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see the following articles that must be used to assist with final project

The Treatment Planning of Experienced Counselors: A Qualitative Examination

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SOAP Notes

This article presents information on subjective, objective, assessment, and plan (SOAP) note taking.

MHC 610 Final Project Part Three Guidelines and Rubric: Treatment Plan
Overview
The final project for this course is the creation of a treatment plan, also known as a comprehensive case conceptualization. You will need to apply feedback from
the previous submissions to submit this final portion of the treatment plan in Week Nine. Please note that Part One and Part Two of the final project will need to
be submitted in Week Nine to inform the treatment, but they will not be regraded.
In this assignment, you will demonstrate your mastery of the following course outcomes:
ï‚· MHC-610-03: Formulate developmentally appropriate, culturally sensitive goals, objectives, and interventions to inform treatment planning
ï‚· MHC-610-04: Evaluate the use of evidence-based intervention strategies to inform treatment planning
ï‚· MHC-610-05: Create a comprehensive, client-centered, culturally relevant treatment plan to complete a comprehensive case conceptualization
ï‚· MHC-610-06: Assess current trends and contemporary issues across mental health service delivery modalities as they relate to treatment planning
Prompt
Specifically, you must address the critical elements listed below. Most of the critical elements align with a particular course outcome (shown in brackets).
I.
II.
III.
IV.
V.
VI.
VII.
Treatment Goals [MHC-610-03]
A. Develop a long-term expected outcome of treatment.
Treatment Objectives [MHC-610-03]
A. Develop a short-term expected outcome of treatment.
Treatment: Theoretical Themes [MHC-610-06]
A. Describe central therapeutic emphasis, providing directionality to treatment that is keyed to the adaptive pattern for each goal and objective.
Treatment: Theoretical Strategy [MHC-610-06]
A. Develop an action plan and vehicle for achieving a more adaptive pattern for each goal and objective.
Treatment: Evidence-Based Interventions [MHC-610-04]
A. Develop specific change techniques and tactics related to the treatment strategy for achieving treatment goals and pattern change for each goal
and objective.
Treatment Prognosis [MHC-610-05]
A. Summarize the likely course, duration, and outcome of the mental health condition with or without treatment.
Reevaluation of Treatment Plan [MHC-610-05]
A. Identify the importance of assessing the goal you developed for your client.
1
VIII.
SOAP Note [MHC-610-05]
A. Use clinical reasoning to create a clinical note outlining what might be observed during a counseling session with the case client which follows
the SOAP format (Subjective, Objective, Assessment, Plan).
Final Project Pathway
Final Project Part One Submission: Assessment
In Week Three, you will submit the assessment portion of the treatment plan. It should be a complete, polished artifact containing all the critical elements of the
final product. This submission will be graded with the Final Project Part One Rubric.
Final Project Part Two Submission: Diagnosis
In Week Four, you will submit the diagnosis portion of the treatment plan. It should be a complete, polished artifact containing all the critical elements of the
final product. This submission will be graded with the Final Project Part Two Rubric.
Final Project Part Three Submission: Treatment Plan
In Week Nine, you will submit your finished treatment plan. It should be a complete, polished artifact containing all the critical elements of the final product,
along with the assessment and diagnosis portions completed in Parts One and Two. Note that the assessment and diagnosis portions will not be graded in Week
Nine, but they will inform the treatment plan. This submission will be graded with the Final Project Part Three Rubric.
Final Project Part Four Submission: Reflection
In Week Ten, you will submit your reflection on the treatment plan. This will be done using the Q&A tool within Bongo. This submission will be graded with the
Final Project Part Four Rubric.
Final Project Part Three Rubric
Guidelines for Submission: Your treatment plan must be formatted using the provided Treatment Plan Template and the client’s case study. All sections of the
treatment plan must be filled in for this final submission.
