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NURS 6650: Psychotherapy With Groups and Families entire course

NURS 6650: Psychotherapy With Groups and Families

NURS 6650 Week 1: Legal and Ethical Considerations for Group and Family Therapy

Members of a cohesive group feel warmth and comfort in the group and a sense of belongingness; they value the group and feel in turn that they are valued, accepted, and supported by other members.

—Irvin D. Yalom, The Theory and Practice of Group Psychotherapy

Group and family therapy offers a unique sense of community and support that may not be achieved through other therapeutic approaches. As you help clients effect change within themselves, they are able to in turn help others within the group change. Although many clients thrive in this environment, it is important to recognize that group and family therapy is not appropriate for everyone. Like any other therapeutic approach, group and family therapy has limitations that must be considered.

This week, as you begin exploring group and family therapy, you examine legal and ethical considerations of this therapeutic approach. You also prepare for your practicum experience by examining counseling theories and developing goals to guide your practice.

NURS 6650: Psychotherapy With Groups and Families entire course

Discussion: Legal and Ethical Considerations for Group and Family Therapy

Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. For this Discussion, consider how limited confidentiality and other legal and ethical considerations might impact therapeutic approaches for clients in group and family therapy.

Learning Objectives

Students will:

Compare legal and ethical considerations for group and family therapy to legal and ethical considerations for individual therapy
Analyze the impact of legal and ethical considerations on therapeutic approaches for clients in group and family therapy
Recommend strategies to address legal and ethical considerations for group and family therapy

To prepare:

Review this week’s Learning Resources and consider the insights they provide on group and family therapy.
View the media, Legal and Ethical Issues for Mental Health Professions, Volume I, and reflect on legal and ethical considerations for group and family therapy and individual therapy.

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 how legal and ethical considerations for group and family therapy differ from those for individual therapy. Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy. Support your rationale with evidence-based literature.

By Day 6

Respond to at least two of your colleagues by suggesting strategies to address the legal and ethical considerations your colleagues discussed. Support your responses with evidence-based literature.

NURS 6650: Psychotherapy With Groups and Families entire course

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NURS 6650 Week 2: Family Assessment and Phases of Family Therapy

A family’s patterns of behavior influences [sic] the individual and therefore may need to be a part of the treatment plan. In marriage and family therapy, the unit of treatment isn’t just the person – even if only a single person is interviewed – it is the set of relationships in which the person is imbedded.

—American Association of Marriage and Family Therapy, “About Marriage and Family Therapists”

When issues arise within a family unit, the family often presents with one member identified as the “problem.” However, you will frequently find that the issue is not necessarily the “problem client,” but rather dysfunctional family patterns and relationships. To better understand such patterns and relationships and develop a family treatment plan, it is essential that the practitioner appropriately assess all family members. This requires you to have a strong foundation in family assessment and therapy.

This week, as you explore family assessment and therapy, you assess client families presenting for psychotherapy. You also develop diagnoses for clients receiving psychotherapy and consider the legal and ethical implications of counseling these clients.

Assignment 1: Hernandez Family Assessment

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

NURS 6650: Psychotherapy With Groups and Families entire course

By Day 7

Submit your Assignment.

Learning Objectives

Students will:

Apply documentation skills to examine family therapy sessions *
Develop diagnoses for clients receiving family psychotherapy *
Analyze legal and ethical implications of counseling clients with psychiatric disorders *

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.

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NURS 6650 Week 3: Experiential and Narrative Family Therapy

The Smiths, a family of five, present with their 14-year-old male son, Joshua, who is identified as “the patient.” Almost immediately, the psychiatric mental health nurse practitioner notices the subtle struggle between the parents to be heard first, often talking over one another. Joshua finally blurts out, “You see, you two are crazy, and you think it’s me.” Joshua’s father immediately becomes angry, and Joshua’s mom is quick to rush to Joshua’s side. She begins to argue with her husband about his treatment of their son.

