Download DIAGNOSIS, ASSESSMENT, AND TREATMENT PLANNING COUN

DIAGNOSIS, ASSESSMENT, AND TREATMENT PLANNING
COUN 550
Fall 2013
Syllabus
Course and Instructor
Instructors:
Dr. Barry Watts, LCPC
Office hours: by appointment
[email protected]
Course Number:
COUN 550 (MHLTHSCI 568)
Course Title:
Diagnosis, Assessment, and Treatment Planning
Course Time:
Mondays 6:00-8:45pm
Course Location:
Interactive Learning Center Room 402
Semester:
Fall 2013
Credits:
2 credits
Course Objectives and Accreditation
CACREP Standards Addressed in the Course
II. G. 3
Human Growth and Development
g.
Theories and etiology of addictions and addictive behaviors, including strategies for
… intervention, and treatment.
Course Description
The course examines concepts of “mental disorders”, DSM classification systems, and the
diagnostic benefits and diagnostic problems inherent in such systems. An introduction and
overview of the major psychopathological syndromes of adolescent and adults (especially in the
area of Co-morbidity of Substance Abuse/Dependence and other DSM diagnoses) to facilitate
appropriate use of assessment-diagnostic-treatment links (including treatment planning). May
be taken for COUN or MHLTHSCI credit, but not both. PREREQ: PREM/INST.
Methods of Instruction
Instructional procedures will consist of lecture, case analyses, participant discussion, and group
discussions regarding the issues and situations presented. Student discussion and
participation is essential.
Course Objectives
Students will demonstrate proficiency in knowledge of assessment, including models an
approaches to clinical evaluation such as screening and assessment, diagnostic interviews,
mental status exams, inventories, and assessment tools, bio-psycho-social history,
indications/contraindications for medication, diagnosis, including the diagnostic process and use
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of the current DSM, co-occurring disorders, criteria for common disorders, and cultural issues in
diagnosis, and treatment planning, including the importance of family and social/community
networks, evidence-based treatment strategies, and professional issues related to practice.
Students will demonstrate proficiency in being able to accurately communicate the symptoms and
clinical presentation of clients with disorders through reliable use of the DSM-5 system of
classification, the proper use of diagnostic terms, assessment tools in a comprehensive plan of
treatment including referrals/coordination of treatment with other providers, support groups etc.
Upon completion of this course, students will also have a working knowledge of theories and
etiology of addictions and addictive behaviors, including strategies for intervention, and treatment
(II. G. 3.g).
Technology Skills Addressed in the Course
Instructor
Application
Utilize Blackboard technology
Word process, including APA formatting
Use a spreadsheet and a statistical package
Acquire graphics from the web, digital camera, scanner,
or Microsoft media and insert them into a poster or
presentation
Create and deliver a power point presentation
Find material on the Web and review Web sites
Be able to use e-mail, including document attachments
Be able to sign in and participate in listservs
Be familiar with computerized testing
Be able to use digital recording equipment
Student
Application
X
X
X
X
X
X
Required Text
American Psychiatric Association, Diagnosis and Statistical Manual of Mental Disorders (fifth
edition) DSM-5
DSM-5 website
Academic Requirements and Evaluation

Exam #1
This exam covers basic concepts of assessment, diagnosis and treatment planning, and
will be multiple choice in format. The assignment is worth 25% of your grade. 9/23

Exam #2
This exam covers diagnostic criteria, screening and assessment tools, and evidencebased treatment strategies for the most common diagnostic categories and will be
multiple choice in format. The assignment is worth 25% of your grade. 10/28

