Child Psychotherapy Homework Planner Pdf

Description

New and updated assignments and exercises meet the changing needs of mental health professionals The Child Psychotherapy Homework Planner, Fifth Edition provides you with an array of ready-to-use, between-session assignments designed to fit virtually every therapeutic mode. This easy-to-use sourcebook features: *93 ready-to-copy exercises covering the most common issues encountered by children, such as academic underachievement, low self-esteem, depression, and separation anxiety * A quick-reference format the interactive assignments are grouped by behavioral problems including blended family problems, divorce reaction, ADHD, attachment disorder, social anxiety, language disorders, and unresolved grief and loss * Expert guidance on how and when to make the most efficient use of the exercises * Assignments cross-referenced to The Child Psychotherapy Treatment Planner, Fifth Edition so you can quickly identify the right exercises for a given situation or problem * A CD-ROM contains all the exercises in a word-processing format allowing you to customize them to suit your and your clients unique styles and needs
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Product details

  • Paperback | 408 pages
  • 215.9 x 274.32 x 33.02mm | 884.5g
  • 15 Apr 2014
  • John Wiley & Sons Inc
  • New York, United States
  • English
  • 5th Edition
  • 1118076745
  • 9781118076743
  • 736,066

❑The Complete Adult Psychotherapy Treatment Planner, Fourth Edition................. 0-471-76346-2 / .... *Add $5 shipping for first book, $3 for each additional book.

PracticePlanners ® Arthur E. Jongsma, Jr., Series Editor

Adolescent Psychotherapy Homework Planner Second Edition Arthur E. Jongsma, Jr. L. Mark Peterson William P. McInnis

John Wiley & Sons, Inc.

PracticePlanners

®

Arthur E. Jongsma, Jr., Series Editor

Helping therapists help their clients . . . Treatment Planners cover all the necessary elements for developing formal treatment plans, including detailed problem definitions, long-term goals, short-term objectives, therapeutic interventions, and DSM-IV™ diagnoses. ❑ The Complete Adult Psychotherapy Treatment Planner, Fourth Edition.................0-471-76346-2 / $49.95 ❑ The Child Psychotherapy Treatment Planner, Fourth Edition.................................0-471-78535-0 / $49.95 ❑ The Adolescent Psychotherapy Treatment Planner, Fourth Edition .......................0-471-78539-3 / $49.95 ❑ The Addiction Treatment Planner, Third Edition.....................................................0-471-72544-7 / $49.95 ❑ The Couples Psychotherapy Treatment Planner ..................................................0-471-24711-1 / $49.95 ❑ The Group Therapy Treatment Planner, Second Edition.........................................0-471-66791-9 / $49.95 ❑ The Family Therapy Treatment Planner ...............................................................0-471-34768-X / $49.95 ❑ The Older Adult Psychotherapy Treatment Planner .............................................0-471-29574-4 / $49.95 ❑ The Employee Assistance (EAP) Treatment Planner ............................................0-471-24709-X / $49.95 ❑ The Gay and Lesbian Psychotherapy Treatment Planner ....................................0-471-35080-X / $49.95 ❑ The Crisis Counseling and Traumatic Events Treatment Planner ........................0-471-39587-0 / $49.95 ❑ The Social Work and Human Services Treatment Planner ..................................0-471-37741-4 / $49.95 ❑ The Continuum of Care Treatment Planner .........................................................0-471-19568-5 / $49.95 ❑ The Behavioral Medicine Treatment Planner.......................................................0-471-31923-6 / $49.95 ❑ The Mental Retardation and Developmental Disability Treatment Planner .............0-471-38253-1 / $49.95 ❑ The Special Education Treatment Planner...........................................................0-471-38872-6 / $49.95 ❑ The Severe and Persistent Mental Illness Treatment Planner.............................0-471-35945-9 / $49.95 ❑ The Personality Disorders Treatment Planner .....................................................0-471-39403-3 / $49.95 ❑ The Rehabilitation Psychology Treatment Planner ..............................................0-471-35178-4 / $49.95 ❑ The Pastoral Counseling Treatment Planner........................................................0-471-25416-9 / $49.95 ❑ The Juvenile Justice and Residential Care Treatment Planner ...........................0-471-43320-9 / $49.95 ❑ The School Counseling and School Social Work Treatment Planner ...................0-471-08496-4 / $49.95 ❑ The Psychopharmacology Treatment Planner .....................................................0-471-43322-5 / $49.95 ❑ The Probation and Parole Treatment Planner......................................................0-471-20244-4 / $49.95 ❑ The Suicide and Homicide Risk Assessment and Prevention Treatment Planner ......................................................................0-471-46631-X / $49.95 ❑ The Speech-Language Pathology Treatment Planner..........................................0-471-27504-2 / $49.95 ❑ The College Student Counseling Treatment Planner ...........................................0-471-46708-1 / $49.95 ❑ The Parenting Skills Treatment Planner ..............................................................0-471-48183-1 / $49.95 ❑ The Early Childhood Education Intervention Treatment Planner .........................0-471-65962-2 / $49.95 ❑ The Co-Occurring Disorders Treatment Planner..................................................0-471-73081-5 / $49.95 ❑ The Sexual Abuse Victim and Sexual Offender Treatment Planner .....................0-471-21979-7 / $49.95

