Description
CNL-610 Treatment Plan Reassessment: Eliza (Obj. 7.1 and 7.2)
In Topic 4, you submitted a treatment plan for your client Eliza. Since the initial treatment plan, several changes have taken place within Eliza’s case. Read Eliza’s Case Study: Part Three. Since the mandatory assessment 2 weeks ago, you have discovered that Eliza is again on your client listing for the day due to a mandatory evaluation, with the incident report indicating that campus public safety, due to a tip from a concerned resident, found the client passed out and alone in her dorm, smelling of alcohol.
Part 1: Review the initial Treatment Plan submitted in Topic 4.
Reassess your treatment plan diagnoses, goals, and objectives based on the new information provided.
Fill out and submit a new treatment plan evidencing the changes made in treatment utilizing the treatment plan template provided.
Part 2: In a 1,000-1,250-word essay, answer the questions presented in a separate Word document, addressing the following:
Examine the case and propose why the changes occurred.
Reassess the effectiveness and validity of the treatment plan.
Discuss how the treatment plan needs to be adjusted to address the changes in the situation.
Justify the changes both ethically and legally.
Determine what the changes (obstacles) mean to the treatment plan.
Discuss how you would evaluate the resources available for you to make a referral.
Discuss how you would communicate to the client the need for referrals to other behavioral health care professionals.
Determine which referrals you would make and how you would collaborate with other behavioral health care professionals.
Include any instruments you would use to assess the client.
Submit the revised treatment plan and essay to your instructor.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
This assignment is informed by the following CACREP Standard: 5.C.3.d. Strategies for interfacing with integrated behavioral health care professionals.
CNL-610 Eliza D Case Study: Part Two
Directions: Throughout this course you will be reviewing a case study about Eliza D. The information from the case study will be used to complete several different course assignments. Read part two of Eliza’s case study below for the completion of your Topic 4 and 5 assignments.
Four Week Later: You receive a call from Campus Police that Eliza was found unresponsive in her dorm room that morning when her roommate alerted them she could not wake her from sleep. Visible cuts are on both wrists, and an empty wine bottle is beside her in the bed. Upon further searching, the police also find a half empty bottle of Tylenol PM in the bathroom.
The roommate reports Eliza was very upset yesterday after class when she found out two of her grades in main Engineering classes dropped to a C average, so instead of going to tutorials, she went to a bar and had too much to drink. The roommate said a mutual friend called her to pick up Eliza and drive her back to campus, which she did, and got her safely in the dorm. The roommate said that when she left to get dinner around 9pm, Eliza was still asleep, but when she got back around 1am, Eliza was sitting up in bed drinking wine from the bottle and was still visibly upset. The roommate said Eliza had been ignoring calls from her parents all evening and called to cancel her counseling appointment for the next day. The roommate said they turned off the lights around 2am, and she doesn’t recall hearing Eliza get up during the night. She called the RA and campus police when she tried to wake Eliza at 7am to get ready for their 8am class and saw the empty wine bottleand couldn’t get Eliza to wake up.
Following transport to the hospital and examination, Eliza regains consciousness and admits to you she attempted suicide because ‘she just couldn’t take it anymore…. everything is too hard.’ She is adamant she does not want her parents to know, but also admits she’s not sure if she can go back to classes after spring break.
Upon review of her case with Campus Life and Student Affairs’ personnel over residence life, Eliza is allowed back to school on academic probation with the condition of attending tutoring twice per week (instead of going every day, which was causing stress); attending counseling twice per week at the University Counseling Center; and attending alcohol education classes once per week for the rest of the semester.
Assignments from this point: Safety Planning, Re-Assessment, What to Consider with Notifying Family, Arrangement for Higher Level of Care if Needed (e.g., Drinking has escalated despite counseling and alcohol classes, which could indicate higher LOC)
CNL-610 Eliza D Case Study: Part Three
Directions: Throughout this course you will be reviewing a case study about Eliza D. The information from the case study will be used to complete several different course assignments. Read part three of Eliza’s case study below for the completion of your Topic 6 and 7 assignments.
Four weeks after your initial assessment with Eliza, she attended a follow up meeting for a revised assessment based on new information received from the Office of Campus Life. The client has been in counseling with another therapist at the university for the last four weeks and has voluntarily attended some classes at the Drug and Alcohol Center. The client became agitated when she realized the meeting was for a different purpose than simply reviewing her initial goals.
Campus Life has provided information that Campus Police have responded to two more drinking incidents in the client’s dorm, and Eliza was involved in both incidents. She now has a charge for public intoxication, which means the alcohol classes are mandatory, as well as counseling at least twice per month, also mandated. Eliza angrily expresses her frustration over having “more to do on top of studying and tutorials” and vehemently denies her involvement in the drinking incidents; she continues to insist she is innocent, that her friends in the dorm are the ones causing the problems, and that she does not have a drinking problem.
Eliza is visibly upset and cries frequently during the meeting. You observe agitated behaviors and she continually shifts in her seat, pulling her longer sleeves even farther down over her hands, and rarely makes eye contact. You have information that grades in two of her classes have slipped to a B-, and that she has missing three tutorial sessions in the last 2 weeks. She denies SI and agrees to show you her arms.
At the end of the session, the client’s parents arrived on campus, and asked for your assistance locating resources in their hometown for discharge planning with Eliza by the end of the semester. Eliza’s parents agreed to follow through with discharge recommendations for counseling and support groups.