Walden NURS6650 Full Course Latest 2019 October

NURS6650 Psychotherapy With Groups and Families

Week 1 Discussion

Legal and
Ethical Considerations for Group and Family Therapy

Considering
the Health Insurance Portability and Accountability Act (HIPPA), the idea of
discussing confidential information with a patient in front of an audience is
probably quite foreign to you. However, in group and family therapy, this is
precisely what the psychiatric mental health nurse practitioner does. In your
role, learning how to provide this type of therapy within the limits of
confidentiality is essential. For this Discussion, consider how limited
confidentiality and other legal and ethical considerations might impact
therapeutic approaches for clients in group and family therapy.

Learning
Objectives

Students
will:

Compare
legal and ethical considerations for group and family therapy to legal and
ethical considerations for individual therapy

Analyze the
impact of legal and ethical considerations on therapeutic approaches for
clients in group and family therapy

Recommend
strategies to address legal and ethical considerations for group and family
therapy

To prepare:

Review this
week’s Learning Resources and consider the insights they provide on group and
family therapy.

View the
media, Legal and Ethical Issues for Mental Health Professions, Volume I, and
reflect on legal and ethical considerations for group and family therapy and
individual therapy.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

By Day 3

Post an
explanation of how legal and ethical considerations for group and family
therapy differ from those for individual therapy. Then, explain how these
differences might impact your therapeutic approaches for clients in group and
family therapy. Support your rationale with evidence-based literature.

By Day 6

Respond to
at least two of your colleagues by suggesting strategies to address the legal
and ethical considerations your colleagues discussed. Support your responses
with evidence-based literature.

NURS6650 Psychotherapy With Groups and Families

Week 3 Discussion

Clinical
Supervision

Clinical
supervision is an essential component of your development as a psychiatric
mental health nurse practitioner. It provides an opportunity for professional
collaboration as you share experiences with and gain insights from colleagues.
For this clinical supervision Discussion, consider a client family whom you do
not think is adequately progressing according to expected clinical outcomes.

Learning
Objectives

Students
will:

Assess
client families presenting for psychotherapy

Evaluate
the effectiveness of therapeutic approaches for client families receiving
psychotherapy

Apply
narrative family therapy concepts to client families with impaired family
functioning

To prepare:

Review this
week’s media and consider the insights provided on family therapy.

Reflect on
the client families you are currently counseling at your practicum site.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

Note about
Uploading Media: Refer to the Kaltura Media Uploader instructions document
located in the menu bar. This provides guidance on how to upload media for the
clinical supervision Discussions.

By Day 3

Post a 3-
to 5-minute Kaltura video in which you do the following:

Describe a
client family you are counseling that you do not think is adequately
progressing according to expected clinical outcomes. Note: Do not use the
client family members’ actual names.

Explain
your therapeutic approach with the client family, including the perceived
effectiveness of your approach.

Identify
any additional information about this client family that may potentially impact
expected outcomes.

Note: Nurse
practitioners must have strong oral communication skills. This Discussion is
designed to help you hone these skills. When filming your Kaltura video, be
sure to dress and speak in a professional manner.

View a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by providing feedback on each colleague’s
therapeutic approach based on a narrative family therapeutic perspective. Support
your feedback with evidence-based literature and/or your own experiences with
clients.

NURS6650 Psychotherapy With Groups and Families

Week 5 Discussion

Cognitive
Behavioral Therapy: Family Settings Versus Individual Settings

Whether
used with individuals or families, the goal of cognitive behavioral therapy
(CBT) is to modify client behavior. Although CBT for families is similar to CBT
for individuals, there are significant differences in their applications. As
you develop treatment plans, it is important that you recognize these
differences and how they may impact your therapeutic approach with families.
For this Discussion, as you compare the use of CBT for families and
individuals, consider challenges of applying this therapeutic approach to your
own client families.

Learning
Objectives

Students
will:

Compare the
use of cognitive behavioral therapy for families to cognitive behavioral
therapy for individuals

Analyze
challenges of using cognitive behavioral therapy for families

Recommend
effective cognitive behavioral therapy strategies for families

To prepare:

Review the
media, Johnson Family Session 3, in this week’s Learning Resources and consider
the insights provided on CBT in family therapy.

