NRNP 6645 Week 2 Assignment : Family Assessment
NRNP/PRAC 6645 Comprehensive Psychiatric
Evaluation Note
CC (chief complaint): “Yeah, I’d like to learn to lead my life alone and depend on the kids a lot because in our custom when the parents get old and especially when they are in my situation they can’t walk or take care of theirself, the kids are always there for parents, but over here no, they have their own life. And I expect them to be there all of the time for me and they can’t, matter of fact, I had a big argument with her last night about that, I had a very bad back for few days I was done and last night, I called her and I said come and spend a night with me and she said no, I can’t. I said, you should and you have to and we got into a big argument.”
HPI: Patti is a 40-year-old Iranian immigrant female who presents for ongoing outpatient family psychotherapy. Her first referral occurred due to the family turmoil caused by the introduction of her daughter, Shireen, to the family about two years before this session. Patti left Iran around 12 years ago with four of the five children and left the youngest daughter, Shireen, who was 10 years old, in the hands of her abusive husband. When Shireen was issued a visa two years ago, the family was reunited. Still, Shireen revealed that she had a background of being sexually and physically abused by her father, thereby triggering a crisis of conflict, accusation, and emotional conflict within the family system.
Patti presents a low mood that is chronic, hopeless, helpless, socially withdrawn, and anhedonic. Her story is one of a long history of chronic physical pain, secondary to bilateral foot surgery that had been unsuccessful, leaving her permanently disabled and incapable of walking more than a few steps. She complains of emotional and functional dependency on her adult children, a factor that has brought about a lot of interpersonal conflict. She has been sent to the psychiatrist to undergo psychopharmacological examination and is undergoing medication management assessment. Patti endorses ongoing grief and guilt related to leaving Shireen behind in Iran and the inability to protect her from abuse. She oscillates between feeling she made the necessary decision (as advised by her father) and intrusive guilt about what her daughter endured. She reports that these thoughts are always in her head.
Past Psychiatric History:
General Statement: P.M. sought treatment approximately 18 months ago when Shireen arrived from Iran, and family chaos erupted.
Caregivers: None previously; currently working with therapist Sandi and referred to a psychiatrist for medication management.
Hospitalizations: None reported.
Medication Trials: Currently referred to a psychiatrist for antidepressant medication.
Psychotherapy/Previous Psychiatric Diagnosis:
Currently engaged in outpatient family therapy with Sandi for approximately 18 months. Sheela (oldest daughter) has been seen conjointly for 4-5 sessions.
Family Psychiatric/Substance Use History:
- Father of children (ex-husband in Iran): History of severe abuse—physical, emotional, sexual (raped daughter Shireen). No formal psychiatric diagnosis is known.
- Shireen (21, daughter): History of trauma as sexual abuse, physical abuse, abandonment; married secretly at age 20; refused individual therapy despite multiple appointments.
- Sheela (24, daughter): Parentified child; has been in family therapy 4-5 sessions; reports significant emotional distress (cried throughout sessions).
- Sharleen (23, daughter): Presenting as high-functioning but clearly distressed by family demands; no reported psychiatric history.
- Maternal grandfather: Provided emotional guidance to Patti during the immigration crisis.
Substance abuse: Daily, Patti takes 16 ounces of caffeine
Psychosocial History:
Birth and Early Development: Born and raised in Iranian culture with traditional collectivist values.
Family of Origin: Arranged marriage at age 14 to an abusive husband. Limited current contact with extended family (cousin in LA, no contact)
Current Living Situation: Lives with her youngest sons (ages 18 and 15). Oldest daughters (24, 23) and Shireen (21, married) live independently. P.M. is physically dependent—uses a wheelchair, cannot walk more than “a few steps” without excruciating pain.
Marital/Relationship History: Married at 14 (arranged). Severe domestic violence throughout the marriage. Separated when immigrating to the US (husband remained in Iran). No current romantic relationship. Husband remarried twice since the separation; no contact with children.
Educational Level: Functional English for basic communication.
Work History: Before the disability, Patti worked as a caregiver, often 8–12 hours per day.
Hobbies/Interests: Previously, shopping, cooking for children, caring for others. Currently: Watching TV, talking on the phone, caring for two dogs (source of conflict with Sharleen). Expresses boredom and isolation.
