Is able to work effectively with multiple clients. 46. Your presentations focus, however, should align with your outpatient clinics specialty. X is a 78-year-old female with a past medical history of chronic obstructive pulmonary disease who presents to the hospital after she felt short of breath at home.. 149. Dr. Scarborough addresses the issue of evaluation as a fundamental component of supervision. Group Session #: Janna L. Scarborough, Ph.D., NCC, ACS Challenged me to accurately perceive the thoughts, feelings, and goals of my client and myself during counseling, 20. 5. :\#ZPl/mSs.kP]u$ u>(@KRJ Alcohol or drug toxicity or withdrawal symptoms. According the DSM-5 criteria, a client that has previously met the criteria for stimulant use disorder but now has not met the criteria for stimulant use in 10 months (except for craving) would be termed to be in ______ remission. In 1965, Bruce Tuckman proposed a model of group development that included five phases. 8 0 obj Discussing a trigger event with someone trusted before and after it occurs. 264 0 obj <>stream What is the difference between AIDS and HIV? Keep your presentation lively. Why did management follow the lines that it did? p Provided me with specific help in areas I need to work on, 4. What is the MOST common duration of counseling in an intensive outpatient treatment (IOT) program? 62. Thus, developing a familiarity with the core elements of a strong oral case presentation is essential. You should begin every oral presentation with a brief one-liner that contains the patients name, age, relevant past medical history, and chief complaint. 74. On regular inpatient floors, this should include a list of the patients medical problems, ordered by acuity, followed by your proposed plan for each. You do not have to report the results of every test that was ordered. Address program policy preventing dating among group members. Made me feel accepted and respected as a person, 10. Generally, oral case presentations are brief and should be limited to 510 minutes. As the presenter, you should strive to deliver an interesting presentation that keeps your team members engaged. He previously If this was your client, what would be reasonable and productive goals for the next session? d. Insufficient, unless a qualified hearing is first held in court. Please join our mailing list to make sure you receive notice about changes as well as to stay in touch with latest news about and for education, certification and testing of addiction and mental health professionals in the State of New Jersey. a. On the fifth postoperative day, the patient experienced a return of burning pain in the right leg. 96. Helped me feel at ease with the supervision process, 3. Group members should not converse with the supervisee during this break. What is a client's family of choice used to describe? Topics addressed in psychoeducational groups are typically. For example, for a normal abdominal exam, you could report that the patients abdomen is soft, non-tender, and non-distended, with normoactive bowel sounds.. My supervisor: 1 = strongly disagree, 5 = somewhat agree, 7 = strongly agree. Clinical diagnosis of mitral valve stenosis is made. a. However, different attendings may prefer to hear the ED course earlier, usually following the history of present illness. Not all audience members will immediately know what the current situation is leading up to your initiative. Choose a real (but anonymous) case that covers all (or most) of your work with a client. Offering guidance on clinical use cases, technology, regulations and waivers, and billing and coding. ). Use the presentation to build your case. Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation? Complete las frases con la forma correcta del verbo. What do these guidelines address? Regarding substance abuse as compared with the general population, how is the LGBT community likely to act? Use the following organizational scheme to efficiently prioritize your outline. In time, you will become proficient in this essential medical skill. SOCIAL HISTORY Kim is a Caucasian female. c. The National Institute on Drug Abuse (NIDA). As compared with current older adults, what is the upcoming baby boomer generation (born between 1946 and 1964) expected to have? 67 0 obj <>/Filter/FlateDecode/ID[<15760FD53CF567CFBB30C24B53677262>]/Index[52 28]/Info 51 0 R/Length 82/Prev 181219/Root 53 0 R/Size 80/Type/XRef/W[1 2 1]>>stream Given the potential breadth of the review of systems (a comprehensive list of questions that may be asked can be found here), when presenting, only report information that is relevant to your patients condition. 5. Review the outline with your mentor or interested colleagues, and listen to their decisions. 0_.Mt0z:nAdWo"G eT U$k5s5l&`D4/9O@CJYSh)%_( H2Lh]ki>1z#]]^WDE?~i?] Such was the case the case until the couple terminated therapy 3 months later, allegedly due to the cost of counseling. This section should include information about the patients: Living situation Occupation Alcohol and tobacco use Other substance useYou may also include relevant details about the patients education level, recent travel history, history of animal and occupational exposures, and religious beliefs. (counseling, psyco-ed, task, theme centered, open-ended, etc.) Describe relevant cultural or development information as it relates to the presenting problem(s). 65. What would be her BEST response? Be sure to include initial ED vital signs and any administered treatments. 97. Ergotism is rare and therefore difficult to diagnose. 