FAMILY ASSESSMENT

FAMILY ASSESSMENT

Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues.

· Gehart, D. R. (2013, August 29). 


Progress note

Links to an external site.
 [Video]. YouTube. https://www.youtube.com/watch?v=CEB1vBObUqc

· Masterswork Productions. (2003). 


Mother and daughter: A cultural tale

Links to an external site.
 [Video/DVD]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/mother-and-daughter-a-cultural-tale

· Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). 

Counseling and psychotherapy theories in context and practiceLinks to an external site.
 [Video]. https://waldenu.kanopy.com/video/counseling-and-psychotherapy-theories-contex

· Family Systems Therapy (starts at 4 hours)

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.

· Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples. 

· View the 
Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.

THE ASSIGNMENT

Document the following for the family in the video, using the Comprehensive Evaluation Note Template: 

· Chief complaint

· History of present illness

· Past psychiatric history

· Substance use history

· Family psychiatric/substance use history

· Psychosocial history/Developmental history

· Medical history

· Review of systems (ROS)

· Physical assessment (if applicable)

· Mental status exam

· Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with 
DSM-5-TR diagnostic criteria

· Case formulation and treatment plan

· Include a psychotherapy genogram for the family

Note: For

Week (enter week #): (Enter assignment title)

Student Name

College of Nursing-PMHNP, Walden University

NRNP 6645: Psychopathology and Diagnostic Reasoning

Faculty Name

Assignment Due Date

NRNP/PRAC 6645 Comprehensive Psychiatric

Evaluation Note Template

CC (chief complaint):

HPI:

Past Psychiatric History:

·
General Statement:

·
Caregivers (if applicable):

·
Hospitalizations:

·
Medication trials:

·
Psychotherapy or
Previous Psychiatric Diagnosis:

Substance Current Use and History:

Family Psychiatric/Substance Use History:

Psychosocial History:

Medical History:

·
Current Medications:

·
Allergies:

·
Reproductive Hx:

ROS:

· GENERAL:

· HEENT:

· SKIN:

· CARDIOVASCULAR:

· RESPIRATORY:

· GASTROINTESTINAL:

· GENITOURINARY:

· NEUROLOGICAL:

· MUSCULOSKELETAL:

· HEMATOLOGIC:

· LYMPHATICS:

· ENDOCRINOLOGIC:

Physical exam: if applicable

Diagnostic results:

Assessment

Mental Status Examination:

Differential Diagnoses:

Case Formulation and Treatment Plan:

Reflections:

References

© 2021 Walden University

Page 3 of 3

FAMILY ASSESSMENT






Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues.

· Gehart, D. R. (2013, August 29). 
            

Progress note

Links to an external site.
 [Video]. YouTube. https://www.youtube.com/watch?v=CEB1vBObUqc
        
· Masterswork Productions. (2003). 
            

Mother and daughter: A cultural tale

Links to an external site.
 [Video/DVD]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/mother-and-daughter-a-cultural-tale
        
· Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). 
            
Counseling and psychotherapy theories in context and practiceLinks to an external site.
 [Video]. https://waldenu.kanopy.com/video/counseling-and-psychotherapy-theories-contex
        
· Family Systems Therapy (starts at 4 hours)



To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.
· Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples. 
· View the 
            Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.
        


THE ASSIGNMENT
Document the following for the family in the video, using the Comprehensive Evaluation Note Template: 
· Chief complaint
· History of present illness
· Past psychiatric history
· Substance use history
· Family psychiatric/substance use history
· Psychosocial history/Developmental history
· Medical history
· Review of systems (ROS)
· Physical assessment (if applicable)
· Mental status exam
· Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with 
            DSM-5-TR diagnostic criteria
        
· Case formulation and treatment plan
· Include a psychotherapy genogram for the family

Note: For


Week (enter week #): (Enter assignment title)

Student Name

College of Nursing-PMHNP, Walden University

NRNP 6645: Psychopathology and Diagnostic Reasoning
Faculty Name

Assignment Due Date


NRNP/PRAC 6645 Comprehensive Psychiatric 


Evaluation Note Template


CC (chief complaint):
        

HPI:
        

Past Psychiatric History: 
·
            General Statement: 
·
            Caregivers (if applicable):
        
·
            Hospitalizations: 
·
            Medication trials: 
·
            Psychotherapy or
            Previous Psychiatric Diagnosis:
        

Substance Current Use and History: 


Family Psychiatric/Substance Use History: 


Psychosocial History: 


Medical History: 

·
            Current Medications: 
·
            Allergies:
             

·
            Reproductive Hx:
             


ROS:
        
· GENERAL: 
· HEENT: 
· SKIN: 
· CARDIOVASCULAR: 
· RESPIRATORY: 
· GASTROINTESTINAL: 
· GENITOURINARY: 
· NEUROLOGICAL: 
· MUSCULOSKELETAL: 
· HEMATOLOGIC: 
· LYMPHATICS: 
· ENDOCRINOLOGIC: 

Physical exam: if applicable
        

Diagnostic results: 

Assessment

Mental Status Examination:

Differential Diagnoses: 

Case Formulation and Treatment Plan: 


Reflections:


References


© 2021 Walden University 
      Page 3 of 3

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