Week 7 Assignment: Generalist Intervention Model – Diagnosis

Section 1: Differential Diagnosis Using DSM-5-TR Criteria

Potential Diagnoses

Post-Traumatic Stress Disorder (PTSD)

PTSD is a complex psychiatric condition characterized by a spectrum of symptoms affecting the mood, cognition, and somatic experiences of individuals. It arises upon exposure to traumatic events: Week 7 Assignment: Generalist Intervention Model – Diagnosis.

The fifth manual of the diagnostic and statistical manual for mental health disorders describes traumatic events as exposure to life-threatening or near-death experiences, violence, or serious injury. This may include being directly involved in the near-death experience or witnessing the experiences (Mansour et al., 2023).

The presence of a history of exposure to traumatic events, and manifestations of nightmare, trigger avoidance, as manifested by the patient avoiding gun-related movies, and negative cognition, warranted the inclusion of this differential.

Substance Use Disorder (SUD)

Substance use disorder is a mental health condition characterized by patterns of drug use that result in physical or psychological health disruptions and subsequent functional impairment.

According to the DSM-V criteria for diagnosing SUD, a positive diagnosis is made in patients taking one or more substances in large amounts for sustained periods, unable to cut down or control using the substance, spend more time acquiring the drug, have a craving for the substance, and using the substance despite experiencing negative impacts of the drug. The manifestations must have been present within 12 months (Volkow & Blanco, 2023).

In this case, the patient uses marijuana every day before and after work. He also expresses his desire to stop but is unable to, as it is the only effective intervention to his stress. These manifestations warrant the inclusion of this differential.

Notwithstanding, little information exists on whether the patient takes marijuana in larger amounts than intended. Additionally, there is no evidence of the patient taking more time acquiring the drug, having a craving for the drug, and the substance causing impairment in his social functionalities. This makes the diagnosis less probable.

However, concurrent PTSD and SUD remain common. Persons with PTSD are often at heightened risk of using substances. They may proceed to take alcohol and other substances of abuse to alleviate distressing symptoms of PTSD and, in turn, develop SUD. A sustained examination is thus warranted to rule out the development of SUD comorbidity.

Dissociative Identify Disorder (DID)

DID is a psychiatric condition characterized by disruptive cognitive functionalities and distorted behavior and emotions. The disorder is associated with exposure to severe trauma.

Patients with DID will commonly manifest with a history of trauma, substance use, self-injurious behavior, impulsivity, distinct gaps in memory, and derealization, among others (Saxena et al., 2023).

The presence of substance use and a history of trauma warranted the inclusion of this differential. The diagnosis is, however, less probable due to the absence of notable multiple identities and memory gaps in the subjective history of the patient.

Differential Diagnosis and Final Decision

The presumptive diagnosis in George’s case is concurrent post-traumatic stress disorder (PTSD) and substance use disorder.

Rationale for Diagnosis

The DSM-V outlines the criteria for PTSD. According to the diagnostic specifications for the disorder, the first criterion is exposure to sexual violence or real or threatened death experience. This may be through direct exposure, witnessing as someone else experiences the event, learning about a close family member experiencing the event, or indirect exposure (DSM-V, n.d.). The patient in the case presented was directly exposed to life-threatening experiences. He was involved in military combat and saw those around him die. This meets the first criterion for PTSD, making the disorder a probable diagnosis.

The second criterion for PTSD is the existence of one or more manifestations related to the event and with a post-trauma onset. These manifestations include involuntary, recurrent, and intrusive thought patterns associated with the traumatic experience, repetitive, distressing nightmares about the event, dissociative reactions, intense psychological distress about being exposed to the traumatic event, and marked physiological reactivity upon exposure to the reminders of the event (DSM-V, n.d.). The presence of repetitive and intense nightmares, difficulty watching movies involving guns, being reminded of death by some scents, and the patient being startled upon hearing loud noises are indicative of repetitive intrusive thought patterns and point toward the PTSD diagnosis.