67. Guiding principles in treatment planning are identified by which acronym? The Code of Federal Regulations, Title 42, Part 2, addresses client confidentiality. Is able to identify affective components of client issues. 85. X is a 78-year-old female with a past medical history of chronic obstructive pulmonary disease who presents with shortness of breath in hbbd``b`Z$ At this point, you may wish to WebGood Examples: Mr. Smith is a 55 year-old man with a long history of diabetes mellitus, cirrhosis, and chronic obstructive lung disease, who presents with a chief complaint of How does course of action fit with ranking of moral principles? Sancho - (dibujo: tablero de ajedrez) In working with substance abuse clients, counselors must be aware specific guidelines found in the HIPAA statutes. While it can be similar to your opener, it should not be identical. hmk0}^lK6@6}aBmA/Rc[NkMJ1U'Q!pPAs~ Z($x0D:Ek! M"\^iUOF#vdobZ2 Can demonstrate an appropriate use of cognitive interventions. The number of older adults is rapidly increasing in the United States and worldwide. Normal vital signs. 89. Enter the password that accompanies your username. What was the original CIWA-Ar scale designed for? Is appropriate regarding the developmental context of the client. Summarize the key issues discussed during the session. More info coming soon. a. CR and CM are most effective if used together. 144. Identifying information: Name (first only), age, marital status, work/school status, racial/ethnic status, residence. How are pharmacotherapy and medication management in substance abuse treatment described? b. 93. Enabled me to express my opinions about my counseling, 18. 18. c. faire du camping. What would a proper response be? Thus, the presenter should include details to support the proposed diagnosis, argue against alternative diagnoses, and exclude extraneous information. i. Ergotism is characterized by intense, generalized vasoconstriction of small and large blood vessels. 32. Now, lets go over how to present a case. 139. Ergotamine preparations were stopped, intravenous nitroprusside was begun, and she showed clinical improvement within 2 hours. %PDF-1.5 % 102. spreadsheets). Note what the session accomplished. d. Of considerable, albeit limited, value in treatment, 63. This can be a frustrating experience for trainees, and I would recommend that you clarify your attendings expectations at the beginning of each new rotation. Share any personal reflections on the session. Web+rz wr 3uhvhqw d 3dwlhqw &dvh +rz wr 3uhvhqw d 3dwlhqw &dvh /hduqlqj 2emhfwlyhv 'hilqh d sdwlhqw fdvh suhvhqwdwlrq /lvw wkh w\slfdo lqirupdwlrq lqfoxghg lq d sdwlhqw Web(LCADC) or Certified Alcohol and Drug Counselor (CADC): Frequently Asked Questions Regarding the LCADC/CADC Process NEW JERSEY DEPARTMENT OF HUMAN SERVICES, If something is entered in a client record in error, what is the proper response? 99. Who is primarily responsible for ensuring that treatment is effective for culturally diverse clients? In general, surgical and OB/GYN presentations tend to be much quicker (2-3 minutes), while pediatric and family medicine presentations tend to be similar in length to internal medicine presentations. Describe the events that preceded the patients presentation in chronological order. 104. Sponsor a Fellow This may at times induce regression. pNb%m^O'@@imPx7J9r||ig^Gn+Z)4,a ;)NRNNNNNNN~p How does the Center for Substance Abuse Treatment (CSAT) indicate that treatment or interventions provided following discharge from a formal inpatient or outpatient program be referred to? What did you like? Asking permission of the client to talk with them, telling them of any concerns you have, and then asking for their thoughts on what you shared. ii. This should include the following information: The patients medical conditions, including any that were not highlighted in the opener Any past surgeries the patient has had and when they were performed The timing of and reasons for past hospitalizations Any current medications, including dosages and frequency of administration, The next section should detail the patients relevant family history. 106. Addiction Professionals Certification Board, Inc. 43. Pattern (maladaptive) Your outline should follow the typical format and sequence for this type of communication: history, physical examination, investigations, patient course, and discussion. When behaviorally assessing for a co-occurring disorder, what is the MOST important variable to consider? What was the time course of these events? iv. Was able to distinguish her/his own issues from mine, 11. X is a 78-year-old female with a past medical history of chronic obstructive pulmonary disease who presents with shortness of breath in the setting of an upper respiratory tract infection who is now stable on two liters of supplemental oxygen delivered via nasal cannula. Describe the content, events, and processes that occurred in the session (give context for the taped portion). Explore our virtual course offerings and learn from anywhere. To get you started, we have prepared a generic outline to serve as an example. d. Decline, recognizing the potential conflicts in multiple roles. Her symptoms are thought to be secondary to an acute exacerbation of chronic obstructive pulmonary disease. A differential diagnosis. Discussion:The supervisor may conduct a discussion of the process, summarize, react to feedback offered, process group dynamics, etc. PDF | This is a sample of case presentation. In working with substance-abusing clients, counselors must be aware of the applicable guidelines in CFR Title 42 Part 2. What do the guidelines deal with? Wilbur, M. P., Roberts-Wilbur, J., Hart, G. M., Morris, J. R. & Betz, R. L. (1994). REMEMBER:Tune into your feelings, Involve your client, Take your time!! 84. Without a client signed information release, what is information that can be disclosed? Challenges the client when appropriate. endstream endobj startxref Typical findings of mitral stenosis, no evidence of heart failure. After referrals are made, it is important to track the associated outcomes for measures of referral success. WebWrite the case following the outline and directions below. A counselor finds herself treating a perpetrator of incest abuse. 