Legal History: No legal issues reported for P.M. or children. Ex-husband’s sexual abuse of Shireen was not reported to have legal consequences.
Trauma History:
- Child/Adolescent: Forced marriage at 14 to an abusive man; domestic violence
- Adult: Continued Domestic Violence; immigration stress; leaving child behind (Shireen)
- Recent: Shireen’s disclosure of paternal sexual abuse (2 years ago); failed surgeries and disability
- Intergenerational: Children exposed to domestic violence; Sheela and Sharleen assumed protective/caregiving roles; Shireen experienced direct Child sexual abuse and physical abuse.
- Perpetrator: No history of violence toward others
- Current safety: No concerns; ex-husband in Iran, no contact
Medical History: Bilateral foot condition requiring surgery. Both surgeries failed, resulting in permanent disability, chronic pain, and impaired ambulation. Patti reports being in “constant pain” and can walk only a few steps before experiencing severe pain.
Disability: Permanent physical disability; unable to work; functional limitations in daily activities of living.
Current Medications: None
Allergies: none documented
Reproductive Hx: Patti is a mother of five children. She denies having had miscarriages, abortions, or any sexually transmitted disease.
ROS (review of symptoms):
GENERAL: does not report weight loss, fever, general body, or fatigue.
HEENT:
- Head: Denies headache or head trauma.
- Eyes: No visual changes.
- Ears: No loss of hearing was reported.
- Nose: No reported runny nose or congested nose.
- Throat: no swallowing issues.
SKIN: No rash or itching.
CARDIOVASCULAR No chest pain, no chest discomfort. No percussion of the heartbeat.
HIOP: No coughing, sputum, or dyspnea.
GASTROINTESTINAL: No vomiting, diarrhea, or anorexia.
GENITOURINARY: denies any burning in urination.
NEUROLOGICAL: denies syncope, vertigo, ataxia, and tingling of the limbs.
MUSCULOSKELETAL: Denies stiffness, back, joint, and muscular pain.
HEMATOLOGIC: Denies bruising, bleeding.
LYMPHATICS: Denies enlargement of nodes.
PSYCHIATRIC: depression history or anxiety.
ENDOCRINOLOGIC: Denies any sweating, cold, or heat intolerance. No polyuria or polydipsia.
Reproductive history: Not pregnant and not recently pregnant. Denies vaginal discharge. Not sexually active.
Allergies: Past episodes of persistent allergic rhinitis.
Diagnostic results: None
Assessment
Mental Status Examination:
Patti is a 40-year-old Iranian female immigrant who appears consistent with her stated age. During the interview, she is also dressed properly as befitting the session environment and has no apparent indicators of acute physical distress, but she complains of chronic pain and limited mobility. She is cooperative and freely interacts with the interviewer, has some emotional openness, and a sense of humor. She is an active member of the reflective process, which also involves commenting on the reflection of the reflecting team.
Her speech is articulate, consistent, and goal-oriented, and of normal rate, rhythm, and volume. Her command of the English language is moderate; her emotional material is easier to express when she talks to a therapist of the same Iranian origin. Her reasoning is logical and chronological, but it sometimes becomes circular when she tries to defend her stand on family expectations. No relaxation of form, flying of ideas, or digression. In addition to that, there was no forced speech or speech poverty observed.
Patti’s mood is dysphoric. She even promotes depression, hopelessness, helplessness, and loneliness directly during the session. I feel depressed, and I cannot move. Her affect is consistent with the mood she describes: she is sad and cries, and at times engages and is warmly humorous (joking with the consultant about calling child protective services). She is emotionally responsive, smiling when talking about her pets and her children’s achievements, and then crying openly when discussing conflicts with Sharleen.
Generally, her thought process is goal-oriented and rational, although she exhibits concrete and ethnically-imprinted ideas about family roles and duties that impose interpersonal inflexibility. No loose associations, flight of ideas, or formal thought disorder. A remarkable aspect of thought content is the ruminative and intrusive thoughts about the abuse of Shireen and her contribution to the said trauma, and her continued cognitive distortion about the availability and responsibility of her children.
Cognitively, she is alert and oriented to person, place, and situation. Recent and remote memory appear intact based on a detailed historical narrative. Concentration is adequate for the duration of the interview. Insight is fair—she acknowledges therapist’s help and recognizes some need for change (“I need more to be done, I’m not done”), though demonstrates limited recognition of her role in family conflict. Judgment is impaired in the context of enmeshed family relationships and unrealistic expectations of adult children, though she shows capacity for negotiation and compromise when supported. She denies current suicidal or homicidal ideation.
