Fall 2023 SOWK 486 - Week 11 - Lab Day - Planning and Implementing Change-Oriented Strategies

􀆅􀆅􀋊 LAB DAY PLANNING AND IMPLEMENTING CHANGE-ORIENTED STRATEGIES FALL 2023 SOWK 486W WEEK 11 JACOB CAMPBELL, PH.D. LICSW AT HERITAGE UNIVERSITY

􀆅􀆅􀋊 AGENDA PLAN FOR WEEK 11 Talk about cognitive distortions and cognitive restructuring The planning process in crisis Documenting our plans Task Management FALL 2022 FOR SOWK 486W WITH JACOB CAMPBELL, LICSW AT HERITAGE UNIVERSITY

􀆅􀆅􀋊 THINK OF A NUMBER, ANY NUMBER FALL 2022 FOR SOWK 486W WITH JACOB CAMPBELL, LICSW AT HERITAGE UNIVERSITY

EXAMPLES IN THE MEDIA PERSONAL EXAMPLES AKA… COGNITIVE DISTORTION, THINKING ERRORS All or nothing thinking Judgment focus Personalizing Blaming Jumping to conclusions Regret orientation Catastrophizing Mind reading “Should” statements Discounting positives Negative mental iltering Unfair comparisons Emotional reasoning Overgeneralization or globalization What ifs Inability to discon irm f FALL 2023 FOR SOWK 486W WITH JACOB CAMPBELL, PH.D. LICSW AT HERITAGE UNIVERSITY f 􀆅􀆅􀋊 􁒄 THINKING DISTORTIONS Small Group Discussion (Beck, 1997)

COGNITIVE RESTRUCTURING WHAT YOU DO Intervention techniques in CBT are designed to help clients modify their beliefs, faulty thought patterns or perceptions, and destructive verbalizations, thereby leading to changes in behavior. Assist client in accepting that their selfstatements, assumptions, and beliefs determine emotional reactions to events Assist clients in identifying dysfunctional selfstatements, beliefs, and thought patterns that underlie their problem. Assist clients in identifying situations that engender dysfunctional cognitions Assist clients in replacing dysfunctional cognitions with functional self-statements Assist clients in identifying rewards and incentives for successful coping e orts (Hepworth et al., 2017) ff Brain Process - Human Resource Vector Png Clipart

Defense Mechanisms What is a defense mechanism? Situation • Disrespected • Yelled At • Put Down • Laughed At Choice Who chooses the defense? How do you protect your feelings? How do you respond (act) when: • Mad At Parent • Embarassed • You Lose • Feel Pressure • You’re Hit • Make A Mistake • Confronted • Frustrated • Blamed • Get Caught • Hurt • Angry Four Steps to Control Your D.M. Feeling Recognize the situation. When you are in a pressure situation, these are the signs: You feel angry, frustrated, nervous. e v i t a Neg Positi ve What outward behaviors can you use to help control the pressure? 2. Identify the situations where you can practice step 1. What are the situations you need to practice this? 3. Don’t let other people control how you will respond. You know that someone is trying to control you if they are yelling at you, physically attacking you, or putting you down. “Easy” “Hard” This gives you self-respect. Why? Select a positive solution. What would motivate you to do the tougher (harder) thing? What might happen if you stay in control? Defense How do you know when you’ve selected a positive defense mechanism? © WhyTry LLC 2013 “When you are helping, not hurting, yourself and others.” www.whytry.org

􀆅􀆅􀋊 PUTTING YOUR THOUGHTS ON TRIAL (Grohol, 2018) FALL 2022 FOR SOWK 486W WITH JACOB CAMPBELL, LICSW AT HERITAGE UNIVERSITY

􀆅􀆅􀋊 FALL 2022 FOR SOWK 486W WITH JACOB CAMPBELL, LICSW AT HERITAGE UNIVERSITY TEDx Reno - Feeling Good by David Burns

􀆅􀆅􀋊 WHAT WOULD YOU DO? THE CRISIS INTERVENTION MODEL: PROCEDURES OF CRISIS INTERVENTION P. 285 Review the 8-step procedures of crisis intervention A 34-year-old mother of three, aged, 5, 9, and 11 has been hospitalized following a violent confrontation with her boyfriend. In addition to her physical condition, she is depressed and concerned about her children. During the period of her hospitalization, the children lived with an aunt. As the hospital social worker, you meet with her to complete a psychosocial assessment. During the brief session, she stated, “I never want to see him again (the boyfriend). If it weren’t for my children, I would hang it all up. I seem to always end up choosing the wrong men in my life. I don’t want my kids to see me as a loser but it is true, I am. I just want to get out of here and live my life with my children in peace.” FALL 2022 FOR SOWK 486W WITH JACOB CAMPBELL, LICSW AT HERITAGE UNIVERSITY

