I. Indicate whether questions exist about the Week Four Draft of the Presenting Concerns, Current Triggers, and Maladaptive Patterns sections of the Final Project I comprehensive case conceptualization.

COU 610 Week Three Journal Guidelines and Rubric Overview: Journals in this course are private between each student and the instructor, and each journal activity is graded individually. In Week Four, you will submit your first draft assignment for Final Project I, the comprehensive case conceptualization. This week, you should begin to work on your draft. This journal allows you to indicate whether you have questions about the draft. If you do, you can submit them. If you do not, you are asked to share what you think is challenging or exciting about creating this section of the draft. Prompt: Review the Final Project I Guidelines and Rubric document. Address all of the critical elements below. Specifically, the following critical elements must be addressed: I. II. Indicate whether questions exist about the Week Four Draft of the Presenting Concerns, Current Triggers, and Maladaptive Patterns sections of the Final Project I comprehensive case conceptualization. Provide questions about the draft of the Presenting Concerns, Current Triggers, and Maladaptive Patterns section of the Final Project I comprehensive case conceptualization, OR provide thoughts about what is challenging or exciting about creating this draft. Rubric Guidelines for Submission: Submit assignment as a Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Critical Elements Existing Questions Questions or Challenges Proficient (100%) Indicates whether questions exist about the Week Four Draft of the Presenting Concerns, Current Triggers, and Maladaptive Patterns sections of the Final Project I comprehensive case conceptualization Provides questions about the draft of the Presenting Concerns, Current Triggers, and Maladaptive Patterns sections of the Final Project I comprehensive case conceptualization, or provides thoughts about what is challenging or exciting about creating this draft Needs Improvement (70%) Not Evident (0%) Does not indicate whether questions exist about the Week Four Draft of the Presenting Concerns, Current Triggers, and Maladaptive Patterns sections of the Final Project I comprehensive case conceptualization Does not provide questions about the draft of the Presenting Concerns, Current Triggers, and Maladaptive Patterns sections of the Final Project I comprehensive case conceptualization, or does not provide thoughts about what is challenging or exciting about creating this draft Value 5 85 Articulation of Response Submission has no major errors related to APA citations, grammar, spelling, syntax, or organization Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas Total 10 100% COU 610 Final Project I Guidelines and Rubric Comprehensive Case Conceptualization Overview The final project for this course is the creation of a comprehensive case conceptualization. The final product represents an authentic demonstration of competency because case conceptualization is driven by counseling assessment. Specifically, the case conceptualization is the manifestations of assessments at the beginning, middle, and end phases of treatment. Assessments result in case conceptualization and inform adjustments to the conceptualization over time. The purpose of applying assessment through case conceptualization is to understand the initial needs of the client, structure the issues of the client (often through diagnosis), develop treatment goals, and assign evidence-based treatment to assist the client in attaining his or her goals. Assessment further informs reevaluation of treatment and progress toward the client’s goals. The final project will focus on applying assessment principles, practice, and skills through case conceptualization to initially understand the needs of the client. The project is divided into four drafts, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These drafts will be submitted in Weeks, Four, Five, Six, and Seven. The final product will be submitted in Week Nine. In this assignment, you will demonstrate your mastery of the following course outcomes:     Evaluate various types of counseling assessment principles for their influence on client care Apply assessment principles to client cases for informing custom case conceptualization decision making Analyze counseling assessment data for informing and supporting case conceptualization decision making Determine appropriate ethical and cultural considerations in administering counseling assessments Prompt In preparation for completing this final project, you will need to review the Final Project Case File folder and the related files. You will also need the APA DSM5 Level 1 Symptom Measure–Adult to select one issue from those that are indicated as needing further assessment. Then, you will select one Level 2 measure and the assigned severity measure from the list below. You will use the case summary and all of the required assessments to formulate your case conceptualization. You will be required to integrate the information from the following assessment into you case conceptualization:    Intake Assessment APA DSM5 WHODAS 2.0 APA DSM5 Cultural Formulation Interview 1     APA The Personality Inventory for DSM-5–Brief Form–Adult Columbia Suicide Severity Rating Scale APA DSM5 Self-Rated Level 1 Cross-Cutting Symptom Measure–Adult APA DSM5 Level-2-Measure-Adult (Select One) 1. APA DSM5 Level–2–Anger–Adult (plus APA DSM5 Severity of Posttraumatic Stress Symptoms–Adult) 2. APA DSM5 Level–2–Anxiety–Adult (plus APA DSM5 Severity Measure for Panic Disorder–Adult) 3. APA DSM5 Level–2–Depression–Adult (plus APA DSM5 Severity Measure for Depression–Adult) 4. APA DSM5 Level–2–Sleep Disturbance–Adult (plus APA DSM5 Severity of Posttraumatic Stress Symptoms–Adult) There are additional assessments included in the Final Project Case File folder that you can use to support your final project, but they are not all required to include. Be sure to use industry-specific language when addressing the critical elements below. Specifically, the following critical elements must be addressed: I. Presenting Concerns: Identify the presenting concerns within the assessments. Synthesize the results of the qualitative and quantitative assessments. A. Describe the problem/issue/challenge that the client reports they want help with. B. Explain the problem/issue/challenge affecting the client. 