Psychotherapy for Addictive Disorders assignment
Psychotherapy for Addictive Disorders
“A long-standing debate has roiled over whether addicts have a choice over their behaviors. The disease creates distortions in thinking, feelings, and perceptions, which drive people to behave in ways that are not understandable to others around them. Simply put, addiction is not a choice. Addictive behaviors are a manifestation of the disease, not a cause.”
–Dr. Raju Hajela, former president of the Canadian Society of Addiction Medicine
A common misconception is that addiction is a choice, and addicts are often labeled as individuals who lack morals, willpower, or responsibility. However, addiction is a clinical disorder that must be treated with the support of a health care professional. Although many people who are exposed to potentially addictive substances and behaviors continue life unaltered by their experiences, some people are fueled by these experiences and spiral out of control. In your role as the psychiatric mental health nurse practitioner, you must be prepared to not only work with these individuals who struggle with addiction, but also help them and their families overcome the social stigmas associated with addictive behavior.
This week, as you explore psychotherapy for addiction, you assess clients presenting with addictive disorders. 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.
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Learning Objectives
Students will:
· Develop diagnoses for clients receiving psychotherapy*
· Evaluate the efficacy of motivational interviewing techniques for clients*
· Analyze legal and ethical implications of counseling clients with psychiatric
disorders*
Select a 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 whether motivational interviewing would be effective with this client.
Include expected outcomes based on this therapeutic approach. Support your
approach with evidence-based literature.
· Explain any legal and/or ethical implications related to counseling this client.
· Support your approach with evidence-based literature.
· NOTE: PLEASE SEE THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION IN MENTAL HEALTH NURSING.
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 7, “Motivational Interviewing” (pp. 299–312)
Chapter 16, “Psychotherapeutic Approaches for Addictions and Related Disorders” (pp. 565–596)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007). Diagnostic instruments for behavioral addiction: An overview. German Medical Science Psycho-Social-Medicine, 4, 1–11. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/
Fisher, M. A. (2016). The ethical ABCs of conditional confidentiality. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 13–25). Washington, DC: American Psychological Association. doi:10.1037/14860-002
PLEASE, PAY ATTENTION TO THE QUESTIONS AND INCLUDE OTHER NEEDED INFORMATION THAT WERE NOT ADDED IN THE EXAMPLE
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MAPP Model Needs Assessment And Identification Of An FOA Presentation
MAPP Model Needs Assessment And Identification Of An FOA Presentation
In this assignment, you will complete a public health needs assessment MAPP matrix template. Next, you will seek out an FOA that addresses a public health intervention that will address your chosen topic. You will then create a presentation that demonstrates your chosen public health intervention and provides information about your MAPP matrix and the pertinent FOA.
MAPP Model Needs Assessment And Identification Of An FOA Presentation
Part I: Conduct an MAPP Matrix Needs Assessment
Conduct a public health needs assessment using the MAPP model. It will result in a MAPP matrix, which identifies a public health need that you are personally interested in.
File attached: Complete the MAPP matrix template.
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ORDER NOW FOR AN ORIGINAL PAPER
All MAPP information can be obtained from the National Association of City and County Health Officials (NACCHO) Web site at the following:
National Association of County and City Health Officials (NACCHO). (2012). Mobilizing for action through planning and partnerships (MAPP). Retrieved from http://www.naccho.org/topics/infrastructure/mapp/index.cfm
Four assessments of the MAPP model and the issues they address are described below:
Community Themes and Strengths Assessments: This assessment results in a deeper understanding of the issues that residents feel are important by answering the following questions:
(a) What is important to our community?
(b) How is quality of life perceived in our community?
(c) What assets do we have that can be used to improve community health?
Local Public Health System Assessment (LPHSA): This assessment focuses on all the organizations and entities that contribute to the public’s health. The LPHSA answers the following questions:
(a) What are the components, activities, competencies, and capacities of our local public health system?
(b) How are the essential services being provided to our community?
Community Health Status Assessment: This assessment identifies priority community health and quality-of-life issues. Questions answered include:
(a) How healthy are our residents?
(b) What does the health status of our community look like?
Forces of Change Assessment: This assessment focuses on identifying forces such as legislation, technology, and other impending changes that affect the context in which the community and its public health system operate. This answers the following questions:
(a) What is occurring or might occur that affects the health of our community or the local public health system?
(b) What specific threats or opportunities are generated by these occurrences?
Part II: Identify Funding Opportunity
After you have completed your public health needs assessment matrix template, you will create a presentation that addresses the following:
Identify your chosen public health intervention that relates to your MPH coursework.