The Complete Treatment and Homework Planners series of books combines our bestselling Treatment Planners and Homework Planners into one easy-to-use, all-in-one resource for mental health professionals treating clients suffering from the most commonly diagnosed disorders. ❑ The Complete Depression Treatment and Homework Planner ............................0-471-64515-X / $39.95 ❑ The Complete Anxiety Treatment and Homework Planner ..................................0-471-64548-6 / $39.95

Over 500,000 PracticePlanners sold . . . ®

PracticePlanners

®

Homework Planners feature dozens of behaviorally based, ready-to-use assignments that are designed for use between sessions, as well as a disk or CD-ROM (Microsoft Word) containing all of the assignments—allowing you to customize them to suit your unique client needs.

u Homework Planners include disk or CD-ROM!

❑ Brief Couples Therapy Homework Planner ..........................................................0-471-29511-6 / $49.95 ❑ Child Psychotherapy Homework Planner, Second Edition .....................................0-471-78534-2 / $49.95 ❑ Child Therapy Activity and Homework Planner....................................................0-471-25684-6 / $49.95 ❑ Adolescent Psychotherapy Homework Planner, Second Edition ...........................0-471-78537-7 / $49.95 ❑ Addiction Treatment Homework Planner, Third Edition .........................................0-471-77461-8 / $49.95 ❑ Brief Employee Assistance Homework Planner...................................................0-471-38088-1 / $49.95 ❑ Brief Family Therapy Homework Planner ............................................................0-471-38512-3 / $49.95 ❑ Grief Counseling Homework Planner...................................................................0-471-43318-7 / $49.95 ❑ Divorce Counseling Homework Planner ..............................................................0-471-43319-5 / $49.95 ❑ Group Therapy Homework Planner......................................................................0-471-41822-6 / $49.95 ❑ School Counseling and School Social Work Homework Planner.........................0-471-09114-6 / $49.95 ❑ Adolescent Psychotherapy Homework Planner II ................................................0-471-27493-3 / $49.95 ❑ Adult Psychotherapy Homework Planner, Second Edition.....................................0-471-76343-8 / $49.95 ❑ Parenting Skills Homework Planner ....................................................................0-471-48182-3 / $49.95

Progress Notes Planners contain complete prewritten progress notes for each presenting problem in the companion Treatment Planners. ❑ The Adult Psychotherapy Progress Notes Planner ..............................................0-471-76344-6 / $49.95 ❑ The Adolescent Psychotherapy Progress Notes Planner .....................................0-471-78538-5 / $49.95 ❑ The Severe and Persistent Mental Illness Progress Notes Planner ....................0-471-21986-X / $49.95 ❑ The Child Psychotherapy Progress Notes Planner ..............................................0-471-78536-9 / $49.95 ❑ The Addiction Progress Notes Planner ................................................................0-471-73253-2 / $49.95 ❑ The Couples Psychotherapy Progress Notes Planner..........................................0-471-27460-7 / $49.95 ❑ The Family Therapy Progress Notes Planner.......................................................0-471-48443-1 / $49.95

Client Education Handout Planners contain elegantly designed handouts that can be printed out from the enclosed CD-ROM and provide information on a wide range of psychological and emotional disorders and life skills issues. Use as patient literature, handouts at presentations, and aids for promoting your mental health practice.

u Includes CD-ROM!