Critical Elements
Treatment Goals
[MHC-610-03]
Exemplary (100%)
Meets “Proficient” criteria, and
goal is exceptionally clear and
contextualized
Proficient (90%)
Develops a long-term expected
outcome of treatment
2
Needs Improvement (70%)
Develops a long-term expected
outcome of treatment, but
submission lacks detail or is
unproductive for the client
Not Evident (0%)
Does not develop a long-term
expected outcome of
treatment
Value
12
Critical Elements
Treatment
Objectives
[MHC-610-03]
Exemplary (100%)
Meets “Proficient” criteria, and
goal is exceptionally clear and
contextualized
Proficient (90%)
Develops a short-term
expected outcome of
treatment
Treatment:
Theoretical Themes
[MHC-610-06]
Meets “Proficient” criteria and
expertly describes the
treatment theoretical themes
Describes the central
therapeutic emphasis providing
directionality to treatment that
is keyed to the adaptive pattern
for each goal and objective
Treatment:
Theoretical Strategy
[MHC-610-06]
Meets “Proficient” criteria and
provides keen insight into how
the action plan supports the
goal and objective
Develops an action plan and
vehicle for achieving a more
adaptive pattern for each goal
and objective
Treatment:
Evidence-Based
Interventions
[MHC-610-04]
Meets “Proficient” criteria and
provides keen insight into how
the interventions support the
treatment goals
Develops specific change
techniques and tactics related
to the treatment strategy for
achieving treatment goals and
pattern change for each goal
and objective
Treatment Prognosis
[MHC-610-05]
Meets “Proficient” criteria and
provides keen insight into the
mental health condition
outcome
Summarizes the likely course,
duration, and outcome of
mental health condition with or
without treatment
Reevaluation of
Treatment Plan
[MHC-610-05]
Meets “Proficient” criteria and
demonstrates a sophisticated
awareness of the importance of
reevaluation of the treatment
plan
Identifies the importance of
assessing the goal developed
for the client
3
Needs Improvement (70%)
Develops a short-term
expected outcome of
treatment, but submission lacks
detail or is unproductive for the
client
Describes the central
therapeutic emphasis providing
directionality to treatment that
is keyed to the adaptive pattern
for each goal and objective, but
lacks detail and/or contains
inconsistencies
Develops an action plan and
vehicle for achieving a more
adaptive pattern for each goal
and objective, but lacks details,
or plan does not support client
Develops specific change
techniques and tactics related
to the treatment strategy for
achieving treatment goals and
pattern change for each goal
and objective, but submission
lacks detail or contains
inconsistencies
Summarizes the likely course,
duration, and outcome of
mental health condition with or
without treatment, but lacks
details and/or contains
inconsistencies
Identifies the importance of
assessing the goal developed
for the client, but submission is
inaccurate
Not Evident (0%)
Does not develop a short-term
expected outcome of
treatment
Value
12
Does not describe the central
therapeutic emphasis providing
directionality to treatment that
is keyed to the adaptive pattern
for each goal and objective
12
Does not develop an action
plan and vehicle for achieving a
more adaptive pattern for each
goal and objective
12
Does not develop specific
change techniques and tactics
related to the treatment
strategy for achieving
treatment goals and pattern
change for each goal and
objective
12
Does not summarize the likely
course, duration, and outcome
of mental health condition with
or without treatment
13
Does not identify the
importance of assessing the
goal developed for the client
12
Critical Elements
SOAP Note
Articulation of
Response
Exemplary (100%)
Meets “Proficient” criteria and
provides keen insight into
session progress and plan in the
SOAP note
Submission is free of errors
related to citations, grammar,
spelling, syntax, and
organization and is presented in
a professional and easy-to-read
format
Proficient (90%)
Describes session progress and
plan in the SOAP note
Needs Improvement (70%)
Describes session progress and
plan in the SOAP note but lacks
details or contains inaccuracies
Not Evident (0%)
Does not describe session
progress and plan in the SOAP
note
Value
10
Submission has no major errors
related to citations, grammar,
spelling, syntax, or organization
Submission has major errors
related to citations, grammar,
spelling, syntax, or organization
that negatively impact
readability and articulation of
main ideas
Submission has critical errors
related to citations, grammar,
spelling, syntax, or organization
that prevent understanding of
ideas
5
Total
4
100%
7-2 Assignment: Draft of the Themes Strategy Prognosis and Reevaluation of
Treatment Plan
Georgette Josephs
Department of Counseling, Southern New Hampshire University
MHC_610-X5142 treatment Planning in CMHC 22TW5
Dr. Shanice Armstrong
July 24, 2022
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MHC 610 Week Seven Assignment
Theoretical Themes
Adlerian theory will be the model on which CJ’s treatment plan will be based. The main
treatment goal to be achieved will be to help CJ feel comfortable and confident in his
community and society, by focusing on his feelings of anxiety and inferiority in order to
develop a sense of belonging and community with his friends and family. The main technique
(object of change) of Adlerian therapy will be encouragement. CJ admits being discouraged
about different important aspects of his life, including money and his romantic or social
relationships. Mr. Jones admits to belonging to a biracial group or community (as an African
American and Lakota man), and as a member of this group, is generally expected to be strong
and independent. Encouragement, as an intervention technique, will not be based on simply
changing CJ’s behavior, but on instilling in him the confidence and courage to change (Wong,
2014).
