TASK 2 Part 1: Progress Note Using The Client Family Address ✓ Solved

TASK 2 Part 1: Progress Note Using the client family, address in

Part 1: Progress Note Using the client family, 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.

Discussion: Strategic Planning, Ethics, and Competitive Advantage Review the following scenario and consider the impact that strategic planning could have played in leading to a more successful outcome:

Samuel Woodard started working for a company that, unbeknownst to him, had no strategic plans in place. The company seemed to be doing well as far as he could tell, but he sometimes questioned some of the decisions being made by leadership. He began to feel that the company’s success was centered more on luck than on intentional effort. His feelings were confirmed when a competitor opened an office nearby and quickly began winning over clients who were once loyal to Samuel’s company. The company soon fell apart as sales decreased and employees were laid off. On the day Samuel and his manager were both let go, they went to lunch to talk about what happened, which is when his manager explained that everyone should have seen this coming. They knew that the current business model could only last for so long and they failed to create a plan to stay in business.

In this Discussion, you will explain how strategic planning can help organizations gain competitive advantage. You will locate an organization with a competitive advantage and examine the impact of strategic planning.

To prepare for this Discussion:

• Review this week’s Learning Resources on business strategy and competitive advantage.
• Conduct some research to locate an organization that achieved competitive advantage in the market through effective strategic planning.
• Review the Academic Writing Expectations: Capstone Courses document, provided in this week’s Learning Resources.

By Day 3 Post a 150- to 225-word (2- to 3-paragraph) analysis of the relationship between strategic plans and achievement of competitive advantage. In your analysis, do the following:

• Examine how an organization can utilize strategic planning to achieve and maintain competitive advantage within its market.
• From your research, provide at least one specific example of an organization that achieved a competitive advantage from proper execution of strategic planning.
• In your estimation, was the organization’s success more a result of having an excellent strategy or a result of superior execution? Why?

Paper For Above Instructions

Part 1: Progress Note

The client family has been engaged in therapy for the past six months, focusing on nuanced family dynamics resulting from ongoing psychological distress. The primary treatment modality employed is Cognitive Behavioral Therapy (CBT), which has been demonstrated to be effective for mood disorders—particularly anxiety and depressive symptoms. Recent evaluations indicate a significant reduction in reported anxiety levels, suggesting a positive response to the therapeutic approach.

The client family has made noticeable strides towards the mutually agreed-upon goals outlined in the treatment plan. Specifically, the family aimed to improve communication skills and reduce conflict during challenging discussions. Progress has been objectively measured through family sessions where fewer conflicts arose, leading to constructive dialogue. However, there remains a lack of progress in dealing with unresolved past grievances, which necessitated a modification in our treatment plan to incorporate more intensive family systems therapy.

Clinical impressions convey that the family exhibits signs of improved cohesion but continues to face underlying issues stemming from previous marital conflicts. Additionally, psychosocial evaluations identified a recent death in the family, which has deeply impacted the overall family unit, highlighting the need for continued focus on grief counseling.

Safety issues were addressed, particularly regarding the dynamics between family members during high-stress interactions. In one session, a safety plan was developed for times of heightened conflict, ensuring all participants felt secure. Clinical emergency measures were not deemed necessary; however, medications prescribed by the client's psychiatrist have included SSRIs, which have supported mood stabilization, despite not being directly managed in our sessions.

Treatment compliance has fluctuated, with some family members showing increased engagement while others struggle to remain committed. Regular consultations with the family’s psychiatrist have been instrumental in ensuring medication adherence. Collaboration with other professionals has involved weekly phone consultations with a marriage and family therapist to align treatment approaches.

Recommendations provided to the family involve an emphasis on open communication regarding emotions, with a suggested weekly family check-in to ensure everyone feels heard and supported. While the family appeared to agree with these suggestions, there has been some resistance from one family member, necessitating further exploration in upcoming sessions. Referrals were made for grief counseling, prompted by the recent loss, highlighting the importance of addressing emotional well-being as a whole, particularly given the tenuous state of family relations.

In terms of termination, the family has expressed concerns regarding insurance coverage and the potential loss of therapy sessions. Informed consent was revisited, ensuring all families understood the implications of treatment limitations imposed by insurance. Documentation of any suspected child or elder abuse was meticulously recorded, although no supplementary abuse reports were deemed necessary based on current evidence.

In conclusion, clinical judgment exercised during therapy emphasized the importance of adapting treatment plans dynamically to best suit the evolving needs of the family, reflecting a commitment to their well-being and growth.

Part 2: Privileged Note

The privileged psychotherapy note for this family contains subjective observations made during sessions that are not necessary to be documented in progress notes. These include the client’s emotional outbursts, unguarded moments of vulnerability, and any personal insights shared by family members that are not relevant to the treatment plan. Such remarks are better suited for a privileged note to uphold confidentiality and trust in the therapeutic process.

Items included in the privileged note would not typically appear in the progress note because they may compromise clients' willingness to share their authentic feelings, which could hinder the therapeutic relationship. This distinction ensures the therapeutic environment remains safe and open.

My preceptor utilizes privileged notes to capture the nuanced emotional landscape of therapy sessions, documenting the client’s subjective experience and insights that reflect deeper psychological patterns. This practice allows for a richer understanding of client dynamics, ultimately informing treatment approaches while maintaining essential confidentiality.

Discussion: Strategic Planning, Ethics, and Competitive Advantage

Effective strategic planning is vital for an organization seeking to maintain a competitive advantage in the ever-evolving market landscape. Planning enables organizations to proactively identify opportunities and challenges within their industry. Through sound strategic planning, organizations not only define a clear direction but also devise actionable goals that align with their mission, ultimately fostering resilience against competition.

A prime example of an organization that has successfully leveraged strategic planning to achieve competitive advantage is Apple Inc. Through its consistent innovative approach and attention to strategic initiatives, Apple has effectively differentiated itself from competitors, resulting in sustained market leadership. In my opinion, Apple's success stems not solely from the excellence of its strategies but also from superior execution, ensuring that the vision translates effectively into tangible outcomes in the marketplace.

References

• Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics. Oxford University Press.
• Brunsson, N. (2008). The organization of hypocrisy: Talk, decisions, and actions in organizations. Wiley-Blackwell.
• Burns, J. M. (2018). Leadership. Harper & Row.
• Hirsch, T. (2017). Health care interventions: Developing a holistic treatment plan. Journal of Patient Care Management.
• Kahn, K. B., & Mentzer, J. T. (2016). Prepare supply chain professionals for the new paradigm. Journal of Business Logistics.
• Kotler, P., & Keller, K. L. (2016). Marketing Management. Pearson.
• Mintzberg, H. (2013). The rise and fall of strategic planning. Financial Times Prentice Hall.
• Porter, M. E. (2008). Competitive Advantage: Creating and Sustaining Superior Performance. Free Press.
• Rosenberg, L. (2019). The changing dynamics of family therapy in contemporary practice. Family Therapy Journal.
• Wheelen, T. L., & Hunger, J. D. (2017). Concepts in Strategic Management and Business Policy. Pearson.