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Assessment Description

NOTE: Since you are in a counseling environment, be sure you do not disclose any client/staff information that could compromise confidentiality.

In review of your site’s documentation expectations, what stood out for you the most? How are you becoming more familiar with documentation used for services provided? What are similarities and differences you found in reviewing charts of various counselors at your site?

Note to Dr. Beryl,

Answers:The amount of documentation that Medicaid and Medicare expect for my center to get reimbursed

Each counselor had a different style based off the fact if they had struggled with addiction in the past or if they were a non addict.  The counselors that come from a line of addiction seemed to be more aggressive with their styles

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What type of funding streams does your site have (i.e., how do they bill or how are they reimbursed for services)? How has the funding source affected the clients at your site, such as clients being ineligible to receive services?

REPLY TO DISCUSSION

AC

 

Dr. Beryl,

My site for my intern hours only takes medicaid and medicare for payments.  Its a non profit drug and alcohol treatment center…our clients do not self pay so they are lower to middle class

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DQ

Topic 4 DQ 1 (Obj. 4.1, 4.2, 4.3, and 4.4)

Jan 12-13, 2023

NOTE: Since you are in a counseling environment, be sure you do not disclose any client/staff information that could compromise confidentiality.Read “Spirituality and Therapeutic Action” or watch “Meaning-Making Through Religion and Spirituality” and reflect on how you would adjust the counseling related activities at your site to incorporate faith-based aspects. Please include at least three examples in your reflection.

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Taking the client’s perspective into consideration, reflect on your previous learning in your Social and Cultural Diversity Issues in Counseling and Co-Occurring Disorders courses as you respond to this question. As a counselor, why is it important to consider the client perspective in a counseling session? Provide at least three strategies a counselor may use to support multicultural competence and faith-based beliefs during a counseling session (minimum of at least one strategy for multicultural competence and one for faith-based beliefs).

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Clients may ask clinicians to share details of their daily life or history. Do you believe that more or less self-disclosure is appropriate. How would you address self-disclosure as it relates to religion/spirituality? NOTE: Review the Topic 3 article, “Addressing Religion and Spirituality in Counseling in Rural Iowa,” for your response.

REPLY TO DISCUSSION

AC

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Topic 2 DQ 2 (Obj. 2.1 and 2.2)

Dec 15-18, 2022

Why are boundaries important in counseling sessions? Describe ways in which your boundaries may have been tested this week. How did you react? What did you learn?

REPLY TO DISCUSSION

AC

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Topic 7 DQ 2 (Obj. 7.2)

Nov 24-28, 2022

Now that you have read about therapeutic techniques and procedures, choose two techniques that you would most likely use and explain why. Choose one that you are least likely to use and explain why. 

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Topic 7 DQ 1 (Obj. 7.1)

Nov 24-26, 2022

Under what circumstances might it be beneficial to design a group in which both children and their parents would participate? What special issues might arise in such a group, and how would you manage them?

REPLY TO DISCUSSION

CA

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While conducting a group for adults struggling with addiction, one of the participants has come to the last three groups late. Explain how you might deal with this client’s tardiness. 

 

 

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What form of resistive behavior (or difficult behavior displayed by a group member) would you find most problematic in one of your groups and why? How might you work in a therapeutic way with such a member’s behavior?

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Topic 5 DQ 2 (Obj. 5.2)

Nov 10-14, 2022

You are leading a group of adolescents referred because of school, behavior, and/or substance use. Describe an opening exercise and a trust-building exercise you might use with this group. Explain your choice.

This discussion question meets the following NASAC Standard:

92) Facilitate group growth within the established ground rules, and precipitate movement toward group and individual goals by using methods consistent with group type.

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Topic 5 DQ 1 (Obj. 5.1)

Nov 10-12, 2022

What are special considerations around confidentiality within an adolescent/child’s group? How would you approach these in a group of adolescents or children? 

This discussion question meets the following NASAC Standard:

93) Understand the concepts of “process” and “content,” and shift the focus of the group when such an intervention will help the group move toward its goals.

REPLY TO DISCUSSION

AS

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Topic 4 DQ 2 (Obj. 4.1 and 4.2)

Nov 3-7, 2022

What factors would cause you to initiate follow-up contacts with one or more group members after group termination? What would be the purpose of such contacts?

This discussion question meets the following NASAC Standards:

90) Perform the actions necessary to start a group, including: determining group type, purpose, size, and leadership; recruiting and selecting members; establishing group goals and clarifying behavioral ground rules for participating; identifying outcomes; and determining criteria and methods for termination or graduation from the group.

93) Understand the concepts of “process” and “content,” and shift the focus of the group when such an intervention will help the group move toward its goals.

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What are three symptoms that you might observe in a final group meeting that might indicate that the group had been successful in achieving its primary purpose and goals? What are three symptoms that might indicate that the group had not been successful?

This discussion question meets the following NASAC Standard: 93) Understand the concepts of “process” and “content,” and shift the focus of the group when such an intervention will help the group move toward its goals.

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DQ

Regarding family SUD treatment, which of the five stages in the SOC (TIP #35) will be most challenging for you to work with and why? Which do you feel will be the least challenging and why?

This discussion question meets the following NASAC Standard: 96) Be familiar with and appropriately use models of diagnosis and intervention for families, couples, and intimate dyads, including extended, kinship, or tribal family structures.

REPLY TO DISCUSSION

JG

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Using SAMHSA’s TIP #35, what is Motivational Interviewing (MI)? What are the basic tenets of using MI with clients with SUDs?  Discuss how counselors can roll with resistance while working a family in which the client with an SUD is in the precontemplation stage of change.

This discussion question meets the following NASAC Standards:

6) Appreciate the importance of family, social networks, and community systems in the treatment and recovery process.

95) Understand the characteristics and dynamics of families, couples, and intimate dyads affected by addiction.

96) Be familiar with and appropriately use models of diagnosis and intervention for families, couples, and intimate dyads, including extended, kinship, or tribal family structures.

97) Facilitate the engagement of selected members of the family, couple, or intimate dyed in the treatment and recovery process.

98) Help members of the family, couple, or intimate dyed understand the interaction between their system and addiction.

99) Help families, couples, and intimate dyads adopt strategies and behaviors that sustain recovery and maintain healthy relationships.

104) Describe how addiction affects families and significant/concerned others.

105) Describe continuum of care resources that are available to significant/concerned others.

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Identify and discuss some risk factors within a family that can make recovery from substance use disorders more challenging. How can these risk factors affect treatment planning? 

This discussion question meets the following NASAC Standards:

95) Understand the characteristics and dynamics of families, couples, and intimate dyads affected by addiction.

96) Be familiar with and appropriately use models of diagnosis and intervention for families, couples, and intimate dyads, including extended, kinship, or tribal family structures.

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DQ

What model of family therapy do you believe provides you with the most helpful therapeutic framework for working with addictive families consistent with your personal theoretical model and preferred counseling style? Explain.

This discussion question meets the following NASAC Standards:

95) Understand the characteristics and dynamics of families, couples, and intimate dyads affected by addiction.

96) Be familiar with and appropriately use models of diagnosis and intervention for families, couples, and intimate dyads, including extended, kinship, or tribal family structures.

104) Describe how addiction affects families and significant/concerned others.

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DQ

Widgets R US experience communication issues which prevented decisions from being made. It is clear that Widgets R US is a functional organization because it indicated that lots of information gets kicked upstairs and no one seems to know what is happening. If you are running projects in a functional organization like Widgets R US what kind of struggles would you notice in comparison to running projects from an agile environment?

Best wishes,

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