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Due 10 Sept no exceptions please Paper Requirements Use the DSM V
to identify a coded disorder and use the symptoms of that disorder to create a client and case vignette. The client you create should meet all the criteria for the diagnosis you select. See following page
Student project paper organization and points distribution: 2 pts APA cover (page 1) 3 pts APA format entire paper (running heads and citations etc.) 20pts Accurately completed Multiaxial sheet (page2) 50 pts Create a client and present your client in a narrative using clinical language and terminology to describe symptoms of a DSM disorder. DSM V guidelines and criteria. This section must be at least 4 pages long and no longer than 5 pages (pages 3, 4, 5, 6) you will be penalized 5 points for each ½ page short of the 4 page narrative.
Make this person real…
o
What do you observe when you meet and speak with this client
o What does this client say and how do they say it
o Describe symptoms of your client that represent indicators for an Axis I diagnosis
o Include medical issues. You must include at least one medical from Axis III
o Describe background and environmental contributors to the diagnosis at least three Axis IV factors Also provide demographics, age, race, sex etc…
o Discussion of the GAF explains criteria as it relates to your client (a paragraph 5pts.)
o You must give your client at least one assessment/ inventory/test relevant to confirming your diagnosis (depression inventory, substance abuse, OCD, bipolar or anxiety inventory etc…)
o Discuss and explain the results of the inventory ( a paragraph 5pts)
o Justify your diagnosis using DSM V criteria, terms and rule outs.( a paragraph 5pts)
o Use information secured from your two peer reviewed journal articles on the subject of the diagnosis to support your diagnosis,(a paragraph for each article 10pts)
10pts APA Resource/ reference page (page 7or 8) you must use and document the following: o DSM V o You must use, document and cite in text, at least two peer review journal articles on the topic of your diagnosis.
§
The articles appear in reputable psychological research journals.
§ Articles must have a publication date of 2001 to present.
o Document where you secured your assessment
·
10pts Appendix Place a copy of the inventory/assessment you used with your client in the appendix
Paper RequirementsUse the DSM V to identify a coded disorder and use the symptoms of that disorder to create a client and case vignette. The client you create should meet all the criteria for the diagnosis you select. See following page Student project paper organization and points distribution: 2 pts APA cover (page 1) 3 pts APA format entire paper (running heads and citations etc.) 20pts Accurately completed Multiaxial sheet (page2) 50 pts Create a client and present your client in a narrative using clinical language and terminology to describe symptoms of a DSM disorder. DSM V guidelines and criteria. This section must be at least 4 pages long and no longer than 5 pages (pages 3, 4, 5, 6) you will be penalized 5 points for each ½ page short of the 4 page narrative. Make this person real… o What do you observe when you meet and speak with this client o What does this client say and how do they say ito Describe symptoms of your client that represent indicators for an Axis I diagnosis o Include medical issues. You must include at least one medical from Axis IIIo Describe background and environmental contributors to the diagnosis at least three Axis IV factors Also provide demographics, age, race, sex etc…o Discussion of the GAF explains criteria as it relates to your client (a paragraph 5pts.)o You must give your client at least one assessment/ inventory/test relevant to confirming your diagnosis (depression inventory, substance abuse, OCD, bipolar or anxiety inventory etc…)o Discuss and explain the results of the inventory ( a paragraph 5pts)o Justify your diagnosis using DSM V criteria, terms and rule outs.( a paragraph 5pts)o Use information secured from your two peer reviewed journal articles on the subject of the diagnosis to support your diagnosis,(a paragraph for each article 10pts) 10pts APA Resource/ reference page (page 7or 8) you must use and document the following:o DSM Vo You must use, document and cite in text, at least two peer review journal articles on the topic of your diagnosis. § The articles appear in reputable psychological research journals. § Articles must have a publication date of 2001 to present. o Document where you secured your assessment · 10pts Appendix Place a copy of the inventory/assessment you used with your client in the appendix Multiaxial Assessment
Multiaxial Evaluation Report FormAXIS I: Clinical DisordersOther Conditions That May Be a Focus of Clinical AttentionDiagnostic code
DSM-IV name
___________ ___________________________________________
AXIS II: Personality Disorders Mental RetardationDiagnostic code DSM-IV name ___________ ___________________________________________ AXIS III: General Medical ConditionsICD-9-CM code