PROCEDURES OF CRISIS INTERVENTION Step 1: Assessment of the Crisis Step 5: Examine Alternatives Step 2: Make Contact, Establish Rapport, and Provide Support Step 6: Make Plans Step 3: Elicit the Client’s De inition of the Problem, Narrow Down, and Triage the Identi ied Problems Step 4: Ensure Client Safety f FALL 2022 FOR SOWK 486W WITH JACOB CAMPBELL, LICSW AT HERITAGE UNIVERSITY f 􀆅􀆅􀋊 THE CRISIS INTERVENTION MODEL: Step 7: Obtain Commitment Step 8: Referral and Follow-up

Tri-Cities Community Health Behavioral Health Services Crisis Stabilization Support Plan (CSSP) CRISIS STABILIZATION SUPPORT PLAN FROM TCCH BHS Initial Date: To Be Reviewed: A. ASSESSMENT I. Client Personal Information Date of Birth: Client Ethnicity: Primary Language: Hair: Eye: Other Identifier: Client Name: Gender: Client Place of Birth: Height: Weight: Age: Secondary: II. Referral & Admitting Problem Referral Source: Client Presenting Problem (symptoms/length): Page 1: • III: Recent Psychiatric Services Reason for Treatment (E.g. Substance Abuse, Psych. hospital, residential, OP/ and diagnosis) Name of Provider/Date(s) Medication(s) Prescribed? Outcome: Successful/Unsuccessful/AMA General Information Client Current Substance Use: (Include result of GAINS assessment) V: Crisis/Risk Assessment Client History of Suicide/Homicide: (Ideation, plan, means, attempt(s) when/age?) Current Crisis/Risk Assessment: (Must include current risk of suicide/homicide/risk of self-harm.) Current Medications: IX: Environmental Need/Barriers to Treatment Does the client need any of the following: (Please check all that apply) housing food clothing ADL’s primary support network/death or loss education Economic legal chronic medical condition(s)/access to healthcare psychosocial/environmental problems social/recreational employment Transportation Other Admitting Diagnosis Axis I: Axis II: Axis III: Axis IV: Axis V: Current GAF: *Have all releases of information been obtained for all formal/informal supports?: (E.g. medical providers, legal providers, DSHS etc.) FALL 2023 SOWK 486W - JACOB CAMPBELL, PH.D. LICSW AT HERITAGE UNIVERSITY Yes No Page 1 of 2

I am here because God told me to come. How is a goal going to help me? I trust God to guide me in what to do. Do you believe in God? What do you know about my situation? You are so young and it’s hard for me to see how you can help me. The court will take my children no matter what I do, so how is having a goal going to help? You need to be clear; I don’t want to be here. I’m only doing this stu with you because the judge said that I had to come. My family didn’t want me to come see you again. They worry that you will put too many American ideas in my head. Don’t waste our time. She got herself pregnant. You want her father and me to be involved because you must think that it is okay to be unmarried and pregnant. Well, you’re wrong! How will having a goal help me? I’ve never been able to accomplish anything before. FALL 2022 FOR SOWK 486W WITH JACOB CAMPBELL, LICSW AT HERITAGE UNIVERSITY ff 􀆅􀆅􀋊 DEVELOPING RESPONSES

SIX STAGES Determine clients’ readiness Explain the purpose and function of goals Formulate client-driven goals Increase goal speci icity Determine barriers and bene its Rank goals according to priorities (Hepworth et al., 2022) f FALL 2022 FOR SOWK 486W WITH JACOB CAMPBELL, LICSW AT HERITAGE UNIVERSITY f 􀆅􀆅􀋊 PROCESS OF GOAL FORMULATION

