Paper should include the following elements:

Client and setting information
? Brief demographics on client: age, occupation, race/ethnicity
? Presenting problem/concern, and history
? Any relevant environmental, legal, and other challenges such as problems in housing, intra-familial conflicts, immigration status, poverty etc.
? Any relevant health information, including use of psychotropic medication
? Any relevant information regarding cultural/ethnic background, spiritual orientation, etc.
? Brief justification for diagnosis by noting symptoms. For example, if you are diagnosing a client with major depression, recurrent, you must first establish the fact that he/she has experienced depression in the past, and has in the past two weeks had the cluster of symptoms specified in the DSM5.
? Discussion of strengths
? Modality
? Justification of use of the chosen modality and situation
? Describe how you would use this modality for the assessment, intervention plan, evaluation.
? Include in your discussion: How might it inform your interactions? Would use of this modality change the issues you address? If so, how? How are issues of cultural competence incorporated into this particular treatment modality?

 

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