The Smiths and other clients like them may be candidates for both experiential therapy and narrative family therapy, and it is important to note that these are distinctly different therapeutic approaches. Experiential therapy examines experiences of the “here and now,” whereas narrative family therapy focuses on retelling one’s story to understand why one behaves in certain ways. When assessing client families and selecting one of these therapies, you must not only select the one that is best for the clients, but also the approach that most aligns to your own skill set.

This week, as you explore experiential and narrative family therapy, you assess families presenting for psychotherapy. You also examine the effectiveness of therapeutic approaches for client families with impaired family functioning.

Discussion: Clinical Supervision

Clinical supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this clinical supervision Discussion, consider a client family whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

Assess client families presenting for psychotherapy
Evaluate the effectiveness of therapeutic approaches for client families receiving psychotherapy
Apply narrative family therapy concepts to client families with impaired family functioning

To prepare

Review this week’s media and consider the insights provided on family therapy.
Reflect on the client families you are currently counseling at your practicum site.

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!

Note about Uploading Media: Refer to the Kaltura Media Uploader instructions document located in the menu bar. This provides guidance on how to upload media for the clinical supervision Discussions.

NURS 6650: Psychotherapy With Groups and Families entire course

By Day 3

Post a 3- to 5-minute Kaltura video in which you do the following:

Describe a client family you are counseling that you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client family members’ actual names.
Explain your therapeutic approach with the client family, including the perceived effectiveness of your approach.
Identify any additional information about this client family that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

View a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by providing feedback on each colleague’s therapeutic approach based on a narrative family therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients.

NURS 6650: Psychotherapy With Groups and Families entire course

The Assignment

Part 1: Comprehensive Client Family Assessment

Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) 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

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

NURS 6650: Psychotherapy With Groups and Families entire course

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NURS 6650 Week 4: Structural and Strategic Family Therapy

Individuals are born into families, grow and develop in families, and live most of their lives in families. Therefore, it makes sense that clients are best understood within the context of the family system.

——Dr. Candice Knight, Psychotherapy for the Advanced Practice Psychiatric Nurse

The family system is a social unit that is based on unique relationships and roles. Structural and strategic therapies are important, because they offer unique insights to the theoretical underpinnings of this system. As a psychiatric mental health nurse practitioner, a strong theoretical foundation will help you better understand the family unit and family therapy; this understanding will, in turn, improve the effectiveness of your work with clients.

This week, as you continue exploring family therapy, you examine structural and strategic family therapies and their appropriateness for client families. You also consider your own practicum experiences involving family therapy sessions.

Assignment 1: Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

Learning Objectives

Students will:

Compare structural family therapy to strategic family therapy
Create structural family maps
Justify recommendations for family therapy

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on structural and strategic family therapies.
Refer to Gerlach (2015) in this week’s Learning Resources for guidance on creating a structural family map.

The Assignment

In a 2- to 3-page paper, address the following:

Summarize the key points of both structural family therapy and strategic family therapy.
Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.
Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.
Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

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NURS 6650 Week 5: Solution-Focused and Cognitive Behavioral Family Therapy

When solution-focused and cognitive behavioral family therapy proved effective with individuals, therapists began applying these approaches to families. However, it quickly became evident that the translation of these approaches from individuals to families was more difficult than expected. Consider how you can successfully apply these therapies to your client families. Is one approach more effective than the other? What are the challenges of using these therapeutic approaches with families?

This week, as you continue exploring therapeutic approaches and their appropriateness for client families, you examine solution-focused and cognitive behavioral therapy. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

Discussion: Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

Whether used with individuals or families, the goal of cognitive behavioral therapy (CBT) is to modify client behavior. Although CBT for families is similar to CBT for individuals, there are significant differences in their applications. As you develop treatment plans, it is important that you recognize these differences and how they may impact your therapeutic approach with families. For this Discussion, as you compare the use of CBT for families and individuals, consider challenges of applying this therapeutic approach to your own client families.

Learning Objectives

Students will:

Compare the use of cognitive behavioral therapy for families to cognitive behavioral therapy for individuals
Analyze challenges of using cognitive behavioral therapy for families
Recommend effective cognitive behavioral therapy strategies for families

To prepare:

Review the media, Johnson Family Session 3, in this week’s Learning Resources and consider the insights provided on CBT in family therapy.
Reflect on your practicum experiences with CBT in family and individual settings.