TREATMENT PLAN TREATMENT PLAN Client Name: Funding Source: Choose an item. LOC LRA Provider One #: Admitting DX Date Click here to enter a date. Y/N? CID: Assigned Clinician: DSHS CLID: Click here to enter a date. Date of Plan: ?? FROM TCCH BHS DOB: Review Due: Change in DX Date Click here to enter a date. Choose an item. Type of Plan: Click here to enter a date. Change in DX Date Change in DX Date Change in DX Date Click here to enter a date. Click here to enter a date. Click here to enter a date. Axis I: Axis II: Axis III: Page 1: • • • Axis IV: Axis V: Plan info and general CURRENT SUPPORTS Name Role in Treatment ROI Click here to enter a date. Click here to enter a date. Click here to enter a date. Click here to enter a date. Collateral Contact INfo First Goal Relationship GOAL Goal: (Client Voice) Problem Need/ Barriers: (Client Voice) Strengths: (Client Voice) Treatment Modalities/Interventions/Supports utilized in treatment (Plan to be reflected in notes) ☐ Individual Therapy ☐ Therapeutic Psychoeducation ☐ Brief Intervention ☐ Crisis Services ☐ Family Treatment ☐ Group Treatment ☐ Medication Management/Monitoring ☐ Special Population Evaluation ☐ Stabilization Services ☐ Case Management ☐ Medical Coordination ☐ Other. Client Measurable Goal Client will identify, learn and practice 2-3 coping skills for management with BLANK symptoms related to STATED GOAL in the next 6 months. Client will be utilizing the use of informal and formal supports listed above in their recovery plan. Client and provider will work together to tie strengths and the use of supports to assist in working towards the client stated goal and coordinating their care with the listed supports. FALL 2023 SOWK 486W - JACOB CAMPBELL, PH.D. LICSW AT HERITAGE UNIVERSITY

TREATMENT PLAN Client Name: Funding Source: TREATMENT PLAN DOB: Choose an item. Provider One #: CID: DSHS CLID: Assigned Clinician: Type of Plan: Choose an item. GOAL Goal: (Client Voice) Problem Need/ Barriers: (Client Voice) Strengths: (Client Voice) Treatment Modalities/Interventions/Supports utilized in treatment (Plan to be reflected in notes) FROM TCCH BHS ☐ Individual Therapy ☐ Therapeutic Psychoeducation ☐ Brief Intervention ☐ Crisis Services ☐ Family Treatment ☐ Group Treatment ☐ Medication Management/Monitoring ☐ Special Population Evaluation ☐ Stabilization Services ☐ Case Management ☐ Medical Coordination ☐ Other. Client Measurable Goal Client will identify, learn and practice 2-3 coping skills for management with BLANK symptoms related to STATED GOAL in the next 6 months. Client will be utilizing the use of informal and formal supports listed above in their recovery plan. Client and provider will work together to tie strengths and the use of supports to assist in working towards the client stated goal and coordinating their care with the listed supports. Page 2: • Goals 2-4 GOAL Goal: (Client Voice) Problem Need/ Barriers: (Client Voice) Strengths: (Client Voice) Treatment Modalities/Interventions/Supports utilized in treatment (Plan to be reflected in notes) ☐ Individual Therapy ☐ Therapeutic Psychoeducation ☐ Brief Intervention ☐ Crisis Services ☐ Family Treatment ☐ Group Treatment ☐ Medication Management/Monitoring ☐ Special Population Evaluation ☐ Stabilization Services ☐ Case Management ☐ Medical Coordination ☐ Other. Client Measurable Goal Client will identify, learn and practice 2-3 coping skills for management with BLANK symptoms related to STATED GOAL in the next 6 months. Client will be utilizing the use of informal and formal supports listed above in their recovery plan. Client and provider will work together to tie strengths and the use of supports to assist in working towards the client stated goal and coordinating their care with the listed supports. GOAL Goal: (Client Voice) Problem Need/ Barriers: (Client Voice) Strengths: (Client Voice) Treatment Modalities/Interventions/Supports utilized in treatment (Plan to be reflected in notes) ☐ Individual Therapy ☐ Therapeutic Psychoeducation ☐ Brief Intervention ☐ Crisis Services ☐ Family Treatment ☐ Group Treatment ☐ Medication Management/Monitoring ☐ Special Population Evaluation ☐ Stabilization Services ☐ Case Management ☐ Medical Coordination ☐ Other. Client Measurable Goal Client will identify, learn and practice 2-3 coping skills for management with BLANK symptoms related to STATED GOAL in the next 6 months. Client will be utilizing the use of informal and formal supports listed above in their recovery plan. Client and provider will work together to tie strengths and the use of supports to assist in working towards the client stated goal and coordinating their care with the listed supports. FALL 2023 SOWK 486W - JACOB CAMPBELL, PH.D. LICSW AT HERITAGE UNIVERSITY

TREATMENT PLAN Client Name: Funding Source: TREATMENT PLAN DOB: Choose an item. CID: Provider One #: LRA Start Date:Click here to enter a date. DSHS CLID: Assigned Clinician: Type of Plan: Choose an item. LRA CLIENTS Length of LRA:Choose an item. Identify Condition of LRA: LRA clients receive services at least weekly for the first 14 days, monthly for the next 90-180 days unless otherwise specified by physician Reviews occur monthly for first 90 days and 180 days to determine release from continuation of the involuntary treatment order FROM TCCH BHS Page 3: • LRA speci ic information f FALL 2023 SOWK 486W - JACOB CAMPBELL, PH.D. LICSW AT HERITAGE UNIVERSITY Service provider is to maintain contact with CRU when client misses appointments or if there are other concerns Plan for Transition to Voluntary Treatment:

