In Topic 5, you submitted a treatment plan for your client Eliza. Since the initial treatment plan, several changes have taken place within Eliza’s case. Since the mandatory assessment two weeks ago, you have discovered that Eliza is again on your client listing for the day due to a mandatory evaluation, with the incident report indicating that campus public safety, due to a tip from a concerned resident, found the client passed out and alone in her dorm, smelling of alcohol.

Part 1: Review the initial Treatment Plan submitted in Topic 5.

1. Reassess your treatment plan diagnoses, goals, and objectives based on the new information provided.
2. Fill out and submit a new treatment plan evidencing the changes made in treatment utilizing the treatment plan template provided.

Part 2: In a 1,000-1,250-word essay, answer the questions presented in a separate Word document, addressing the following:

1. Examine the case and propose why the changes occurred.
2. Reassess the effectiveness and validity of the treatment plan.
3. Discuss how the treatment plan needs to be adjusted to address the changes in the situation.
4. Justify the changes both ethically and legally.
5. Determine what the changes (obstacles) mean to the treatment plan.
6. Discuss how you would evaluate the resources available for you to make a referral.
7. Discuss how you would communicate to the client the need for referrals to other providers.
8. Determine which referrals you would make and which you might suggest to the client.
9. Include any instruments you would use to assess the client.

Submit the revised treatment plan and essay to your instructor.

Tutor: Amanda Smith

You must reply to at least 2 classmates’ threads. Each reply must be 200–300 words. Also, note that “I like what you said,” “That’s a good point,” and “I disagree with your point” do not count as a complete reply. Rather, stating why you liked or disliked the comment, adding additional thoughts or ideas to the original point, and/or providing alternative ideas or thoughts when you disagree will count as a reply. You are required to be courteous in any disagreement with a classmate.

One of the goals of the Discussion Board Forums is to encourage student community learning; therefore, the instructor will respond to only a few posts. Instructor comments may add to the conversation, ask a pertinent question, or summarize some of the key points made.

Calton 

LGBT discussion board

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The focus of study for this week is LGBT issues in counseling.

I was not surprised to hear that there are mixed results about corrective therapy, because I remember reading about that in 2014 (McDowell). Some people enter into conservative Christian therapy programs and leave as happy Christians who still identify as homosexual. Stories like this seem common, and they were echoed in the interview between Dr. Garzon and Dr. Yarhouse (2020). During this interview, three approaches for counseling LGBT clients were outlined:

· a conservative approach, sometimes called “Conversion Therapy,” which tries to change a client to heterosexuality

· a progressive approach, called “Positive Affirmation,” which affirms any and every sexual orientation as valid if it is presented by the client

· a client-centered approach, sometimes called “Narrative Therapy,” which helps clients understand the intersections of their conflicting identities

I think that Narrative approach is very helpful. I have also heard the different “narratives” of a persons life called “scripts.” For example, let us consider a homosexual girl who is an evangelical Christian is guaranteed to experience conflict about her identities. Cognitive dissonance is guaranteed once she develops in those identities, and learns that her homosexual orientation seems to be a sin according to her evangelical identity (see Romans 1:26). Trying to convert the client to a specific understanding of verses like Romans 1:26 is a violation of the ACA Code of Ethics; and simply affirming both her faith and her homosexuality might only exacerbate her cognitive dissonance, which will only increase negative health factors (Erford & Hays, 2018). It is more helpful to the client to help her understand the intersection of her conflicting identities. Explaining this in a narrative format can help give meaning, and it can help her to decide which identity she values more.

I would like to ask Dr. Yarhouse if he recommends LGBT clients attend church-based therapy, and, if so, what things they should caution to ensure a quality, helpful therapy experience.

References:

Erford, B. T., & Hays, D.G. (2018). Developing multicultural counseling competence: a systems approach, 3rd edition. New York, NY: Pearson.

Garzon, F. (2020). Presentation: Sexual Identity in Professional Counseling Practice.

McDowell, S. (2014). Same-Sex Marriage: A Thoughtful Approach to God’s Design for Marriage. Grand Rapids, MI: Baker Publishing.

Haley 

Top of Form

Something that surprised me while watching the lectures had to do with the conversation surrounding “conversion theory”. I have never heard conversations about Christians trying to change a person from being gay to being straight without it followed by a horror story of abuse and psychological manipulation or complete condemnation for being gay. It was surprisingly positive to hear that there were organizations taking time to discuss sexuality with Christians who have confusing thoughts in a way that is respectful of the clients wants and faith which may result in a possible choice away from being gay (Yarhouse, n.d.).

