DIAGNOSIS, ASSESSMENT, AND TREATMENT PLANNING COUN 550 Fall 2013 Syllabus Course and Instructor Instructors: Dr. Barry Watts, LCPC Office hours: by appointment barry@bvcounseling.com Course Number: COUN 550 (MHLTHSCI 568) Course Title: Course Time: Diagnosis, Assessment, and Treatment Planning Mondays 6:00-8:45pm Course Location: Interactive Learning Center Room 402 Semester: Fall 2013 Credits: 2 credits Course Objectives and Accreditation CACREP Standards Addressed in the Course II. G. 3 Human Growth and Development g. Theories and etiology of addictions and addictive behaviors, including strategies for intervention, and treatment. Course Description The course examines concepts of mental disorders, DSM classification systems, and the diagnostic benefits and diagnostic problems inherent in such systems. An introduction and overview of the major psychopathological syndromes of adolescent and adults (especially in the area of Co-morbidity of Substance Abuse/Dependence and other DSM diagnoses) to facilitate appropriate use of assessment-diagnostic-treatment links (including treatment planning). May be taken for COUN or MHLTHSCI credit, but not both. PREREQ: PREM/INST. Methods of Instruction Instructional procedures will consist of lecture, case analyses, participant discussion, and group discussions regarding the issues and situations presented. Student discussion and participation is essential. Course Objectives Students will demonstrate proficiency in knowledge of assessment, including models an approaches to clinical evaluation such as screening and assessment, diagnostic interviews, mental status exams, inventories, and assessment tools, bio-psycho-social history, indications/contraindications for medication, diagnosis, including the diagnostic process and use 1
of the current DSM, co-occurring disorders, criteria for common disorders, and cultural issues in diagnosis, and treatment planning, including the importance of family and social/community networks, evidence-based treatment strategies, and professional issues related to practice. Students will demonstrate proficiency in being able to accurately communicate the symptoms and clinical presentation of clients with disorders through reliable use of the DSM-5 system of classification, the proper use of diagnostic terms, assessment tools in a comprehensive plan of treatment including referrals/coordination of treatment with other providers, support groups etc. Upon completion of this course, students will also have a working knowledge of theories and etiology of addictions and addictive behaviors, including strategies for intervention, and treatment (II. G. 3.g). Technology Skills Addressed in the Course Utilize Blackboard technology Word process, including APA formatting Use a spreadsheet and a statistical package Acquire graphics from the web, digital camera, scanner or Microsoft media and insert them into a poster or presentation Create and deliver a power point presentation Instructor Application Student Application Find material on the Web and review Web sites Be able to use e-mail, including document attachments Be able to sign in and participate in listservs Be familiar with computerized testing Be able to use digital recording equipment Required Text American Psychiatric Association, Diagnosis and Statistical Manual of Mental Disorders (fifth edition) DSM-5 DSM-5 website Academic Requirements and Evaluation Exam #1 This exam covers basic concepts of assessment, diagnosis and treatment planning, and will be multiple choice in format. The assignment is worth 25% of your grade. 9/23 Exam #2 This exam covers diagnostic criteria, screening and assessment tools, and evidencebased treatment strategies for the most common diagnostic categories and will be multiple choice in format. The assignment is worth 25% of your grade. 10/28 Clinical Assessment, Diagnosis and Treatment Plan 2
Select a movie from the attached list and create a clinical assessment with diagnosis and treatment plan for the character with a psychological disorder. See attached format for paper. This will account for 50% of your grade. This assignment can be completed individually or in a group of up to three students. Due Monday, November 4. Grading Scale Grading Criteria: A = 100-90, B = 89-80, C = 79-70 Assignments not submitted when due or not in the assigned format will not earn full points. Those submitted more than three days past the due date will not be accepted. Plagiarism is sufficient grounds for failure for the course. See current Boise State Graduate Catalog for academic regulations and appeal procedures. Disability