Explain how (using the MAPP Model) you completed the matrix template to identify your chosen public health intervention.
Explain why the intervention is an important initiative.
Identify whom the intervention will assist (target audience).
Explain the general requirements of the FOA.
Describe, at a high-level, your intended approach, in response to your chosen public health intervention, if awarded this grant.
Options to Consider:
To assist you with your choice, you must pick one of the following categories that are directly related to your MPH coursework.
You will research the application process for any FOA that does any one of the following:
History and Foundations of Public Health
Establishes a totally new public health intervention that has never been tried before.
Biostatistics; Analysis and Application
Conducts an analysis and application of a public health intervention that is strictly of a bio-statistical nature.
Epidemiology and Risk Management
Relates directly to a purely epidemiological or risk management intervention component.
Environmental Health and Emergency Preparedness
Relates directly to a purely environmental health or emergency preparedness intervention component.
Health Policy and Analysis
Relates directly to a purely public health policy and analysis intervention component.
Health Communications and Social Marketing
Relates directly to a purely public health communications or social marketing intervention component.
Change Implementation and Management
Relates directly to a purely public health change implementation and management intervention component.
Public Health Informatics
Relates directly to a purely public health informatics intervention component.
Social, Cultural, and Behavioral Implications on Health
Relates directly to a purely social, cultural, or behavioral intervention component.
Performance Improvement System
Relates directly to a purely performance improvement intervention component.
Public Health in the Twenty-First Century
Relates directly to any new public health intervention that has not previously been covered by any of the other courses and is considered futuristic in nature.
Develop a 12-slide presentation in Microsoft PowerPoint format. Be sure to use speaker notes at the bottom of each slide to provide detailed information. If you know how to insert an audio file, feel free to use that approach as well. Your goal is to fully inform your audience about your chosen public health intervention and chosen FOA.
Utilize at least 4–5 scholarly sources in your research and be sure to include a references page. Apply APA standards to citation of sources. Write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.
Assignment Components
Conduct a public health needs assessment using the MAPP Model Matrix Template provided.MAPP model matrix template is thoroughly and logically completed. The Matrix also relates well to one’s MPH coursework: 40
Identify your chosen public health intervention that relates to your MPH coursework.
The chosen public health intervention is identified. The selection is logical and relates well to one’s MPH coursework: 8
Explain how (using the MAPP Model) you completed the matrix template to identify your chosen public health intervention.
The explanation regarding how the matrix template was completed is well-developed and logical. It clearly and appropriately identifies one’s chosen public health intervention as a result. Many examples are provided to support thoughts: 24
Explain why the intervention is an important initiative.
The explanation regarding why the intervention is an important initiative is clear and logical. Some examples are included. Some scholarly resources are used to support: 24
Identify whom the intervention will assist (target audience).
The target audience for the intervention is correctly identified. Scholarly resources are used in support: 8
Explain the general requirements of the FOA.
The general requirements of the FOA are fully explained. Reliable sources are utilized: 24
Describe at a high-level your intended approach in response to your chosen public health intervention, if awarded this grant.
The high-level description of one’s intended approach in response to chosen public health intervention, if awarded this grant is clear and logical. Scholarly resources are used in support: 24
Organization:
Write with clear organization appropriate to required format, including introduction, thesis/main idea, transitions, and conclusion, when appropriate.
Introduction has a clear opening, provides background information, and states the topic. The assignment (e.g., report, presentation) is organized around an arguable stated thesis or main idea. Transitions are appropriate and help the flow of ideas. Conclusion summarizes main argument and has a clear ending. Writing generally provides a consistent coherency among ideas: 12
Usage and Mechanics:
Write using proper grammar, spelling, usage, and mechanics to provide smooth readability.
Writing follows conventions of spelling and grammar throughout. Writing skills are competent. Good command of language.
Bullet points and/or sentence structures are accurate. Capitalization, punctuation, and indentation reasonably well followed. Spelling errors are very few. All errors are infrequent and do not interfere with readability or comprehension: 12
APA Elements:
Include proper attribution, paraphrasing, and quotations of all sources.
Using APA format, accurately paraphrased, quoted, and cited throughout the presentation when appropriate or called for. Only a few minor errors present: 12
Audience & Communication:
Write specifically to key audience, using terminology and tone appropriate for the audience.
Writing is focused.
Tone is adequately formal in keeping with the audience: 12. MAPP Model Needs Assessment And Identification Of An FOA Presentation
Total: 200
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Health Promotion
Health Promotion
Please use the patient information provided below for this paper.