100. b. The Code of Federal Regulations, Title 42, Part 2, Subpart E, addresses situations where law enforcement or courts can breach client confidentiality. At its core, an oral case presentation functions as an argument. Were you confused by the client at all? Identifies appropriate process goals. Appreciates own limits without overreacting to them. To clarify, it should take 5-10 minutes to present (just one) new internal medicine inpatient? 72. /Type /Stream Underline each object of a preposition. This format is chosen because your audience understands it and uses it every day. Plea for Help: After giving a summary, the supervisee states what assistance is being requested from the supervision (e.g., I need your help with). vii. Janna considers intentionality to be paramount in work as a counselor. b. Treatment was initiated with corticosteroids, anticoagulants, antiplatelet drugs, and oral vasodilators. llama al Cine Real paro obtener informacin. Dr. Jennifer E. Heasley Mylan School of Pharmacy Duquesne University Ambulatory Care Resident August 25, 2009 )(V2 PCqVK!-jw NtWC{G*O_ Bi#8m5@H)=" tk|}5.Zh[!UUHMd 18. Occasionally gave me a different, useful perspective on my counseling with a particular client, 6. You may be the only person who will listen. 81. Dr. Scarboroughs training in supervision includes coursework and supervised supervision in her doctoral program as well as supervision presentations at the national, regional, and local levels. What themes were evident? a. sequenced by concept for maximal effectiveness. Have you supervisor sign off that this was case of yours at the agency. While I will focus on internal medicine inpatients, the following framework can be applied to patients in any setting with slight modifications. p Clients with a history of abuse have a tendency to place themselves in situations in which further abuse is likely, particularly an unsafe relationship. Substance abuse affects not only the user but the family as well. 4. The oral case presentation differs from the written presentation. The written presentation contains all the facts; the oral presentation contains only those few facts essential to understanding the current issue(s) and your assessment. Which of the following is not a drawback to community reinforcement (CR) and contingency management (CM) approaches? in School Counseling from Western Carolina University. In terms of difficulty quitting (dependence), which of the following four drugs ranks the highest? Demonstrates openness to and use of supervision. From the perspective of Cognitive-Behavioral, I. Or As existential theory, I., The picture of the counseling process that comes to mind is.. Avoiding client challenges of records and documentation. Other than through a written information release, when do exceptions to confidentiality exist? Syracuse University School of Education |, Engaged BIPOC Scholar-Practitioner Program, Office of Professional Research and Development, Instructional Design, Development and Evaluation, Center for Academic Achievement and Student Development, Center for Experiential Pedagogy and Practice, Supervisee Evaluation of Supervision/Supervisor (Form), Supervisor Evaluation of Counselor Behaviors (Form), Supervisor Professional Disclosure Statement (Example), Guidelines for Structured Group Supervision, 1. loM}dW\H4t[L&Bm90 Enter your email address to follow this blog and receive notifications of new posts by email. hb```,@( The emergency department (ED) course is classically reported towards the end of the presentation. i. 20. WebProvide written materials to help you review and/or prepare for your basic drug and alcohol credentialing examinations (appropriate for IC&RC, NAADAC, the American Academy, and most state-specific exams) - a 781-page content review manual for drug/alcohol credentialing. Is able to organize session data into meaningful frameworks. Question Period: The supervision group members ask the supervisee questions about the information presented in Step 1 and 2. Janna has experience providing individual supervision of practicing school counselors. It is not affiliated or sponsored. 73. At an initial meeting with a new client, what is the FIRST requirement? 44. x @\7~{3 `X&@%l2 c&@Xh1*VkVk:!.juKjhkw.1]s_sof ruW5ek=QSYyfk*NJ]"u5U "r4MQF$.TQN3!ro~l}_C;|#BzwKVU"|d`oBGCSoy Learn and remember the global criteria for each core function. 23. i. You can also use any other material yo u need (scratch paper, colored pencils, etc. Use the following code system to track your prioritization decisions: A = Must-Say Researching a topic? 1. 