1. Assessing Client Family Progress.
Assessing Client Family Progress. Part 1: Progress Note: 16Treatment Modality Used and
Efficacy of ApproachThe parents demonstrated efforts in supporting their children and
began attending the parenting education classes that were to run for three months. They
have also began practicing some of the good parenting skills taught in the sessions which
are evident by the expression of affection and love and development of good relationship
between them and the children.Assessing Client Family Progress. They are also trying to
change their supervisory behaviors characterized by leaving the children alone in the
house. However, they are struggling with the addiction even though they demonstrate
commitment towards the detoxification program.ORDER A PLAGIARISM-FREE PAPER
HEREModificationsMinimal modifications were done to the treatment plan since the
patients were cooperative. The social worker encouraged them to remain resilient and
focused in order to achieve the treatment goals.Clinical ImpressionsThe clients have
increased cravings for methamphetamines and hence were unable to conduct the daily
activities without the drug. They had increased anxiety which increased with the lack of
drug use, poor parenting, lacking track of time, poor judgment, depression is evident in the
mood, pressured speech, limited insight, and worrying.Psychosocial InformationF.P.’s
electrician job is affected by drug abuse. The family is not committed to religious activities.
C.P. began abusing alcohol and drugs at the age of 13 following sexual molestation. It helps
her forget the terrifying incident. They attend parties and socialize with their
neighbors.Assessing Client Family Progress.Safety IssuesSafety issues associated with this
case include locking the children in the house without supervision which could result in
accidents. They could harm each other or start a fire or engage in other risky activities
(Conrod, 2016). Leaving the children wandering on the streets could attract kidnapping or
accidents. There is a lack of adequate supervision of children even when available physically
due to drug abuse. Children could be exposed to drug abuse in the house as the parents
often carry them home.Clinical EmergenciesAlcohol withdrawal associated with rum fits
and shakes can occur from relative reduction in alcohol consumption and are manifested
through the upset of the GI system, anxiety and tremulousness. Delirium tremens are
characterized by alteration of mental status which can cause the collapse of the
cardiovascular system. More so, hallucinations with autonomic hyperactivity are a common
clinical emergency affecting at least 25% of patients withdrawing from substance abuse
(Simpson, Wilson & Nordstrom, 2016). Seizures are also likely to take place during the third
stage of withdrawal which is reported to occur in 3% to 10% of the clients (Simpson,
2. Wilson & Nordstrom, 2016). These emergencies could have adverse impact including death
and therefore, the treatment plan includes Benzodiazepines medications that can manage
these manifestations and prevent their negative outcomes. In case of an emergency, these
drugs will be administered in small frequent doses.MedicationsThe patients were under no
prescribed or unprescribed medications other than methamphetamines, a stimulant to the
central nervous system.Assessing Client Family Progress.Treatment complianceThe
patients were compliant with the treatment plan and demonstrated commitment and
motivation to get better. They attended the rehabilitation and parental programs as
indicated by the plan. They also reported their progress to the social worker and have
managed to develop children supervisory programs. They have also collaborated with
various experts recommended to assist in coping, management of risks and substance abuse
avoidance.Clinical ConsultationsClinical consultations for these patients involve the clinical
pharmacists, special psychiatrists and addiction medicine-certified physicians. These help
in identifying the root cause of the clients’ problems, the diagnostic approaches,
interventions and treatment options as well as prevention of relapses (Brown et al, 2015).
Moreover, they will answer questions related to addiction and advice the patients’ on how
to effectively cope and avoid the drugs as well as advice on parenting skills. The clinical
consultations were often conducted through phone calls.Assessing Client Family
Progress.Collaboration with other ProfessionalsFor effective management of the family’s
problems, interporfessional collaboration between pharmacists, social workers,
psychiatrists and physicians is necessitated. The social worker ensures that the parents
adhere to the treatment plan provided and oversee the guardians and the parent’s
responsibilities towards the children. The family psychiatrists provide psychotherapeutic
therapy to the parents and children as well as the guardians (Simpson-Adkins & Anna,
2018). Pharmacists avail drugs to the patients in the event of clinical emergencies while the
physicians provides diagnosis and treatment alternative. Psychotherapists also promote
successful rehabilitation for addiction and detoxification programs and parenting
classes.Therapist’s RecommendationsThe therapist recommended consistency and
compliance to the treatment plan. This involved attendance of good parenting classes and
engagement in detoxification programs without fail. He also recommended engagement in
cognitive behavioral therapy to facilitate change in parenting behaviors and improvement
of addiction management outcomes. In addition, he recommended the development of good
parent children relationship through engagement in mutual activities such as playing with
them and eating together.Referrals made/reasons for making referralsPatients were
referred to professional psychiatrist for a mental examination test. This sought to identify
the mental damage caused by the abuse of drug and substances. On the other hand, referrals
to the drug rehabilitation center were done. The patients were enrolled in a drug and
alcohol detoxification program to facilitate recovery from addiction. a refer to the parenting
education classes was also done to train the parents on the best parenting skills to improve
their supervisory and abilities t care for their children.Termination/issuesTermination of
the treatment plan was conducted before the scheduled date. The clients reported that the
insurance company had withdrawn their payment due to inconsistence payment of the
premiums. This is because; the two parents were no longer working and F.P. was the only
3. breadwinner and could not manage. The family was currently experiencing a financial crisis
and therefore sought to have the session terminated 14 days before the actual date.
However, the patients had recovered fully and positive progress in parenting was evident.
Consequently, the drug cravings were eliminated and they were able to comfortably go on
with their daily activities.Informed Consent, Child Abuse and Therapists Exercise of Clinical
JudgmentInformed consent is important in the assessment, treatment, diagnosis and,
counselling among other aspects of healthcare. It involves granting full knowledge
regarding the treatment plan to clients. In this case, the patients were informed of their
addiction and parenting problems. They were also informed of the approaches to amend the
situation beginning with taking up the children and the importance of detoxification and
parenting programs. They were also informed of child abuse and its effects and the legal
measures that could be taken in the event of continued neglect (Syyder&Merrit, 2016). The
therapist was also given a right to judgment since drug addicts are often considered unfit to
make informed decisions regarding their wellbeing and treatment.Assessing Client Family
Progress.Part 2: Privileged NotePrivilege psychotherapy notes were important in analyzing
and documenting the conversation content during the therapy sessions. In this case it was
designed to provide the outline of the basic information regarding the sessions attended.
The items that were not included in a note as part of the clinical record included the results
of the clinical tests conducted on the patients, treatment modalities and frequency, the start
and end of counselling sessions, monitoring and prescription of medication and diagnostic
summary. Consequently, the progress notes summary to date, prognosis, symptoms,
treatment plans and functional status summaries were also excluded in the privilege
psychotherapy note.Assessing Client Family Progress.These items are excluded to prevent
them from leading to the psychotherapy notes being defined as progress notes. The
progress notes typically contain the excluded items. They provide information that is
separate from the rest of the individual’s medical record. The information contained in the
privileged note is protected by the Health Insurance Portability and Accountability Act of
1996 which prevents it from being included in the client family’s progress note because
they contain sensitive information. The preceptor uses privileged notes to document the
client’s information during the therapy sessions. The type of information included on the
note by the preceptor include the hypothesis for the psychiatrist’s diagnosis, feelings and
thoughts about the patients situation, observations made during the session, and the
uniqueness of the client’s situation. Even though the preceptor’s privileged notes do not
contain a formal format, they document the conversation held during the therapy and they
help in analyzing the clients problems and devising an appropriate and effective treatment
plan.Assessing Client Family Progress.