❑ Adult Client Education Handout Planner..............................................................0-471-20232-0 / $49.95 ❑ Child and Adolescent Client Education Handout Planner ....................................0-471-20233-9 / $49.95 ❑ Couples and Family Client Education Handout Planner ......................................0-471-20234-7 / $49.95

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For more information or to order: ■ Call our TheraScribe® specialists, toll free, at: 1-866-888-5158 ■ Visit us on the web at: www.wiley.com/therascribe And introducing...

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❑ Getting Started in Personal and Executive Coaching (ISBN 0-471-42624-5, $24.95US) ❑ Getting Started in Private Practice (ISBN 0-471-42623-7, $24.95US)

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Need Help Getting Started? Getting Started in Personal and Executive Coaching offers a go-to reference designed to help build, manage, and sustain a thriving coaching practice. Packed with hundreds of proven strategies and techniques, this nutsand-bolts guide covers all aspects of the coaching business with step-by-step instructions and real-world illustrations that prepare you for every phase of starting your own coaching business. This single, reliable book offers straightforward advice and tools for running a successful practice, including: • Seven secrets of highly successful coaches • Fifteen strategies for landing paying clients • Ten marketing mistakes to avoid • Sample business and marketing plans • Worksheets for setting rates and managing revenue Getting Started in Personal and Executive Coaching Stephen G. Fairley and Chris E. Stout ISBN 0-471-42624-5 Paper • $24.95 • 356pp • December 2003

Getting Started in Private Practice provides all the information you need to confidently start and grow your own mental health practice. This book breaks down the ingredients of practice into more manageable and achievable components and will teach you the skills you need to avoid making costly mistakes. Containing dozens of tools that you can use to achieve your goals, this book has specific information that can be applied to your business today, worksheets that will help you calculate the true costs of various expenditures and activities, checklists that might save you from disaster, and lists of resources to investigate. Includes: • Forms and examples of various practice aspects • Step-by-step advice on writing a business plan and marketing your business • Suggestions and ideas intended to help you get your creative juices flowing • Practical and simple formulas to help calculate rates, revenues, and Return on Investment • Comprehensive information on licensing procedures and risk management Getting Started in Private Practice Chris E. Stout and Laurie Cope Grand ISBN 0-471-42623-7 Paper • $24.95 • 304 pp. • October 2004

Adolescent Psychotherapy Homework Planner, Second Edition

PRACTICEPLANNERS ® SERIES Treatment Planners The Adult Psychotherapy Treatment Planner, Fourth Edition The Child Psychotherapy Treatment Planner, Fourth Edition The Adolescent Psychotherapy Treatment Planner, Fourth Edition The Addiction Treatment Planner, Third Edition The Continuum of Care Treatment Planner The Couples Psychotherapy Treatment Planner The Employee Assistance Treatment Planner The Pastoral Counseling Treatment Planner The Older Adult Psychotherapy Treatment Planner The Behavioral Medicine Treatment Planner The Group Therapy Treatment Planner, Second Edition The Gay and Lesbian Psychotherapy Treatment Planner The Family Therapy Treatment Planner The Severe and Persistent Mental Illness Treatment Planner The Mental Retardation and Developmental Disability Treatment Planner The Social Work and Human Services Treatment Planner The Crisis Counseling and Traumatic Events Treatment Planner The Personality Disorders Treatment Planner The Rehabilitation Psychology Treatment Planner The Special Education Treatment Planner The Juvenile Justice and Residential Care Treatment Planner The School Counseling and School Social Work Treatment Planner The Sexual Abuse Victim and Sexual Offender Treatment Planner The Probation and Parole Treatment Planner The Psychopharmacology Treatment Planner The Speech-Language Pathology Treatment Planner The Suicide and Homicide Risk Assessment & Prevention Treatment Planner The College Student Counseling Treatment Planner The Parenting Skills Treatment Planner The Early Childhood Education Intervention Treatment Planner The Co-Occurring Disorders Treatment Planner

