Description
This assignment contains four parts, as identified and described below. Please include four subheadings in your paper that clearly identifies each part. Include the following:
Part 1: Intake
- Read and review the Eliza intake document.
- Assess how you would use the Level 01 Cross-Cutting Measure (CCM-1), in addition to what specific questions would need to be answered by the end of the biopsychosocial assessment.
Part 2: Biopsychosocial Assessment
- Review the completed biopsychosocial assessment for Eliza.
- Provide an assessment related to client symptomology along with a DSM and ICD diagnosis based on client assessment.
- Provide the initial treatment goals and plan.
Part 3: Treatment Planning
- Determine what Level 02 Cross-Cutting Measure (CCM-2) you would utilize in future sessions based on the information provided.
- Identify one additional assessment outside of those provided by the APA that would measure what the future counselor is attempting to assess based on treatment goals/plan.
- Describe how you would convey the assessment findings to the client and family.
- Include how you would prioritize the needs and formulate agreed upon outcomes, measures, and strategies.
Part 4: Referral
- Identify any possible referrals you might make and how you might address them with your client.
- How would you know who to make referrals to and how would you follow up with the referral after you make it?
Be sure to include three to five scholarly resources in your paper.
Prepare this assignment according to the APA Style Guide.
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Explanation & Answer
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Running Head: BENCHMARK INITIAL TREATMENT: ELIZA
BENCHMARK Initial Treatment: Eliza
NAME OF STUDENT
INSTITUTION
PROFESSOR’S NAME
DATE
1
BENCHMARK INITIAL TREATMENT: ELIZA
2
BENCHMARK Initial Treatment: Eliza
Introduction
The Psychosocial Assessment is an important document, which sets up the foundation for
the future work. Through observations and clinical interview, the counselor is able to develop a
descriptive assessment to understand the client’s experiences and assist the diagnostic process. A
psychological assessment involves evaluation of patients mental health as well as social wellbeing. Being in a state of mental health entails being able to overcome the stress of life, work and
being able to perform thus productive in the community. Mental illness is manipulated by some
behaviors which shows a person is in trouble, stressed. The illness may be contributed by a
number of factors including work activities, life encounters and state of the community they live.
Psychological assessment assesses personal perception and one's ability to perform in the
community. In the psychological assessment, the patient is asked some questions to ascertain a
number of domains or issues (PsychGuides, 2016). This helps to understand the patients well in
order to provide the best suitable healthcare service. Psychological assessment is very import
activity as far as nursing care of a patient is involved.
Part 1: Intake
The basic segments of a psychosocial assessment include: Identifying the patient, the
main complainant, the historical backdrop of the illness presented, mental wellness history,
medicinal or surgical history, medical prescription notes, alcohol use, drug use, violence
behavior assessment, family history, social record, job or occupation information, education
background, legal knowledge, development history, spiritual assessment, cultural information,
financial information, coping ability, interests and the mental status examination. The initial
BENCHMARK INITIAL TREATMENT: ELIZA
3
phase of any assessment is to identify the patient. The identification of a patient incorporates the
patient's name, sexual orientation, birth date or age, marital status, race or ethnicity, and
language was spoken (Grohol, 2015, June 17).
The client, Eliza, is an 18 years old, Caucasian female student at City University. At the
first session, the client was provided with an intake document to complete. The client provided
limited information. From the information she did provide, she revealed that she is experiencing
anxiety and or stress and has low self-esteem. She disclosed that she has an okay relationship
with her mother Joan who is an elementary school teacher and that she has a good relationship
with her father Burt who is a truck driver. The client is not in treatment voluntarily. In order to
complete the psychosocial assessment, this counselor requested that the client complete the
Level-01Cross-Cutting Measure (CCM-1). The CCM-1 will be used as an initial screening tool
to later assist this counselor in identifying symptoms in (a) specific diagnosis(s). The completed
CCM-1 showed that the client is experiencing mild anxiety and should complete, DSM-5 Level 2
Cross-Cutting Symptom Measure-LEVEL 2-ANXIETY-Adult (PROMIS Emotional DistressAnxiety-Short Form) (American Psychiatric Association, 2016). To assist in completing the
assessment this counselor would request that both parents complete the Personality Inventory for
DSM-5-Informant Form (PID-5_IRF)-Adult (American Psychiatric Association & American
Psychiatric Association, 2013). Due to the client’s reluctance providing information, and not
attending treatment voluntarily, this counselor believes the information provided would be
beneficial in creating a clearer understanding of the client and her presenting issues.
At the completion of this psychosocial, the client’s presenting problem will be
determined, second, the counselor and the client will decide what the achievable goals will be,
BENCHMARK INITIAL TREATMENT: ELIZA
4
next, the treatment methods and intervention will be discussed and selected, and finally, how the
client’s changes and success will be measured will be determined, whether by self-reporting or
counselor evaluation.
Part 2: Biopsychosocial Assessment
Eliza is an 18-year-old, single, Caucasian female, referred to treatment by her college,
City University, as the result of being caught drinking alcohol with her friends in the dorm by the
RA. Eliza states’ she was just “buzzed” and did it because her friends believed “it was no big
deal.”
Eliza is of average height and slim build. She was...