Clinical Assessment, Diagnosis and Treatment Plan
2
Select a movie from the attached list and create a clinical assessment with diagnosis
and treatment plan for the character with a psychological disorder. See attached format
for paper. This will account for 50% of your grade. This assignment can be completed
individually or in a group of up to three students. Due Monday, November 4.
Grading Scale
Grading Criteria: A = 100-90, B = 89-80, C = 79-70
Assignments not submitted when due or not in the assigned format will not earn full points.
Those submitted more than three days past the due date will not be accepted. Plagiarism is
sufficient grounds for failure for the course. See current Boise State Graduate Catalog for
academic regulations and appeal procedures.
Disability and Academic Integrity Statements
Disability Statement: To request academic accommodations for a disability, contact the
Disability Resource Center by phone, (208) 426-1583, or e-mail, [email protected].
Students are required meet with a Disability Specialist prior to receiving accommodations and
may be required to provide documentation to clarify accommodation requests. Information
about a disability is confidential. More information on the accommodation process can be found
at http://drc.boisestate.edu.
Academic Integrity Statement: Academic misconduct or dishonesty such as cheating and
plagiarism is unacceptable and appropriate penalties will be imposed. This includes referencing
material that has not been read by you, such as secondary references.
COURSE SCEHDULE
Week
8/26
Topic
DSM-5 Reading
Pages Covered
Key
Assessment
Due Date
Overview and Syllabus Review
DSM-5 Website
Clinical Assessment
Screening and Assessment
Coding Corrections
8/9/2013
Bio-psycho-social Model
Intake interview
Online Assessment
Measures
Mental Status and Suicide Assessment
9/2
NO CLASS – LABOR DAY
3
9/9
DSM-5 Classification System and Treatment
Planning
i - 30
Why should we learn to diagnose using the
DSM System
Current use, strengths, limitations, issues,
controversies
DSM-5 diagnosis from a developmental
perspective
DSM-5 diagnosis as part of addiction and
school counseling work
Evidence-based treatment, treatment
planning process, individualization
9/16
Neurodevelopmental Disorders,
Schizophrenia Spectrum and Other
Psychotic Disorders
33 - 122
9/23
Bipolar and Depressive Disorders
9/30
Anxiety Disorders, OCD and Trauma
Disorders
189 - 290
10/7
Feeding and Eating Disorders, Elimination
Disorders, Gender Dysphoria, and
Disruptive/Impulse-Control/Conduct
Disorders
329 – 360
10/14
10/28
11/4
Exam 1
451 - 480
Substance Disorders (II. G. 3.g)
Dual Diagnosis
10/21
123 - 188
481 – 590 (II. G.
3.g)
Personality Disorders
645 – 680
Alternative DSM-5 Model for Personality
Disorders
Other Conditions That May Be a Focus of
Clinical Attention
761 - 781
Summary and Closing Discussion
LAST CLASS
715 - 727
Exam 2
CADT Paper Due
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Clinical Assessment
Client Name: ____________________
Date of Assessment:_____________
Identifying Information
Age, sex, ethnicity, marital status, race/ethnicity, religion, occupation.
Referral Information
Referral source, referral reason.
Methods of Assessment
Clinical interview, collateral interview screening/assessment tools used.
Chief Complaint
Problem/reason for coming to treatment as stated by the client; often stated as a direct quote.
History of Presenting Problem
Recent history of problem, events that led up to treatment, symptoms over past few weeks and
currently.
Past Psychiatric History
Previous hospitalization, previous treatment, previous medications.
Medical History
Any significant current medical problems, any significant medical history, including birth and
delivery complications.
Family Psychiatric History
Any family history of mental health problems or substance abuse.
Family and Social History
Patient's history such as where born, siblings, relationship with parents, parent's marital status,
significant traumas, education and employment history, relationship history. Current social
situation such as employment, marital status, children, living situation,
substance use. Include client’s strengths.
Mental Status
Orientation, appearance, mood, affect, thought process, thought content, speech, motor
activity, cognitive functioning (memory, concentration, intelligence), insight, judgment, impulse
control.
Impression and Diagnosis
Summary of identifying information, presenting problems, thoughts about diagnosis based on
symptoms.
Diagnosis:
Medical Diagnosis
DSM-5 Diagnosis
Plan
Outline a summary of the treatment plan including type and frequency of therapy,
recommendations for other treatment (ie. couples therapy, medication evaluation),
recommendation for support groups (ie. AA, grief group), next appointment. If client has a dualdiagnosis, reference the treatment plan, including integration of services, for both disorders.
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Comprehensive Treatment Plan
Problem/
Measurable
Symptom
Goal
Objective
Intervention
Date Goal
Strategy
Met
1. Depressed
1. Alleviate
1. Identify and
1. Teach client
(leave
Mood
depressed
challenge
thought record
blank)
mood (BDI
cognitive
2. Teach client
down 10 pts)
distortions
activity scheduling
2. Use
and behavioral
behavioral
activation
strategies
3. Develop
exercise routine
2.
3.
4.
5.
I certify that this clinical assessment demonstrates that services in this treatment plan are
medically necessary.
Clinician Signature ________________________________
Date __________
Client’s Signature __________________________________ Date ______________
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