no 1

1. Describe at least five populations who are vulnerable to PTSD

2. What are eight DSM5 criteria for PTSD

3. Describe possible signs and symptoms a client experiencing PTSD could exhibit

4. Describe at least five triggers and how they can be manifested in client experiencing PTSD

5. Describe five treatment options for clients experiencing PTSD

no 2

  

1) Describe some day to day challenges that face people who are voice hearers

2) Explain the subjective experience of hearing voices that are disturbing

3) Describe cultural humility for people who hear distressing voices through self-reflection, self-awareness and self-critique

4) What other conditions can stimulate or trigger hearing voices in the mind? 

 I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCE

Legal and Ethical Considerations for Group and Family Therapy

According to Locher et al. (2019), psychotherapy is an evidence-based psychological intervention that tackles behavioral or psychiatric disorders. Several different approaches may be used to take form in either individual or group/ family psychotherapy. Group psychotherapy typically involves a clinician and a set of persons who have similar mental health or psychiatric disorders, who meet at specified times to discuss, process, or listen to persons dealing with similar issues (Exhumalai et al., 2018). Whether psychotherapy is in the individual or group setting, ethical or legal implications may arise.

Confidentiality is a significant concern not only in the individual setting but especially in the group setting. With individual psychotherapy, it is only the clinician and the client, and the patients are less concerned about this aspect being breached.  It involves other individuals in a group or family setting; thus, the therapist cannot promise or guarantee that confidentiality will be maintained (McClanahan. 2014). However, the practitioner can urge the group members to keep what is discussed or processed confidentially.

Informed consent is another ethical consideration that will differ with a group versus individual psychotherapy. Shah et al. (2020) define informed consent as the process in which a provider educates a patient about the risks, benefits, and alternatives of an intervention. In psychotherapy, the provider will inform the patient about expected behaviors and set limits or boundaries, which is done before commencing therapy. The patient can then make an informed decision about whether they wish to participate. Breeskin (2011), in his article “Procedures and guidelines for group therapy,” gives an example of how this may be presented to a client. When a client signs the document, it can be legally binding. Therefore, it is essential to know the laws of your state and how they impact your practice.

Impact on therapeutic Approaches

An important fact to remember is the consequences of breaching confidentiality and failing to inform patients properly. For example, if there is a patient in group therapy that you see individually, that client’s information should never be disclosed in the group. Similarly, not informing the patient of how group therapy may impact them negatively (not just positively) can have a lasting effect on the client. The patient should be educated on what they may encounter so they can decide on whether to be a part of group therapy or not.

Finally, the provider must realize that he/she is catering to the entire group and not a specific client. The responses given by the clinician must benefit the group as a whole and not just one patient. Exhumalai et al. (2018) remind us that group therapy aims to be corrective, educational, therapeutic, developmental, preventative, and recreational. To meet these criteria, the clinician should aim to cater to all group members.

References

Breeskin, J. (2011). Procedures and guidelines for group therapy. The Group Psychologist, 21(1). Retrieved from http://www.apadivisions.org/division-49/publications/newsletter/group-psychologist/2011/04/group-procedures.asp

Ezhumalai, S., Muralidhar, D., Dhanasekarapandian, R., & Nikketha, B. S. (2018). Group interventions. Indian Journal of Psychiatry, 60(Suppl 4), S514–S521. http://doi.org/10.4103/psychiatry.IndianJPsychiatry_42_18

Locher, C., Meier, S., & Gaab, J. (2019). Psychotherapy: A World of Meanings. Frontiers in Psychology, 10(460). doi:10.3389/fpsyg.2019.00460

Scenario

The United States continues to experience challenges with respect to health reform. There is considerable agreement on the need for health reform; however, there is an appreciable divide with respect to how to best achieve reform. Discussions on strategies for reform include a repeal of current legislation (the ACA), the implementation of a universal plan, and various “fixes” to the ACA.

Many would suggest that a repeal of the current system would be most appropriate, while others support efforts to “fix” the current ACA. The health organization you work for has asked you to develop a comprehensive proposal for healthcare reform.

The U.S. expends more of its Gross Domestic Product on healthcare than any other developed nation. However, the superior amount of spending has not resulted in superior outcomes when compared to other countries. In addition to higher costs, the U.S. is the only developed country that does not offer universal health to its citizens. There has been a significant amount of discourse with respect to the pros and cons of universal coverage. Those who oppose universal coverage often refer to the Canadian, single-payer system and its challenges, such as high tax liabilities for citizens, its long wait times, and the perception of the single payer system as socialized medicine. However, those in favor of universal coverage argue that the single payer system is not socialized medicine and its costs relative to the current system in the U.S. is more cost effective. Moreover, the single payer system is only one form of universal coverage. Countries that consistently rank high in terms of positive health outcomes often employ a multi-payer universal system as opposed to a single-payer system.

Instructions

You will analyze the current literature on the health system in the U.S. Your final project will include a paper, a voiceover PowerPoint presentation, and an infographic of your proposed solution. Possible solutions include a single payer universal plan, a multi-payer universal plan, a potential enhancement to the ACA such as adding a public option, Medicare for all, or a complete repeal of the current law.

The three (3) deliverables are:

1. A paper that includes the challenges facing the U.S. in terms of balancing the iron triangle of health – Costs, Access, and Quality. Please address the following:
   1. An examination of current policy
   2. A discussion of whether healthcare should be considered a right or a privilege
   3. A discussion of the role of special interest groups on health reform
   4. Articulate the significance of the involvement the Congressional Budget Office in determining the cost effectiveness of reform
   5. Explain the importance of considering existing privacy laws in reform efforts
   6. Describe and justify your potential solution to current challenges facing the U.S., including resource allocation
2. A voiceover PowerPoint presentation that summarizes the major challenges facing the U.S. in terms of balancing the iron triangle of health, a comparison of various possible solutions, and your proposed solutions.
3. An infographic that outlines your final proposed solution to the current challenges facing the U.S. in terms of balancing the iron triangle of health.

Read

• Meiner, S. E., & Yeager, J. J. (2019).
  • Chapter 26
    Chapter_026.pptx
  • Chapter 27
    Chapter_027.pptx
  • Chapter 28
    Chapter_028.pptx
  • Chapter 29
    Chapter_029.pptx

Watch

None.

Supplemental Materials & Resources

Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website and locate the articles below:

1. Ellington, L., Reblin, M., Clayton, M. F., Berry, P., & Mooney, K. (2012). Hospice Nurse Communication with Patients with Cancer and their Family Caregivers.Journal of Palliative Medicine,15(3), 262–268.
2. Duke, G., Thompson, S. & Hastie, M. (2007). Factors influencing completion of advanced directives in hospitalized patients. Journal of Palliative Nursing, 13(1), 39-43.
3. Bockhold, C., Hughes, R., & Ashley, K. (2016). The ethics of opioids for chronic noncancer pain. Nursing 2016, 46(10), 63-67.

QUESTION

After studying Module 7: Lecture Materials & Resources, discuss the following:

• Grief: define and describe the physical symptoms, psychological and social responses and its spiritual aspects.
• Summarize the types of grief.
• Although death is a universal human experience, please specify culture-specific considerations that exist regarding attitudes toward the loss of a loved one, including age (child or older adult) and cause of death.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Your assignment will be graded according to the grading rubric.