The document outlines the oral data collection protocol for conducting interviews, emphasizing informed consent, confidentiality, and participant rights. It includes steps for informing participants, obtaining interview agreements, and ensuring their ability to review final materials before publication. Additionally, the document details expectations for biopsychosocial summaries, case study papers, and PowerPoint presentations related to interview findings, ensuring that all participant information remains anonymous and securely handled.

1. ORAL DATA COLLECTION PROTOCAL
Instructions:
(1) Informing your Participant:
When an individual is approached to be interviewed, either with
or without electronic recording, it is important that you explain
to them very clearly who you are, what the project is about, why
you are doing it, what risks it poses to them, who will benefit,
and what will become of the materials. This makes for
“informed consent,” meaning they truly understand what they
are getting involved in. You can read the materials to them, and
you may also give them the option of reading the description
themselves.
(2) The Agreement to Interview Form
The Agreement to Interview form is a very good and appropriate
way to insure that your participants know what they are getting
into. After you have read the project description to them, and
explained clearly what the project is about, why you are doing
it, and what will become of the interviews and other materials.
You may then, if you feel it’s appropriate, ask them to sign the
Agreement to Interview form, and give them a copy. Keep the
other copy in a safe place.
Alternatively, you can obtain their consent “on tape,” in the
actual interview.
(3) Final Consent Form
(a) Draft Review: Before obtaining final consent, it is

2. absolutely essential that the participants be given the
opportunity to look over any final product(s) that you produce
from the interviews, and they should have the opportunity to
request changes (which you should then make). Remember, this
is their words you are using, and those words are their
intellectual property. It is important that you respect their
requests to have their words read as they want them to.
The final consent form is designed so that you can get their
signature in advance, providing that you will make the changes
that they request. They may also want a family member or
other third party to edit their materials, and the form also allows
for this.
(b) Final Consent: this form allows you to go ahead and publish
their words in whatever form is appropriate to your project.
Note that there are also places where they can choose to be
identified. If they do not sign these, but request to remain
anonymous, you must respect that and protect their identities
from being released.
Informed Consent:
[Name of the Project]
[Your Contact Information]
Project Description: [insert]
Procedure and Risks:
We would like to record the interview, if you are willing, and
use the tapes to write our materials. We will record the
interview only with your written consent, and will ask that no
personal identifiers be used during the interview, to ensure your
anonymity. Please feel free to say as much or as little as you
want. You can decide not to answer any question, or to stop the
interview any time you want. The tapes and transcripts will

3. become the property of project.
If you so choose, the recordings and recording-transcripts (or
copy of notes taken) will be kept anonymous, without any
reference to your identity, and your identity will be concealed
in any reports written from the interviews.
There are no known risks associated with participation in the
study.
Benefits:
It is hoped that the results of this study will benefit the
community through providing greater insight into the culture
and history of our area.
Cost Compensation:
Participation in this study will involve no costs or payments to
you.
Confidentiality:
All information collected during the study period will be kept
strictly confidential until such time as you sign a release
waiver. No publications or reports from this project will include
identifying information on any participant without your signed
permission, and after your review of the materials. If you agree
to join this study, please sign your name on the following page.
INFORMED CONSENT FOR INTERVIEWS
I, _____________________________________, agree to allow
myself and my child to be interviewed for a Master’s Level
Psychology course at ____________________________.
I certify that I have been told of the confidentiality of
information collected for this project and the anonymity of my

4. participation; that I have been given satisfactory answers to my
inquiries concerning project procedures and other matters; and
that I have been advised that I am free to withdraw my consent
and to discontinue participation in the project or activity at any
time without prejudice.
I agree to participate in one or more electronically recorded
interviews for this project. I understand that such interviews
and related materials will be kept completely anonymous, and
will only be shared with the course professor,
Dr.______________________.
I agree that any information obtained from this research may be
used in any way thought best for this study.
________________________________________ Date
________________________
Signature of Interviewee
Final Consent Form
Dear Participant:
This form gives us final authorization to use material from your
interview.
I, _________________________________________________,
hereby grant the right to use information from recordings and or
notes taken in interviews of me and/or my child, for a Master’s
Level course at University. I understand that names will be
changed to assure anonymity and the interview records will be
kept by the interviewer, and that the information contained in
the interviews will not be used in materials to be made available
to the general public. The information will only be shared with
the professor, Dr. Wilkins.
____________________________________________