One theme I will take away from these readings is the belief the everyone falls on a continuum of sexuality. Almost everyone will experience a sexual thought towards the same sex at some point in their lives and they may be challenged with that feeling but they will not be alone in it (Yarhouse & Burkett, 2002). This means that people will not fall under the two categories of being straight or being gay but may identify as many different aspects of the continuum (Yarhouse & Burkett 2002). Since sexual orientation consists of seven variables (sexual behavior, fantasies, emotions, living life as an orientation, self-identification, social preference), a person may experience each on different levels and directed towards different sexes (Hays & Erford, 2018).

A second theme I will carry into future counseling will be the knowledge that heterosexism can be extremely scarring. Heterosexism can lead to the denial of basic rights and when those basic rights are violated, the LGBTQ+ community is much more likely to experience depression, anxiety, high suicide rates and attempts, low self-esteem, harassment, hate crimes, internalized shame and physical ailments. It is not always clear that the institutional oppression of the LGBTQ+ community is causing as much damage as it is to the clients. This will also manifest itself in higher level of poverty and reduced social relationships (Hays & Erford, 2018).

A third theme I found when specifically discussing Christians who are interacting with the LGBTQ+ community, especially in regards to evangelicals, is the stance that many churches take. Dr. Yarhouse describes these three stages as:

1. behave how the church desires you to behave

2. believe what we believe

3. belong to our group

This turns many in the LGBTQ+ community away knowing that they do not want to conform to the behavior of the church (Yarhouse, n.d.).

Dr.Yarhous goes on to say that the three stages should be:

1. belong to our group

2. believe what we believe

3. become more like Christ in everything you do (Yarhouse, n.d.)

20% of Americas are antagonistic towards conservative Christians and there is a strong belief that these Christians hate anyone who identifies as gay (Yarhouse & Burkett, 2002). In reality I do not believe that is true but the church needs a reminder that we are called to love with “gentleness and respect” and 1 Peter 3:15 states (Crossway Bibles, 2016). As a counselor I will need to fully understand the perspective my client may be coming from with their past relations with the Christian community.

I wrestle with a lot of emotions when it comes to working with the LGBTQ+ community. I have a deep understanding that after that after the fall of man in the garden everything changed. The natural man and woman relationship that had existed before the fall will change and I know that God understands this and I could never imagine being told who I can and can’t love or that I need to be alone. At the same time, the Bible seems to speak quite clearly on homosexuality being a sin as seen in 1 Timothy 1;9-10, “The law is not laid down for the just but for the lawless and disobedient, for the ungodly and sinners, for the unholy and profane, for those who strike their fathers and mothers, for murderers, for the sexually immoral, men who practice homosexuality, enslavers, liars, perjurers, and whatever else is contrary to sound doctrine.”(Crossway Bibles, 2016)I’m concerned my biases may cause a lack of proper counseling although it is something I am continuing to educate myself on.

References

Crossway Bibles. (2016). Esv: study Bible: English standard version. ESV: study Bible: English standard version. Wheaton, IL.

Garzon, F. (n.d.). The Lesbian & Gay Population.

Hays, D. G., & Erford, B. T. (2018). Developing multicultural counseling competence: a systems approach. NY, NY: Pearson.

Yarhouse, M. A. (n.d.). Sexual Identity in Professional Counseling Practice.

Yarhouse, M. A., & Burkett, L. A. (2002). An inclusive response to LGB and conservative religious persons: The case of same-sex attraction and behavior. Professional Psychology: Research and Practice, 33(3), 235–241. https://doi-org.ezproxy.liberty.edu/10.1037/0735-7028.33.3.235

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Application: Evaluation and Intervention Plans

When developing an evaluation plan, it is important to research and gather data that is useful for assessing interventions provided to clients. For example, an evaluation plan might demonstrate the effectiveness or ineffectiveness of a particular current intervention used to help a client. It can also influence or inform future client interventions.

For this Application Assignment, use the case study from the Final Project to describe the elements of an evaluation plan.

The assignment (2 pages):

·  Based on the Final Project case study, briefly describe the elements that you might include in the client’s evaluation plan.

·  In your description, include the type of data you would collect to measure the client’s baseline in the beginning of treatment and progress throughout treatment.

·  Explain how the data you collect in your evaluation plan might influence or inform future client intervention.

Note: Support your Application Assignment with specific references to the Learning Resources used in its preparation. You are asked to provide a reference list only for those resources not included in the Learning Resources for this course.