Reflect on
your practicum experiences with CBT in family and individual settings.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

By Day 3

Post an
explanation of how the use of CBT in families compares to CBT in individual
settings. Provide specific examples from your own practicum experiences. Then,
explain challenges counselors might encounter when using CBT in the family
setting. Support your position with specific examples from this week’s media.

Read a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by recommending CBT strategies to overcome the
challenges your colleagues have identified. Support your recommendations with
evidence-based literature and/or your own experiences with clients.

NURS6650 Psychotherapy With Groups and Families

Week 8 Discussion

Cognitive
Behavioral Therapy: Group Settings Versus Family Settings

As you
might recall from Week 5, there are significant differences in the applications
of cognitive behavior therapy (CBT) for families and individuals. The same is
true for CBT in group settings and CBT in family settings. In your role, it is
essential to understand these differences to appropriately apply this
therapeutic approach across multiple settings. For this Discussion, as you
compare the use of CBT in group settings and family settings, consider
challenges of using this approach with your own groups.

Learning
Objectives

Students
will:

Compare the
use of cognitive behavioral therapy for groups to cognitive behavioral therapy
for families

Analyze
challenges of using cognitive behavioral therapy for groups

Recommend
effective strategies in cognitive behavioral therapy for groups

To prepare:

Reflect on
your practicum experiences with CBT in group and family settings.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

By Day 3

Post an explanation
of how the use of CBT in groups compares to its use in family settings. Provide
specific examples from your own practicum experiences. Then, explain at least
two challenges counselors might encounter when using CBT in the group setting.
Support your response with specific examples from this week’s media.

Read a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by recommending strategies to overcome the
challenges your colleagues have identified. Support your recommendation with
evidence-based literature and/or your own experiences with clients.

NURS6650 Psychotherapy With Groups and Families

Week 10 Discussion

Clinical
Supervision

In Week 3,
you collaborated with colleagues as you participated in your first clinical
supervision. This week, you have the opportunity to continue your collaboration
as you reflect on and discuss your experiences with counseling children and
adolescents in group settings. Psychotherapy with these clients is often more
complex than psychotherapy with the general adult population. Personal
reflection and discussion with colleagues are essential to your development and
success as a psychiatric mental health nurse practitioner. For this clinical
supervision, consider a child or adolescent client you are counseling who you
do not think is adequately progressing according to expected clinical outcomes.

Learning
Objectives

Students
will:

Assess
clients presenting for child and adolescent group psychotherapy

Evaluate
the effectiveness of therapeutic approaches for clients receiving child and
adolescent group psychotherapy

To prepare:

Review this
week’s media and consider the insights provided on group therapy with children
and adolescents.

Reflect on
a child and adolescent group that you are currently counseling at your
practicum site.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

Note about
Uploading Media: Refer to the Kaltura Media Uploader instructions document
located in the menu bar. It provides guidance on how to upload media for the Clinical
Supervision Discussions.

By Day 3

Post a 3-
to 5-minute Kaltura video that addresses the following:

Describe a
child and adolescent group you are counseling.

Describe a
client from the group who you do not think is adequately progressing according
to expected clinical outcomes. Note: Do not use the client’s actual name.

Explain
your therapeutic approach with the group, including your perceived
effectiveness of your approach with the client you identified.

Identify
any additional information about this group and/or client that may potentially
impact expected outcomes.

Note: Nurse
practitioners must have strong oral communication skills. This Discussion is
designed to help you hone these skills. When filming your Kaltura video, be
sure to dress and speak in a professional manner.

View a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by providing constructive feedback concerning
their presentations of their client groups and by recommending alternative
therapeutic approaches that may be used with the groups. Support your feedback
with evidence-based literature and/or your own experiences with clients.

NURS6650 Psychotherapy With Groups and Families

Week 11 Discussion

Group
Therapy with Older Adults

As the
population continues to age, more and more older adults will require therapy
for various mental health issues. While the group setting offers many benefits
and makes therapy more accessible to those in need of services, this
therapeutic approach may not be effective for all clients. For this Discussion,
as you examine your own practicum experiences with older adults in group
therapy settings, consider strategies to improve the effectiveness of your
sessions.

