to use them. The blog will help young people talk freely without the fear of stigmatization from the society since there is no physical contact. Getting used to talking about sex and protection can help the young people open up to their doctors whenever they have problems on their sex life. The more sexual health matters are normalized, the more the victims become ready to open up and be honest about how they feel and the less they will fear other people’s reactions. Through the blog, young get the confidence and believe that even though STIs are transmitted sexually do not make them shameful.
With the information and the knowledge, I have about the STIs, ways of contraction, symptoms and possible ways to prevent them, I will come with a product a pamphlet in nature but a small one containing brief and easy to understand information that touches on all the STIs that exist. The product will be designed to help the teenagers and young adults who are the vulnerable populations for such infections. The book will then be posted on the blog where the target population will have access to it for more information about how to live an STI free life. While some of the answers the young people will be looking at can be answered in the comment box of the blog, more information will be found in the book which will be good for those who would want to expand their knowledge about the infections.
To promote this information, the product will be sold at a low price so that many young people will be capable of purchasing it. Also, since the product aims at changing how young people view STIs as well as learn to live healthy sexual lives, the product will offer a money back guarantee for the users who may feel they have not attained their expected results so after some specified to of use, one can request for their money back which will be refunded without any tussles or huddles. The audios from experts and experienced individuals will be a bonus especially to the users who do not like reading so much. Moreover, the product will be on the internet in a specific website indicated in the blog, and so the target population is assured of purchasing the right product.
Works Cited
Currie, Candace, et al. “Social determinants of health and well-being among young people.” Health Behaviour in School-aged Children (HBSC) study: international report from the2010 (2009): 271.
Kirby, Douglas B., B. A. Laris, and Lori A. Rolleri. “Sex and HIV education programs: their impact on sexual behaviors of young people throughout the world.” Journal of Adolescent Health 40.3 (2007): 206-217.