The fourth criterion of diagnosing PTSD is the presence of negative alterations in the mood of the patients. This is evidenced by being unable to recall important aspects of the traumatic experience, persistent negative beliefs about self, feeling estranged or detached from others, and inability to experience positive emotions (DSM-V, n.d.). In George’s case, there is evidence of him having difficulty connecting with his family and feeling that he is letting his family down. These manifestations meet the criteria for negative alterations in mood, further pointing toward the PTSD diagnosis.

Altered arousal is another criterion for diagnosing the disease. Altered alterations are evidenced by sleep disturbances, hypervigilance, irritability, recklessness, difficulty concentrating, and exaggerated startled responses (DSM-V, n.d.). The patient, in this case, has sleep problems. He is unable to maintain sleep due to nightmares and only has five to six hours of nighttime sleep. He is also startled by loud noises. These manifestations meet the criteria for altered arousal, making the PTSD diagnosis probable.

A positive diagnosis of PTSD is made when PTSD manifestations are present for over a month. Likewise, the symptoms must cause significant functional impairment in the patients and not be attributable to any other cause (DSM-V, n.d.). In this case, the patient has experienced PTSD symptoms for more than one month. As evident in the case study, his wife noticed his change in behavior and use of substances six months ago.

This suggests that he meets the criteria for symptomatic duration. Likewise, his behavior resulted in significant impairment in his functionality as he started taking substances of abuse, and resulted in him making himself busy despite not having to. His symptoms are also not attributable to any other medical illness, substance use, or medication. This rules out other possible causes of the patient’s symptoms, affirming the PTSD diagnosis.

PTSD is a clinical diagnosis. A thorough history taking and physical examination is warranted to make a positive diagnosis of the disease (Morganstein et al., 2021). While DSM-V is a valuable aid in making the diagnosis, subjective and physical examination is warranted to rule out other possible causes of the distress and, therefore, make a positive and definitive diagnosis of the disorder.

History findings in patients with PTSD are often significant of the PTSD symptoms as defined in the DSM-V. These include intrusive thought patterns, negatively altered behavior, sustained stressors, and altered arousal. Likewise, patients with PTSD will often have a history of trauma exposure, prolonged duration of symptoms, and a family history of substance use or psychiatric illnesses.

Physical examination may indicate some level of dishevelment (Morganstein et al., 2021). Notably, the patient, in this case, has significant manifestations of PSTD symptoms aligned with those of PTSD as described in the DSM-V. His subjective and objective history reveals a history of exposure to combat-related trauma, some level of dishevelment, disrupted sleep patterns, and the absence of any significant physical and psychiatric illnesses that could explain the presented complaints. This affirms the PTSD diagnosis.

Concurrent PTSD and SUD remain common. Persons with PTSD are often at heightened risk of using substances. They may proceed to take alcohol and other substances of abuse to alleviate distressing symptoms of PTSD and, in turn, develop SUD (Mansour et al., 2023).

Diagnostic Tools and Evidence-Based Approaches

Diagnostic Tools

Besides psychiatric evaluations of PTSD, validated rating skills are other important tools that can be used to diagnose the disorder. These are particularly valuable where psychiatric specialists are scarce (Mughal et al., 2020).

The Clinician-Administered PTSD Scale (CAPS-5) is the gold standard in diagnosing PTSD. The CAPS-5 is a 30-item structured interview that measures PTSD symptoms to make current and lifetime diagnoses of the disease and assess the presence of symptoms over the past week. The questions target the 20 symptoms of PTSD described in DSM-V as well as the onset, duration, impact on social and occupational functioning, symptomatic improvement, and subjective distress associated with the identified symptoms.