Adlerian therapy associates the development of problems among clients to the
prevalence of feelings of inferiority which play a major role in their social disconnection
(Sperry, 2018). CJ’s presenting problems can, therefore, be associated to feelings of inferiority
emanating from his financial struggles and inability to land stable employment, as well as the
disconnect that resulted from him leaving home at an early age, not feeling supported or close
to his parents, and losing friends who constantly taunted him for “falling apart” because of his
financial worries. The second main goal will be focused on modifying his motivation through
encouragement to facilitate the development of his inner resources and courage towards
positive change, with the 3-4-month time period being a reasonable enough time to achieve it.
Adlerian therapy maintains that encouragement facilitates the development of a client’s inner
resources and courage towards positive change. This will be implemented through the skills or
techniques of communicating faith in CJ, non-verbal acceptance of his choices, early
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recollection techniques, strength-based interviews, reorientation, acting as if technique,
engagement, validating his goals, reflective listening, and positive reframing (Wong, 2014).
Theoretical Strategy
The fundamental Adlerian action plan for treatment will involve an in-depth
examination of the client’s life tasks, childhood memories or recollections, feelings of
inferiority, and basic mistakes. The therapeutic process will be collaborative, holistic,
encouraging, and client-focused (Jokinen & Hartshorne, 2022). As is common with adults
struggling with anxiety, the Adlerian action plan for CJ will be focused on helping CJ rejoin
life, tolerate uncertainty, accept failure and his current condition, and closely examine his life
tasks (Jokinen & Hartshorne, 2022). One of the most important aspects of this plan will be
examining his life tasks, which will reveal the areas of CJ’s life that he is not giving enough
attention, and that may be influencing his anxiety. By understanding how his roles, tasks, and
anxiety interact, a holistic conceptualization and understanding of the client as an individual
(his personal experiences) within a larger whole of his community and culture would be much
easier (Jokinen & Hartshorne, 2022). This would make him feel understood, strengthening the
client-therapist relationship and opening the door for the cognitively-focused interventions that
would enhance the achievement of goals pertaining to his feelings, inner resources, and
motivation to garner courage towards positive change.
The main goal will be to help CJ feel comfortable and confident in his community and
society, by focusing on his feelings of anxiety and inferiority in order to develop a sense of
belonging and community with his friends and family. This goal will be accomplished in 3-4
months. Past evidence on treatment of GAD have proven that 3-4 months is enough to enable
CJ to start presenting positive outcomes in the form of improved confidence in his strengths
and capabilities. It will be essential to start treatment immediately before his GAD worsens and
leads to secondary depression to make the time period allocated for treatment relevant. The
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second goal will be focused on modifying his motivation through encouragement to facilitate
the development of his inner resources and courage towards positive change. This goal will
also be achieved within the 3-4-month period, with evidence-based research on anxiety
treatment proving it is an adequate period to complete the treatment, which should start
immediately to avoid the development of worse conditions such as secondary depression.
Through the techniques mentioned above, these two SMART goals will be focused on to
achieve the objectives that include helping CJ establish a strong social support system made
up of friends and family, building his short-term self-confidence, modifying his feelings of
inferiority and anxiety, developing his inner resources, courage and motivation towards
positive change.
Treatment Prognosis
If CJ’s Generalized Anxiety Disorder (GAD) remains untreated, he may develop
secondary depression (American Psychiatric Association, 2014). In addition, he may develop
reduced functioning in physical health, issues with social relationships from feeling
misunderstood or irritable, and coexisting conditions like substance abuse or suicide and selfharm behaviors. Other poor prognostic factors include; neuroticism, harm avoidance and
behavioral inhibition, or other anxiety and mood disorders, particularly major depressive
disorder (2014).
