Discussion: Psychotherapeutic Approaches to Group Therapy with Children and Adolescents

Group therapy may be beneficial for children and adolescents, because it often provides an environment that normalizes clients’ thoughts, feelings, and behaviors. However, as with any therapeutic approach, group therapy might not be appropriate for every client, every setting, or even every therapist. When selecting therapies, you must always consider the psychodynamics of the client and your own skill set.

This week, as you assess and develop diagnoses for clients presenting for child and adolescent group psychotherapy, you examine the effectiveness of this therapeutic approach. You also consider legal and ethical implications of counseling children and adolescent clients with psychiatric disorders.

Learning Objectives

Students will:

• Assess clients presenting with disruptive behavior
• Analyze group 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.
• Read the case study I am Feeling Like I’m Going Crazy
• For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources.

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 the most likely DSM-5 diagnosis for the client in the case study. Be sure to link those behaviors to the criteria in the DSM-5. Then, explain group therapeutic approaches you might use with this client.  Explain expected outcomes for the client based on these therapeutic approaches. Finally consider legal and ethical implications of counseling children and adolescent clients with psychiatric disorders. Support your approach with evidence-based literature.

Nurses are often portrayed in films and television. From Nurse Ratched in One Flew over the Cuckoo’s Nest, to Julia Baker in Julia, and Gaylord “Greg” Focker in Meet the Parents, nurses have been portrayed showing various traits. Some are positive, while others are less than caring. For each, the five elements of emotional intelligence, 1) self-awareness, 2) self-regulation, 3) motivation, 4) empathy, and 5) social skills, are expressed at different levels. Select a nurse archetype portrayed in films or on television and consider the following.

· What features of emotional intelligence does your selected nurse portray? What features are they lacking? Provide an example to support your rationale.

· If you were the nurse’s leader, how would use your change agent characteristics to support that individual’s growth? Provide specific examples using scenarios from the setting from which the nurse is portrayed.

· How does complexity theory or chaos theory influence the organization in which the nurse is portrayed? Provide specific examples to support your rationale.

Reading:

Hanrahan, K., Wagner, M., Matthews, G., Stewart, S., Dawson, C., Greiner, J., & Williamson, A. (2015). Sacred cow gone to pasture: A systematic evaluation and integration of evidence-based practice (Links to an external site.). Worldviews on Evidence-Based Nursing, 12(1), 3-11. https://doi.org/10.1111/wvn.12072 (Links to an external site.)

Kawar, L. N., Dunbar, G., & Scruth, E. A. (2017). Creating a credible and ethical curriculum vitae (Links to an external site.). Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 31(6), 298. https://doi.org/10.1097/NUR.0000000000000327 (Links to an external site.) 

Marshall, E. S. & Broome, M.E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). Springer Publishing Company.

· Chapter 1: Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations

o Table 1.2 Examples of Situational and Constituent Interaction Theories for Leadership, Emotional Leadership,” p. 10

· Chapter 2: Understanding Contexts for Transformational Leadership: Complexity, Change, and Strategic Planning

o Theory of Complex Adaptive Systems, P. 40-41

o Nurse Leaders Within Complex Health Care Systems, P. 41-44

Instructions:

This is a Doctorate level paper. APA format (7th edition). At least 2 references (must be within 5 years)

Absolutely plagiarism free.

Write a five- paragraph argumentative essay:

 Take your stance and defend whether Facebook, WhatsApp, and Twitter be banned permanently?  

 Follow APA style 7th edition guidelines . Plagiarism is academic misconduct. While citing sources, rephrase the sentences and then cite them per APA format. You all must have at least 3 references. 

 

Post a response to the following:

• Provide the case number in the subject line of the Discussion.
• List three questions you might ask the patient if he or she were in  your office. Provide a rationale for why you might ask these questions.  
• Identify people in the patient’s life you would need to speak to or  get feedback from to further assess the patient’s situation. Include  specific questions you might ask these people and why.
• Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
• List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
• List two pharmacologic agents and their dosing that would be  appropriate for the patient’s ADHD therapy based on pharmacokinetics and  pharmacodynamics. From a mechanism of action perspective, provide a  rationale for why you might choose one agent over the other.
• If your assigned case includes “check points” (i.e., follow-up data  at week 4, 8, 12, etc.), indicate any therapeutic changes that you  might make based on the data provided.
• Explain “lessons learned” from this case study, including how you  might apply this case to your own practice when providing care to  patients with similar clinical presentations.

** Four references required

 

For this assignment create a PowerPoint to address the following scenario…

You are preparing an orientation module to cover TRICARE and Workman’s Compensation. You presentation should address the following, and language should be directed at entry level medical personal

1. Explain all the TRICARE (all 7) and CHMPVA programs: Eligibility, coverage, and benefits (8-14 pages)
2. Explain the process of submitting a claim (3-5 pages)
3. Explain Workman compensation injuries, illnesses, and benefits in your state (3-4 slides)
4. Explain Workman compensation rights in your state (2-3 slides)
5. Explain the appeals process in your state (2-3 slides)
6. Include a title and reference slide.  Insure all resources are referenced and cited in your presentation

Assignment Expectations:  

• Length:
  • answers must thoroughly address each question in a clear, concise manner; (20 – 32 slides)
• Structure:
  • Use the tips at http://www.garrreynolds.com/preso-tips/design/ to create the slideshow.  Because good PowerPoints have very few words, submit a script that expands on the content of each slide – about 50 words per slide (placed in a separate Word document)
  • Title and reference slides are required
• References:
  • Need to be in APA format on a reference slide, and cited in the slides.
• Format:
  • Save your assignment as a Microsoft PowerPoint (.ppt or .pptx)