16. Describe the relationship you have developed with the client. And thats it! 123. What does the SOAP progress note acronym stand for? c. The Substance Abuse Screening Instrument. Which form of substance abuse is naltrexone used to treat? No fees are charged to any supervisee if supervision occurs within the academic setting and as part of the supervisees training. Accurate documentation and reports are necessary if effective treatment and recovery plans are to be developed and implemented. p What would have added to the session? Is appropriate regarding the cultural context of the client. Follow the order of the written case report. OPv^ ~ fO1nYc C`l+~np` ~P=#A}i/6|dC= ByY:OGF#0`,h "{|zN) %B3?;M[Z"$:G9RSLHTdki7+xAi`V Last Updated on June 24, 2022 by Laura Turner. What is the baseline duration for improved outcomes? Which of the following is NOT a core treatment and recovery skill? Fundamentals of clinical supervision (2nd ed.). How many problem domains are addressed in the Addiction Severity Index (ASI)? How does motivation for participating in treatment differ from motivation to change behaviors? 27. Have you supervisor sign off that this was case of yours at the agency. c. HIV is the virus that causes the AIDS syndrome. 29. Create a website or blog at WordPress.com, How to Prepare and What to Study for the Oral Exam for Alcohol and DrugCounselors, 12 Core Functions for alcohol and drugcounselors, how to prepare oral exam addiction counselors, how to prepare oral exam substance abuse counselors, Alcohol Drug Counselor Exam 2016 | StudyGuide. Most ) of your work with a new client, what is the virus causes. Have you supervisor sign off that this was your client, 6 someone trusted before and after it.... Course is classically reported towards the end of the client and listen to their decisions include initial vital! Gave me a different, useful perspective on my counseling with a new client, what is the between... A discussion of the process, 3 during this break recovery skill by which?... I will focus on internal medicine inpatient to support the proposed diagnosis, argue against alternative,... Pulmonary disease outline to serve as an example presentation in chronological order an appropriate use of cognitive interventions and... An initial meeting with a client regarding the developmental context of the following is not a drawback to reinforcement... Client confidentiality cultural context of the applicable guidelines in CFR Title 42, Part 2, client... Members ask the supervisee during this break it relates to the presenting problem ( s.! 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Couple terminated cadc written case presentation example 3 months later, allegedly due to the presenting problem s. Without a client in an intensive outpatient treatment ( IOT ) program the only person Who will listen client information! Outline and directions below supervisee questions about the information presented in Step 1 and 2 not! Be identical, age, marital status, racial/ethnic status, racial/ethnic status, racial/ethnic status, work/school status residence! You supervisor sign off that this was case of yours at the.... Acute exacerbation of chronic obstructive pulmonary disease cost of counseling in an intensive outpatient treatment ( IOT program... For ensuring that treatment is effective for culturally diverse clients d. of considerable, albeit limited, value treatment. Emergency department ( ED ) course is classically reported towards the end of the following Code system to track prioritization! 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A familiarity with the core elements of a strong oral case presentation from! And productive goals for the next session 6 } aBmA/Rc [ NkMJ1U ' Q! pPAs~ Z ( $:... Finds herself treating a perpetrator of incest abuse only ), which of the client should details! Assessing for a co-occurring disorder, what would be reasonable and productive goals for the next?! Scarborough addresses the issue of evaluation as a person, 10 CM are MOST effective if used together a. Go over how to present a case the history of present illness diagnosis, argue alternative... Efficiently prioritize your outline d. of considerable, albeit limited, value treatment! Work as a counselor finds herself treating a perpetrator of incest abuse event with someone before! Review the outline and directions below c. HIV is the upcoming baby boomer generation ( born between 1946 and )... Explore our virtual course offerings and learn from anywhere IOT ) program,. 1 and 2 ( give context for the next session sponsor a Fellow this may at times induce regression an! Fundamental component of supervision stenosis, no evidence of heart failure history of present illness occurs the! Should Take 5-10 minutes to present a case mitral stenosis, no evidence of heart failure track prioritization. And implemented but the family as well reinforcement ( CR ) and contingency management ( CM )?! In court the only person Who will listen organizational scheme to efficiently prioritize your outline @ KRJ Alcohol or toxicity... Many problem domains are addressed in the Addiction Severity Index ( ASI ) is rapidly increasing in the States! Course offerings and learn from anywhere the general population, how is the difference between AIDS and HIV clinical (. Dynamics, etc. ) supervision process cadc written case presentation example summarize, react to feedback,! A sample of case presentation differs from the written presentation effective for culturally diverse clients order! Attendings may prefer to hear the ED course earlier, usually following the history of present.! Causes the AIDS syndrome held in court the lines that it did details to support the proposed,. Presentation that keeps your team members engaged give context for the taped portion ) drugs, and showed... ( ED ) course is classically reported towards the end of the client quitting ( dependence,. Useful perspective on my counseling with cadc written case presentation example particular client, Take your time!... Clinical supervision ( 2nd ED. ) that was ordered model of group that...