The tool scores the symptoms and categorizes the overall scores, corresponding with the disease presence, as mild, moderate, severe, or extreme. CAPS-5 has a high internal consistency of Cronbach’s alpha score of .88, inter-rater reliability of .91, and test-retest reliability of 91 (Jiang et al., 2023). This suggests the tool is highly effective in diagnosing PTSD.

The PTSD Checklist for DSM-5 (PCL-5) is another validated screening tool that can help in diagnosing PTSD. PCL-5 is a 20-item self-report tool measure that can be used to assess the 20 manifestations of PTSD outlined in the DSM-V. Findings from the toll can be used to inform the provisional diagnosis of PTSD, screen individuals with PTSD, and monitor patients’ response to therapy against the disorder.

Emerging Technologies

When addressing George’s case, emerging health information technologies can be leveraged to enhance the effectiveness and efficiency of the care process. Telehealth that integrates video teleconferencing can be used to provide virtual psychoeducation. In this case, George will be educated on teleconferencing technologies and their significance in eliminating logistical obstacles during counseling.

Integral to the virtual counseling session is tailoring the schedules to fit the client’s schedule and use of best practices in therapeutic communication to enhance the client’s adoption of the learned processes. This way, the therapist will be able to engage the patient and realize the intended therapeutic goals for the client.

Sober Apps, such as Sobriety Counter, can also be integrated into George’s therapeutic plan to help track his alcohol and marijuana use. Through these applications, caregivers can be informed, in real time, of the progress made in addressing substance use. This will inform apparent therapy revision interventions.

Section 3: Bias, Power, and Privilege in Treatment

Bias, Power Dynamics, and Privilege

Bias remains a factor in the management of mental health illnesses. Bias has a negative impact on the health and clinical outcomes of patients, as well as patient-caregiver engagement. Unconscious bias may influence caregivers’ decision-making and result in discriminatory behaviors against the patient. This may significantly lower the quality of care received by the client and their health and clinical outcomes (Gopal et al., 2021).

Cognitive bias may also result in diagnostic and therapeutic errors, reducing the overall effectiveness of the care process. It is thus important that possible biases are addressed when managing patients with mental health illnesses.

Power dynamics and privilege also interplay in therapeutic decision-making processes and engagements. Possible power imbalances may be catastrophic to the care processes, resulting in fractured patient-caregiver relationships. This may be the case where the caregiver is from a dominant culture or background and deliberately devaluates the client’s values and belief systems.

Power imbalances may also have a negative impact on healthcare collaborations and communication (Fors, 2021). Addressing power and privilege imbalances is thus key.

Culturally Responsive Client Engagement

Culturally responsive client engagement involves interacting with clients in a manner that recognizes and respects their backgrounds, belief systems, values, and experiences. It acknowledges apparent diversity in the clinical environment. It also demonstrates caregivers’ commitment to equal delivery of high-quality healthcare (Bennett & Morse, 2023). Several strategies can be used to ensure culturally responsive client engagement. These include being respectful, maintaining open-mindedness, and soliciting feedback.

Respect remains integral to healthcare communication. It forms the basis for establishing meaningful engagement with clients and fosters collaborations within healthcare teams (Bennett & Morse, 2023). Maintaining respect when engaging cross-cultural patients perpetuates culturally responsive client engagements. It makes clients feel valued and involved in the care process (Bennett & Morse, 2023). Thus, it is important that practitioners be respectful to their patients.

Maintaining open-mindedness also promotes culturally responsive client engagement. Open-mindedness allows practitioners to be receptive to new ideas. It also allows them to acknowledge apparent diversity within the clinical environment, as well as respect the divergent belief and values systems of their clients.

Open-minded practitioners are more likely to integrate their clients into the clinical decision-making processes. Accordingly, this informs the significance of open-mindedness in the clinical environment.

Feedback solicitation is also vital to culturally responsive client engagement. By soliciting feedback, practitioners are able to discern their client’s values, beliefs, and preferences. Feedback solicitation also creates a sense of belonging to patients. They feel more valued and appreciated when their thoughts on therapy are solicited from them (Bennett & Morse, 2023). Hence, caregivers should solicit feedback from clients.

