Assignment 18 complete on Frank…. Frank’s information below:
A description of the content for each of the main sections of your report follows:
Identification and Referral
· Client’s name, age, marital status, ethnicity, gender.
· Describe the setting, including where the testing took place, how the client travelled there (or if you went to the client’s home), if he or she was on time and accompanied by anyone.
· Reason for testing at this time, including the referral source (can be a self-referral or a fictitious referrer) and the information sought by the referrer.
· Presenting problems and symptoms.
There should be one or more referral questions to be answered by your assessment. These questions will be answered in your “Recommendations” section and the answers should flow logically from your findings. Some common referral questions for psychological testing include:
· Mental health diagnosis and treatment or management recommendations.
· Disability determination – whether the client is able to work and limitations.
· Vocational/educational assessment – what kind of work would be a good fit for the client’s abilities.
· Learning disability assessment – is a learning disability present and what sort of limitations and accommodations are appropriate.
Preface your history by indicating the source (such as client’s report or family report) and whether you feel it is reliable.
Family History. Include information about current family, current living situation and family of origin.
Educational and Vocational History. Level of education completed, high school and college grades, any history of special education, expulsions and suspensions, occupation and jobs held, last worked, reason for any dismissals, longest time at the same job, vocational aspirations if relevant.
Medical and Mental Health History. The non-psychiatric section should include reports of medical diagnoses and symptoms, current medications, surgeries and overnight hospitalizations, and head injuries. The mental health section should include psychiatric hospitalizations, outpatient mental health treatment, substance abuse treatment, history of psychotropic medication prescriptions, and suicide attempts. When applicable, indicate that there was “no reported history of …” to show that you inquired about the areas above.
Antisocial Behavior/Substance Abuse. Age, charge, and outcome of any arrests or other legal problems. Current and past use of alcohol and other recreational drugs, 12-step group attendance.
Client’s mode of travel (car, bus, family rides) and ability (short trips by car, uses the bus but needs help to get to a new location, etc.). Client’s daily living skills, including ability to groom, bathe, dress, do household chores, and manage money. Include a general description of the client’s daily activities including job, recreational, and social activities.
Review of Records
Include a brief summary of educational or medical records if available (or indicate that no records were available when the report was completed). Diagnoses and test scores are often particularly helpful, as they provide a baseline for comparison. Records reviewed should include report dates, institution name, and the name of the physician or other professional.
Mental Status and Behavioral Observations
Use the Mental Status Exam form as a guide for your interview. This section can be written or dictated directly from this form.
General appearance: Particularly note unusual characteristics that may provide diagnostic information – neglected hygiene, usual dress or tattoos, or physical characteristics that may affect the person’s social interactions and abilities.
Attitude & general behavior: Describe the person’s interaction with you and attitude toward being tested and interviewed.
Mood and affect: Obtain a quote from the client regarding recent mood. Ask about any history of depression and anxiety. Note the range of the client’s affect. Ask about sleep and appetite, and inquire further about depressive or anxious symptoms if a particular disorder if suspected. See the symptom guide at the bottom of the MSE form. For instance, if PTSD were suspected, you would inquire about symptoms such as nightmares, flashbacks, and startle response.
Stream of mental activity: Most clients will be described as responding in a coherent and relevant fashion and speaking at a normal pace with 100% intelligibility. Note any deviations from this, including psychotic symptoms, slower or faster than normal speech, and problems with speech intelligibility. Note unusual speech content and inquire into delusional thinking (paranoid, reference, control, grandiosity) if psychosis is suspected.
Sensorium and orientation: You will describe most clients as alert and aware of their surroundings; note any deviations from this. Orientation includes awareness of elements such as person, place, time and situation. Do not say the client was “oriented times three” as the meaning of this is not always consistent and clear. Do report the questions you asked and the client’s responses. For instance, “The client reported the current day of the week as Saturday rather than Monday.”
Memory. Use simple tests to assess the client’s long- and short-term memory and report the results of those tests. A useful test of short-term memory is to list three objects, have the client repeat them back, and then ask the client to recall them after five minutes have passed.
Fund of information. Two or three questions will give a rough index of the client’s general knowledge. Easy (mental retardation suspected): “How many legs on a dog?” or “Where is your nose?”, Average: “How many days in a year?”, Above average: “What is the boiling temperature of water?”
Concentration and attention: Rate the client’s ability to attend to instructions and task persistence. Simple concentration tasks are counting backwards from 20 or, for higher functioning clients, counting backwards from 100 by 7. Note the time required and number of errors. If ADHD is suspected, use the symptom guide at the bottom of the MSE form to inquire further about symptoms.
Perceptual distortions: Ask about any history of auditory or visual hallucinations and determine if they were associated with drug use or mood (mania or depression). If there were hallucinations, note their frequency, when they last occurred, and their content. Note if the client appears to be responding to hallucinations.