Learning
Objectives

Students
will:

Analyze
group therapy sessions with older adults

Recommend
strategies for improving the effectiveness of group therapy sessions for older
adults

To prepare:

Review this
week’s Learning Resources, and consider the insights provided on group therapy
with older adults.

Reflect on
your practicum experiences with older adults in group therapy settings.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on the
Post to Discussion Question link and then select Create Thread to complete your
initial post. Remember, once you click submit, you cannot delete or edit your
own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

By Day 3

Post a
description of a group therapy session with older adults, including the stage
of the group, any resistances or issues that were present, and therapeutic
techniques used by the facilitator. Explain any challenges that may occur when
working with this group. Support your recommendations with evidence-based
literature.

Read a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by recommending strategies for improving the
effectiveness of their group therapy sessions. Support your recommendations
with evidence-based literature and your own experiences with clients.

NURS6650 Psychotherapy With Groups and Families

Week 2 Assignment

Hernandez
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. As you examine the Hernandez Family: Sessions 1-6 videos in this week’s
Learning Resources, consider how you might assess and treat the client family.

Learning
Objectives

Students
will:

Assess
client families presenting for psychotherapy

To prepare:

Review this
week’s Learning Resources and reflect on the insights they provide on family
assessment.

View the
Hernandez Family: Sessions 1-6 videos, and consider how you might assess the
family in the case study.

Note: For
guidance on writing a comprehensive client assessment, refer to pages 137–142
of Wheeler (2014) in this week’s Learning Resources.

The
Assignment

Address in
a comprehensive client assessment of the Hernandez family the following:

Demographic
information

Presenting
problem

History or
present illness

Past
psychiatric history

Medical
history

Substance
use history

Developmental
history

Family
psychiatric history

Psychosocial
history

History of
abuse and/or trauma

Review of
systems

Physical
assessment

Mental
status exam

Differential
diagnosis

Case
formulation

Treatment
plan

Note: Any
item you are unable to address from the video should be marked “needs to be
added to” as you would in an actual comprehensive client assessment

By Day 7

Submit your
Assignment.

Submission
and Grading Information

To submit
your completed Assignment for review and grading, do the following:

Please save
your Assignment using the naming convention “WK2Assgn+last name+first
initial.(extension)” as the name.

Click the
Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the
Week 2 Assignment link. You will also be able to “View Rubric” for grading
criteria from this area.

Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK2Assgn+last name+first initial.(extension)” and click Open.

If
applicable: From the Plagiarism Tools area, click the checkbox for I agree to
submit my paper(s) to the Global Reference Database.

Click on
the Submit button to complete your submission.

NURS6650 Psychotherapy With Groups and Families

Week 4 Assignment 1

Structural
Versus Strategic Family Therapies

Although
structural therapy and strategic therapy are both used in family therapy, these
therapeutic approaches have many differences in theory and application. As you
assess families and develop treatment plans, you must consider these
differences and their potential impact on clients. For this Assignment, as you
compare structural and strategic family therapy, consider which therapeutic approach
you might use with your own client families.

Learning
Objectives

Students
will:

Compare
structural family therapy to strategic family therapy

Create
structural family maps

Justify
recommendations for family therapy

To prepare:

Review this
week’s Learning Resources and reflect on the insights they provide on
structural and strategic family therapies.

Refer to
Gerlach (2015) in this week’s Learning Resources for guidance on creating a
structural family map.

The
Assignment

In a 2- to
3-page paper, address the following:

Summarize
the key points of both structural family therapy and strategic family therapy.

Compare
structural family therapy to strategic family therapy, noting the strengths and
weaknesses of each.

Provide an
example of a family in your practicum using a structural family map. Note: Be
sure to maintain HIPAA regulations.

Recommend a
specific therapy for the family, and justify your choice using the Learning
Resources.

Note: The
School of Nursing requires that all papers submitted include a title page,
introduction, summary, and references. The sample paper provided by the Walden
Writing Center provides examples of those required elements (available at
http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this
formatting.