Progress Notes Planners The Child Psychotherapy Progress Notes Planner, Third Edition The Adolescent Psychotherapy Progress Notes Planner, Third Edition The Adult Psychotherapy Progress Notes Planner, Third Edition The Addiction Progress Notes Planner, Second Edition The Severe and Persistent Mental Illness Progress Notes Planner The Couples Psychotherapy Progress Notes Planner The Family Therapy Progress Notes Planner

Homework Planners Brief Therapy Homework Planner Brief Couples Therapy Homework Planner Brief Employee Assistance Homework Planner Brief Family Therapy Homework Planner Grief Counseling Homework Planner Group Therapy Homework Planner Divorce Counseling Homework Planner School Counseling and School Social Work Homework Planner Child Therapy Activity and Homework Planner Addiction Treatment Homework Planner, Third Edition Adolescent Psychotherapy Homework Planner, Second Edition Adult Psychotherapy Homework Planner, Second Edition Child Psychotherapy Homework Planner, Second Edition Parenting Skills Homework Planner

Client Education Handout Planners Adult Client Education Handout Planner Child and Adolescent Client Education Handout Planner Couples and Family Client Education Handout Planner

Complete Planners The Complete Depression Treatment and Homework Planner The Complete Anxiety Treatment and Homework Planner

PracticePlanners ® Arthur E. Jongsma, Jr., Series Editor

Adolescent Psychotherapy Homework Planner Second Edition Arthur E. Jongsma, Jr. L. Mark Peterson William P. McInnis

John Wiley & Sons, Inc.

This book is printed on acid-free paper.o Copyright © 2006 by Arthur E. Jongsma, Jr. All rights reserved. Published by John Wiley & Sons, Inc., Hoboken, New Jersey. Published simultaneously in Canada. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under SECTION 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 646-8600, or on the web at www.Copyright.Com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201) 748-6008 or online at http://www.wiley.com/go/permissions. Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering professional services. If legal, accounting, medical, psychological, or any other expert assistance is required, the services of a competent professional person should be sought. Designations used by companies to distinguish their products are often claimed as trademarks. In all instances where John Wiley & Sons, Inc. is aware of a claim, the product names appear in initial capital or all capital letters. Readers, however, should contact the appropriate companies for more complete information regarding trademarks and registration. For general information on our other products and services please contact our Customer Care Department within the U.S. at (800) 762-2974, outside the U.S. at (317) 572-3993, or fax (317) 572-4002. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. For more information about Wiley products, visit our website at www.wiley.com Note about Photocopy Rights The publisher grants purchasers permission to reproduce handouts from this book for professional use with their clients.

ISBN-13: 978-0-471-78537-8 ISBN-10: 0-471-78537-7 Printed in the United States of America. 10 9 8 7 6 5 4 3 2 1

This book is dedicated to our mothers and mothers-in-law: Phyllis McInnis Joan Wieringa Harmina Doot Evelyn Landis Dorothy Peterson We recognize and appreciate the love, support, and guidance they provided through our adolescence and into our adulthood.

CONTENTS

PracticePlanners® Series Preface

xvii

Acknowledgments

xix

Homework Planners Introduction

xxi

SECTION I—Academic Underachievement

1

Exercise I.A

Break It Down Into Small Steps

2

Exercise I.B

Good Grade / Bad Grade Incident Reports

6

SECTION II—Adoption

8

Exercise II.A

Questions and Concerns Around Being Adopted

Exercise II.B

Some Things I’d Like You to Know

SECTION III—Anger Management

9 11 16

Exercise III.A

Anger Control

17

Exercise III.B

Stop Yelling

23

SECTION IV—Anxiety Exercise IV.A

25 Finding and Losing Your Anxiety

SECTION V—Attention-Deficit / Hyperactivity Disorder (ADHD)