and Academic Integrity Statements Disability Statement: To request academic accommodations for a disability, contact the Disability Resource Center by phone, (208) 426-1583, or e-mail, drcinfo@boisestate.edu. Students are required meet with a Disability Specialist prior to receiving accommodations and may be required to provide documentation to clarify accommodation requests. Information about a disability is confidential. More information on the accommodation process can be found at http://drc.boisestate.edu. Academic Integrity Statement: Academic misconduct or dishonesty such as cheating and plagiarism is unacceptable and appropriate penalties will be imposed. This includes referencing material that has not been read by you, such as secondary references. COURSE SCEHDULE Week Topic DSM-5 Reading Pages Covered Key Assessment Due Date 8/26 Overview and Syllabus Review Clinical Assessment Screening and Assessment Bio-psycho-social Model Intake interview Mental Status and Suicide Assessment DSM-5 Website Coding Corrections 8/9/2013 Online Assessment Measures 9/2 NO CLASS LABOR DAY 3
9/9 DSM-5 Classification System and Treatment Planning i - 30 Why should we learn to diagnose using the DSM System Current use, strengths, limitations, issues, controversies DSM-5 diagnosis from a developmental perspective DSM-5 diagnosis as part of addiction and school counseling work Evidence-based treatment, treatment planning process, individualization 9/16 Neurodevelopmental Disorders, Schizophrenia Spectrum and Other Psychotic Disorders 9/23 Bipolar and Depressive Disorders 33-122 123-188 Exam 1 9/30 Anxiety Disorders, OCD and Trauma Disorders 189-290 10/7 Feeding and Eating Disorders, Elimination Disorders, Gender Dysphoria, and Disruptive/Impulse-Control/Conduct Disorders 329 360 451-480 10/14 Substance Disorders (II. G. 3.g) Dual Diagnosis 481 590 (II. G. 3.g) 10/21 Personality Disorders Alternative DSM-5 Model for Personality Disorders 10/28 Other Conditions That May Be a Focus of Clinical Attention 11/4 Summary and Closing Discussion LAST CLASS 645 680 761-781 715-727 Exam 2 CADT Paper Due 4
Client Name: Clinical Assessment Identifying Information Age, sex, ethnicity, marital status, race/ethnicity, religion, occupation. Referral Information Referral source, referral reason. Date of Assessment: Methods of Assessment Clinical interview, collateral interview screening/assessment tools used. Chief Complaint Problem/reason for coming to treatment as stated by the client; often stated as a direct quote. History of Presenting Problem Recent history of problem, events that led up to treatment, symptoms over past few weeks and currently. Past Psychiatric History Previous hospitalization, previous treatment, previous medications. Medical History Any significant current medical problems, any significant medical history, including birth and delivery complications. Family Psychiatric History Any family history of mental health problems or substance abuse. Family and Social History Patient's history such as where born, siblings, relationship with parents, parent's marital status, significant traumas, education and employment history, relationship history. Current social situation such as employment, marital status, children, living situation, substance use. Include client s strengths. Mental Status Orientation, appearance, mood, affect, thought process, thought content, speech, motor activity, cognitive functioning (memory, concentration, intelligence), insight, judgment, impulse control. Impression and Diagnosis Summary of identifying information, presenting problems, thoughts about diagnosis based on symptoms. Diagnosis: Medical Diagnosis DSM-5 Diagnosis Plan Outline a summary of the treatment plan including type and frequency of therapy, recommendations for other treatment (ie. couples therapy, medication evaluation), recommendation for support groups (ie. AA, grief group), next appointment. If client has a dualdiagnosis, reference the treatment plan, including integration of services, for both disorders. 5
Comprehensive Treatment Plan Problem/ Measurable Objective Intervention Date Goal Symptom Goal Strategy Met 1. Depressed 1. Alleviate 1. Identify and 1. Teach client (leave Mood depressed challenge thought record blank) mood (BDI cognitive 2. Teach client down 10 pts) distortions activity scheduling 2. Use and behavioral behavioral activation strategies 3. Develop exercise routine 2. 3. 4. 5. I certify that this clinical assessment demonstrates that services in this treatment plan are medically necessary. Clinician Signature Date Client s Signature Date 6