The Family Therapy Progress Notes Planner

Arthur E. Jongsma, David J. Berghuis

• Publisher: Wiley
• Year: 2010
• ISBN:
  9780470638392
• Edition: 2
• Topic: Psychology
• Subtopic: Research & Methodology in Psychology
• Index: Psychology

The Bestselling treatment planning system for mental health professionals

The Family Therapy Progress Notes Planner, Second Edition contains complete prewritten session and patient presentation descriptions for each behavioral problem in The Family Therapy Treatment Planner, Second Edition. The prewritten progress notes can be easily and quickly adapted to fit a particular client need or treatment situation.

• Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized progress notes
  
  

• Organized around 40 behaviorally based presenting problems, including family-of-origin interference, depression in family members, divorce, financial conflict, adolescent and parent hostility, friction within blended families, traumatic life events, and dependency issues
  
  

• Features over 1, 000 prewritten progress notes (summarizing patient presentation, themes of session, and treatment delivered)
  
  

• Provides an array of treatment approaches that correspond with the behavioral problems and DSM-IV-TR TM diagnostic categories in The Family Therapy Treatment Planner, Second Edition
  
  

• Offers sample progress notes that conform to the requirements of most third-party payors and accrediting agencies, including CARF, The Joint Commission (TJC), COA, and the NCQA
  
  

• Presents new and updated information on the role of evidence-based practice in progress notes writing and the special status of progress notes under HIPAA
  
  

UNWANTED/UNPLANNED PREGNANCY

CLIENT PRESENTATION

1. Teenage Pregnancy (1)⁷⁸

a. A teenage, unmarried family member is pregnant.

b. The pregnant, teenage family member has decided to keep her child.

c. The family is in disagreement with the unmarried, teenage girl about her decision to keep her child.

d. As treatment has progressed, the family has resolved their differences in opinion about the decisions regarding the pregnancy.

2. Tension about Choices (2)

a. Tension has gradually increased within the family regarding the decision to keep the child out of wedlock, as opposed to an abortion or releasing the child for adoption.

b. Family members’ have experienced many arguments regarding the decisions about how to respond to the unplanned pregnancy.

c. Relationships are beginning to deteriorate due to the family members’ disagreement about how to cope with the pregnancy.

d. Family members have become more cohesive and in agreement about how to respond to the pregnancy.

3. Moral Dilemmas (3)

a. The pregnant teenage family member is experiencing moral dilemmas regarding her consideration of abortion.

b. The pregnant teenage family member is experiencing moral dilemma regarding the consideration of releasing the child for adoption.

c. Family members are experiencing moral dilemmas regarding the decisions to be made regarding adoption and abortion options.

d. Family members have resolved their moral dilemmas regarding the abortion and adoption issues.

4. Unexpected Pregnancy for Parent (4)

a. A parent is unexpectedly pregnant.

b. The pregnant parent experiences ambivalence about whether to keep the child, have an abortion, or adopt the child out.

c. The unexpectedly pregnant parents have concerns about their ability to care for the child due to their age, economic constraints, medical/health problems, or other factors.

d. The family has developed a clear decision about how to respond to the unexpected pregnancy.

5. Family Strife (5)

a. Marital problems have developed due to the decision to keep the child within the family, adopt the child out, or abort the child.

b. Family problems have developed due to the decision to keep the child in the family, adopt the child out, or abort the child.

c. Family relationships are more tense and uncertain due to the added stress that occurs because of keeping the child in the family, adopting the child out, or aborting the child.

d. The family has developed better coping skills for the increased stress of keeping the child within the family, adopting the child out, or aborting the child.

6. Ignoring the Pregnancy (6)

a. Family members seem to be ignoring the issue of the pregnancy.

b. Family members avoid any confrontation related to the pregnancy.

c. Family members have become estranged due to the pattern of avoiding the issue of the pregnancy.

d. Family members have become more open in their discussion about the pregnancy.

e. Family relationships have improved as the family has worked through the disagreements and emotions related to the pregnancy.

7. Divorcing Parents Are Expecting a Child (7)

a. The parents, who were contemplating divorce, now discover that they are expecting another child.

b. The parents feel pressured to attempt marital reconciliation.

c. The parents accuse each other of using the pregnancy as an attempt to manipulate each other.

d. The expecting parents have resolved the divorce issue through reconciliation.

e. The expecting parents have decided to continue with the divorce proceedings.

INTERVENTIONS IMPLEMENTED

1. Encourage Expression of Emotions (1)⁷⁹

a. A forum was opened for the expression of the feelings of the family members about the pregnancy.

b. All family members were encouraged to express their feelings and were provided support as they did so.

c. Family members were questioned about their feelings, such as fear and guilt on the part of the pregnant child, embarrassment and anger by the siblings, and shame and anger by the parents.

2. Normalize Emotions (2)

a. Family members were reassured about how their emotions are normal and real.

b. Family members were directed as to how to use their emotions in the decision-making process.

c. Family members were reinforced when they identified their feelings as normal, typical, and valid.

d. Family members were redirected when they tended to invalidate their feelings.

