Your Perfect Assignment is Just a Click Away
We Write Custom Academic Papers

100% Original, Plagiarism Free, Customized to your instructions!

glass
pen
clip
papers
heaphones

Comprehensive Clinical Case Assessment & Summary

Comprehensive Clinical Case Assessment & Summary

Students will write a case study of a chemically dependent client including diagnosis, history of substance use, current use and symptoms, and current lifestyle information. Discuss at length your treatment approach and recommendations, including your rationale for both. Please be sure to follow the structure provided for the case study. The clinical case summary should present the pertinent background & clinical information on a client which will be used to inform and guide the treatment process. The clinical case summary is important for several reasons. It sets the stage for the clients treatment services while also demonstrating the clinicians ability to assess and formulate treatment recommendations. Team meetings and case presentations are an important aspect of the counselors work. The clinical case summary should include following the format presented below.
Requirements for Clinical Case Assessment Assignment
PART ONE: BACKGROUND INFORMATION ON CLIENT (client should have primary SUD)
Briefly, provide the most relevant facts to the following areas:
1. General Information- Fictional name, age, sex, marital status, ethnicity, education, occupation,
residence, and referral source. (African American)
2. Mental Status Exam- Cognitive functioning, appearance, dress, mood, orientation, contact with reality, affect.
3. Chief Complaint/Presenting Problem- Conditions and situation precipitating admission/visit.
4. History of Presenting Problem and Treatment Episodes- Comprehensive substance use history and symptoms. Include time spent obtaining the substance, route of administration, presence of withdrawal symptoms, and level of current use.
5. Medical, Physical & Mental Health History- Hospitalizations, emergency room visits, treatment, diseases, preventive health care, and high-risk potentials.
6. Social Assessments.
a. Family of Origin: Description of family, functionality, ACOA, and generational issues.
b. Marriage: History, current, spouses chemical use, and functionality.
c. Sexual History/Development: Development, preference, function, abused or abuser, HIV/STD risk.
d. Trauma and Losses: Emotional, physical, and others.
e. Social/Peer Relations: Support network, degree of social involvement, and skills.
f. Religion/Spiritual Orientation: Attitude, involvement, attendance, values, beliefs.
g. Financial status: Problems, the impact of chemical use and socioeconomic status
7. Legal Problems- History, current status, and pending charges.
8. Vocation and/or Education- Problems, performance, attitudes, and plans.
9. Collateral Information- All information from sources other than the client and past treatment records.
PART TWO: SUMMARY OF DIAGNOSIS, TREATMENT RECOMMENDATION
Based on the data from your biopsychosocial assessment presented in Part One:
1. Assessment Summary- Identify and substantiate your assessment by including a rationale for each
element of the diagnosis.
a. DSM-V diagnosis presented in narrative format (include all aspect of diagnosis)
2. Discussion of assessment data provided (was the client trustworthy? Do you believe the information to be accurate? What collateral information did you use? Was there a dynamic between therapist and client that may have affected the assessment process? How did you or could you have overcome this?)
3. Identification of additional data needed by the counselor to plan treatment for the client, including the use of any standardized screening measures that could have been used
4. Discussion of differential diagnosis: identify the diagnoses that are confirmed and the diagnoses that must be ruled out
5. Identification of stage of change and defenses used by the client, with the rationale provided
6. Identification of 3 short-term goals for the client
7. Identification of 3 long-term goals for the client
8. Detailed and specific treatment plan for the client
9. Discussion of ethical and cultural issues that may influence the counseling of the client
10. Discussion of potential countertransference issues that might arise if the student were to counsel this client
11. Based on your assessment and treatment recommendations, locate a treatment center within Maryland which you believe fit the treatment recommendations you provided for the client. Discuss why you chose the treatment center and the necessary steps needed to gain admission into the treatment program and level of care. Provide detailed contact information for this referral.

Order Solution Now

Our Service Charter

1. Professional & Expert Writers: Topnotch Essay only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.

2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.

3. Plagiarism-Free Papers: All papers provided byTopnotch Essay are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.

4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Topnotch Essay is known for timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.

5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.

6. 24/7 Customer Support: At Topnotch Essay, we have put in place a team of experts who answer to all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.