26 29

Exercise V.A

Getting It Done

30

Exercise V.B

Social Skills Exercise

36

Exercise V.C

Stop, Think, and Act

41

SECTION VI—Autism / Pervasive Developmental Disorder

45

Exercise VI.A

Managing the Meltdowns

46

Exercise VI.B

Progress Survey

49

SECTION VII—Blended Family

52

Exercise VII.A

A Few Things About Me

53

Exercise VII.B

Stepparent and Sibling Questionnaire

55

xi

xii

CONTENTS

SECTION VIII—Chemical Dependence

57

Exercise VIII.A

Keeping Straight

58

Exercise VIII.B

Taking Your First Step

62

Exercise VIII.C

Welcome to Recovery

68

SECTION IX—Conduct Disorder / Delinquency

71

Exercise IX.A

Headed in the Right Direction

72

Exercise IX.B

My Behavior and Its Full Impact

76

Exercise IX.C

Patterns of Stealing

80

SECTION X—Depression

83

Exercise X.A

Bad Thoughts Lead to Depressed Feelings

84

Exercise X.B

Surface Behavior / Inner Feelings

89

Exercise X.C

Three Ways to Change the World

93

Exercise X.D

Unmet Emotional Needs—Identification and Satisfaction

97

SECTION XI—Divorce Reaction

100

Exercise XI.A

Identify a Change Resulting from Parents’ Divorce

101

Exercise XI.B

Initial Reaction to Parents’ Separation

104

SECTION XII—Eating Disorder

106

Exercise XII.A

Fears Beneath the Eating Disorder

107

Exercise XII.B

Reality: Food Intake, Weight, Thoughts, and Feelings

112

SECTION XIII—Grief / Loss Unresolved

116

Exercise XIII.A

Create a Memory Album

117

Exercise XIII.B

Grief Letter

119

SECTION XIV—Low Self-Esteem

122

Exercise XIV.A

Three Ways to Change Yourself

123

Exercise XIV.B

Three Wishes Game

127

SECTION XV—Mania / Hypomania

129

Exercise XV.A

Action Minus Thought Equals Painful Consequences

130

Exercise XV.B

Clear Rules, Positive Reinforcement, Appropriate Consequences

135

I Am a Good Person

139

Exercise XV.C

CONTENTS

SECTION XVI—Medical Condition

xiii

142

Exercise XVI.A

Coping with a Sibling’s Health Problems

143

Exercise XVI.B

Effects of Physical Handicap or Illness on Self-Esteem and Peer Relations

147

SECTION XVII—Mental Retardation

149

Exercise XVII.A

Activities of Daily Living Program

150

Exercise XVII.B

You Belong Here

156

SECTION XVIII—Negative Peer Influences

159

Exercise XVIII.A

Choice of Friends Survey

160

Exercise XVIII.B

I Want To Be Like . . .

166

SECTION XIX—Obsessive-Compulsive Disorder (OCD)

168

Exercise XIX.A

Decreasing What You Save and Collect

169

Exercise XIX.B

Refocus Attention Away from Obsessions and Compulsions

172

SECTION XX—Oppositional Defiant

176

Exercise XX.A

Filing a Complaint

177

Exercise XX.B

If I Could Run My Family

180

Exercise XX.C

Switching from Defense to Offense

185

SECTION XXI—Panic /Agoraphobia

188

Exercise XXI.A

Panic Attack Rating Form

189

Exercise XXI.B

Panic Survey

193

SECTION XXII—Parenting

195

Exercise XXII.A

Evaluating the Strength of Your Parenting Team

196

Exercise XXII.B

One-on-One

199

Exercise XXII.C

Transitioning from Parenting a Child to Parenting a Teen

203

SECTION XXIII—Peer / Sibling Conflict

206

Exercise XXIII.A

Cloning the Perfect Sibling

207

Exercise XXIII.B

Joseph, “His Amazing Technicolor Coat,” and More

211

Exercise XXIII.C

Negotiating a Peace Treaty

215

xiv

CONTENTS

SECTION XXIV—Physical / Emotional Abuse Victim

217

Exercise XXIV.A

Letter of Empowerment

218

Exercise XXIV.B

My Thoughts and Feelings

222

Exercise XXIV.C

Take the First Step

226

SECTION XXV—Posttraumatic Stress Disorder (PTSD)