Differential Diagnoses:
Major depressive disorder: Patti seems to have a sense of melancholy, helplessness, and a need for the steadfast support of her children, indicating major depressive disorder. Her symptoms could be affected by her physical impairment, her perceived insufficient support of her children, and other pressures and losses she has experienced. The diagnostic criteria of this disease are met by five depressive symptoms that take place in the course of two weeks. The signs should indicate depression, mood, withdrawal, or loss of interest to be activated (NIMH, 2024). Patti seems to be having depression as she lacks enthusiasm and is hopeless. She finds it difficult to cope without the emotional support of her kids when they are not there, which may lead to quarrels and contradictions. Patti is chronically in pain, has mobility problems, and is dependent on others, which could be the cause of her depressive symptoms.
Adjustment disorder: Patti is having problems adapting to changes in her household and her children’s growth. The physical disability, the mess in the house, and the immigration issues of her daughter could have led her to a state of significant emotional distress, which has led to her feeling hopeless, helpless, and sad. Adjustment disorder is defined as an inability to adapt following an acknowledged psychosocial stressor. Still, it is a maladaptive psychological and behavioral reaction to a psychosocial stressor that is disproportional to the quantity or degree of the stressful occurrence (Robinson et al., 2025). Symptoms are stress reactions that adversely affect daily performance and are not in accordance with expected responses to the stressor, depending on culture or society. Even though the demands Patti places on her children do not contradict the cultural norms in which she was raised, they contradict the individualistic principles taught in American culture.
Persistent Depressive Disorder (Dysthymia): She has a depressed mood for most of the day, for more days than not, for at least 2 years. She also has a poor appetite/overeating, low energy, low self-esteem, and hopelessness. While the duration criterion is met (symptoms 2+ years), the severity and discrete episode nature favor Major Depressive Disorder. P.M. describes herself as previously “very independent,” “working hard”—suggesting a distinct episode rather than a chronic, persistent pattern. There is a clear onset linked to the surgery, previous euthymic functioning, episodic nature, rather than continuous, chronic low-grade symptoms.
Reflection and Critical Thinking
Agreement with the Assessment: I do agree with the assessment of the therapeutic team that this family is grappling with multiple complex and intertwined problems of trauma, cultural transition, disability, and ambivalent family boundaries. The diagnosis of Major Depressive Disorder in P.M. is substantiated, although her mood of being depressed cannot be separated from her grief of having lost a sense of identity, her trauma history, and her terror of being abandoned due to some cultural and personal history.
What I Learned: The case is an eloquent example of how personal psychiatric symptoms cannot be isolated from family system relations and cultural background. The neurobiology is not the only factor that sustains the depression of P.M., but a family system that balances between collectivist and individualist principles, and her inability to accept the fact that she is disabled. The pandemonium of the disclosure of the abuse was not only the disclosure of the abuse itself, but it was the reentry of the long-lost child, the face of the survivor’s guilt of P.M., and the re-equilibrium of the family balance that was built after immigration.
What I Would Do Differently: I would be more specific on the trauma history by applying culturally-informed trauma treatment. Although the consultant (Dr. Bacigalupe) focused on the mother-daughter dyad and reflected team process appropriately, I would like to ensure that Shireen goes through special trauma treatment because of her history of severe abuse and avoidance in the present moment. I would also evaluate P.M. as having PTSD due to her numerous exposures to trauma; she may have subsyndromal PTSD, adding to her depressive image and hypervigilance regarding the safety of her children.
Legal/Ethical Considerations:
Mandated Reporting: Previous child sexual abuse revealed; in Iran, the perpetrator is an Iranian, and the person who was abused is an adult. None of the existing jurisdictions of the US has children under threat by this perpetrator. But in case of contact with the father, as in the case of the 15-year-old brother or the father is trying to immigrate, the requirements of reporting come into effect. Should determine existing contact and safety.
Disability rights vs. family autonomy: The physical dependency of P.M. presents a conflict between her right to be assisted by the family and the autonomy of her adult children. There are no legal requirements that place an adult child in a situation of taking care of P.M., and this is an ethical dilemma as to how the needs of P.M. can be fulfilled without pressuring children.