Section 4: Application of Mental Health Theory

Theory: Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is a psychotherapeutic intervention used in managing a spectrum of mental health disorders. It combines cognitive and behavioral therapies. Cognitive therapies focus on recognizing and altering false or distressing thought patterns. The intervention is pegged on the belief that changed or false beliefs are a reason for significant psychological suffering.

By learning to replace negative thought patterns with less harmful and realistic ones, cognitive therapy addresses illnesses attributed to altered perceptions (Wong et al., 2023). Behavioral therapy is based on the belief that human behaviors are learned. Behavioral therapies are focused on identifying behavioral patterns that result in individual suffering and working toward changing them. Combining cognitive and behavioral therapies can be helpful in managing PTSD and other mental health disorders.

CBT is one of the trauma-focused therapies used in managing PTSD. Several theories have been postulated to explain how CBT alleviates PTSD symptoms. Foremost, the emotion processing theory posits that persons who experience traumatic events tend to develop associations between rather safe reminders of the events and the experienced traumatic events. CBT works to change or disrupt the association, resulting in symptom alleviation.

The social cognitive theory suggests that people who incorporate traumatic experiences into their existing beliefs about a phenomenon tend to have an altered understanding of their experiences as well as their coping self-efficacy. CBT, in this case, works to repair the altered understanding, resulting in symptom alleviation. In SUD, CBT targets operant learning processes that result in drug use. It replaces the learned processes with an alternative thought pattern that lowers their propensity to take drugs.

CBT can be used in George’s case to address the PTSD and drug use problem. Through cognitive restructuring, the negative thought patterns that were interplaying in the development of PTSD and SUD can be disrupted or replaced with positive thoughts, alleviating his symptoms. Likewise, CBT can help in the identification of altered belief patterns that contribute to his suffering.

Behavioral interventions can also help George replace substance use with healthier coping mechanisms. Through behavioral interventions, the practitioner can work with George to identify alternative coping mechanisms that are devoid of alcohol use. This will lower his likelihood of taking drugs.

Integration of Strengths-Based Approach

Strength-based approaches can also be integrated into George’s therapeutic care plan to enhance his overall wellness. Through this approach, George will work with the caregivers to identify his personal and social strengths and further leverage the strengths to promote his well-being. In this case, the practitioner will build on George’s resilience by encouraging him to continue doing what makes him happy.

He will also be encouraged to spend more time with his family members to build his commitment to them and enhance military discipline by building and maintaining his therapeutic and social goals. This will help in his recovery.

Combining strength-based approaches and CBT remains superior to either modalities used alone in managing PTSD and SUD comorbidity. They help in alleviating PTSD symptoms, provide alternative approaches to drug use, and promote resilience (Wong et al., 2023). It is thus important that both modalities are used adjunctively to promote long-term wellness for the patient.

Section 5: Treatment Recommendations and Conclusion

Treatment Plan

Comprehensive management of PTSD utilizes psychotherapeutic and pharmacotherapeutic modalities. While patients preserve the option of choosing either modality, a combined approach may be necessitated due to its superiority and the possibility of resistant symptoms. A combined approach is also warranted in patients with severe symptoms and in those with a comorbidity with SUD.

Trauma-Focused Therapy

Trauma-focused psychotherapy is the preferred psychotherapeutic modality in patients with PTSD. Trauma-focused psychotherapy includes CBT, eye movement desensitization and reprocessing (EMDR) therapy, and exposure-based therapy. These modalities maintain effectiveness in alleviating PTSD symptoms and have been used individually or together in managing the disorder.

CBT involves correcting maladaptive beliefs that are apparent after a traumatic event. It involves patient education, stress management, equipping the patient with the prerequisite coping skills, and relaxation exercises. Exposure-based therapy, on the other hand, means exposing patients to their fears and working with them to handle and address them. EMDR entails guiding patients toward focusing on disruptive memory while moving their eyes (Martin et al., 2021).