1. What are the behavioral symptoms? 2. What are the cognitive symptoms? 3. What are the emotional symptoms? 4. What are the physiological symptoms? C. What does the client typically experience and demonstrate when the presenting problem/issue/challenge is activated? D. What are the results of the quantitative assessments? E. What is the relationship between the data from the quantitative and qualitative assessments? F. Discuss the following considerations related to the assessments used. 1. Justify why the assessments used are appropriate and applicable to this client. 2. What are the reliability and validity considerations in using each assessment with this client? 3. What are the limitation associated with using each assessment with this client? 4. What are the ethical considerations necessary when using these assessments with this client? G. Make sure to answer the following questions with appropriate citation of which assessment was used. 2 II. III. IV. V. VI. Current Triggers: Using the data gathered from the assessments, describe the client’s current triggers. A. Describe the triggers (people, places, things, and sensory experiences) that activate the behavioral, cognitive, emotional, and physiological patterns that result in the client’s presenting problem/issue/challenge. B. Discuss the following considerations related to the assessments used: 1. In relation to current triggers, what are the reliability and validity considerations in using each assessment with this client? 2. In relation to current triggers, what are the limitation associated with using each assessment with this client? Maladaptive Patterns: Identify the maladaptive patterns the client is presenting. Compare the data you gathered from assessments and your observations of the client with empirical literature on factors that relate to the client’s issue and presenting problem. Then, answer the following questions. A. Explain the inflexible and/or ineffective manner the client is feeling (emotions), the current triggers, and the presenting concerns. B. Explain the inflexible and/or ineffective manner the client is thinking (cognitions), the current triggers, and the presenting concerns. C. Explain the inflexible and/or ineffective manner the client is behaving (actions) in reaction to the current triggers and the presenting concerns. D. Explain the inflexible and/or ineffective manner in which the client is experiencing (physiology) the current triggers and the presenting concerns. E. Discuss the following considerations related to the assessments used. 1. In relation to maladaptive patterns, what are the reliability and validity considerations in using each assessment with this client? 2. In relation to maladaptive patterns, what are the limitations associated with using each assessment with this client? 3. How does the literature selected impact your understanding of the client’s experience? Developmental Influences: Identify developmental influences that are presented in the collected information. Using the empirically supported information from scholarly resources related to the pressing problem and the data from the assessments, answer the following: A. What are the experiences from the client’s development (birth to the present) that influence the development of the presenting concerns? B. What are the developmental factors that promote the client’s maladaptive functioning patterns? C. What are the developmental factors that promote the client’s adaptive functioning patterns? Promoters: Identify promoters that are presented in the information collected. Using the empirically supported information from scholarly resources related to the pressing problem and the data from the assessments, answer the following: A. What are the present experiences (onset to present) that influence the maintenance of the presenting concerns? B. What are the present factors that promote the client’s maladaptive functioning patterns? C. What are the present factors that promote the client’s adaptive functioning patterns? Cultural Identity: Discuss how the client’s cultural characteristics influence the client’s identity. Use the data from the cultural formulation interview (CFI) and answer the following: A. How does the client identify with the following cultural characteristics? 1. Age 2. Disability 3 VII. VIII. IX. 3. Religion 4. Ethnicity 5. Social class 6. Sexual orientation 7. Indigenous background 8. National origin 9. Gender identity B. Which of the cultural characteristics from above does the client use to define a sense of belonging and use to define an identity? C. Summarize how cultural identity has influenced the client’s development (birth to present). D. What are the ethical considerations necessary when using these assessments with this client? Cultural Stressors: Determine how the client’s cultural identity impacts the client’s stressors. A. Summarize the dominate culture for your geographic area using all cultural characteristics listed above. B. Consider the culture identity of the client and identify the similarities and differences between the dominant culture and the client’s cultural identity. C. Explain how the similarities between culture identities has impacted the client’s psychosocial experiences. D. Explain how the differences between culture identities has impacted the client’s psychosocial stress. E. How do these factor impact the presenting concerns and current triggers F. What are the ethical considerations necessary when using these assessments with this client? Cultural Influencers: Determine how the client’s cultural identity impacts the client’s influencers. Using the data from the CFI, answer the following: A. What are the beliefs the client holds regarding the cause of the client’s distress, condition, or impairment? B. What are the beliefs the client’s close relationships regarding the cause of the client’s distress, condition, or impairment? C. How will these beliefs impact your conceptualization of the presenting concerns and the goals of treatment? D. What are the ethical considerations necessary when using these assessments with this client? Personality Patterns Summary: Using the information provided, create a personality patterns summary for the client based on all assessments and your observations. A. Summarize the general personality characteristics of the client’s: 1. Openness to experience (level of creativity and curiosity) 