Cultural competence: Therapist Sandi also has an Iranian background, which works to their advantage in building rapport but may lead to assumptions regarding cultural norms. The heterogeneity of the reflecting team (and Isaac’s experience as a Korean-American immigrant) was beneficial to knowledge. Practice ethics cannot be maintained without continuous cultural humility, which does not presuppose that shared culture is shared experience.
Case Formulation and Treatment Plan.
Case Formulation
Patti is a 40-year-old Iranian-American immigrant woman with a complicated clinical history based on the trauma of multiple types, cultural alienation, loss, and a long-term medical condition. With the help of the biopsychosocial framework:
- Biological Factors: The presence of chronic pain following failed bilateral foot surgeries is a major factor in the impairment in functioning and depressive symptomology. One of the risk factors of depression and suicidality is known to be pain. Psychopharmacological assessment should be referred to; it is possible to consider medicine that can be used to treat comorbid depression and pain in cooperation with her prescribing physician and PCP.
- Psychological Factors: Patti comes with several types of unresolved trauma (domestic violence, immigration, vicarious trauma of disclosing abuse of daughter). She has a case of cognitive rigidity anchored in collectivist cultural schemas that do not align with the individualist values her children adopt. Attachment needs, are salient, enmeshment, and dependency as psychological coping mechanisms of traumatic loss of control. Unprocessed traumatic grief is indicated through intrusive thoughts and guilt about the abuse of Shireen.
- Social/Cultural Consideration: There is a considerable cultural difference between the Iranian collectivistic family values (children took care of sick/older parents) and the US individualistic values of the adult children. There is social isolation; the only support that has been found is her children, but no community, culture, or peer network. Immigration has led to the loss of extended family, cultural community, and occupational identity. The economic insecurity due to disability is a major stressor.
- Family Systems Factors: The family has been characterized by parentification (Sheela, the man of the family; Sharleen, the current emotional caretaker), triangulation, breach of boundaries, and enmeshment. The act of disclosing the trauma brought about by Shireen messed with the family balance and brought in unresolved blame, grief, and conflict. The family is facing several simultaneous life-cycle transitions, such as individuation and the launching of children, transition of Patti to dependency, and intergenerational acculturation stress.
Treatment Plan
- Diagnostic Studies
Comprehensive metabolic panel, TSH, Vitamin D, HbA1c, lipid panel, urinalysis
Review of orthopedic imaging/surgical records
- Medication Management
Initiation of an SSRI or SNRI antidepressant
Pain management optimization: Consider neuropathic pain agents (gabapentin, pregabalin, duloxetine) given the likely neuropathic component post-surgery
Avoid benzodiazepines given depression, potential substance use risk, and fall risk with mobility impairment
Follow up with psychiatry in 2-4 weeks for medication monitoring
- Psychotherapy Interventions
Individual Therapy for P.M.:
Cognitive Behavioral Therapy (CBT): Address depressive cognitions (“I am useless,” “children must care for me”), behavioral activation given immobility, pain coping strategies
Acceptance and Commitment Therapy (ACT): Specifically targets acceptance of disability, values clarification (what kind of mother does she want to be, given current reality), committed action toward alternative life purposes
Trauma-focused therapy: EMDR or trauma-informed CBT for domestic violence history, immigration trauma, and survivor guilt regarding Shireen
Family Therapy (with Sandi continuing):
Structural Family Therapy: Restructure boundaries between P.M. and adult children; clarify parental hierarchy with minor children (18- and 15-year-old sons)
Communication skills training: Negotiation and compromise training (already initiated by Sandi); conflict de-escalation skills to prevent screaming/disrespect cycles
- Psychosocial Interventions
Weight Watchers or similar program: As suggested by Sandi and the consultant, addresses weight, provides social connection, structure, and a sense of accomplishment
Peer support: Connect with an Iranian immigrant women’s group, disability support group, or a chronic pain support group to reduce isolation
Vocational rehabilitation: Assessment for possible return to work in a modified capacity (caregiving with accommodations, telephone-based work) to restore purpose and identity
Adult day health/partial hospitalization: If depression is severe enough to warrant intensive treatment, it also provides socialization and respite for the family
- Safety Planning
Emergency numbers provided: 911, Crisis Line 1-800
Instructions to go to the nearest ER or call 911 if actively suicidal or homicidal
- Referrals
Pain Management/Physiatry: Comprehensive pain program evaluation
Orthopedics: Second opinion regarding surgical failure, potential revision, or amputation consideration if indicated
Psychiatry: Medication management
Vocational rehabilitation: State/county services for disabled workers
Social Work: Assessment for home health aide services, disability accommodations, community resources to reduce family burden
- Follow-up
Return to clinic in 2 weeks for medication initiation/monitoring
Continue family therapy weekly with Sandi; individual therapy weekly
Care coordination meeting in 1 month with all providers (therapist, psychiatrist, PCP, pain management)
Re-evaluation of treatment plan in 3 months or sooner if deterioration.
