Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues. As you examine the Hernandez Family: Sessions 1-6 videos in this week’s Learning Resources, consider how you might assess and treat the client family.

Learning Objectives

Students will:

· Assess client families presenting for psychotherapy

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide on family assessment.

· View the Hernandez Family: Sessions 1-6 videos, and consider how you might assess the family in the case study.

Note: For guidance on writing a comprehensive client assessment, refer to pages 137–142 of Wheeler (2014) in this week’s Learning Resources.

The Assignment

Address in a comprehensive client assessment of the Hernandez family the following:

· Demographic information

· Presenting problem

· History or present illness

· Past psychiatric history

· Medical history

· Substance use history

· Developmental history

· Family psychiatric history

· Psychosocial history

· History of abuse and/or trauma

· Review of systems

· Physical assessment

· Mental status exam

· Differential diagnosis

· Case formulation

· Treatment plan

Note: Any item you are unable to address from the video should be marked “needs to be added to” as you would in an actual comprehensive client assessment

Learning Resources ( Need 3+ references).

Readings

L’Abte, L. (2015). Highlights from 60 years of practice, research, and teaching in family therapy. American Journal of Family Therapy, 43(2), 180-196. doi:10.1080/01926187.2014.1002367

Mojta, C., Falconier, M. K., & Huebner, A. J. (2014). Fostering self-awareness in novice therapists using internal family systems therapy. American Journal of Family Therapy, 42(1), 67–78. doi:10.1080/01926187.2013.772870

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson.

• Chapter 2, “Basic Techniques      of Family Therapy” (pp. 23-39)
• Chapter 3, “The Fundamental Concepts of Family      Therapy” (pp. 40-55)

Nichols, M., & Tafuri, S. (2013). Techniques of structural family assessment: A qualitative analysis of how experts promote a systemic perspective. Family Process, 52(2), 207-215. doi:10.1111/famp.12025

Papero, D. V. (2014). Assisting the two-person system: An approach based on the Bowen theory. Australian & New Zealand Journal of Family Therapy, 35(4), 386-397. doi:10.1002/anzf.1079

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

• Chapter 12, “Family Therapy”      (pp. 429–468) 

Required Media

Laureate Education (Producer). (2013a). Hernandez family> Sessions 1—6 [Video file]. Author: Baltimore, MD. ( Links below)

Psychotherapy.net (Producer). (2006). Tools and techniques for family therapy. [Video file]. Mill Valley, CA: Author.

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 I need a response to this assignment

Zero plagiarism

2 references

  Endicott Work Productivity Scale (EWPS)

       In psychotherapy, a variety of assessment tools have been utilized to assess clients’ symptomology before and after treatment. Endicott Work Productivity Scale is a short survey of twenty -five questions (Endicott & Nee, 1997). The client’s self- reports by using the scale 0-4 to rate particular (0- no difficulty) or negative (4-always having trouble) in response to work productivity (Endicott & Nee, 1994).The results are then tailed from 0 to 100 work performance has been affected by their psychiatric diagnoses (Endicott & Nee, 1997) Assessment tool are primarily chosen by the provider depending on diagnosis, symptomology and treatment options. Endicott Work Productivity Scale is used mainly with psychiatric diagnosis such as depression, a variety of mood disorders, and medical conditions (headaches) affect work productivity.  The scale measure four domains of productivity within the workplace quality of work performance capacity, attendance, and internal factors. The paper explores the pros and cons of using the Endicott Work Productivity Scale. We will also explore the tool’s validity and reliability in comparison to psychopharmacology and the clinical areas the instrument is commonly utilized. 

    According to Soczynska et al. (2014), The Endicott Work Productivity Scale was used to measure the effects of Major Depressive Disorder and antidepressants on the memory and work production of adults ages 18 -50. The study was conducted for eight weeks to evaluate antidepressants Escitalopram and Bupropion XL  and the effects on work productivity (Soczynska et al., 2014). Thirty-six participants completed the Endicott Work Productivity Scale. Research showed that Escitalopram and Bupropion XL significantly improved function (all p ≤ 0.001), and work productivity (p = 0.045) (Soczynska et al., 2014). The pros of  EWPS is it is an excellent tool to measure the client’s progress in regards to behaviors, feeling, and thoughts regarding work production. It would be beneficial to give to the client before psychotherapy and measure frequently to see if progress has been made. The tool is useful in assessing the progress of medication. In this instance, the EWPS tool should be used in addition to another tool to get a better outlook on the client’s growth.  
 In conclusion, the EPWS tool is used by the provider to collect information from clients on their report of work performance (Ishak et al., 2013). This tool is used to calculate a total score between 0 and 100.  The rating measures subjective feelings, behaviors, or attitudes that can act as a bias. The client can choose high scores but, on the contrary, have low scores causing a different result. 

                                                                                                   References
 Endicott, J. (1994). Endicott Work Productivity Scale.https://web-a-ebscohostcom.ezp.waldenulibrary.org/ehost/detail/detail?vid=3&sid=2ac95f51-fe7e-473e- 922eeafa6090d2d5%40sessionmgr4008&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=test.2108&db=mmt

      Endicott, J., Nee, J. (1997) Endicott Work Productivity Scale (EWPS): a new measure to assess treatment effects. Psychopharmacology Bull 33: 13–16. https://search.proquest.com/openview/40c743939f1b863f8198aed94b4afc26/1?pq-origsite=gscholar&cbl=35891

       Ishak, W., Balayan, K., Bresee, C., Greenberg, J., Fakhry, H., Christensen, S., & Rapaport, M. (2013). A descriptive analysis of quality of life using patient-reported measures in major depressive disorder in a naturalistic outpatient setting. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 22(3), 585–596.   https://doi-org.ezp.waldenulibrary.org/10.1007/s11136-012-0187-6

         Soczynska, J. K., Ravindran, L. N., Styra, R., McIntyre, R. S., Cyriac, A., Manierka, M. S., & Kennedy, S. H. (2014). The effect of bupropion XL and escitalopram on memory and functional outcomes in adults with major depressive disorder: Results from a randomized controlled trial. Psychiatry Research, 220(1–2), 245–250. https://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2014.06.053