By Day 7

Submit your
Assignment.

Submission
and Grading Information

To submit
your completed Assignment for review and grading, do the following:

Please save
your Assignment using the naming convention “WK4Assgn1+last name+first
initial.(extension)” as the name.

Click the
Week 4 Assignment 1 Rubric to review the Grading Criteria for the Assignment.

Click the
Week 4 Assignment 1 link. You will also be able to “View Rubric” for grading
criteria from this area.

Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK4Assgn1+last name+first initial.(extension)” and click Open.

If
applicable: From the Plagiarism Tools area, click the checkbox for I agree to
submit my paper(s) to the Global Reference Database.

Click on
the Submit button to complete your submission.

NURS6650 Psychotherapy With Groups and Families

Week 4 Assignment 2

Week 1
Journal Entry

As a future
advanced practice nurse, it is important that you are able to connect your
classroom experience to your practicum experience. By applying the concepts you
study in the classroom to clinical settings, you enhance your professional
competency. Each week, you complete an Assignment that prompts you to reflect
on your practicum experiences and relate them to the material presented in the
classroom. This week, you begin documenting your practicum experiences in your
Practicum Journal.

Note: Be
sure to use the Practicum Journal Template, located in this week’s Learning
Resources.

Learning
Objectives

Students will:

Analyze
nursing and counseling theories to guide practice in psychotherapy*

Summarize
goals and objectives for personal practicum experiences*

Produce
timelines for practicum activities*

* The
Assignment related to this Learning Objective is introduced this week and
submitted in Week 3.

In
preparation for this course’s practicum experience, address the following in
your Practicum Journal:

Select one
nursing theory and one counseling theory to best guide your practice in
psychotherapy.

Note: For
guidance on nursing and counseling theories, refer to this week’s Learning
Resources.

Explain why
you selected these theories. Support your approach with evidence-based
literature.

Develop at
least three goals and at least three objectives for the practicum experience in
this course.

Create a
timeline of practicum activities based on your practicum requirements.

NURS6650 Psychotherapy With Groups and Families

Week 4 Assignment 3

Week 2
Journal Entry

Learning
Objectives

Students
will:

Apply
documentation skills to examine family therapy sessions *

Develop
diagnoses for clients receiving family psychotherapy *

Analyze
legal and ethical implications of counseling clients with psychiatric disorders
*

* The
Assignment related to this Learning Objective is introduced this week and
submitted in Week 3.

Select two
clients you observed or counseled this week during a family therapy session.
Note: The two clients you select must have attended the same family session.

Then,
address in your Practicum Journal the following:

Using the
Group Therapy Progress Note in this week’s Learning Resources, document the
family session.

Describe
(without violating HIPAA regulations) each client, and identify any pertinent
history or medical information, including prescribed medications.

Using the
Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition
(DSM-5), explain and justify your diagnosis for each client.

Explain any
legal and/or ethical implications related to counseling each client.

NURS6650 Psychotherapy With Groups and Families

Week 4 Assignment 4

Practicum –
Assessing Client Families

Learning
Objectives

Students
will:

Assess
client families presenting for psychotherapy

Develop
genograms for client families presenting for psychotherapy

To prepare:

Select a
client family that you have observed or counseled at your practicum site.

Review
pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this
week’s Learning Resources.

Reflect on
elements of writing a comprehensive client assessment and creating a genogram
for the client you selected.

The
Assignment

Part 1:
Comprehensive Client Family Assessment

Create a
comprehensive client assessment for your selected client family that addresses
(without violating HIPAA regulations) the following:

Demographic
information

Presenting
problem

History or
present illness

Past
psychiatric history

Medical
history

Substance
use history

Developmental
history

Family
psychiatric history

Psychosocial
history

History of
abuse and/or trauma

Review of
systems

Physical
assessment

Mental
status exam

Differential
diagnosis

Case
formulation

Treatment
plan

Part 2:
Family Genogram

Develop a
genogram for the client family you selected. The genogram should extend back at
least three generations (parents, grandparents, and great grandparents).