Pharmacotherapy is an option where symptoms are severe. Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine and sertraline, are FDA-approved in the management of PTSD. Other SSRIs and serotonin-norepinephrine reuptake inhibitors are also indicated for off-label management of PTSD (Martin et al., 2021). These medications are effective in reducing symptom severity and improving wellness in patients with PTSD.

Substance Use Treatment

Behavioral interventions, such as CBT, have been shown to be beneficial in treating SUDs. They can be used alone or adjunctively with pharmacotherapy to minimize the effects of substance use. An outpatient psychotherapeutic plan integrating CBT will be designed for the client. Through the counseling session, George will be guided toward understanding and disrupting learned associations resulting in marijuana and alcohol use. He will also be educated on alternative coping mechanisms for his stressors, thereby lowering his propensity to use marijuana and alcohol whenever he is stressed.

George’s family will also be included in the therapeutic plan. They will be educated on the disease processes and their role in managing their kin’s concerns. In this respect, they will be advised to accompany the client to therapy sessions to have a better understanding of the management process. This will help rebuild trust between the family members and address the shared stressors.

Support Systems

The patient will also be educated on available psychosocial support. Foremost, the family is an important social support for the patient. He will be advised to spend more time with his family members to reinforce the family bond between them. He will also be informed about the existing community resources, such as the church, veteran support groups, such as The American Legion, and PTSD support groups, such as The National Center for PTSD.

These resources are valuable in providing psychosocial support. Through these resources, George can interact with other people with PTSD, share his experiences with them, and raise any health concerns he may be having with them. This will contribute to his wellness.

Conclusion

PTSD is a complex psychiatric condition characterized by distorted mood, behavior, and cognitive processes. It is a clinical diagnosis made based on history taking and evaluations. The DSM-V, along with validates screening tools, provides a valuable guide to its diagnosis.

References

Bennett, B., & Morse, C. (2023). The Continuous Improvement Cultural Responsiveness Tools (CICRT): Creating more culturally responsive social workers. Australian Social Work, 76(3), 315–329. https://doi.org/10.1080/0312407x.2023.2186255

DSM-V. (n.d.). DSM. Psychiatry.org – DSM. https://www.psychiatry.org/psychiatrists/practice/dsm

Fors, M. (2021). Power dynamics in the clinical situation: A confluence of perspectives. Contemporary Psychoanalysis, 57(2), 242–269. https://doi.org/10.1080/00107530.2021.1935191

Gopal, D. P., Chetty, U., O’Donnell, P., Gajria, C., & Blackadder-Weinstein, J. (2021). Implicit bias in healthcare: Clinical practice, research and decision making. Future Healthcare Journal, 8(1), 40–48. https://doi.org/10.7861/fhj.2020-0233

Jiang, C., Xue, G., Yao, S., Zhang, X., Chen, W., Cheng, K., Zhang, Y., Li, Z., Zhao, G., Zheng, X., & Bai, H. (2023). Psychometric properties of the post-traumatic stress disorder checklist for DSM-5 (PCL-5) in Chinese stroke patients. BMC Psychiatry, 23(1). https://doi.org/10.1186/s12888-022-04493-y

Mansour, M., Joseph, G. R., Joy, G. K., Khanal, S., Dasireddy, R. R., Menon, A., Barrie Mason, I., Kataria, J., Patel, T., & Modi, S. (2023). Post-traumatic stress disorder: A narrative review of pharmacological and psychotherapeutic interventions. Cureus. https://doi.org/10.7759/cureus.44905

Martin, A., Naunton, M., Kosari, S., Peterson, G., Thomas, J., & Christenson, J. K. (2021). Treatment guidelines for PTSD: A systematic review. Journal of Clinical Medicine, 10(18), 4175. https://doi.org/10.3390/jcm10184175