2. Conscientiousness (level of organization and work ethic) 3. Extraversion (level of sociability and enthusiasm) 4. Agreeableness (level of friendliness and kindness) 5. Emotional stability (level of calmness and tranquility) 4 B. Describe how the client’s general personality characteristics and the client’s cultural identity interact to promote adaptive functional patterns and resilience. C. Describe how the client’s general personality characteristics and the client’s cultural identity interact to promote the maladaptive functioning patterns described above. Drafts Draft One: Presenting Concerns, Current Triggers and Maladaptive Patterns In Week Four, you will submit a draft of the following sections: Presenting Concerns, Current Triggers, and Maladaptive Patterns. This draft will be graded with the Draft One Rubric. Draft Two: Developmental Influences and Promoters In Week Five, you will submit a draft of the following sections: Developmental Influences and Promoters. This draft will be graded with the Draft Two Rubric. Draft Three: Cultural Identity, Cultural Stressors, and Cultural Influences In Week Six, you will submit a draft of the following sections: Cultural Identity, Cultural Stressors, and Cultural Influencers. This draft will be graded with the Draft Three Rubric. Draft Four: Personality Patterns Summary In Week Seven, you will submit a draft of the Personality Patterns section. This draft will be graded with the Draft Four Rubric. Final Submission: Comprehensive Case Conceptualization In Week Nine, you will submit your final project comprehensive case conceptualization. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission will be graded with the Final Project I Rubric. Deliverables Draft One Two Deliverable Presenting Concerns, Current Triggers and Maladaptive Patterns Developmental Influences and Promoters Week Due Grading Four Graded separately; Draft One Rubric Five Graded separately; Draft Two Rubric 5 Three Four Cultural Identity, Cultural Stressors, and Cultural Influences Personality Patterns Summary Final Submission: Comprehensive Case Conceptualization Six Graded separately; Draft Three Rubric Seven Graded separately; Draft Four Rubric Nine Graded separately; Final Project I Rubric Final Project I Rubric Guidelines for Submission: Your comprehensive case conceptualization must be 15 to 20 pages in length and formatted as a clinical document. Use the heading from the outline above as the structure and format. Use double spacing, 12-point Times New Roman font, and one-inch margins. Each heading should be supported with current literature and resources from throughout this course. Make sure to include all documented changes from your drafts using track changes. If you do not use track changes, your instructor will ask you to resubmit your paper. Critical Elements Presenting Concerns [COU-610-02] Current Triggers [COU-610-02] Maladaptive Patterns [COU-610-01] Exemplary (100%) Meets “Proficient” criteria and uses industry-specific language, integrating current literature and the learning resources to support and establish expertise regarding assessment results Meets “Proficient” criteria and uses industry-specific language, integrating current literature and the learning resources to establish expertise Meets “Proficient” criteria and uses industry-specific language, integrating current literature and the learning resources to establish expertise Proficient (90%) Identifies the presenting concerns within the assessments Needs Improvement (70%) Identifies the presenting concerns within the assessments, but response contains gaps or inaccuracies Not Evident (0%) Does not identify the presenting concerns within the assessments Describes the client’s current triggers Describes the client’s current triggers, but description contains gaps or inaccuracies Does not describe the client’s current triggers 12.8 Identifies the maladaptive patterns the client is presenting Identifies the maladaptive patterns the client is presenting, but response contains gaps or inaccuracies Does not identify the maladaptive patterns the client is presenting 12.8 6 Value 12.8 Developmental Influences [COU-610-01] Promoters [COU-610-03] Cultural Identity [COU-610-04] Cultural Stressors [COU-610-04] Cultural Influencers [COU-610-04] Personality Patterns Summary [COU-610-03] Meets “Proficient” criteria and summary is exceptional in its integration of current literature and learning resources Meets “Proficient” criteria and summary is exceptional in its integration of current literature and learning resources Meets “Proficient” criteria and makes exceptional connections, integrating current literature and learning resources into the response Meets “Proficient” criteria and makes exceptional connections, integrating current literature and learning resources into the response Meets “Proficient” criteria and makes exceptional connections, integrating current literature and learning resources into the response Meets “Proficient” criteria and summary shows exceptional detail, integrating current literature and learning resources Identifies developmental influences that are presented in the collected information Identifies developmental influences that are presented in the collected information, but response contains gaps or inaccuracies Identifies promoters that are presented in the collected information, but response contains gaps or inaccuracies Does not identify developmental influences that are presented in the collected information 12.8 Does not identify promoters that are presented in the collected information 12.8 Discusses how the client’s cultural characteristics influence the client’s identity Discusses how the client’s cultural characteristics influence the client’s identity, but response contains gaps or inaccuracies Does not discuss how the client’s cultural characteristics influence the client’s identity 6.44 Determines how the client’s cultural identity impacts the client’s stressors Determines how the client’s cultural identity impacts the client’s stressors, but response contains gaps or inaccuracies Does not determine how the client’s cultural identity impacts the client’s stressors 6.44 Determines how the client’s cultural identity impacts the client’s influencers Determines how the client’s cultural identity impacts the client’s influencers, but response lacks detail Does not determine how the client’s cultu …
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