Document the following for the family in the video, using the Comprehensive Evaluation Note Template

Assignment: 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.

To prepare:

  • Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.
  • Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.
  • View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.

The Assignment

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

  • Chief complaint
  • History of present illness
  • Past psychiatric history
  • Substance use history
  • Family psychiatric/substance use history
  • Psychosocial history/Developmental history
  • Medical history
  • Review of systems (ROS)
  • Physical assessment (if applicable)
  • Mental status exam
  • Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria
  • Case formulation and treatment plan
  • Include a psychotherapy genogram for the family

Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.

By Day 7

Submit your Assignment.

 

Masterswork Productions. (2003). Mother and daughter: A cultural tale [Video/DVD]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/mother-and-daughter-a-cultural-tale

Use this link to assess the video on YouTube: https://www.youtube.com/watch?v=d95ULw3_SG8

 

 

Learning Resources

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

 

 

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

Introduction

  • Chapter 2, “Basic Techniques of Family Therapy”
  • Chapter 3, “The Fundamental Concepts of Family Therapy”
  • Chapter 4, “Bowen Family Systems Therapy

Therapist Aid. (2012–2020). Genograms for psychotherapy. https://www.therapistaid.com/therapy-guide/genograms

Therapist Aid LLC. (© 2012-2020). Genograms for psychotherapy. https://www.therapistaid.com/therapy-guide/genograms

Document: Comprehensive Psychiatric Evaluation Note Template

Document: Comprehensive Psychiatric Evaluation Note Exemplar

 

Optional Resource

Kaplin, D. (2021, Nov. 5).  Family systems therapy [Video]. YouTube.  https://www.youtube.com/watch?v=UVPENypTc4k

 

Required Media (click to expand/reduce)

 

Gehart, D. R. (2013, August 29). Progress note [Video]. YouTube. https://www.youtube.com/watch?v=CEB1vBObUqc

 

 

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video]. https://waldenu.kanopy.com/video/counseling-and-psychotherapy-theories-contex