PRAC – 6650 Psychotherapy With Groups and Families
Psychotherapy with groups and families involves providing therapy to multiple people at the same time, rather than just one individual. This can include therapy sessions with a couple, a family, or a group of people who may be experiencing similar issues.
In group therapy, individuals come together to discuss and work through their problems in a supportive and confidential setting. The group dynamic allows for the sharing of different perspectives and experiences, and can provide a sense of validation and understanding for group members. Group therapy can be beneficial for a wide range of issues, including depression, anxiety, addiction, and relationship problems.
Family therapy, on the other hand, focuses on addressing issues within the family system as a whole. The therapist works with all members of the family to identify and change patterns of communication and behavior that may be contributing to the problem. Family therapy can be helpful for issues such as communication difficulties, parenting challenges, and behavioral problems in children.
Both group and family therapy can be effective in addressing a wide range of mental health issues, but it is important to note that different approaches may be more appropriate for different problems and populations. A qualified therapist can help determine the best type of therapy for a particular individual or family.
In both Group and Family therapy, the therapist plays an important role as a facilitator, and the therapist’s role is to keep the sessions focused, structured, and productive. Therapists often use various techniques, such as cognitive-behavioral therapy, solution-focused therapy, or family systems therapy to achieve this goal.
It’s important to note that Group and Family therapy are not recommended for everyone and some people may be better served with one-on-one therapy. It is always best to consult with a mental health professional to determine the best type of therapy for your specific needs and concerns.
Practicum Week 1
This week, you begin preparing for your practicum experience by verifying your practicum preceptor and site information and beginning your first Practicum Journal.
Learning Resources
Required Readings
Document: Practicum Site Information form (Word document)
Document: Practicum Experience Time Log and Journal Template (Word document)
Document: NP Student Clinical Orientation (PowerPoint file)
Optional Resources
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
Assignment 1: Practicum Site Information
Prior to starting the course, you should have applied for a practicum site following the guidelines for PMHNP practice. Now it is time to make it official. For this Assignment, you provide your Clinical Faculty with information about your practicum site, your preceptor, and your clinical calendar. PRAC – 6650 Psychotherapy With Groups and Families
To prepare:
Verify that your practicum application has been approved by logging in to Meditrek.
Access the Practicum Site Information Form from the Learning Resources.
Assignment
Complete the designated areas of the Practicum Site Information Form, including your practicum site and contact information, your preceptor and contact information, and a schedule of when you plan to engage in practicum activities onsite.
By Day 3 of Week 1
Submit your completed Practicum Site Information Form.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK1Assgn1+last name+first initial.(extension)” as the name.
Click the Week 1 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
Click the Week 1 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn1+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 1 Assignment 1 Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 1 Assignment 1 draft and review the originality report.
Submit Your Assignment by Day 3 of Week 1
To participte in this Assignment:
Week 1 Assignment 1
Assignment 2: Practicum–Week 1 Journal Entry (Due in Week 4)
As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal. PRAC – 6650 Psychotherapy With Groups and Families
Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.
Learning Objectives
Students will:
Analyze nursing and counseling theories to guide practice in psychotherapy*
Summarize goals and objectives for personal practicum experiences*
Produce timelines for practicum activities* *The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.
In preparation for this course’s practicum experience, address the following in your Practicum Journal:
Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources.
Explain why you selected these theories. Support your approach with evidence-based literature.
Develop at least three goals and at least three objectives for the practicum experience in this course.
Create a timeline of practicum activities based on your practicum requirements.
No Assignment due this week.
Submit Assignment By Day 7 of Week 4
Making Connections
This week, you began preparing for your practicum experience by verifying your practicum preceptor and site information and your first Practicum Journal.
Next week, you will begin your second Practicum Journal.
Looking Ahead: Practicum Assignments
Each week, you will complete practicum-related Assignments. It is highly recommended that you review the practicum assignments for Weeks 2–11 before Day 7 of Week 1. This will give you time to meet with your preceptor so that you can fulfill the requirements of each Assignment.
Week 2: You will write about two clients from a family you observed or counseled. (Assignment to be submitted by Day 7 of Week 4)
Week 3: You will complete a comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 5)
Week 5: You will write about two clients from a family you observed or counseled and explain whether solution-focused or cognitive behavioral therapy would be effective with the family. (Assignment to be submitted by Day 7 of Week 7)
Week 7: You will write a progress note and privileged psychotherapy note for the client family you assessed in Week 3 for the comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 7.)
Week 8: You will write about two clients you observed or counseled during a group therapy session and explain whether cognitive behavioral therapy would be effective with the group. (Assignment to be submitted by Day 7 of Week 10)
Week 10: You will write about two clients you observed or counseled during a group therapy session for children and adolescents. (Assignment to be submitted by Day 7 of Week 10)
Week 10: You will write a client termination summary for a client who is ready to complete group therapy. (Assignment to be submitted by Day 7 of Week 11)
Practicum – Upcoming Deadline
In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .
For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.
Please take the time to review the Appropriate Preceptors and Field Sites for your courses. PRAC – 6650 Psychotherapy With Groups and Families
Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.
Field Experience: College of Nursing Quick Answers
Field Experience: MSN Nurse Practitioner Practicum Manual
Student Practicum Resources: NP Student Orientation
Practicum Week 2
This week, you will begin your second Practicum Journal.
Learning Resources
Required Resources
Document: Group Therapy Progress Note
Optional Resources
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
Assignment: Practicum – Week 2 Journal Entry (Due in Week 4)
Learning Objectives
Students will:
Apply documentation skills to examine family therapy sessions *
Develop diagnoses for clients receiving family psychotherapy *
Analyze legal and ethical implications of counseling clients with psychiatric disorders *
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.
Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session.
Then, address in your Practicum Journal the following:
Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.
Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.
Explain any legal and/or ethical implications related to counseling each client.
Support your approach with evidence-based literature.
No Assignment is due this week.
Submit Assignment By Day 7 of Week 4
Making Connections
This week you began your second Practicum Journal.
Next week, you will:
Examine the effectiveness of therapeutic approaches for client families with impaired family functioning
Looking Ahead: Week 3 Clinical Supervision Discussion
In the Week 3 Clinical Supervision Discussion, you will produce a 3- to 5-minute Kaltura video in which you will discuss a client family you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 3 Discussion for additional guidance.
Next week, you will need to view several videos prior to completing your Discussions and Assignments. These videos are more than 3 hours in length. Please plan ahead to ensure you have time to view these videos and complete your Discussions and Assignments on time. PRAC – 6650 Psychotherapy With Groups and Families
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Practicum Week 3
This week, you will examine the effectiveness of therapeutic approaches for client families with impaired family functioning and you will create genograms.
Learning Resources
Required Readings
Required Media
Governors State University (Producer). (2009). Emotionally focused couples therapy [Video file]. Chicago, IL: Author.
The approximate length of this media piece is 115 minutes.
Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 3 minutes.
Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript
Credit: Provided courtesy of the Laureate International Network of Universities.
Psychotherapy.net. (Producer). (n.d.). Narrative family therapy [Video file].
The approximate length of this media piece is 111 minutes.
Optional Resources
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
Discussion: Clinical Supervision
Clinical supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this clinical supervision Discussion, consider a client family whom you do not think is adequately progressing according to expected clinical outcomes. PRAC – 6650 Psychotherapy With Groups and Families
Learning Objectives
Students will:
Assess client families presenting for psychotherapy
Evaluate the effectiveness of therapeutic approaches for client families receiving psychotherapy
Apply narrative family therapy concepts to client families with impaired family functioning
To prepare:
Review this week’s media and consider the insights provided on family therapy.
Reflect on the client families you are currently counseling at your practicum site.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!
Note about Uploading Media: Refer to the Kaltura Media Uploader instructions document located in the menu bar. This provides guidance on how to upload media for the clinical supervision Discussions.
By Day 3
Post a 3- to 5-minute Kaltura video in which you do the following:
Describe a client family you are counseling that you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client family members’ actual names.
Explain your therapeutic approach with the client family, including the perceived effectiveness of your approach.
Identify any additional information about this client family that may potentially impact expected outcomes.
Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.
View a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues by providing feedback on each colleague’s therapeutic approach based on a narrative family therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 3 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 3 Discussion
Assignment: Practicum – Assessing Client Families (Due in Week 5)
Learning Objectives
Students will:
Assess client families presenting for psychotherapy
Develop genograms for client families presenting for psychotherapy
To prepare:
Select a client family that you have observed or counseled at your practicum site.
Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources.
Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected.
Assignment
Part 1: Comprehensive Client Family Assessment
Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following: PRAC – 6650 Psychotherapy With Groups and Families
Demographic information
Presenting problem
History or present illness
Past psychiatric history
Medical history
Substance use history
Developmental history
Family psychiatric history
Psychosocial history
History of abuse and/or trauma
Review of systems
Physical assessment
Mental status exam
Differential diagnosis
Case formulation
Treatment plan
Part 2: Family Genogram
Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).
No Assignment due this week.
Submit Assignment By Day 7 of Week 5
Making Connections
This week, you examined the effectiveness of therapeutic approaches for client families with impaired family functioning and you created genograms.
Next week, you will:
Consider your own practicum experiences involving family therapy sessions
Practicum Week 4
This week, you consider your own practicum experiences involving family therapy sessions.
Learning Resources
Optional Resources
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
Assignment 1: Practicum