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This assignment assesses intended course outcome(s)
#4 Use information found in patients’ health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient’s individual health promotion and disease prevention needs
Students will use the information found in Tina’s history, physical exam, and problem list to formulate an individualized health promotion and disease prevention plan of care. Recommendations should be evidence-based and from credible sources. The readings in module eight contains some suggested sources for obtaining health and screening recommendations for your patient.
The plan for addressing the health promotion and disease prevention needs for your patient should include:
Demographics:
– Age, gender and race of patient
– Education level (health literacy)
– Access to health care
Insurance/Financial status
– Is the patient able to afford medications and health diet, and other out-of-pocket expenses?
Screening/Risk Assessment
– Identified health concerns based on screening assessments and demographic information
Nutrition/Activity
– What is the patients activity level, is the environment where the patient lives safe for activity
– Nutrition recommendations based on age, race gender and pre-existing medical conditions
– Activity recommendations
Social Support
– Support systems, family members, community resources
Health Maintenance
– Recommended health screening based on age, race, gender and pre-existing medical conditions
Patient Education:
– Identified knowledge deficit areas/patient education needs (medication teaching etc).
– Self-care needs/ Activities of daily living
* The paper should be written and referenced in APA format and be no longer than 4 pages (excluding cover page and references).
Your paper will be evaluated based on the following criteria:
Criteria
Level 3
Level 2
Level 1
Demographics
(5%)
Includes age, race and gender of patient
Missing one data item
Missing 2 or more data items
Insurance/Financial status
(10%)
Includes information regarding patient’s insurance status and ability to afford medications and other out-of-pocket expenses
Missing some information regarding insurance status and ability to pay for medications and other out-of-pocket expenses.
Missing information regarding the patients insurance status, ability to pay of medications and other out-of-pocket expenses
Screening /risk assessment
(10%)
Identifies health concerns based on screening assessments and demographic information.
Missing some information regarding health concerns, by excluding information from screening assessments and demographics
Health concerns are not identified due to information missing from screening assessments and demographics
Nutrition/activity
(20%)
Completely asses patient’s nutrition and activity levels and makes recommendations based on age, race, gender and pre-existing medical conditions
Missing some information regarding the patients nutrition and activity levels, make recommendations based on age, race, gender and pre-existing medical conditions
Most of the information regarding the patient’s nutrition and activity levels are missing, recommendations are missing or not based on the patient’s age, race, gender and pre-existing medical conditions
Social support
(10%)
Identifies support systems such as family members and community resources
Missing some information regarding support systems such as family members and/or community resources
Little to no information regarding social support
Health Maintenance
(20%)
Overall health maintenance recommendations made based on age, race, gender and pre-existing medical conditions
Missing some recommendations, mostly based on age, race, gender and pre-existing medical conditions
Missing many recommendations, loosely related to age, race, gender and pre-existing medical conditions
Patient Education
(20%)
Identified knowledge deficit areas/patient education needs including self-care needs and activities of daily living
Missing one or more areas of knowledge deficit/patient education needs including self-care and activities of daily living
Lacks identification of knowledge deficit areas/patient education needs. Does not consider self-care needs or activities of daily living.
Organization, spelling and grammar, APA
(5%)
Organized, easy to read, no spelling or grammar mistakes, appropriate use of APA
Organized and easy to read, few spelling or grammar mistakes, few errors in APA
Disorganized, difficult to read, many spelling and grammar errors mistakes. Does not use APA
Overall score
Points
(60-100)
Points
(24-59)
Points
( 0-23)
Health History
Student Documentation
Model Documentation
Identifying Data & Reliability
Tina Jones is a 28 year old African american female AOX4. Pt is reliable historian
Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Speech is clear and coherent. She maintains eye contact throughout the interview.
General Survey
Alert and oriented X4. Feels tired because she was just coming from her other job.
Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. She is well-nourished, well-developed, and dressed appropriately with good hygiene.
Reason for Visit
Presenting to shadow health hospital clinic for a complete health assessment for a pre-employment physical.
“I came in because I’m required to have a recent physical exam for the health insurance at my new job.”
History of Present Illness
Tina Jones is a 28year old African America female with a history of diabetes and Asthma presenting to get a complete health assessment for a pre-employment physical.
Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. She needs to obtain a pre-employment physical prior to initiating employment. Today she denies any acute concerns. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. She has no medication side effects at this time. She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job.