NURS6650 Psychotherapy With Groups and Families

Week 6 Assignment

Applying
Current Literature to Clinical Practice

Psychiatric
mental health nursing practice is one of the newest disciplines to be licensed
to provide psychotherapy As such, the majority of psychotherapy research is
centered on other disciplines such as psychology, social work, marriage/family
therapy, art therapy, psychiatry, and mental health counseling. This makes it
essential for you to be able to translate current literature from other
disciplines into your own clinical practice. For this Assignment, you practice
this skill by examining literature on group work and group therapy and
considering its applicability to your own clients.

Learning
Objectives

Students
will:

Evaluate
the application of current literature to clinical practice

To prepare:

Review this
week’s Learning Resources and reflect on the insights they provide on group
work and group therapy.

Select one
of the articles from the Learning Resources to evaluate for this Assignment.

Note: In
nursing practice, it is not uncommon to review current literature and share
findings with your colleagues. Approach this Assignment as though you were
presenting the information to your colleagues.

The
Assignment

In a 5- to
10-slide PowerPoint presentation, address the following:

Provide an
overview of the article you selected, including answers to the following
questions:

What type
of group was discussed?

Who were
the participants in the group? Why were they selected?

What was
the setting of the group?

How often
did the group meet?

What was
the duration of the group therapy?

What
curative factors might be important for this group and why?

What
“exclusion criteria” did the authors mention?

Explain the
findings/outcomes of the study in the article. Include whether this will
translate into practice with your own client groups. If so, how? If not, why?

Explain
whether the limitations of the study might impact your ability to use the
findings/outcomes presented in the article.

Note: The
presentation should be 5–10 slides, not including the title and reference
slides. Include presenter notes (no more than a half page per slide) and use
tables and/or diagrams where appropriate. Be sure to support your work with
specific citations from the article you selected. Support your presentation with
evidence-based literature.

By Day 7

Submit your
Assignment.

Submission
and Grading Information

To submit
your completed Assignment for review and grading, do the following:

Please save
your Assignment using the naming convention “WK6Assgn+last name+first
initial.(extension)” as the name.

Click the
Week 6 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the
Week 6 Assignment link. You will also be able to “View Rubric” for grading
criteria from this area.

Next, from
the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK6Assgn+last name+first initial.(extension)” and click Open.

If
applicable: From the Plagiarism Tools area, click the checkbox for I agree to
submit my paper(s) to the Global Reference Database.

Click on
the Submit button to complete your submission.

NURS6650 Psychotherapy With Groups and Families

Week 7 Assignment 1

Group
Processes and Stages of Formation

In your
role, you must understand group processes and stages of formation, as this will
help you develop groups and determine an individual’s appropriateness for group
therapy. Whether you are at the beginning stages of group formation or
facilitating a session for a developed group, it is important to consider
factors that may influence individual client progress. For this Assignment, as
you examine the video Group Therapy: A Live Demonstration in this week’s
Learning Resources, consider the group’s processes, stages of formation, and
other factors that might impact the effectiveness of group therapy for clients.

Learning
Objectives

Students
will:

Analyze
group processes and stages of formation

Analyze
curative factors of groups

Analyze the
impact of curative factors on client progress

Recommend
strategies for managing intragroup conflict

To prepare:

Review this
week’s Learning Resources and reflect on the insights they provide on group
processes.

View the
media, Group Therapy: A Live Demonstration, and consider the group dynamics.

The
Assignment

In a 2- to
3-page paper, address the following:

Explain the
group’s processes and stage of formation.

Explain
curative factors that occurred in the group. Include how these factors might
impact client progress.

Explain
intragroup conflict that occurred and recommend strategies for managing the
conflict. Support your recommendations with evidence-based literature.

NURS6650 Psychotherapy With Groups and Families

Week 7 Assignment 2

Practicum –
Assessing Client Family Progress

Learning
Objectives

Students
will:

Create
progress notes

Create
privileged notes

Justify the
inclusion or exclusion of information in progress and privileged notes

Evaluate
preceptor notes

To prepare:

Reflect on
the client family you selected for the Week 3 Practicum Assignment.

The
Assignment

Part 1:
Progress Note

Using the
client family from your Week 3 Practicum Assignment, 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