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).Required Readings American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author. Standard 5B “Health Teaching and Health Promotion” (pages 55-56) Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson. Chapter 8, “Experiential Family Therapy” (pp. 129–147) Chapter 13, “Narrative Therapy” (pp. 243–258) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer. “Genograms” pp. 137-142 Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority couples. Journal of Family Psychotherapy, 25(1), 73–77. doi:10.1080/08975353.2014.881696 Escudero, V., Boogmans, E., Loots, G., & Friedlander, M. L. (2012). Alliance rupture and repair in conjoint family therapy: An exploratory study. Psychotherapy, 49(1), 26–37. doi:10.1037/a0026747 Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy, 35(1), 20–30. doi:10.1002/anzf.1043 Phipps, W. D., & Vorster, C. (2011). Narrative therapy: A return to the intrapsychic perspective. Journal of Family Psychotherapy, 22(2), 128–147. doi:10.1080/08975353.2011.578036 Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction. Clinical Child and Family Psychology Review, 16(3), 294–310. doi:10.1007/s10567-013-0142-2