5. Date:__________________________
Signature of Interviewee
____________________________________________
Date:__________________________
Signature of Interviewer
February 25, 2018
Biopsychosocial Summary Report
If you are new to this: the biopsychosocial form is what you use
during your interview, and the biopsychosocial report is your
own summary of information, from the form, written for your
case.
Biopsychosocial forms: Your form must contain (or you must
modify it to contain) the following sections: presenting
problem, history of problem, developmental/medical
history,family history,educational/social history,special
considerations,mental status and client's strengths,clinical
findings, diagnostic impressions, and tentative treatment
recommendations.When submitting your genogram add it to
your biopsychosocial form that you have already completed and
submitted.
After completing your interview, use the biopsychosocial
form and write up a biopsychosocial summary reportwhich will
become a 10 page summary report. You can reference it in your
PowerPoint presentation where you think it is needed to make a
point. Upload the biopsychosocial form into the appendix of the
summary report. Do not include a link; again, the forms must be
uploaded into an appendix.

6. March 15, 2018
Genogram Report
Please draw or include a genogram generated from a graphic
program that would best fit your case used in the
Biopsychosocial. You can reference it in
your PowerPoint presentation where you think it is needed to
make a point. The genogram should includethree generations of
relevant information. The genogram should be scanned
and uploaded into the appendix of your narrative paper. Do not
include a link; again, the forms must be uploaded into an
appendix. Again, the genogram form does not count toward the
narrative paper 10 pages. The narrative is just
thebiopsychosocialyou previously submitted.
April 3, 2018
Case Study Paper
Students are required to complete a paper on a specific child
and adolescent diagnosis. The purpose of this assignment is for
students to develop a clinical diagnosis and treatment plan in a

7. case report. This is exactly what you will be doing on your own
one day very soon. The paper should be 10 typewritten double-
spaced pages. The body of this paper should consist of the
diagnosis you gave the interviewee that is consistent with the
findings in the biopsychosocial for your specific interviewee,
and your tentative treatment recommendations. Discussion of
diagnosis, differential diagnosis and tentative treatment
recommendations will become the remaining 10 pages that
complete your paper. The paper must follow APA style
guidelines.
Submit this via assignment link for each respective Assignment
in Blackboard.
April 20, 2018
PowerPoint Presentation
The PP presentation is directly related as a matter of fact it is
the summary of each of the previous assignments put
together. The PP presentation must contain 10 slides plus an
appendix. Your introduction slide (very first slide) is
not counted as part of the 10 slide body. At the end of the 10
slide body you will insert an appendix section which will
contain the consent form(s).These documents are a fundamental
part of your presentation.Upload them into your PP.Do not give
me a link to either of them. They do not count toward the 10
slide body.

8. The 10 slide body will contain the following:
a. Demographic Information
What are the names (first name only) ages, and birth order of all
family/couple members?
· What are the occupations and education levels of all
family/couple members (where appropriate)?
· What are the roles of each family/couple member?
· Who does each member spend most of his or her time with?
· Who makes decisions within the couple/family and how are
they made?
b. Developmental Information
· What is the developmental stage of the couple/family at this
time?
· Are there any recent significant events/losses in the
couple/family?
· Are there any anticipated changes/transitions in the near
future?
· How are the current goals of the couple/family, including what
goals have already been met and how?
· What is the spiritual life/climate of the couple/family like?
c. General Impressions
Who did the most talking and what might account for this?
· What are the couple’s/family’s boundaries with the outside
world?
· How affectionate is the couple/family?
· What are the strengths and weaknesses of the couple/family
system?
· Is there any evidence of cutoffs, triangles, rituals, secrets or
multigenerational effects
· Other comments/observations
d. Presenting problem, diagnosis, and differential diagnosis

9. · developmental/medical,
· family history, educational/social history, treatment,
· medication (if applicable), diversity issues, and ethical issues
e. Evaluation and Self-Reflection of the Experience
· What did you learn through this experience?
· How would you evaluate yourself regarding how the interview
was conducted?
· What did you feel were your strong points?
· How did the information gathered compare to your
couple/family of origin and your couple/family experience or
relationship?
· What do you see as areas of further personal or professional
development in working with couples/families?
f. Counselor Implications
· What are 3-4 important practical counseling implications that
you can share with your classmates when it comes to counseling
couples/families, based on your experience?
· Explain (based on reading from the text) why you believe
these are important points to make.
Appendix
The appendix for the PowerPoint will consist of consent
form(s). You should already have an appropriate signed consent
form from your interview (as specified above). The consent
form(s) should be scanned and uploaded into the appendix of
your PowerPoint presentation. Do not include a link; again, the
forms must be uploaded into an appendix. Again, theseforms do
not count toward the 10 slide minimum. Please inform your
interview family that this assignment is only for a class project
and no one else will see it but me. You will use fictitious
names in the PowerPoint presentation as added security, so
reassure them that the only place their name will show is on the
consent form. Both parents must sign consent form unless you
can provide custody paperwork and then you will have to submit

