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Question

NURS6650 Psychotherapy With Groups and Families

Week 1 Discussion

Legal and
Ethical Considerations for Group and Family Therapy

Considering
the Health Insurance Portability and Accountability Act (HIPPA), the idea of
discussing confidential information with a patient in front of an audience is
probably quite foreign to you. However, in group and family therapy, this is
precisely what the psychiatric mental health nurse practitioner does. In your
role, learning how to provide this type of therapy within the limits of
confidentiality is essential. For this Discussion, consider how limited
confidentiality and other legal and ethical considerations might impact
therapeutic approaches for clients in group and family therapy.

Learning
Objectives

Students
will:

Compare
legal and ethical considerations for group and family therapy to legal and
ethical considerations for individual therapy

Analyze the
impact of legal and ethical considerations on therapeutic approaches for
clients in group and family therapy

Recommend
strategies to address legal and ethical considerations for group and family
therapy

To prepare:

Review this
week’s Learning Resources and consider the insights they provide on group and
family therapy.

View the
media, Legal and Ethical Issues for Mental Health Professions, Volume I, and
reflect on legal and ethical considerations for group and family therapy and
individual therapy.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

By Day 3

Post an
explanation of how legal and ethical considerations for group and family
therapy differ from those for individual therapy. Then, explain how these
differences might impact your therapeutic approaches for clients in group and
family therapy. Support your rationale with evidence-based literature.

By Day 6

Respond to
at least two of your colleagues by suggesting strategies to address the legal
and ethical considerations your colleagues discussed. Support your responses
with evidence-based literature.

NURS6650 Psychotherapy With Groups and Families

Week 3 Discussion

Clinical
Supervision

Clinical
supervision is an essential component of your development as a psychiatric
mental health nurse practitioner. It provides an opportunity for professional
collaboration as you share experiences with and gain insights from colleagues.
For this clinical supervision Discussion, consider a client family whom you do
not think is adequately progressing according to expected clinical outcomes.

Learning
Objectives

Students
will:

Assess
client families presenting for psychotherapy

Evaluate
the effectiveness of therapeutic approaches for client families receiving
psychotherapy

Apply
narrative family therapy concepts to client families with impaired family
functioning

To prepare:

Review this
week’s media and consider the insights provided on family therapy.

Reflect on
the client families you are currently counseling at your practicum site.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

Note about
Uploading Media: Refer to the Kaltura Media Uploader instructions document
located in the menu bar. This provides guidance on how to upload media for the
clinical supervision Discussions.

By Day 3

Post a 3-
to 5-minute Kaltura video in which you do the following:

Describe a
client family you are counseling that you do not think is adequately
progressing according to expected clinical outcomes. Note: Do not use the
client family members’ actual names.

Explain
your therapeutic approach with the client family, including the perceived
effectiveness of your approach.

Identify
any additional information about this client family that may potentially impact
expected outcomes.

Note: Nurse
practitioners must have strong oral communication skills. This Discussion is
designed to help you hone these skills. When filming your Kaltura video, be
sure to dress and speak in a professional manner.

View a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by providing feedback on each colleague’s
therapeutic approach based on a narrative family therapeutic perspective. Support
your feedback with evidence-based literature and/or your own experiences with
clients.

NURS6650 Psychotherapy With Groups and Families

Week 5 Discussion

Cognitive
Behavioral Therapy: Family Settings Versus Individual Settings

Whether
used with individuals or families, the goal of cognitive behavioral therapy
(CBT) is to modify client behavior. Although CBT for families is similar to CBT
for individuals, there are significant differences in their applications. As
you develop treatment plans, it is important that you recognize these
differences and how they may impact your therapeutic approach with families.
For this Discussion, as you compare the use of CBT for families and
individuals, consider challenges of applying this therapeutic approach to your
own client families.

Learning
Objectives

Students
will:

Compare the
use of cognitive behavioral therapy for families to cognitive behavioral
therapy for individuals

Analyze
challenges of using cognitive behavioral therapy for families

Recommend
effective cognitive behavioral therapy strategies for families

To prepare:

Review the
media, Johnson Family Session 3, in this week’s Learning Resources and consider
the insights provided on CBT in family therapy.

Reflect on
your practicum experiences with CBT in family and individual settings.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

By Day 3

Post an
explanation of how the use of CBT in families compares to CBT in individual
settings. Provide specific examples from your own practicum experiences. Then,
explain challenges counselors might encounter when using CBT in the family
setting. Support your position with specific examples from this week’s media.

Read a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by recommending CBT strategies to overcome the
challenges your colleagues have identified. Support your recommendations with
evidence-based literature and/or your own experiences with clients.