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 how the use of CBT in families compares to CBT in individual settings. Provide specific examples from your own practicum experiences. Then, explain challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by recommending CBT strategies to overcome the challenges your colleagues have identified. Support your recommendations with evidence-based literature and/or your own experiences with clients.

Assignment 1: Practicum – Week 5 Journal Entry

Learning Objectives

Students will:

Develop effective documentation skills for family therapy sessions *
Develop diagnoses for clients receiving family psychotherapy *
Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families *
Analyze legal and ethical implications of counseling clients with psychiatric disorders *

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2.

Then, address in your Practicum Journal the following:

Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
Using the DSM-5, explain and justify your diagnosis for each client.
Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
Explain any legal and/or ethical implications related to counseling each client.
Support your approach with evidence-based literature.

NURS 6650: Psychotherapy With Groups and Families entire course

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NURS 6650 Week 6: Foundations of Group Work and Types of Groups

And as participants improve, the group as a whole benefits. Members can be agents of change for each other. Seeing others’ progress can help group members realize they, too, can cope and feel better.

—Dr. Nina W. Brown, “Power in Numbers”

Group therapy can be very beneficial for clients. In fact, research has shown that for many clients, group therapy is as effective as individual therapy. Members of groups are not only able to influence change within each other, but they are often able to more easily relate to the guidance of peers than that of a therapist. With the increasing popularity of this therapeutic approach, it is essential for you to have a strong foundation in psychotherapeutic techniques for groups.

This week, as you explore group therapy, you consider how you might apply current literature to your own clinical practice. You also examine your own practicum experiences involving group therapy sessions.

Assignment 1: Applying Current Literature to Clinical Practice

Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients.

Learning Objectives

Students will:

Evaluate the application of current literature to clinical practice

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on group work and group therapy.
Select one of the articles from the Learning Resources to evaluate for this Assignment.

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

Provide an overview of the article you selected, including answers to the following questions:
- What type of group was discussed?
- Who were the participants in the group? Why were they selected?
- What was the setting of the group?
- How often did the group meet?
- What was the duration of the group therapy?
- What curative factors might be important for this group and why?
- What “exclusion criteria” did the authors mention?
Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why?
Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than a half page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your presentation with evidence-based literature.

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NURS 6650 Week 7: Group Processes

Group therapy is an effective treatment option for a wide range of disorders and is much more cost-efficient than individual therapy. As a result, many insurance companies are showing preference for group therapy over individual therapy. This has led to more therapists including group therapy in their practices, making it very likely that you will facilitate group therapy in the future. To successfully develop groups and apply this therapeutic approach, it is essential for you to have an understanding of group processes and formation.

This week, as you examine group processes and stages of formation, you explore curative factors of groups and strategies for managing intragroup conflict. You also assess progress for a client family receiving psychotherapy and develop progress and privileged psychotherapy notes for the family.

Assignment 1: Group Processes and Stages of Formation

In your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress. For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s Learning Resources, consider the group’s processes, stages of formation, and other factors that might impact the effectiveness of group therapy for clients.

Learning Objectives

Students will:

Analyze group processes and stages of formation
Analyze curative factors of groups
Analyze the impact of curative factors on client progress
Recommend strategies for managing intragroup conflict

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on group processes.
View the media, Group Therapy: A Live Demonstration, and consider the group dynamics.

The Assignment

In a 2- to 3-page paper, address the following:

Explain the group’s processes and stage of formation.
Explain curative factors that occurred in the group. Include how these factors might impact client progress.
Explain intragroup conflict that occurred and recommend strategies for managing the conflict. Support your recommendations with evidence-based literature.

Assignment 2: Practicum – Assessing Client Family Progress

Learning Objectives

Students will:

Create progress notes
Create privileged notes
Justify the inclusion or exclusion of information in progress and privileged notes
Evaluate preceptor notes

To prepare:

Reflect on the client family you selected for the Week 3 Practicum Assignment.