Judgment & insight. Use a simple, standard question to test judgment, such as “What would you do if your neighbor’s house were on fire?” Also, note any history that would indicate impaired judgment, such as arrests or job dismissals. Insight is whether the client has an accurate understanding of his or her mental health status. If there are mental health problems, a client with good insight attributes symptoms to these problems, and is aware of the need for treatment. For instance, a man diagnosed as schizophrenic would demonstrate good insight if he understands that his auditory hallucinations are caused by his illness and that psychiatric medication would help. An alcoholic demonstrates good insight if she admits her illness and recognizes the need to attend AA or other treatment.
When discussing the WAIS-IV results, be sure to include a discussion of the Full Scale Intelligence Quotient (FSIQ), Verbal Comprehension Index (VCI) and Perceptual Reasoning Index (PRI), Working Memory Index (WMI) and Processing Speed Index. You will need to discuss the client’s strengths and weaknesses with regard to subtest variability.
Refer to the WAIS-IV PowerPoint and the sample report as a guide. Start with the FSIQ, indicate its percentile range and category (Low Average, Superior, etc.). If a change in functioning is suspected due to head injury or other problem, compare the FSIQ to estimated pre-morbid functioning.
Compare the VCI to the PRI, and indicate if they are significantly different. Briefly interpret this comparison. If they are not significantly different you can say, “The VCI and PRI were not significantly different from each other, reflecting about equal facility with tasks requiring words as with tasks requiring non-verbal reasoning and performance.” If they are significantly different, indicate why you think this is. Is it consistent with a suspected diagnosis? Does it reflect cultural differences or a physical impairment?
When discussing the WRAT4 results, be sure to include a discussion of the WRAT4 scores. Present the Standard Scores and Percentile ranks for each subtest of the WRAT4 (Word Reading, Spelling, Sentence Comprehension, Math Computation). You also want to talk about scores that are out of the normal range and what that might suggest. It is helpful to give examples of the client’s abilities, particularly on Math Computation (i.e., “able to perform arithmetic operations with whole numbers, but unable to work with decimals or fractions”). If a WRAT4 subtest differs significantly from IQ (at least 20 points lower), a diagnosis of learning disorder is likely, unless you feel that the difference is better explained by other factors.
When discussing the MMPI-2 results, be sure to include a discussion of the validity scales (you can refer to your text for further guidance). Then interpret/discuss the clinical scales that are clinically significant, which are a T-score of 65 or greater. Your text and the powerpoint of the MMPI-2 (found under the course resources tab) list interpretive paragraphs of such scores.
When discussing the MCMI-III results, be sure to include a discussion of the validity scales, which can be assessed by noting the pattern of scores of the validity indicators (you can refer to your text for further guidance). Then interpret/discuss the Personality Disorder Scales that are clinically significant. Note that a BR score of 75-84 suggests the syndrome or pattern is present, whereas scores of 85 or above indicate that it is prominent. Next, interpret/discuss the Clinical Syndrome Scales. Your text lists interpretive paragraphs of such scores.
Provide a complete DSM-5 diagnosis to include the WHODAS 2.0 (p. 747 on the DSM-5). Your diagnoses should be clearly supported by the material you have presented to this point. Your assessment is very likely the most thorough psychodiagnostic procedure the client will ever undergo, so it is important that you come to a decision and not expect that another clinician will be better able to do this.
· This section should not introduce any new information. It needs to integrate and present an overall picture of the client, in regards to the referral question.
· Statement of overall level of functioning, symptoms present, and problems experienced
· What is the level of cognitive functioning and capacities
· The most significant and pressing problem should be listed first and should be in the context of the referral question.
· Do not make recommendations about issues that are outside the purview of your training and competency. For instance, you would not recommend an imaging study or a specific medication. You might recommend referral to a neurologist or psychiatrist for evaluation and possible treatment.
· Make recommendations that take practical and financial limitations into account. It may be tempting to recommend “further testing” because you feel unsure of your recommendations. But keep in mind that testing can be expensive and time consuming. Additional testing should only be recommended if it is for a specific purpose and is necessary for important decision-making.
As much as possible, your recommendations should take your test findings into account and should answer questions that could not have been answered before the assessment was done. You do not need to suggest that the client see a physician because she reported occasional headaches.
People of varying ages have different attitudes toward death. Ask people of different ages (ideally, at least one from each decade: younger than 20, in their 20’s, 30’s, 40’s, 50’s, 60’s, 70’s or older), what thoughts they have about their own death. Have they experienced the death of a close friend or family member? Are they fearful or not? How has their cultural background influenced their attitudes? What differences did your find and how might you attribute the differences to age or culture? Summarize your findings in a 1 – 2 page paper. Use the content in your textbook to support your conclusions.
Draft Introduction to the Methods Section
Draft your introduction to the methods section.
Write your research question at the top of the post. You may upload your draft as an MS Word attachment, but be sure to copy and paste the text into the message box as well.
The goal of methodology in a research proposal is to outline the design strategies used to identify participants or subjects in the study, how you propose to collect data, and how you plan to analyze data.