NURS6650 Psychotherapy With Groups and Families

Week 8 Discussion

Cognitive
Behavioral Therapy: Group Settings Versus Family Settings

As you
might recall from Week 5, there are significant differences in the applications
of cognitive behavior therapy (CBT) for families and individuals. The same is
true for CBT in group settings and CBT in family settings. In your role, it is
essential to understand these differences to appropriately apply this
therapeutic approach across multiple settings. For this Discussion, as you
compare the use of CBT in group settings and family settings, consider
challenges of using this approach with your own groups.

Learning
Objectives

Students
will:

Compare the
use of cognitive behavioral therapy for groups to cognitive behavioral therapy
for families

Analyze
challenges of using cognitive behavioral therapy for groups

Recommend
effective strategies in cognitive behavioral therapy for groups

To prepare:

Reflect on
your practicum experiences with CBT in group and family settings.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

By Day 3

Post an explanation
of how the use of CBT in groups compares to its use in family settings. Provide
specific examples from your own practicum experiences. Then, explain at least
two challenges counselors might encounter when using CBT in the group setting.
Support your response with specific examples from this week’s media.

Read a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by recommending strategies to overcome the
challenges your colleagues have identified. Support your recommendation with
evidence-based literature and/or your own experiences with clients.

NURS6650 Psychotherapy With Groups and Families

Week 10 Discussion

Clinical
Supervision

In Week 3,
you collaborated with colleagues as you participated in your first clinical
supervision. This week, you have the opportunity to continue your collaboration
as you reflect on and discuss your experiences with counseling children and
adolescents in group settings. Psychotherapy with these clients is often more
complex than psychotherapy with the general adult population. Personal
reflection and discussion with colleagues are essential to your development and
success as a psychiatric mental health nurse practitioner. For this clinical
supervision, consider a child or adolescent client you are counseling who you
do not think is adequately progressing according to expected clinical outcomes.

Learning
Objectives

Students
will:

Assess
clients presenting for child and adolescent group psychotherapy

Evaluate
the effectiveness of therapeutic approaches for clients receiving child and
adolescent group psychotherapy

To prepare:

Review this
week’s media and consider the insights provided on group therapy with children
and adolescents.

Reflect on
a child and adolescent group that you are currently counseling at your
practicum site.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on
the Post to Discussion Question link and then select Create Thread to complete
your initial post. Remember, once you click submit, you cannot delete or edit
your own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

Note about
Uploading Media: Refer to the Kaltura Media Uploader instructions document
located in the menu bar. It provides guidance on how to upload media for the Clinical
Supervision Discussions.

By Day 3

Post a 3-
to 5-minute Kaltura video that addresses the following:

Describe a
child and adolescent group you are counseling.

Describe a
client from the group who you do not think is adequately progressing according
to expected clinical outcomes. Note: Do not use the client’s actual name.

Explain
your therapeutic approach with the group, including your perceived
effectiveness of your approach with the client you identified.

Identify
any additional information about this group and/or client that may potentially
impact expected outcomes.

Note: Nurse
practitioners must have strong oral communication skills. This Discussion is
designed to help you hone these skills. When filming your Kaltura video, be
sure to dress and speak in a professional manner.

View a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by providing constructive feedback concerning
their presentations of their client groups and by recommending alternative
therapeutic approaches that may be used with the groups. Support your feedback
with evidence-based literature and/or your own experiences with clients.

NURS6650 Psychotherapy With Groups and Families

Week 11 Discussion

Group
Therapy with Older Adults

As the
population continues to age, more and more older adults will require therapy
for various mental health issues. While the group setting offers many benefits
and makes therapy more accessible to those in need of services, this
therapeutic approach may not be effective for all clients. For this Discussion,
as you examine your own practicum experiences with older adults in group
therapy settings, consider strategies to improve the effectiveness of your
sessions.

Learning
Objectives

Students
will:

Analyze
group therapy sessions with older adults

Recommend
strategies for improving the effectiveness of group therapy sessions for older
adults

To prepare:

Review this
week’s Learning Resources, and consider the insights provided on group therapy
with older adults.

Reflect on
your practicum experiences with older adults in group therapy settings.

Note: For
this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on the
Post to Discussion Question link and then select Create Thread to complete your
initial post. Remember, once you click submit, you cannot delete or edit your
own posts, and you cannot post anonymously. Please check your post carefully
before clicking Submit!

By Day 3

Post a
description of a group therapy session with older adults, including the stage
of the group, any resistances or issues that were present, and therapeutic
techniques used by the facilitator. Explain any challenges that may occur when
working with this group. Support your recommendations with evidence-based
literature.

Read a
selection of your colleagues’ responses.

By Day 6

Respond to
at least two of your colleagues by recommending strategies for improving the
effectiveness of their group therapy sessions. Support your recommendations
with evidence-based literature and your own experiences with clients.

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