231

Exercise XXV.A

Effects of Chronic or Long-Term Trauma / Stress

232

Exercise XXV.B

Impact of Frightening or Dangerous Event

236

SECTION XXVI—Psychoticism Exercise XXVI.A

Recognizing Early Warning Signs

SECTION XXVII—Runaway

239 240 243

Exercise XXVII.A

Airing Your Grievances

244

Exercise XXVII.B

Home by Another Name

247

Exercise XXVII.C

Undercover Assignment

250

SECTION XXVIII—School Violence

253

Exercise XXVIII.A

My Pent-Up Anger at School

254

Exercise XXVIII.B

School Violence Incident Report

257

SECTION XXIX—Sexual Abuse Perpetrator

259

Exercise XXIX.A

Getting Started

260

Exercise XXIX.B

Opening the Door to Forgiveness

264

Exercise XXIX.C

Your Feelings and Beyond

269

SECTION XXX—Sexual Abuse Victim

273

Exercise XXX.A

Letter of Forgiveness

274

Exercise XXX.B

My Story

279

Exercise XXX.C

You Are Not Alone

282

SECTION XXXI—Sexual Acting Out

287

Exercise XXXI.A

Connecting Sexual Behavior with Needs

288

Exercise XXXI.B

Looking Closer at My Sexual Behavior

291

SECTION XXXII—Sexual Identity Confusion Exercise XXXII.A Exercise XXXII.B

293

Parents’ Thoughts and Feelings About Son / Daughter’s Sexual Orientation

294

Unsure

298

CONTENTS

SECTION XXXIII—Social Phobia / Shyness

xv

301

Exercise XXXIII.A

Greeting Peers

302

Exercise XXXIII.B

Reach Out and Call

308

Exercise XXXIII.C

Show Your Strengths

314

SECTION XXXIV—Specific Phobia

316

Exercise XXXIV.A

Gradually Facing a Phobic Fear

317

Exercise XXXIV.B

School Fear Reduction

321

SECTION XXXV—Suicidal Ideation

324

Exercise XXXV.A

No Self-Harm Contract

325

Exercise XXXV.B

Renewed Hope

330

Exercise XXXV.C

Symbols of Self-Worth

335

Appendix: Alternate Assignments for Presenting Problems

339

About the CD-ROM

351

PRACTICEPLANNERS ® SERIES PREFACE

Accountability is an important dimension of the practice of psychotherapy. Treatment programs, public agencies, clinics, and practitioners must justify and document their treatment plans to outside review entities in order to be reimbursed for services. The books and software in the PracticePlanners ® series are designed to help practitioners fulfill these documentation requirements efficiently and professionally. The PracticePlanners ® series includes a wide array of treatment planning books including not only the original Complete Adult Psychotherapy Treatment Planner, Child Psychotherapy Treatment Planner, and Adolescent Psychotherapy Treatment Planner, all now in their fourth editions, but also Treatment Planners targeted to a wide range of specialty areas of practice, including: • • • • • • • • • • • • • • • • • • • • • • •

Addictions Co-occurring disorders Behavioral medicine College students Couples therapy Crisis counseling Early childhood education Employee assistance Family therapy Gays and lesbians Group therapy Juvenile justice and residential care Mental retardation and developmental disability Neuropsychology Older adults Parenting skills Pastoral counseling Personality disorders Probation and parole Psychopharmacology School counseling Severe and persistent mental illness Sexual abuse victims and offenders

xvii

PRACTICEPLANNERS® SERIES PREFACE xviii

• •

Special education Suicide and homicide risk assessment

In addition, there are three branches of companion books which can be used in conjunction with the Treatment Planners, or on their own: •





Progress Notes Planners provide a menu of progress statements that elaborate on the client’s symptom presentation and the provider’s therapeutic intervention. Each Progress Notes Planner statement is directly integrated with the behavioral definitions and therapeutic interventions from its companion Treatment Planner. Homework Planners include homework assignments designed around each presenting problem (such as anxiety, depression, chemical dependence, anger management, eating disorders, or panic disorder) that is the focus of a chapter in its corresponding Treatment Planner. Client Education Handout Planners provide brochures and handouts to help educate and inform clients on presenting problems and mental health issues, as well as life skills techniques. The handouts are included on CD-ROMs for easy printing from your computer and are ideal for use in waiting rooms, at presentations, as newsletters, or as information for clients struggling with mental illness issues. The topics covered by these handouts correspond to the presenting problems in the Treatment Planners.

