Prolonged Exposure Therapy for Combat-Related PTSD

Prolonged Exposure Therapy for Combat-Related PTSD

 

1. Select a disorder or special population. COMBAT VETERANS
2. Select an intervention strategy covered in class. Taking the practice method selected discover how that method is employed throughout all phases of intervention. GUIDED IMAGERY OF IN VIVO EXPOSURE.

Cover all phases including:

Issues in referral for this particular type of population. How does the client come into the system? Is there typically a history with other systems of care? In what segment (s) of the continuum of care are you most likely to be working and why? What might influence client use of mental health care?[ ] (obj.5)

Methods of engagement given the problem area. (e.g. What issues are involved in engaging a client who has anorexia and what must you do to establish rapport and empathy? HOW will you engage given these issues? Why are these practice aspects important given the case and problem area? Discuss engaging diverse groups of clients-what must you do differently with those from different cultural groups.) [ ]

Discuss what is included in the assessment framework using the practice model chosen? Issues in culture and diversity must be a part of this section. Remember that your assessment should be based on the practice intervention selected, not just DSM diagnosis. HOW would PROLONGED EXPOUSE assess this case? Why might someone have certain dynamics going on, certain symptomatology, etc.

What neurobiological issues come out in the assessment and how do you know they are present?
Present DSM diagnosis(es)

What is the treatment plan and what are the treatment goals? [ ]
Discuss issues in the worker client relationship: your own feelings, transference & countertransference, values & experiences that may affect motivation or resistance in you and the client system in treatment. Why are these issues present? What will you do differently given these issues? How will you do it?[ ]
What contracting issues must be set up given this problem and in this practice model? Why is the contract necessary? [ ]

Discuss methods of intervention in the middle phase of treatment. How is culturally competent treatment used in this phase? Your intervention in the middle phase should derive from your assessment issues. Tell me why you doing what you are doing. Go beyond telling what interventions you will use. How will you institute these interventions? The middle phase should represent the bulk of your paper and should be detailed, i.e. several kinds of interventions. [ ]

How will you engage and attend to issues in body, mind, and brain? [ ]

How is termination performed with this model and how do you know it is time for termination? What are the issues & plan? [ ]

Discuss evaluation strategies in the practice model. Evaluation should follow the same practice intervention as in the assessment. [ ]

Discuss methods of follow-up in the practice model. Why might follow-up be important? [ ].

Please comment on social justice issues as they impact problem presentation and treatment [ ]
Discuss your role and identity as a clinical social worker; what makes your domain different from other professionals? What leadership and/or advocacy responsibilities do you have?

What ethical issues are involved in working with this population? What social work values intersect with these ethical issues? [ ]

OUTLINE
Prolonged Exposure Therapy for Combat-Related PTSD

PTSD
Combat-related PTSD
Barriers to Treatment; Stigmatization, Ineffective and Inaccessible Military Services
Prolonged Exposure Therapy
Assessment Framework for Prolonged Exposure Therapy
PE Therapy as an Intervention
Phases of Treatment
Engagement
Psycho-education
Breathing
Issues of engagement.
Middle Phase
Guided Imagery
In vivo Exposure
Other Contracting Issues
Treatment Goals
Counter-transference
Transference
Termination
Evaluation Strategies in the PE Therapy Model
Methods of Follow-up in the PE Therapy Model
The role of the clinical social worker
Ethical issues in working with clients who have combat related PTSD
Conclusion

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