References
NIMH. (2024). Depression. National Institute of Mental Health. https://www.nimh.nih.gov/health/publications/depression
Patel, R. K., Rose, G. M., & Aslam, S. P. (2023). Persistent Depressive Disorder (Dysthymia). PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK541052/
Robinson, M., Levin, Y., Bachem, R., Badran, N., Papageorgiou, K., & Fino, E. (2025). Assessing stressor exposure, chemsex use, and adjustment disorder in a sample of men who have sex with men. European Journal of Psychotraumatology, 16(1). https://doi.org/10.1080/20008066.2025.2519857
CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER
NRNP 6645 Week 2 Assignment : Family Assessment
Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues.
To prepare:
- Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.
- Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.
- View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.
The Assignment
Document the following for the family in the video, using the Comprehensive Evaluation Note Template:
- Chief complaint
- History of present illness
- Past psychiatric history
- Substance use history
- Family psychiatric/substance use history
- Psychosocial history/Developmental history
- Medical history
- Review of systems (ROS)
- Physical assessment (if applicable)
- Mental status exam
- Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria
- Case formulation and treatment plan
- Include a psychotherapy genogram for the family
Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.
By Day 7
Submit your Assignment.
Learning Resources
- American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders Links to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
- Gehart, D. R. (2024). Mastering competencies in family therapy: A practical approach to theories and clinical case documentation (4th ed.) Cengage Learning.
-
- Chapter 7, “Structural Family Therapy”
- Chapter 9, “Intergenerational and Psychoanalytic Family Therapies” pp. 338—352
- Chapter 13, “Case Conceptualization”
- Chapter 14, “Clinical Assessment”
- Chapter 15, “Treatment Planning”
- Chapter 16, “Evaluating Progress in Therapy”
- Chapter 17, “Document It: Progress Notes”
-
- Therapist Aid. (2012–2020). Genograms for psychotherapy.Links to an external site. https://www.therapistaid.com/therapy-guide/genograms
Therapist Aid LLC. (© 2012-2020). Genograms for psychotherapy. https://www.therapistaid.com/therapy-guide/genograms - Document: Comprehensive Psychiatric Evaluation Note TemplateDownload Comprehensive Psychiatric Evaluation Note Template
- Document: Comprehensive Psychiatric Evaluation Note ExemplarDownload Comprehensive Psychiatric Evaluation Note Exemplar
Optional Resource
- Kaplin, D. (2021, Nov. 5). Family systems therapyLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=UVPENypTc4k
- Gehart, D. R. (2013, August 29). Progress note Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=CEB1vBObUqc
- Masterswork Productions. (2003). Mother and daughter: A cultural tale Links to an external site. [Video/DVD]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/mother-and-daughter-a-cultural-tale
- Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practiceLinks to an external site. [Video]. https://waldenu.kanopy.com/video/counseling-and-psychotherapy-theories-contex
- Family Systems Therapy (starts at 4 hours)
NRNP_6645_Week2_Assignment_Rubric
| NRNP_6645_Week2_Assignment_Rubric | ||
| Criteria | Ratings | Pts |
| This criterion is linked to a Learning OutcomeDocument the following for the family in the video, using the Comprehensive Evaluation Note Template: • Chief complaint• History of present illness• Past psychiatric history• Substance use history• Family psychiatric/substance use history• Psychosocial history/Developmental history• Medical history• Review of systems (ROS) • Physical assessment (if applicable) | 20 to >17.0 ptsExcellent 90%–100%The assignment includes an accurate, clear, and complete description of the subjective and objective information for the client family. The response addresses each of the required elements and demonstrates thoughtful consideration of the client family’s situation and culture.
