This text provides a comprehensive introduction to completing case documentation using counseling theory. Part I provides a detailed introduction to case conceptualization, clinical assessment and diagnosis (including DSM-5 overview), treatment planning, progress notes, and measuring client progress. Part II provides overviews of each major theoretical school and provides detailed examples of how to complete case documentation when working from the specific theoretical orientation. The final section provides a practical introduction to becoming a competent supervisee, including a discussion of how to engage successfully in supervision, handle common problems that arise, and manage stress in the early years of being a counselor and psychotherapist.
This text is designed for:
- Clinical skills courses
- Practicum and fieldwork courses
- License exam preparation
Free Resources
Receive a free Word version of the clinical forms, scoring rubric, and much more!
Table of Contents
PART I Introduction to Case Documentation
1 Introduction to Case Documentation
2 Case Conceptualization
3 Introduction to Clinical Assessment and Diagnosis
4 Completing a Clinical Assessment
5 Treatment Planning
6 Progress Notes
7 Evaluating Progress in Counseling
PART II Theory-Informed Case Documentation
8 Psychodynamic Counseling And Psychotherapy
9 Individual Psychology and Adlerian Counseling
10 Humanistic-Existential Counseling Approaches
11 Cognitive-Behavioral Approaches
12 Systemic Family Counseling and Therapy
13 Solution-Based Counseling
14 Postmodern and Feminist Counseling Approaches
PART III The Competent Supervisee
15 The Competent Supervisee
1 Introduction to Case Documentation
2 Case Conceptualization
3 Introduction to Clinical Assessment and Diagnosis
4 Completing a Clinical Assessment
5 Treatment Planning
6 Progress Notes
7 Evaluating Progress in Counseling
PART II Theory-Informed Case Documentation
8 Psychodynamic Counseling And Psychotherapy
9 Individual Psychology and Adlerian Counseling
10 Humanistic-Existential Counseling Approaches
11 Cognitive-Behavioral Approaches
12 Systemic Family Counseling and Therapy
13 Solution-Based Counseling
14 Postmodern and Feminist Counseling Approaches
PART III The Competent Supervisee
15 The Competent Supervisee
Features
- Clinical Forms: The book provides a comprehensive set of four clinical forms that can be used in practice environments, either in university training clinics or community agencies:
- Theory-informed case conceptualization
- Clinical mental health assessment and DSM-5 diagnosis
- Treatment plan that includes theory, diversity, and evidence-based practice
- HIPAA-compliant progress notes
- DSM-5 Clinical Assessment: Clinical assessment form uses DSM-5 diagnosis format and includes mental status exam, crisis assessment, safety plan, and case management.
- Comprehensive Treatment Model: A comprehensive five-step model for competent treatment provides students with a clear map for their work. The model includes (a) theory-informed case conceptualization, (b) clinical assessment (diagnosis) and case management, (c) treatment planning, (d) evaluation of progress, and (e) progress note documentation.
- Theory-Based Case Conceptualizations: Cross-theoretical case conceptualization form enables counselors to do a comprehensive case conceptualization for clients; the form can also be used in segments to create theory-specific conceptualizations.
- Theory-Specific Treatment Plan Templates: Each theory chapter provides practical treatment plan templates for use with individuals struggling with depression or anxiety. These templates will better enable therapists to develop thoughtful, theory-based treatment plans for their clients.
- Theory-Specific Progress Note: Detailed introduction to HIPAA-compliant progress note format, including CPT codes.
- Theory Considerations and Adaptations with Diversity Clients: The diversity sections in each theory chapter include specific, practical applications of the theory with specific populations. Each chapter contains a discussion of ethnic/racial diversity as well as sexual identity diversity. Expanded sections on specific populations provide students with detailed suggestions, adaptations, and cautions for using a given theory with a specific population, including African-Americans, Hispanic/Latinos, Asian-American, Native Americans/First Nation/Aboriginals, and LGBTQ individuals.
- Practical Applications for Diversity: Each clinical form requires students to identify specific ways that the treatment will be adjusted to address diversity issues, including the formation of a counseling relationship, assessment, and intervention.
- Outcome-Based Pedagogy: This text teaches the skills and knowledge outlined in accreditation standards for counselors, psychologists, social workers and family therapists.
- Assessment of Student Learning: Using four clinical documentation forms, this text enables faculty to easily measure students’ mastery of competencies and learning outcomes, which are now required for both regionally accredited university boards (WASC, SACS, etc.) and professional accrediting bodies (APA, CACREP, COAMFTE, and CSWE). Assessments with scoring rubrics correlated to each discipline’s competencies are part of the ancillary materials.
- Research and the Evidence Base: The evidence-base and research foundations for each theory are reviewed, and numerous evidence-based treatments are highlighted throughout the book.
- Practice and Reflection: Throughout the text, readers are provided instructions and prompts for practicing clinical skills, with or without a partner. In addition, reflection and discussion questions invite readers to engage thoughtfully with the material.
- Readable: The author uses an engaging writing style that speaks to—and at points may even entertain—today’s students.
Resources
Online Lectures
Online lectures for select chapters are below and posted on Dr. Gehart's Youtube channel.
Chapter 2: Treatment Planning
Chapter 8: Psychodynamic
Chapter 9: Adlerian Online Lecture
Chapter 10: Person Centered
Chapter 10: Gestalt
Chapter 11: Cognitive Behavioral Online Lecture
Chapter 12: Systemic Counseling (coming July 2015)
Chapter 13: Solution focused
Chapter 14: Narrative
Chapter 14: Feminist Counseling Online Lecture
Online lectures for select chapters are below and posted on Dr. Gehart's Youtube channel.
Chapter 2: Treatment Planning
Chapter 8: Psychodynamic
Chapter 9: Adlerian Online Lecture
Chapter 10: Person Centered
Chapter 10: Gestalt
Chapter 11: Cognitive Behavioral Online Lecture
Chapter 12: Systemic Counseling (coming July 2015)
Chapter 13: Solution focused
Chapter 14: Narrative
Chapter 14: Feminist Counseling Online Lecture
Purchase
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- Hardcopy
- Digital version
- Single chapters
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