The Assignment

Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

Treatment modality used and efficacy of approach
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
Modification(s) of the treatment plan that were made based on progress/lack of progress
Clinical impressions regarding diagnosis and or symptoms
Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)
Safety issues
Clinical emergencies/actions taken
Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
Treatment compliance/lack of compliance
Clinical consultations
Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)
The therapist’s recommendations, including whether the client agreed to the recommendations
Referrals made/reasons for making referrals
Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
Issues related to consent and/or informed consent for treatment
Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

Include items that you would not typically include in a note as part of the clinical record.
Explain why the items you included in the privileged note would not be included in the client family’s progress note.
Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

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NURS 6650: Psychotherapy With Groups and Families Week 8

CBT is the most widely researched psychotherapeutic model with demonstrated effectiveness in the treatment of a wide range of emotional and behavioral problems. CBT is the first order of business and treatment of choice for most patients who need internal resources and coping skills enhanced.

—Dr. Sharon M. Freeman Clevenger, Psychotherapy for the Advanced Practice Psychiatric Nurse

Although designed for therapy with individuals, cognitive behavioral therapy (CBT) has also proven effective in group settings. With its many benefits, including cost-effectiveness and efficiency, this therapeutic approach allows the psychiatric mental health nurse practitioner to effectively treat a greater number of clients in a relatively short length of time. With the widespread use of CBT with groups, it is important for you to understand how to use this therapeutic approach in clinical settings.

This week, as you explore CBT for groups, you compare CBT in group and family settings. You also develop diagnoses for clients receiving group psychotherapy and consider legal and ethical implications of counseling these clients.

Discussion: Cognitive Behavioral Therapy: Group Settings Versus Family Settings

As you might recall from Week 5, there are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in group settings and family settings, consider challenges of using this approach with your own groups.

Learning Objectives

Students will:

Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families
Analyze challenges of using cognitive behavioral therapy for groups
Recommend effective strategies in cognitive behavioral therapy for groups

To prepare:

Reflect on your practicum experiences with CBT in group and family settings.

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 how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by recommending strategies to overcome the challenges your colleagues have identified. Support your recommendation with evidence-based literature and/or your own experiences with clients.

Assignment 1: Practicum – Week 8 Journal Entry

Learning Objectives

Students will:

Develop effective documentation skills for group therapy sessions *
Develop diagnoses for clients receiving group psychotherapy *
Evaluate the efficacy of cognitive behavioral therapy for groups *
Analyze legal and ethical implications of counseling clients with psychiatric disorders *

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
Using the DSM-5, explain and justify your diagnosis for each client.
Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.
Explain any legal and/or ethical implications related to counseling each client.
Support your approach with evidence-based literature.

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NURS 6650 Week 9: Group Therapy for Addiction

Consider the following scenario:

The psychiatric mental health nurse practitioner is working for a community health clinic that offers state mandated “intensive outpatient rehabilitation” services for individuals who face incarceration for driving while under the influence. Mr. Smith, a 24-year-old male patient, shows up for his initial intake appointment and says, “Look, this sounds like it’s going to be an AA meeting. Can’t I just go there? I only had a couple of drinks. I don’t know why the judge was such a jerk.”

Clients with addictive disorders may present for therapy for various reasons. Some, like Mr. Smith, attend because it is court mandated. Some attend because family or friends have pushed them to do so, while others may attend because life has become unmanageable. Regardless of clients’ reasons for presenting for therapy, to reach these clients and effectively treat them, you must be able to break down barriers, establish relationships, and help them see the benefits of this therapeutic approach.

This week, you explore psychotherapeutic approaches to group therapy for addiction. You also develop diagnoses for clients receiving psychotherapy for addiction and consider legal and ethical implications of counseling these clients.

Assignment 1: Psychotherapeutic Approaches to Group Therapy for Addiction

When selecting a psychotherapeutic approach for a client, you must consider the unique needs and characteristics of that particular client. The same is true when selecting a psychotherapeutic approach for groups. Not every approach is appropriate for every group, and the group’s unique needs and characteristics must be considered. For this Assignment, you examine psychotherapeutic approaches to group therapy for addiction.