10. that also into the appendix.
ORAL DATA COLLECTION PROTOCAL
Instructions:
(1) Informing your Participant:
When an individual is approached to be interviewed, either with
or without electronic recording, it is important that you explain
to them very clearly who you are, what the project is about, why
you are doing it, what risks it poses to them, who will benefit,
and what will become of the materials. This makes for

11. “informed consent,” meaning they truly understand what they
are getting involved in. You can read the materials to them, and
you may also give them the option of reading the description
themselves.
(2) The Agreement to Interview Form
The Agreement to Interview form is a very good and appropriate
way to ensure that your participants know what they are getting
into. After you have read the project description to them, and
explained clearly what the project is about, why you are doing
it, and what will become of the interviews and other materials.
You may then, if you feel it’s appropriate, ask them to sign the
Agreement to Interview form, and give them a copy. Keep the
other copy in a safe place.
Alternatively, you can obtain their consent “on tape,” in the
actual interview.
(3) Final Consent Form
(a) Draft Review: Before obtaining final consent, it is essential
that the participants be given the opportunity to look over any
final product(s) that you produce from the interviews, and they
should have the opportunity to request changes (which you
should then make). Remember, this is their words you are
using, and those words are their intellectual property. It is
important that you respect their requests to have their words
read as they want them to.
The final consent form is designed so that you can get their

12. signature in advance, providing that you will make the changes
that they request. They may also want a family member or
other third party to edit their materials, and the form also allows
for this.
(b) Final Consent: this form allows you to go ahead and publish
their words in whatever form is appropriate to your project.
Note that there are also places where they can choose to be
identified. If they do not sign these, but request to remain
anonymous, you must respect that and protect their identities
from being released.Informed Consent:
[Name of the Project]
[Your Contact Information]
Project Description: [insert]
Procedure and Risks:
We would like to record the interview, if you are willing, and
use the tapes to write our materials. We will record the
interview only with your written consent, and will ask that no
personal identifiers be used during the interview, to ensure your
anonymity. Please feel free to say as much or as little as you
want. You can decide not to answer any question, or to stop the
interview any time you want. The tapes and transcripts will
become the property of project.
If you so choose, the recordings and recording-transcripts (or
copy of notes taken) will be kept anonymous, without any

13. reference to your identity, and your identity will be concealed
in any reports written from the interviews.
There are no known risks associated with participation in the
study.
Benefits:
It is hoped that the results of this study will benefit the
community through providing greater insight into the culture
and history of our area.
Cost Compensation:
Participation in this study will involve no costs or payments to
you.
Confidentiality:
All information collected during the study period will be kept
strictly confidential until you sign a release waiver. No
publications or reports from this project will include identifying
information on any participant without your signed permission,
and after your review of the materials. If you agree to join this
study, please sign your name on the following page.
Agreement to Participate in Interview FormINFORMED
CONSENT FOR INTERVIEWS
I, _____________________________________, agree to allow
myself and my child to be interviewed for a Master’s Level
Psychology course at University.
I certify that I have been told of the confidentiality of
information collected for this project and the anonymity of my
participation; that I have been given satisfactory answers to my

14. inquiries concerning project procedures and other matters; and
that I have been advised that I am free to withdraw my consent
and to discontinue participation in the project or activity at any
time without prejudice.
I agree to participate in one or more electronically recorded
interviews for this project. I understand that such interviews
and related materials will be kept completely anonymous, and
will only be shared with the course professor, Dr. Wilkins.
I agree that any information obtained from this research may be
used in any way thought best for this study.
________________________________________ Date
________________________
Signature of Interviewee
Final Consent Form
Dear Participant:
This form gives us final authorization to use material from your
interview.
I, _________________________________________________,
hereby grant the right to use information from recordings and or
notes taken in interviews of me and/or my child, for a Master’s
Level course at University. I understand that names will be
changed to assure anonymity and the interview records will be
kept by the interviewer, and that the information contained in
the interviews will not be used in materials to be made available

15. to the public. The information will only be shared with the
professor, Dr. Wilkins
____________________________________________ Date:
__________________________
Signature of Interviewee
____________________________________________ Date:
__________________________
Signature of Interviewer
Final Consent Form