TREATMENT PLAN Client Name: Funding Source: TREATMENT PLAN FROM TCCH BHS Page 4: • Signature Page FALL 2023 SOWK 486W - JACOB CAMPBELL, PH.D. LICSW AT HERITAGE UNIVERSITY DOB: Choose an item. Date of Plan: CID: Provider One #: Assigned Clinician: DSHS CLID: Click here to enter a date. Type of Plan: Review Due: Choose an item. Click here to enter a date. By signing this document, I acknowledge and agree that I have actively participated in and contributed to the planning of my treatment as stated in this document as described above. I understand that by not signing this agreement to treatment that this is a refusal of the plan that was co-created and I may contact Omsbud at 1-800-795-9269 to file a grievance. Client Signature Date Guardian/Responsible Party Signature Date Clinician Signature Date Clinical Supervisor Signature Date Signature/Relationship to Client Date Signature/Relationship to Client Date CLINICIAN NOTES

TREATMENT PLAN Client Name: Funding Source: TREATMENT PLAN FROM TCCH BHS DOB: Choose an item. CID: Provider One #: Assigned Clinician: DSHS CLID: Type of Plan: Choose an item. GOAL REVIEW Date of Plan: Click here to enter a date. Review Due: Click here to enter a date. Goal: (Client Voice) Treatment Modalities/Interventions/Supports utilized in treatment (Plan to be reflected in notes) ☐ Individual Therapy ☐ Therapeutic Psychoeducation ☐ Brief Intervention ☐ Crisis Services ☐ Family Treatment ☐ Group Treatment ☐ Medication Management/Monitoring ☐ Special Population Evaluation ☐ Stabilization Services ☐ Case Management ☐ Medical Coordination ☐ Other. Client Measurable Goal Client will identify, learn and practice 2-3 coping skills for management with BLANK symptoms related to STATED GOAL in the next 6 months. Client will be utilizing the use of informal and formal supports listed above in their recovery plan. Client and provider will work together to tie strengths and the use of supports to assist in working towards the client stated goal and coordinating their care with the listed supports. DISCUSSION WITH CLIENT: Page 5: • REVIEW OF EFFECTIVENESS OF PLAN: ASSESSMENT OF LEVEL OF CARE: Goal review page GOAL REVIEW Date of Plan: Click here to enter a date. Review Due: Click here to enter a date. Goal: (Client Voice) Treatment Modalities/Interventions/Supports utilized in treatment (Plan to be reflected in notes) ☐ Individual Therapy ☐ Therapeutic Psychoeducation ☐ Brief Intervention ☐ Crisis Services ☐ Family Treatment ☐ Group Treatment ☐ Medication Management/Monitoring ☐ Special Population Evaluation ☐ Stabilization Services ☐ Case Management ☐ Medical Coordination ☐ Other. Client Measurable Goal Client will identify, learn and practice 2-3 coping skills for management with BLANK symptoms related to STATED GOAL in the next 6 months. Client will be utilizing the use of informal and formal supports listed above in their recovery plan. Client and provider will work together to tie strengths and the use of supports to assist in working towards the client stated goal and coordinating their care with the listed supports. DISCUSSION WITH CLIENT: REVIEW OF EFFECTIVENESS OF PLAN: ASSESSMENT OF LEVEL OF CARE: FALL 2023 SOWK 486W - JACOB CAMPBELL, PH.D. LICSW AT HERITAGE UNIVERSITY

$Care Plan (Student) (Date) Complete the following tasks EVERY week Complete EVERY OTHER week Student Contact Completed Room Search Completed Student Phone Call Completed Parent Contact Completed File Infractions Completed Letter to Home Completed CARE PLAN Complete as Required School Update Completed Counselor Student SPIRITUAL Goal 1) 2) 1) JUBILEE YOUTH RANCH 2) Counselor Student EDUCATIONAL Goal 1) Basic Set of Goals 2) • Counselor Student PERSONAL Goal Individual goals set by students and sta Counselor Comments/Evaluation Jubilee Youth Ranch _________________________________ Student Signature Care Plan Printed 10/29/23 f _________________________________ Counselor Signature FALL 2023 SOWK 486W - JACOB CAMPBELL, PH.D. LICSW AT HERITAGE UNIVERSITY$

Fall 2023 SOWK 486 - Week 11 - Lab Day - Planning and Implementing Change-Oriented Strategies

Dr. Jacob Campbell