Medications
Metformin 850mg twice daily Yaz birth control daily in the morning Flovent MDI twice daily proventil 90mcg/spray 2 puffs as needed for wheezing
• Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) • Metformin, 850 mg PO BID (last use: this morning) • Drospirenone and ethinyl estradiol PO QD (last use: this morning) • Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) • Acetaminophen 500-1000 mg PO prn (headaches) • Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago)
Allergies
Penicillin- Rash, hives cats- sneezing, itchy watery eyes, asthma exacebation No Known food allergies No latex allergies
• Penicillin: rash • Denies food and latex allergies • Allergic to cats and dust. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms.
Medical History
Asthma- diagnosed at age 2 1/2 Diabetes Type 2 – diagnosed at 24 was on metformin but stopped due to side effects
Asthma diagnosed at age 2 1/2. She uses her albuterol inhaler when she is around cats. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. She was last hospitalized for asthma in high school. Never intubated. Type 2 diabetes, diagnosed at age 24. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. She monitors her blood sugar once daily in the morning with average readings being around 90. She has a history of hypertension which normalized when she initiated diet and exercise. No surgeries. OB/GYN: Menarche, age 11. First sexual encounter at age 18, sex with men, identifies as heterosexual. Never pregnant. Last menstrual period 2 weeks ago. Diagnosed with PCOS four months ago. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Has new male relationship, sexual contact not initiated. She plans to use condoms with sexual activity. Tested negative for HIV/AIDS and STIs four months ago.
Health Maintenance
Has been eating healthy and trying to stay active by walking 30-40 mins two times per week and also swimming once a week
Last Pap smear 4 months ago. Last eye exam three months ago. Last dental exam five months ago. PPD (negative) ~2 years ago. Immunizations: Tetanus booster was received within the past year, influenza is not current, and human papillomavirus has not been received. She reports that she believes she is up to date on childhood vaccines and received the meningococcal vaccine for college. Safety: Has smoke detectors in the home, wears seatbelt in car, and does not ride a bike. Uses sunscreen. Guns, having belonged to her dad, are in the home, locked in parent’s room.
Family History
-Father died 2 1/2 ears ago in a car accident. History of high blood pressure,type 2 diabetes and high cholesterol -Mother is still alive. has history of hypertension and high cholesterol. -Brother is overweight -Sister has asthma
• Mother: age 50, hypertension, elevated cholesterol • Father: deceased in car accident one year ago at age 58, hypertension, high cholesterol, and type 2 diabetes • Brother (Michael, 25): overweight • Sister (Britney, 14): asthma • Maternal grandmother: died at age 73 of a stroke, history of hypertension, high cholesterol • Maternal grandfather: died at age 78 of a stroke, history of hypertension, high cholesterol • Paternal grandmother: still living, age 82, hypertension • Paternal grandfather: died at age 65 of colon cancer, history of type 2 diabetes • Paternal uncle: alcoholism • Negative for mental illness, other cancers, sudden death, kidney disease, sickle cell anemia, thyroid problems
Social History
she does not have any children, has never been pregnant and has never been married. she lives with her mother and sister. currently works but is hoping to start a new jop as an accounting clerk at smith, stevens, steward silver company. drinksa alcohol ocassionally when she goes out with friends
Never married, no children. Lived independently since age 19, currently lives with mother and sister in a single family home, but will move into own apartment in one month. Will begin her new position in two weeks at Smith, Stevens, Stewart, Silver, & Company. She enjoys spending time with friends, reading, attending Bible study, volunteering in her church, and dancing. Tina is active in her church and describes a strong family and social support system. She states that family and church help her cope with stress. No tobacco. Cannabis use from age 15 to age 21. Reports no use of cocaine, methamphetamines, and heroin. Uses alcohol when “out with friends, 2-3 times per month,” reports drinking no more than 3 drinks per episode. Typical breakfast is frozen fruit smoothie with unsweetened yogurt, lunch is vegetables with brown rice or sandwich on wheat bread or low-fat pita, dinner is roasted vegetables and a protein, snack is carrot sticks or an apple. Denies coffee intake, but does consume 1-2 diet sodas per day. No recent foreign travel. No pets. Participates in mild to moderate exercise four to five times per week consisting of walking, yoga, or swimming.
Mental Health History
Denies any history of depression or suicidal thoughts. denies any problems with mood. no overall safety concerns.
Reports decreased stress and improved coping abilities have improved previous sleep difficulties. Denies current feelings of depression, anxiety, or thoughts of suicide. Alert and oriented to person, place, and time. Well-groomed, easily engages in conversation and is cooperative. Mood is pleasant. No tics or facial fasciculation. Speech is fluent, words are clear
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