3. Stabilize Emotions (3)

a. Family members were assisted in stabilizing their emotions through venting them within session.

b. Family members were helped to clearly define and name their feelings.

c. Family members were encouraged to own their feelings.

d. Family members were reassured that they will eventually obtain solutions to the problems that they are facing.

4. Characterize as a Crisis (4)

a. Family members were reminded that their current situation is a crisis and that their emotions may cloud sound judgment during crisis times.

b. Family members were supported as they accepted the likelihood that their judgment can be clouded by their emotions.

c. Family members deny that their emotions were clouding their judgment and were provided with tentative examples of how this can occur.

5. Assure about Alternatives (5)

a. The family was helped to define alternative responses to the pregnancy.

b. Family members were reassured that they have time to consider options, rather than make an immediate decision.

c. Family members were reinforced for postponing significant decisions during a cooling-off period.

d. Family members appeared to be acting emotionally to the current crisis and were redirected to put more time between the onset of the crisis and the decisions about how to resolve it.

6. Review Options with Pregnant Child (6)

a. The pregnant child was assisted in reviewing the options of adoption, abortion, or raising the baby.

b. The pregnant child was provided with reading material about the adoptions available.

c. The pregnant child was encouraged to read In Good Conscience (Runkle).

d. The pregnant child was directed to read Should I Have This Baby? (Jones).

e. The pregnant child has reviewed the information about her different options, and the key were summarized.

f. The pregnant child has not reviewed the information about her options and was redirected to do so.

7. Review Etiology of Decision (7)

a. An individual session was held with the pregnant child in order to review her decision regarding the response to the pregnancy.

b. It was reflected that the child’s decision seems to be reactionary.

c. It was reflected that the child’s decision seems to be strongly influenced by others.

d. It was reflected that the child’s decision seems to be soundly thought through and consistent with her moral beliefs.

8. Encourage Support (8)

a. The family was encouraged to be supportive of the pregnant child.

b. The family was helped to see the pregnant child’s fear and struggle.

c. The child’s right to choose how to respond to the pregnancy was acknowledged.

d. Family members were verbally reinforced for their support of the pregnant child.

e. Family members did not display much support for the pregnant child and were redirected in this area.

9. Review Right to Choose (9)

a. The right of each individual to make life decisions was reviewed.

b. The family was reminded that the individual’s decision does not always reflect the other family members’ moral beliefs or feelings.

c. Family members were assisted in processing their emotions regarding allowing their child to make important life decisions.

10. Explore Parents’ Feelings (10)

a. The parents were encouraged to express their feelings about the pregnancy.

b. The parents were probed for feelings of disappointment and loss of control.

c. The parents were asked about their feelings of fear for the pregnant child and the unborn baby.

d. The parents were supported as they described their feelings related to the unplanned pregnancy.

11. Promote Discussion about Expectations (11)

a. An option for how to respond to the pregnancy has been selected, and the family was directed to discuss the expectations for the future based on this decision.

b. Family members were assisted in developing a better understanding about what effects the chosen response to the pregnancy may have in the future.

c. Family members were provided with additional ideas about how the chosen response to the pregnancy may affect the future.

12. Refer to Peer Family (12)

a. The family was referred to other families ...

Table of contents

• PracticePlanners® Series
• Title Page
• Copyright Page
• Dedication
• PRACTICEPLANNERS® SERIES PREFACE
• Acknowledgments
• Introduction
• ACTIVITY/FAMILY IMBALANCE
• ADOLESCENT/PARENT CONFLICTS
• ADOPTION ISSUES
• ALCOHOL ABUSE
• ANGER MANAGEMENT
• ANXIETY
• BLAME
• BLENDED FAMILY PROBLEMS
• CHILD/PARENT CONFLICTS
• COMMUNICATION
• COMPULSIVE BEHAVIORS
• DEATH OF A CHILD
• DEATH OF A PARENT
• DEPENDENCY ISSUES
• DEPRESSION IN FAMILY MEMBERS
• DISENGAGEMENT/LOSS OF FAMILY COHESION
• EATING DISORDERS
• EXTRAFAMILIAL SEXUAL ABUSE
• FAMILY ACTIVITY DISPUTES
• FAMILY BUSINESS CONFLICTS
• FAMILY MEMBER SEPARATION
• FAMILY-OF-ORIGIN INTERFERENCE
• FINANCIAL CHANGES
• GEOGRAPHIC RELOCATION
• INCEST SURVIVOR
• INFIDELITY
• INHERITANCE DISPUTES BETWEEN SIBLINGS
• INTERFAMILIAL DISPUTES OVER WILLS AND INHERITANCE
• INTERRACIAL FAMILY PROBLEMS
• INTOLERANCE/DEFENSIVENESS
• JEALOUSY/INSECURITY
• LIFE-THREATENING/CHRONIC ILLNESS
• MULTIPLE BIRTH DILEMMAS
• PHYSICAL/VERBAL/PSYCHOLOGICAL ABUSE
• RELIGIOUS/SPIRITUAL CONFLICTS
• REUNITING ESTRANGED FAMILY MEMBERS
• SEPARATION/DIVORCE
• SEXUAL ORIENTATION CONFLICTS
• TRAUMATIC LIFE EVENTS
• UNWANTED/UNPLANNED PREGNANCY