Tuesday, April 2, 2019
Assessment Interviews in Therapy
judgment Interviews in TherapySCREENING AND ASSESSMENTSOPHIA A. JOHNSON1. Psychologist in backstage Practice lymph gland 1, who is a 28 year gaga, married, father of a 2 year old and a 6 month old infant, has been referred to our privy practice by his offices free centering resources. He recently lost a job promotion and in like manner feels overwhelmed at home with a new born baby and both the adjustments that comes with a newborn. No long-life enjoys hanging kayoed with friends or family, a great deal refuses to get out of bed when he does non drop to work. His married woman is also finding it hard to get him to participate in the assist of their children, he is no longer affectionate and loving as he once was. He is cynical, aggressive and pessimistic almost things he would norm entirelyy see the beauty in.Chief tutelage I just sanctimoniousness seem to be happy with anything anymore. Im miserable and Im making everybody nearly me miserable. Assessment forget be c onducted by our in house psychologist.The contextual servants that practice to this thickening is that decision regarding judicial decision is bushelly based on the address from the psychologist. This whitethorn impact the sound judgement plan as the psychologist may examination whether the treatment available in the psychological clinic is appropriate (Groth-Marnat, p. 46), because they may have extensive medical jobs, or possible need for inpatient treatment.As a means of getting to know and understand the knob impertinent of regular contemplation during the initial wonder, the psychologist could administer a personality valuatement to aid in understanding the whole person, this forget also booster to identify any other underlying issues if lymph gland needs to be referred to another practitioner.One ethical forebodings that could relate to the judging cognitive process of this lymph node is the security and usage of the instruction sh bed, privacy and confi dentiality of data gathered during assessment process. Another ethical concern that may arise is the qualifications of the attending psychologist. jibe to the (BACB, 2010), 1.03 one must maintain competence in their area of expertise through professional development in order to effectively get along and offer services.Client 2 41 year old, recently split up female with no children and high developdays educationChief Complaint No matter what I do, I cannot relax, I am evermore stressing out about something. I feel like Im going crazy.Client 2 was referred to the private practice by her general practitioner to shoot the breeze with our psychologist because her inability to relax has caused her blood pinch to rise and medication does not seem to be having an effect on bringing her numbers down. Changes to her pressure has seemed to increase during her divorce proceedings.She was not previously diagnosed as being hypertensive, however, high blood pressure does run in her fami ly. Since her divorce she is concern about her financial future and blaming herself for her marriage ending. She has also been evaluation her chose in not surrendering to school to get a better education, she had hoped to start a family and then return to school after the children themselves had started school. All those dreams now seem so farther away and her future looked empty and hopeless, she anxious and scared of what the future holds for her.The private practice contextual considerations are self or professional referral, sole decision makers are the node and the psychologist. Clients of this nature are usu bothy self-referred and are trying to find release from some inner turmoil. The contextual consideration would impact a plan assessment for leaf node 2, because extensive assessment is usually not required for these cases. However, the best method of gathering knowledge would be through the use of interviews, which willing be best conducted using the semi-structure d method to lay off the patient to share openly, but still allow the clinician to be able to focus on the required questions that must be asked to when conducting a useable assessment.Some ethical concerns that may affect client 2 is the screen construction pertinent to the issues of this client, avoidance of harm and exploitation, disclosures about exceptions to confidentiality (Nagy, 2011) invasion of privacy and how much will be required to be shared and if shared how will the information be used and watch over once documented.2. School PsychologistClient 1 7-year-old second-grader from intact family that recently move into the school districtReferral Problems academic difficulties related to reading and writing, social difficulties with peers.Our 7 year old second grader is part of a military family and moves around quiet oftentimes with his family. His father is an air force pilot and is often away for a long period of time, his mom also works. He receives love and attent ion when they are available but is often odd on his own. He spends most of his time building toy planes because he hopes to someday be a pilot like his Dad.Contextual considerations for client 1 in this saddle horse the decision to be assessed came from an educational setting as a referral by his teachers and school counselor. The decision was unified by a group who has his best interest at heart because they all believe he has the potential to excel. According to study conducted by (Sattler, 2001), when evaluating the expiration and nature of a childs learning difficulties the assessment process must be sensitive to the fundamental interactions, personality