Morganstein, J. C., Wynn, G. H., & West, J. C. (2021). Post-traumatic stress disorder: Update on diagnosis and treatment. BJPsych Advances, 27(3), 184–186. https://doi.org/10.1192/bja.2021.13

Mughal, A. Y., Devadas, J., Ardman, E., Levis, B., Go, V. F., & Gaynes, B. N. (2020). A systematic review of validated screening tools for anxiety disorders and PTSD in low to middle income countries. BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02753-3

Saxena, M., Tote, S., & Sapkale, B. (2023). Multiple personality disorder or dissociative identity disorder: Etiology, diagnosis, AND MANAGEMENT. Cureus. https://doi.org/10.7759/cureus.49057

Volkow, N. D., & Blanco, C. (2023). Substance use disorders: A comprehensive update of classification, Epidemiology, Neurobiology, clinical aspects, treatment and prevention. World Psychiatry, 22(2), 203–229. https://doi.org/10.1002/wps.21073

Wong, D. F., Cheung, Y. C., Oades, L. G., Ye, S. S., & Ng, Y. P. (2023). Strength-based cognitive-behavioural therapy and peer-to-peer support in the recovery process for people with schizophrenia: A randomised control trial. International Journal of Social Psychiatry, 70(2), 364–377. https://doi.org/10.1177/00207640231212096

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Week 7 Assignment: Generalist Intervention Model 

250 Possible Points

Assignment Overview

In Week 3, you developed a biopsychosocial assessment based on a client in the case study document from Week 1. In this assignment, you will use evidence-based literature and the DSM-5-TR to appropriately diagnose the client. You will also explain evidence based diagnostic tools, assess how bias, power, and privilege can impact treatment, and apply culturally responsive engagement strategies. This assignment will prepare you for the final assignment in Week 9.

By successfully completing this assignment, you will demonstrate your proficiency in the following EPAS and specialized practices:

Competency 1: Demonstrate Ethical and Professional Behavior 

C1.SP.B Guided by the best advanced generalist practice skills, apply professional behavior and leadership skills in oral, written, and electronic communication with diverse individuals, families, groups, organizations, and communities in the specialization of advanced generalist practice.

• Related Assignment Criterion: Apply professional behavior and leadership skills in oral, written, and electronic communication.

Competency 3: Engage Anti-Racism, Diversity, Equity, and Inclusion (ADEI) in Practice  

C3.SP.B Demonstrate cultural humility by applying leadership skills, ethical use of technology, critical reflection, self-awareness, and self-regulation to manage the influence of bias, power, privilege, and values in working with clients and constituencies, acknowledging them as experts of their own lived experiences in the specialization of advanced generalist practice.

• Related Assignment Criterion: Demonstrate self-awareness, cultural humility, and leadership skills by reflecting on your own bias, power, privilege, and belief system.

Competency 6: Engage With Individuals, Families, Groups, Organizations, and Communities  

• C6.SP.B Apply leadership skills, emerging technologies, empathy, self-reflection, interpersonal skills, in culturally responsive engagement strategies with diverse individuals, families, groups, organizations, and communities in the specialization of advanced generalist practice.
• Related Assignment Criterion: Evaluate the client’s diversity needs. Apply leadership, empathy, interpersonal skills, emerging technologies, and self-reflection to explain culturally responsive engagement strategies.

Competency 7: Assess Individuals, Families, Groups, Organizations, and Communities  

C7.SP.B Apply critical thinking, interpersonal, and engagement skills and the ethical use of technology in the assessment process to promote client rights to self-determination and collaborate with clients and constituencies to develop mutually agreed-upon goals in the specialization of advanced generalist practice.

• Related Assignment Criterion: Conduct a differential diagnosis by evaluating at least three potential diagnoses for the client.