Treatment, which would involve weekly one-hour therapy sessions for a period of 3-4
months, may present positive outcomes in the form of CJ’s improved confidence in his
strengths and capabilities (Jokinen & Hartshorne, 2022). Many adult patients of GAD are not
always compliant with medications and tend to seek out alternative therapies. Relapses are
common with this disorder, and the 3-4-month therapy sessions may help CJ reduce the
symptoms of anxiety and improve the quality of his life (Jokinen & Hartshorne, 2022).
Moreover, he would develop courage towards positive change and attain the necessary inner
4
resources required to reduce the symptoms of anxiety such as his increasing inferiority
complex, resulting in increased motivation to face life challenges and achieve success.
Reevaluation of Treatment Plan
The assessment section of Adlerian therapy often involves working with the client to
learn more about his background, including his family dynamics and early memories. The goal
is to understand how CJ may have developed certain thought processes or patterns that are no
longer useful/helpful in his current life, such as his feelings of inferiority and inability to meet
his financial and employment goals. Reevaluating CJ’s treatment plan will be based on the
achievement of the goals listed above. The reevaluation process will happen after every four
weeks. The four weeks is the appropriate time for a reevaluation, not too short of a time to
result in overtreatment, and not too long to lead to an escalation of his anxiety symptoms into
secondary depression (Segelnick & Weinberg, 2006).
It will involve reviewing the stated goals with the client and encouraging him to reveal
any new issues or stressors arising from his efforts to meet those goals. This will be followed
by making necessary revisions to address the new stressors and craft more effective treatment
that would help CJ be more successful in recovery. In the event that it is recognized that CJ
needs further support or intervention, a referral will be made to an outside agency or community
programs, with which I will collaborate to better meet his needs and provide a holistic approach
to treatment. Most importantly, CJ’s cultural or dual minority identity as a young biracial
African American and Lakota man will be considered when coming up with revised goals or
making referrals, to ensure that they do not violate his cultural beliefs or align with his culture
that prioritizes independence and financial stability.
SOAP Note
Subjective
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CJ reports bouts of depressive, anxious, and crying episodes during the past week and says,
“Whenever I am alone, I find myself crying and worrying about my breakup. I thought by now
I would be over my ex-girlfriend.” During last week’s session, I remember CJ mentioning that
they would have celebrated their fourth anniversary the previous week. We talked about this
being a possible trigger of his current worries and how they may have snowballed and affected
his relationships with family and friends.
Objective
CJ is punctual, cooperative, pleasant, attentive, appropriately dressed, and well groomed, and
speaks coherently. He appears generally worried and constricted, but smiled appropriately on
several occasions during today’s session. He is also cognitively intact, with good insight and
judgement, as indicated by his prompt response to the questions I ask him during the session.
Assessment
Client appeared unusually unkempt today and exhibited excessive anxiety towards the
possibility of failing yet another interview for a job that would have presented him with flexible
hours. He appears to continue experiencing anxiety, with signs of moderate depression and
family-related stressors. His anxiety has significantly increased in severity and appears to meet
the criteria for GAD.
Plan
✓ Provider will focus on the client’s reported symptoms and challenges in daily
functioning, encompassing intensity, type, duration, and frequency, if appropriate.
✓ Continue to build confidence and trust with the client to allow him space to explore
earlier events that are similar to current stressors, further exploring relevant
conclusions.
✓ Client is committed to attending group therapy sessions for anxiety to foster his
treatment
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References
Jokinen, R. R., & Hartshorne, T. S. (2022). Anxiety disorders: A biopsychosocial model and
an Adlerian approach for conceptualization and treatment. The Journal of Individual
Psychology, 78(2), 155-174. https://doi.org/10.1353/jip.2022.0022
Segelnick, S. L., & Weinberg, M. A. (2006). Reevaluation of initial therapy: When is the
appropriate time? Journal of Periodontology, 77(9), 15981601. https://doi.org/10.1902/jop.2006.050358
Sperry, J. (2018). Evidence-based Adlerian therapy: Special issue. The Journal of Individual
Psychology, 74(3), 245-246. https://doi.org/10.1353/jip.2018.0016
Wong, Y. J. (2014). The psychology of encouragement. The Counseling Psychologist, 43(2),
178-216. https://doi.org/10.1177/0011000014545091

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