ICD-9-CM name
___________ ___________________________________________ AXIS IV: Psychosocial! And Environmental ProblemsCheck:Q Problems with primary support group Specify:___________ ___________________Q Problems related to the social environment Specify: _ Q Educational problems Specify:__________________ Q Occupational problems Specify:_____________________________ Q Housing problems Specify:_________________________________ Q Economic problems Specify:____________________________________ Q Problems with access to health care services Specify:___________ Q Problems related to interaction with the legal system/crime Specify:_________Q Other psychosocial and environmental problems Specify:_________ AXIS V: Global Assessment of Functioning ScaleGAF Score: _________Version 5/07
Multiaxial Assessment Multiaxial Evaluation Report Form AXIS I: Clinical Disorders Other Conditions That May Be a Focus of Clinical Attention Diagnostic code DSM-IV name ___________ ___________________________________________ AXIS II: Personality Disorders Mental Retardation Diagnostic code DSM-IV name ___________ ___________________________________________ AXIS III: General Medical Conditions ICD-9-CM code ICD-9-CM name ___________ ___________________________________________ AXIS IV: Psychosocial! And Environmental Problems Check: Q Problems with primary support group Specify:___________ ___________________ Q Problems related to the social environment Specify: _ Q Educational problems Specify:__________________ Q Occupational problems Specify:_____________________________ Q Housing problems Specify:_________________________________ Q Economic problems Specify:____________________________________ Q Problems with access to health care services Specify:___________ Q Problems related to interaction with the legal system/crime Specify:_________ Q Other psychosocial and environmental problems Specify:_________ AXIS V: Global Assessment of Functioning Scale GAF Score: _________ Version 5/07
Student Project
There is no extension of the due date for the project. Late projects will not be accepted. A grade of zero will be given if the project is not turned in on time. Hard copy of the paper must be turned in to this instructor on or before the due date . No electronic submission
Paper Requirements
Use the DSM V to identify a coded disorder and use the symptoms of that disorder to create a client and case vignette. The client you create should meet all the criteria for the diagnosis you select. See following page
Student project paper organization and points distribution:
· 2 pts APA cover (page 1)
· 3 pts APA format entire paper (running heads and citations etc.)
· 20pts Accurately completed Multiaxial sheet (page2)
·
50 pts Create a client and present your client in a narrative using clinical language and terminology to describe symptoms of a DSM disorder. DSM V guidelines and criteria. This section must be at least 4 pages long and no longer than 5 pages (pages 3, 4, 5, 6) you will be penalized 5 points for each ½ page short of the 4 page narrative.
Make this person real…
· What do you observe when you meet and speak with this client
· What does this client say and how do they say it
· Describe symptoms of your client that represent indicators for an Axis I diagnosis
· Include medical issues. You must include at least one medical from Axis III
· Describe background and environmental contributors to the diagnosis at least three Axis IV factors Also provide demographics, age, race, sex etc…
· Discussion of the GAF explains criteria as it relates to your client (a paragraph 5pts.)
· You must give your client at least one assessment/ inventory/test relevant to confirming your diagnosis (depression inventory, substance abuse, OCD, bipolar or anxiety inventory etc…)
· Discuss and explain the results of the inventory ( a paragraph 5pts)
· Justify your diagnosis using DSM V criteria, terms and rule outs.( a paragraph 5pts)
· Use information secured from your two peer reviewed journal articles on the subject of the diagnosis to support your diagnosis,(a paragraph for each article 10pts)
· 10pts APA Resource/ reference page (page 7or 8) you must use and document the following:
· DSM V
· You must use, document and cite in text, at least two peer review journal articles on the topic of your diagnosis.
· The articles appear in reputable psychological research journals.
· Articles must have a publication date of 2001 to present.
· Document where you secured your assessment
· 10pts Appendix Place a copy of the inventory/assessment you used with your client in the appendix
Multiaxial Assessment
Multiaxial Evaluation Report Form
AXIS I: Clinical Disorders
Other Conditions That May Be a Focus of Clinical Attention
Diagnostic code DSM-IV name
___________ ___________________________________________
AXIS II: Personality Disorders Mental Retardation
Diagnostic code DSM-IV name
___________ ___________________________________________
AXIS III: General Medical Conditions