17 to >15.0 ptsGood 80%–89%The assignment includes an accurate, clear, and complete description of the subjective and objective information for the client family. 15 to >13.0 ptsFair 70%–79%The assignment includes a description of the subjective and objective information for the client family but is somewhat general or contains small inaccuracies. 13 to >0 ptsPoor 0%–69%The assignment includes a description of the subjective and objective information for the client family but is vague or contains many inaccuracies. Or, several of the required elements are missing. |
20 pts |
| This criterion is linked to a Learning Outcome• Mental status exam • Differential diagnoses—Include a minimum of three differential diagnoses and include how you derived at each diagnosis in accordance with DSM-5-TR diagnostic criteria | 20 to >17.0 ptsExcellent 90%–100%The response thoroughly and accurately documents the results of the mental status exam…. Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the family in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.
17 to >15.0 ptsGood 80%–89%The response accurately documents the results of the mental status exam…. Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides an accurate justification for each of the disorders selected. 15 to >13.0 ptsFair 70%–79%The response documents the results of the mental status exam with some vagueness or innacuracy…. Response lists at least three different possible disorders for a differential diagnosis of the patient and provides a justification for each, but may contain some vaguess or innacuracy. 13 to >0 ptsPoor 0%–69%The response provides an incomplete or inaccurate description of the results of the mental status exam and/or explanation of the differential diagnoses. Or, assessment documentation is missing. |
20 pts |
| This criterion is linked to a Learning Outcome• Case formulation• Treatment plan that includes psychotherapy interventions | 25 to >22.0 ptsExcellent 90%–100%Case formulation is thorough, thoughtful, and demonstrate critical thinking…. The assignment includes an accurate, clear, and complete treatment plan for the client family that includes psychotherapy interventions. The response demonstrates thoughtful consideration of the client family’s situation and culture.
22 to >19.0 ptsGood 80%–89%Case formulation demonstrates critical thinking…. The assignment includes an accurate, clear, and complete treatment plan for the client family that includes psychotherapy interventions. 19 to >17.0 ptsFair 70%–79%Case formulation is somewhat general or does not demonstrate critical thinking…. The assignment includes a treatment plan for the client family that includes psychotherapy interventions but is somewhat general or contains small inaccuracies. 17 to >0 ptsPoor 0%–69%The assignment provides a vague and/or inaccurate description of the case formulation and treatment plan for the client family. Or, many of the required elements are missing. |
25 pts |
| This criterion is linked to a Learning Outcome• A psychotherapy genogram for the family | 20 to >17.0 ptsExcellent 90%–100%The assignment includes an accurate, clear, and complete genogram of the client family. The documentation style is consistent and a key is provided.
17 to >15.0 ptsGood 80%–89%The assignment includes an accurate genogram of the client family. The documentation style is consistent and a key is provided. 15 to >13.0 ptsFair 70%–79%The assignment includes a genogram of the client family but is somewhat limited or contains factual inaccuracies or inconsistencies in documentation style. 13 to >0 ptsPoor 0%–69%The genogram provided is vague or contains many inaccuracies. Or, the genogram is missing. |
20 pts |
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided which delineate all required criteria. | 5 to >4.0 ptsExcellent 90%–100%Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.
4 to >3.0 ptsGood 80%–89%Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. 3 to >2.0 ptsFair 70%–79%Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time…. Purpose, introduction, and conclusion of the assignment are vague or off topic. 2 to >0 ptsPoor 0%–69%Paragraphs and sentences follow writing standards for flow, continuity, and clarity <60% of the time…. No purpose statement, introduction, or conclusion were provided. |
5 pts |
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | 5 to >4.0 ptsExcellent 90%–100%Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.0 ptsGood 80%–89%Contains 1 or 2 grammar, spelling, and punctuation errors. 3 to >2.0 ptsFair 70%–79%Contains 3 or 4 grammar, spelling, and punctuation errors. 2 to >0 ptsPoor 0%–69%Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. |
5 pts |
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. | 5 to >4.0 ptsExcellent 90%–100%Uses correct APA format with no errors.
4 to >3.0 ptsGood 80%–89%Contains 1 or 2 APA format errors. 3 to >2.0 ptsFair 70%–79%Contains 3 or 4 APA format errors. 2 to >0 ptsPoor 0%–69%Contains many (≥5) APA format errors. |
5 pts |
Total Points: 100