and characteristics of the child, as well as the expectations of those requesting the assessment (Groth-Marnat, p. 44)In this setting an adult has to give consent for all assessment and determination for placement change. The individually oriented assessment is carried out through direct observation in the childs pictorial environment. Other assessment methods that may be employed is the WISC-III, Stanford Binet test for smart abilities (Groth-Marnat, p. 44), observation of behavior and interactions with teachers and students will also be rated. Most significantly is the test administered must be appropriate for a 7 year-old. ethical concerns are to ensure that no harm is done to the child, validity of test assessment data and use and release of assessment data. Labeling and restriction of immunity is also another ethical concern that may affect client 1 will the results impose any negative consequence that may affect his future or reinforce the behavior.Client 2 17 -year-old high school studentReferral Problems failing grades, refused to follow course sequences, considering falling out.This client recently lost a parent and no longer feels apart of her home school environment, her single parent is struggling financially and have decided that it may be best to move finisher to family in another sta te.Contextual considerations for client 21 in this setting is the decision to be assessed came as a referral by his teachers and school steering counselor. Consent from an adult is also need as the child is under 18 years of age.Ethical concern that may be of concern to client 2, Principle E Respect for Peoples Rights and Dignity (Ethical Principles of Psychologists and Code of Conduct, 2014), manduction of personal information gathered from the assessment with other teachers. Not because the client is underage, they can be forced to share thoughts they would otherwise prefer to support hidden. Communication of test results is also of ethical concern, (Groth-Marnat) notes that feedback from the assessment must be presented in a clear, competent and understandable language for all to understand, without misinterpretation. period a structured interview strategy is most reliable, a semi-structured interview strategy will yield more information as it gives the client and clinician mor e of a free style to engage and share information that may not otherwise be noted on the questionnaire.The utilisation of an assessment interview is to obtain authorization and to learn the clients background explanation and any detail about the issue on hand, prior to embarking on an assessment plan. Verbal and face to face, using a semi-structured or structured format with the 17- year old high school student.Note taking and Recording of initial interview must be carried outEstablish initial rapportGather specific information, history and current and past school attendance and grades, family historyHistory of lineGive the client an opportunity to ask questions and share information purpose of assessment for Client 1 7-year-old second-grader. (Steege, 2009), believes that decisions regarding the development and evaluation of preventatives with students who exhibit problem behaviors should be based on objective and accurate information.The most appropriate assessment for our 7-y ear old would be the Direct Descriptive FBA procedures anecdotal and systematic observationsInterval Recording Procedure (IRP)Extended functional analyses observation is carried out in the students natural environment, learning ability and interpersonal interaction is observed and measured (Cooper 2007) (Groth-Marnat).Assessment of reinforcer preferencesUsing this method will help us to (1) identify and gather information relating to our 7 year-old (2) assess the nature and quality of the his learning environment (3) administer the comprehensive assessment battery of test that takes into consideration academic and intellectual abilities, over some(prenominal) minutes for up to 30 minutes, (4) identify and describe any meddling behaviors (5) Document and log academic and social military operation (6) create an intervention plan that will enable our 7 year-old to increase his academic performance and social interactions.The value of using this method is the intervention plan that will be derived from the assessment will be focused on confrontation the specific needs of our 7 year-old, by identify triggers, motivators and reinforcers, and using them to persuade his actions and behavior in a positive and productive way.Functional assessment utilizes multiple tools to assess and develop a plan assessment that will investigate the academic ability of our client giving us an penetration into his cognitive abilities and interpersonal skills, and because the data is real-time it is evidence-based and makes for effective and unbiased decision.ReferencesBACB. (2010, June). BACB master copy and Ethical Compliance Code. Retrieved from BACB Professional and Ethical Compliance Code http//www.bacb.com/index.php? foliate=57Ethical Principles of Psychologists and Code of Conduct. (2014). Retrieved from American Psychological Association http//www.apa.org/ morals/code/index.aspxGroth-Marnat, G. (n.d.). Hand Book of Psychological Assessment. EBSCO Publishing.Nagy, T. F. (2011). Essential Ethics for Psychologists. In T. F. Nagy, Ethics in Psychological Assessment (pp. 171-183). American Psychological Association.Steege, M. . (2009). Conducting school-based functional behavioralassessmentsA practitioners guide(2nded.). New York, NY TheGuilford Press.
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