ICD-9-CM code ICD-9-CM name
___________ ___________________________________________
AXIS IV: Psychosocial! And Environmental Problems
Check:
Q Problems with primary support group Specify: ___________________
Q Problems related to the social environment Specify: _
Q Educational problems Specify:
Q Occupational problems Specify:
Q Housing problems Specify:
Q Economic problems Specify:
Q Problems with access to health care services Specify:
Q Problems related to interaction with the legal system/crime Specify:_________
Q Other psychosocial and environmental problems Specify:
AXIS V: Global Assessment of Functioning Scale
GAF Score: _________
Version 5/07
Things you should note MENTAL STATUS EXAM – STAFF NOTES ONLY
|
APPEARANCE |
EYE CONTACT |
INSIGHT |
ORIENTATION |
|||
|
Appropriate |
Excellent |
_ Time |
||||
|
_ Meticulous |
_ Fair |
Moderate |
_ Place |
|||
|
Bizarre |
Inappropriate |
Little or none |
_ Person |
|||
|
Seductive |
Unable to determine |
Unrealistic |
_ Situation |
|||
|
Disheveled |
Unmotivated for treatment |
|||||
|
_ Clean |
MOTOR ACTIVITY |
Does not know why he/she is here |
THOUGHT CONTENT |
|||
|
Dirty |
_ Normal |
Appropriate for developmental age Unable to determine |
_ Unremarkable |
|||
|
Overactive |
_ Phobia / fears |
|||||
|
AFFECT |
Tremor |
_ Obsessive Ideas |
||||
|
With appropriate range |
Posturing |
DELUSIONS |
_ Feelings of unreality |
|||
|
Depressed |
_ Tics |
None Apparent |
_ Worthlessness |
|||
|
_Flat |
Poor coordination |
_ Persecution |
_ Hopelessness |
|||
|
_ Angry |
_ Repetitive acts |
Grandeur |
_ Somatic complaints |
|||
|
_ Blunted |
_ Slow |
_ Influence |
_ Persecutory |
|||
|
Constricted |
_ Agitated |
_ Somatic |
_ Paranoid |
|||
|
~ Labile |
Catatonic |
Religious |
Religiosity |
|||
|
_ Incongruent |
_ Restless |
_ Other |
Sexual Preoccupation |
|||
|
Anxious |
Involuntary movement |
_ Guilt |
||||
|
_ Elevated |
HALLUCINATIONS |
_ Compulsions |
||||
| Other |
Ideas of Harm |
|||||
|
SPEECH |
_ Denies _ Denies but suspected by clinician |
|||||
|
MOOD _ Euthymic |
Normal _ Pressured |
_ Auditory Visual |
SUICIDAL IDEATIONS |
|||
|
_ Apathetic |
Loud |
_ Olfactory |
_ None reported |
|||
|
Soft |
_ Tactile |
Thoughts |
||||
| Elevated |
Over productive |
Gustatory |
||||
|
_ Dysphone |
Under productive |
_Unable to determine |
||||
| Angry |
Slurred |
Plan |
||||
|
_ Anxious |
_ Mutism |
|||||
|
Stammering _ Other |
THOUGHT PROCESS Logical / coherent |
Means |
||||
|
MEMORY |
Blocking |
|||||
|
INTELLECT |
Circumstantial |
|||||
|
Intact |
Tangential |
Intent |
||||
|
_ Confused |
_ Above average |
_ Rambling |
||||
|
Distracted |
Average |
|||||
|
Amnesia _ Poor Immediate _ Poor Remote |
_ Below average _ Mental Retardation Unable to determine |
Perse veration _ Flight of ideas _ Loose associations Indecision |
HOMICIDAL IDEATIONS |
|||
|
_ Confabulation |
||||||
|
INTELLECT DETERMINED |
||||||
|
ATTENTION |
_ Intellect is estimated |
|||||
|
_ Good |
Intellect is measured |
INTERVIEW BEHAVIOR |
||||
| Fair |
_ Cooperative |
1 loll |
||||
| Poor |
JUDGEMENT |
Uncooperative |
||||
|
_ Appropriate for developmental age |
Hostile Silly |
|||||
|
Defensive |
||||||
|
CONCENTRATION |
Lacks social judgment |
Manipulative Evasive |
||||
|
_ Lacks personal judgment |
||||||
| Good |
_ Appropriate for developmental Age |
Passive |
||||
|
Dependent |
||||||
|
_Poor |
Naive |
|||||
|
Appropriate for developmental age _ Unable to determine |
_ Aggressive Negativistic |
COMPETENT TO PARTICIPATE (ADULT) Yes |
||||
|
_ Oppositional |
~_ (ADULT) No |
|||||
|
_ N/A -Child |
||||||
|
Unknown |
Based on the information obtained in this assessment it is determined that:
|~~1 Client is not in need of services at this time
I I Client is not appropriate for services at this agency
I I Client is appropriate for services at this agency J Client received Orientation to services.
Staff Signature and Credentials
Employee ID #
Date
CLIENT NAME:
CLIENT ID#:
Page 8 of 8
File under Assessment
Version 5/07
Multi axial Assessment Update 8/25/13
Multi Axial Evaluation Report Form
AXIS I: Clinical Disorders
Other Conditions That May Be a Focus of Clinical Attention
Diagnostic code
DSM-V name
___________
___________________________________________
AXIS II: Personality Disorders Mental Retardation
Diagnostic code
DSM-V name
___________
___________________________________________
AXIS III: General Medical Conditions
ICD-10-CM code
ICD-10-CM name
___________
___________________________________________
AXIS IV: Psychosocial and Environmental Problems
Check:
Q Problems with primary support group Specify:
___________________
Q Problems related to the social environment Specify: _
Q Educational problems Specify:
Q
Occupational problems Specify:
Q
Housing problems Specify:
Q
Economic problems Specify:
Q
Problems with access to health care services Specify:
Q
Problems related to interaction with the legal system/crime Specify:_________
Q
Other psychosocial and environmental problems Specify:
AXIS V: Global Assessment of Functioning Scale
GAF Score: _________
Version 5/07