Learning Objectives

Students will:

Evaluate psychotherapeutic approaches to group therapy for addiction

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction.
View the media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches being used.

The Assignment

In a 2- to 3-page paper, address the following:

Identify the psychotherapeutic approach that the group facilitator is using, and explain why she might be using this approach.
Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group, and justify your decision.
Identify an alternative approach to group therapy for addiction, and explain why it is an appropriate option.
Support your position with evidence-based literature.

By Day 7

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NURS 6650 Week 10: Group Therapy With Children and Adolescents

Effective group treatment with children and adolescents rests upon three essential considerations: the clients that compose the group, the therapists responsible for conducting the group, and the setting in which the group occurs.

—Dr. Mark Stone, Cognitive-Behavior 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.

Discussion: Clinical Supervision

In Week 3, you collaborated with colleagues as you participated in your first clinical supervision. This week, you have the opportunity to continue your collaboration as you reflect on and discuss your experiences with counseling children and adolescents in group settings. Psychotherapy with these clients is often more complex than psychotherapy with the general adult population. Personal reflection and discussion with colleagues are essential to your development and success as a psychiatric mental health nurse practitioner. For this clinical supervision, consider a child or adolescent client you are counseling who you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

Assess clients presenting for child and adolescent group psychotherapy
Evaluate the effectiveness of therapeutic approaches for clients receiving child and adolescent group psychotherapy

To prepare:

Review this week’s media and consider the insights provided on group therapy with children and adolescents.
Reflect on a child and adolescent group that you are currently counseling at your practicum site.

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!

Note about Uploading Media: Refer to the Kaltura Media Uploader instructions document located in the menu bar. It provides guidance on how to upload media for the Clinical Supervision Discussions.

By Day 3

Post a 3- to 5-minute Kaltura video that addresses the following:

Describe a child and adolescent group you are counseling.
Describe a client from the group who you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client’s actual name.
Explain your therapeutic approach with the group, including your perceived effectiveness of your approach with the client you identified.
Identify any additional information about this group and/or client that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

View a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by providing constructive feedback concerning their presentations of their client groups and by recommending alternative therapeutic approaches that may be used with the groups. Support your feedback with evidence-based literature and/or your own experiences with clients.

Assignment 2: Practicum – Week 10 Journal Entry

Learning Objectives

Students will:

Develop effective documentation skills to examine group therapy sessions with children and adolescents *
Develop diagnoses for child and adolescent clients receiving group psychotherapy *
Analyze legal and ethical implications of counseling child and adolescent clients with psychiatric disorders *

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NURS 6650 Week 11: Group Therapy With Older Adults

Group therapy with older adults, like group therapy with children and adolescents, presents unique challenges. Many older adults have had a lifetime of not sharing their inner feelings with others, and they are often fearful of being judged. However, when the group setting is properly facilitated, older adults may embrace the setting, find comfort in their peers, and benefit from this therapeutic approach. In your role, how might you maximize the benefits of group therapy for your older adult clients?

This week, as you explore group therapy with older adults, you examine your own group therapy sessions with older adult clients. You also recommend strategies for improving the effectiveness of this therapeutic approach.

Discussion: Group Therapy with Older Adults

As the population continues to age, more and more older adults will require therapy for various mental health issues. While the group setting offers many benefits and makes therapy more accessible to those in need of services, this therapeutic approach may not be effective for all clients. For this Discussion, as you examine your own practicum experiences with older adults in group therapy settings, consider strategies to improve the effectiveness of your sessions.

Learning Objectives

Students will:

Analyze group therapy sessions with older adults
Recommend strategies for improving the effectiveness of group therapy sessions for older adults

To prepare:

Review this week’s Learning Resources, and consider the insights provided on group therapy with older adults.
Reflect on your practicum experiences with older adults in group therapy settings.

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 a description of a group therapy session with older adults, including the stage of the group, any resistances or issues that were present, and therapeutic techniques used by the facilitator. Explain any challenges that may occur when working with this group. Support your recommendations with evidence-based literature.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by recommending strategies for improving the effectiveness of their group therapy sessions. Support your recommendations with evidence-based literature and your own experiences with clients.

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