Psychological Health Brief Case Summary

Psychological Health Brief Case Summary essay assignment

Psychological Health Brief Case Summary essay assignment

A case presentation is required during the semester, presented during the weekly group supervision meetings. A presenter is expected to provide a brief case summary (2-page max, single-spaced, 12 font size, Times New Roman font) to other participants. A case summary must be sent to other students at least one day before your presentation schedule.

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Case Presentation Guidelines:

Address each item below that is pertinent to your case. It is expected that some items may not be relevant to your client/student. Use a fictitious name or initials only. Note again that the max pages allowed for this assignment is 2-page. Although the guideline below provides quite a detail instruction in terms of how you develop your case study, focus on providing a succinct 2-page summary of the case you are currently working on.

[Background Information]

  • Identifying Data: Client name, age, race or ethnicity, marital status, occupation, grade in school, members of household.
  • Initial Presenting Concern: Brief statement of the problem that led to client initially seeking counseling services
  • Current Difficulties: History of problem, precipitating events, symptoms, previous occurrences of problem, previous method of resolution, effects of problem on client’s life. (This section should be extensive and detailed.)
  • Physical Health History: Significant health history, illnesses, injuries, current medications.
  • Psychological Health History: Previous treatment, duration, compliance, past and current psychotropic medication, past or current suicidal ideation/attempts.
  • Educational History: Where is client in school or what level of educational achievement did client achieve, significant school experiences, level of client’s satisfaction with school achievement.
  • Occupational History: Client’s work history, reasons for job changes, level of satisfaction with employment.
  • Testing: Summary of any psychological or educational assessments.
  • Family and Home Background: Construct appropriate multigenerational genogram. Describe in narrative form client’s perspectives of the family and critical family incidents.
  • DSM 5 Diagnosis (if available)

[Strengths and Resources]

  • Strengths and Resources: Include the positive things going for the client or student that will help for addressing the problems and needs (personal, familial, intellectual, financial, social, spiritual, physical, medical, or affective supports)

[Theoretical Conceptualization and Treatment Plan]

  • Theoretical Orientation used in working with the client. Also discuss whether your theoretical orientation matches the expectations of your practicum site. If there are differences, how you reconcile these differences.
  • Theoretical Conceptualization of Client – including your theoretical conceptualization of how the client developed the presenting concern(s), how the client is dealing with the presenting concern(s), and barriers to the clients addressing these concerns independently.
  • Treatment Plan & Goals for Counseling using your Theoretical Conceptualization – including theoretically consistent goals for counseling, as well as how your theory helps explain and justify the counseling goals you have established for the client. Use the treatment plan format you learned in Effective Human Behavior when presenting your treatment plan to the class.
  • Evidence that demonstrates progress towards client’s goals
  • Counseling techniques and/or strategies used to help client progress towards meeting objectives and goals that are internally consistent with your guiding theory.
  • Role of supervision in helping you address this case

[Referral & Discussion Question]

  • Referrals: As part of the case presentation assignment, students will provide three potential referral sites for the client/subject of the case presentation. Students will need to list the referral, and provide a detailed description of how the referral will serve the interests of the client under discussion for the case presentation
  • One or two discussion questions

Case Study Grading Rubric

  • Grading Scale:
    • Area 1, 2, 3, & 5: 10 [Great] – 8 [Good] – 6 [Fair] – 4 [Poor]
    • Area 4, 5, & 6: 20 [Great] – 18 [Good] – 16 [Fair] – 14 [Average]
  • Grading areas includes: 1) Overall presentation of the case (easy to follow, practical, neat, 10 pts); 2) Patient history, background information (10pts); 3) Strengths & Resources (10pts); 4) Theoretical Conceptualization (20pts); 5)Treatment Plan (20pts); Referral & Discussion (10pts); and 6) handout quality (20pts).