The purpose of the introduction to the methods section is to provide an overview of your design strategy and to explain how your design strategies will help you to answer the proposed research question. In your introductory paragraphs to the draft of Chapter 3: Methodology of your integrative project, you will write out your research question. If your research question is quantitative, you will also write out your hypothesis or hypotheses. In addition, you will explain how the research question is part of a logical progression, having emerged from the research problem or the identified gap in the literature as you reviewed the literature for your Unit 4 assignment.
Finalize the Research Question (RQ) Preparation
If you choose to have an optional conference with the instructor, be sure to have both the qualitative and quantitative project guides (linked in Resources) handy for reference. Reminder: Mixed-methods questions, meta-analysis, and single-case-study designs are unacceptable for the integrative project. Please refer to your instructor’s Faculty Expectation Message for additional details on preferred methods of communication. Instructions Submit a copy of your research question. For quantitative research questions, include your hypothesis or hypotheses. Be sure to phrase the research question in the form of a question. Identify the research question as qualitative or quantitative. Identify three peer-reviewed sources that support the need to investigate the RQ. In three sentences or fewer, explain how this inquiry is original and how it will advance the scientific knowledge base. Post your proposed research question (RQ) in one or two interrogatives. Identify whether it is a qualitative or a quantitative question.
Please write a summary about the attached article.
The summary should be two and a half pages or little more and double spaced.
Please I need clear and simple writing because english is my second language.
The due date on 03/08/2016 .
This work for Tom mutunga
your thoughts about how various legal guidelines, ethics codes, and specialty guidelines influence diagnosis and assessment in general. Reference at least one potential conflict between laws in your state, ethical guidelines, or specialty guidelines and explain how you might address the conflict.
a description of a specific guideline within a code of conduct that you regard as crucial in relating to clients, and a description of a guideline that you think might present the biggest challenge in conducting assessment, diagnosis, or treatment. Explain why you selected each of the guidelines. Select one guideline from your state and one from AP-LS, or two guidelines from the APA Code of Conduct.
Applied Psychology – From Theory to Practice
The final assignment for this course is a Final Paper. The purpose of the Final Paper is for you to culminate the learning achieved in the course by applying concepts to a specific case study.
Focus of the Final Paper
The Final Paper should demonstrate understanding of concepts addressed across the course as applied to a selected case study. This type of project will be important as you continue with and complete your program because the skill sets of applying your knowledge will be of great use to you when you are ready to go out into the job market and/or apply them to your daily life.
To begin, review the case study you selected in Week Two of the course. Remember, you must use this case study. Pay special attention to the topic you selected and the area from which you will draw your research on the topic as noted in the title of the case study. For example, if you selected Case Study #1, you would explore the topic of severe depression from the clinical psychology perspective. If you selected Case Study #5, you would explore motivation from the industrial organizational psychology perspective.
Next, research the chosen topic using scholarly resources and craft a thesis statement regarding your selected topic. For assistance with creating a thesis statement, utilize the Thesis Generator tool on the Ashford University Writing Center website. Your paper must contain at least six references from scholarly sources that are cited according to APA style as outlined in the Ashford Writing Center. Examples of scholarly sources include peer reviewed journal articles, research studies, professional websites with authored material, and government websites. Popular Internet sites (Wikipedia, Newsweek, New York Times, etc.) are not considered scholarly sources. For further assistance in determining whether or not a site is scholarly, please access the Evaluating Web Resources tutorial on the Ashford University Library website.
In a well-developed eight- to ten-page paper address the following criteria for the case study you selected in Week Two and outlined in Week Three. See the attached ABS200 Case Study List to review the case studies.Define applied behavioral science and the area of psychology from which the case study is explored.Identify and describe the potential source(s) and/or cause(s) of the issue that is/are relevant to the selected case study (e.g., genetic, environmental, social, cultural, organizational).Examine the case study by applying one psychological theory of your choice.Describe scientific research that is relevant to your selected case study. Include past and current findings and note any key changes.Identify and describe any relevant trends in working with your intended population.Detail a suggested plan of action for moving forward including advantages and disadvantages.Specify what you would do to build rapport with the clients in the selected case study.State ethical considerations that are relevant to this case.
Writing the Final Paper
The Final Paper:Must be eight to ten double-spaced pages in length and formatted according to APA style as outlined in the Ashford Writing Center.Must include a title page with the following:Title of paperStudent’s nameCourse name and numberInstructor’s nameDate submittedMust begin with an introductory paragraph that has a succinct thesis statement.Must address the topic of the paper with critical thought. View the Critical Thinking Community website for further assistance.Must end with a conclusion that reaffirms your thesis and summarizes supporting evidence.Must use at least six scholarly sources, three of which must be from the Ashford University Library.Must document all sources in APA style as outlined in the Ashford Writing Center.Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
I choose Case Study #1 Clinical Psychology: Severe Depression
If you have any question please email me.