C7.SP.C Apply culturally responsive leadership skills, decision-making, and emerging technologies in the specialization of advanced generalist social work practice in the ongoing assessment of diverse individuals, families, group, organizations, and communities to promote systemic change towards client sustainability.

• Related Assignment Criterion: Apply leadership skills, decision-making, and emerging technologies to describe the diagnostic tool or tools you would use to assist with formulating the diagnosis.

Competency 8: Intervene with Individuals, Families, Groups, Organizations, and Communities 

C8.SP.B Analyze and integrate culturally responsive best practice theories and methods in the specialization of advanced generalist practice to negotiate, mediate, and advocate with and on the behalf of clients and constituencies.

• Related Assignment Criterion: Research, analyze, and apply a mental health theory from your readings to the case.

Assignment Description

In this assignment, you will utilize the DSM-5-TR and other scholarly sources to formulate the client’s diagnosis, explain culturally responsive engagement strategies, and apply theoretical methods of treatment. In social work, it is important that we maintain the strengths-based perspective and consistently apply the generalist intervention model. This model allows us to view a client through the micro, mezzo, and macro setting.

Assignment Instructions

• Make the revisions to the Week 3 assignment that were recommended by your instructor. Build this assignment onto the revised Week 3 assignment as if you were adding new information to the client’s electronic health record.

Competency 7: Competency 7: Assess Individuals, Families, Groups, Organizations, and Communities 

• Conduct a differential diagnosis by evaluating at least three potential diagnoses for the client. Refer to the DSM-5-TR to explain the diagnosis that is most fitting for the client. Justify your decision by linking the client’s presenting symptoms with the diagnostic criteria. Explain the diagnosis or diagnoses you chose to rule out, and why. (C7.SP.B)
• Apply leadership skills, decision-making, and emerging technologies to describe the diagnostic tool or tools you would use to assist with formulating the diagnosis. Apply research to explain why this tool is an appropriate method of assessment. (C7.SP.C)

Competency 3: Engage Anti-Racism, Diversity, Equity, and Inclusion (ADEI) in Practice 

• Demonstrate self-awareness, cultural humility, and leadership skills by reflecting on your own bias, power, privilege, and belief system. Explain how you will practice self-regulation to manage these factors. (C3.SP.B)

Competency 6: Engage With Individuals, Families, Groups, Organizations, and Communities 

• Evaluate the client’s diversity needs. Apply leadership, empathy, interpersonal skills, emerging technologies, and self-reflection to explain culturally responsive engagement strategies. For example, what does research tell us about the specific cultural needs the client may have in a mental health setting? How will you engage the client to encourage their continued treatment? How could you use technology as an aid? (C6.SP.B)

Competency 8: Intervene With Individuals, Families, Groups, Organizations, and Communities

• Research, analyze and apply a mental health theory from your readings to the case (such as but not limited to cognitive, solution-focused, object relations, narrative, behavioral, or self-psychology). The mental health theory you choose should be relevant to address the client’s diagnosis and psychosocial issues. (C8.SP.B)
• Describe an intervention appropriate for the client’s family or community. Apply theory to contextualize the appropriateness of your chosen intervention. (C8.SP.B)
  

  Week 7 Assignment: Generalist Intervention Model – Diagnosis

Additional Requirements

The assignment you submit is expected to meet the following requirements:

• Utilize ethical written, oral, and electronic communication skills: Guided by best advanced generalist practice skills, apply professional behavior and leadership skills in oral, written, and electronic communication with diverse individuals, families, groups, organizations, and communities in the specialization of advanced generalist practice. (C1.SP.B)
• Use APA formatting: Resources and citations are formatted according to the current APA7 style and formatting standards.
• Include cited resources: Minimum of five scholarly sources. All literature cited should be current, with publication dates within the past five years.
• Adhere to length of paper requirements: Minimum of 8 double-spaced pages.
• Font and font size: Times New Roman, 12 points.