Write a paper of 500-750 words, in which you evaluate your opinions and beliefs regarding older adults and address the following:

1. Describe stereotypes about the elderly that are prevalent in society, and how those stereotypes affect your personal beliefs concerning the elderly.
2. Describe the physical and cognitive issues involved in aging.
3. Discuss the mental health treatment issues involved in working with the aging client. Include end-of-life considerations in your discussion.

Include at least two scholarly references in addition to the textbook in your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

HERE IS THE REFERENCE FOR MY TEXT BOOK:

Rathus,S.A.,Nevid, J.S., & Fichner-Rathus, L.(2018). Human sexuality in a changing world. Pearson Education, Inc

I need someone to write an article for the public that could be published by an online/print magazine or newspaper, and that addresses the fears and ethical considerations often associated with death and dying issues. This article should also explain the reasons people may not want to address their fears of death and dying.
Your article must contain the following:
Explain why individuals often have difficulty discussing death and dying issues.
Explain whether you believe the Kubler-Ross Five Stage Model is valuable for understanding and addressing death and dying issues.
Identify one other stage or theory that you believe is valuable in talking about and dealing with adjustment to death.
Discuss the ethical considerations of death and dying issues such as those addressed by hospice and palliative care services based on the right to die pain-free and with dignity.
Make recommendations for dealing with death and dying fears and preparing for end of life.
References
Axelrod, J. (2019). The 5 Stages of Grief & Loss. Psych Central. Retrieved from https://psychcentral.com/lib/the-5-stages-of-loss-and-grief/
Briffa, C & Meystre, C. (2019). P-6 What do lay people find hard about talking to the dying, and is communication training acceptable? BMJ Supportive & Palliative Care, 9(4).
Bruce, C.A. (2007). Helping Patients, Families, Caregivers, and Physicians, in the Grieving Process. The Journal of the American Osteopathic Association, 107, 33-40.
Larson, D.G. & Tobin, D.R. (2000). The Patient-Physician Relationship Section. JAMA, 284(12):1573-1578. doi:10.1001/jama.284.12.1573.
Mohanti, B. K. (2009). Ethics in palliative care. Indian Journal of Palliative Care, 15(2), 89–92. https://doi.org/10.4103/0973-1075.58450.
Olsen, M. L., Swetz, K. M., & Mueller, P. S. (2010). Ethical decision making with end-of-life care: palliative sedation and withholding or withdrawing life-sustaining treatments. Mayo Clinic Proceedings, 85(10), 949–954. https://doi.org/10.4065/mcp.2010.0201.
End-of-Life ConversationsEvolving Practice and Theory.

Prior to beginning work on this assignment, review the assigned course textbook readings, the instructor guidance for the week, the Ashford Writing Center resource Writing an Article Critique (Links to an external site.), and the Ashford University Library tutorial How to Read a Scholarly Article (Links to an external site.). Your instructor will post an announcement with the reference for the quantitative research study to be critiqued in this assignment. After reading the posted study, use the Quantitative Research Critique Template to compose and organize your assignment.

In your paper,

• Summarize the research question, hypothesis, methods, and results of the assigned quantitative study.
• Determine whether the study used an experimental or non-experimental approach.
• Evaluate the appropriateness of the research methods and analytical approaches used in the study. Support the position with evidence cited from the textbook and at least one other scholarly/peer-reviewed source about the research design or method.
• Analyze ethical issues pertaining to how the study was carried out.
• Critique the strengths, weaknesses, and limitations of the study.
• Recommend a research question and methods for a follow-up study on the topic.
• Utilize the provided template with section headings.

The Quantitative Research Critique paper

• Must be four double-spaced pages in length (not including title and references pages) using the template provided and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)’s APA Style (Links to an external site.) The template is a Word document that is pre-formatted in APA style. If unable to use the pre-formatted template, see the following instructions for formatting.
• Must include a separate title page with the following:
  • Title of paper
  • Student’s name
  • Course name and number
  • Instructor’s name
  • Date submitted

For further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.).

• Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance.
• Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.
  • For assistance on writing Introductions & Conclusions (Links to an external site.) as well as Writing a Thesis Statement (Links to an external site.), refer to the Ashford Writing Center resources.
• Must use at least one scholarly/peer-reviewed source in addition to the study being critiqued and the course text, for a total of at least three references.
  • The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
• Must document any information used from sources in APA style as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.)
• Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center. See the Formatting Your References List (Links to an external site.) resource in the Ashford Writing Center for specifications.