The series also includes: •

TheraScribe®, the #1 selling treatment planning and clinical record-keeping software system for mental health professionals. TheraScribe® allows the user to import the data from any of the Treatment Planner, Progress Notes Planner, or Homework Planner books into the software’s expandable database to simply point and click to create a detailed, organized, individualized, and customized treatment plan along with optional integrated progress notes and homework assignments.

Adjunctive books, such as The Psychotherapy Documentation Primer and The Clinical Documentation Sourcebook contain forms and resources to aid the clinician in mental health practice management. The goal of our series is to provide practitioners with the resources they need in order to provide high quality care in the era of accountability. To put it simply: we seek to help you spend more time on patients, and less time on paperwork. ARTHUR E. JONGSMA, JR. Grand Rapids, Michigan

ACKNOWLEDGMENTS

We want to acknowledge and express appreciation to our wives—Judy, Cherry, and Lynn—who have supported us through the many years of the PracticePlanners series. We appreciate their willingness to read the manuscripts and offer helpful suggestions. And, speaking of manuscript preparation, this project has had the benefit of many hours of perseverance by our dedicated typist, Sue Rhoda. She has organized our chaotic, scribbled details into a meaningful manuscript with a spirit of kindness and generosity. Thank you, Sue, for your loyalty and good work. A.E.J. L.M.P. W.P.M.

xix

HOMEWORK PLANNERS INTRODUCTION

ABOUT PRACTICEPLANNERS® HOMEWORK PLANNERS In today’s era of managed care, which often requires shorter and fewer treatment sessions, therapists can assign between-session homework to help maximize the effectiveness of briefer treatment. Homework provides continuity to the treatment process and allows the client to work between sessions on issues that are the focus of therapy. Many clients feel empowered by doing something on their own to facilitate the change process, and this reinforces their sense of control over their problems. The purpose of the Homework Planner series is to help you quickly put together homework assignments, so you can spend less time on paperwork and more time with your client.

Each Homework Planner: • • • • •



Saves you hours of time-consuming paperwork. Offers the freedom to develop customized homework assignments. Includes dozens of copier-ready exercises that cover the most common issues, situations, and behavioral problems encountered in therapy. Provides expert guidance on how and when to make the most efficient use of the exercises. Features assignments that are cross-referenced to each corresponding Treatment Planner—allowing you the right exercise for a given situation or behavioral problem. Includes a computer disk or CD-ROM that allows you to customize each exercise to fit your particular needs.

HOW TO USE THIS HOMEWORK PLANNER The assignments in this Homework Planner are grouped by presenting problems and cross-referenced to every presenting problem found in its companion Treatment Planner. Although these assignments were created with a specific presenting problem in mind, don’t feel limited to a single problem-oriented chapter when searching for an appropriate assignment. Included with each exercise is a cross-referenced list of suggested presenting problems for which the assignment may also be appropriate and useful. A broader crossreferenced list of assignments is found in the Appendix, where you can find relevant assignments beyond the exercises found in any specific presenting problem chapter.

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INTRODUCTION

Assigning therapy homework is just a beginning step. Carrying out the assignment requires a follow-up exploration of the impact of the assignment on the client’s thoughts, feelings, and behavior. What are the results? Was this assignment useful to the client? Can it be redesigned or altered for better results? We encourage you to examine and search for new and creative ways to actively engage your client in participating in the homework process. ARTHUR E. JONGSMA, JR. L. MARK PETERSON WILLIAM P. MCINNIS

SECTION I: ACADEMIC UNDERACHIEVEMENT Therapist’s Overview

BREAK IT DOWN INTO SMALL STEPS

GOALS OF THE EXERCISE 1. 2. 3. 4.

Complete large projects or long-term assignments on time. Improve organizational skills by breaking down projects into smaller steps. Receive rewards for successfully completing projects. Avoid the pattern of procrastinating or “waiting until the last minute” to begin working on a large or long-term project.

ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL • • •

Attention-Deficit / Hyperactivity Disorder (ADHD) Mania / Hypomania Oppositional Defiant

SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT This homework assignment is designed to assist adolescents with a learning disability, history of underachievement, or an Attention-Deficit / Hyperactivity Disorder to complete their large or long-term projects. The therapist, parents, and client are encouraged to sit down as a team to break down projects into smaller steps and then set a deadline for each step. Consultation with the client’s teacher is strongly encouraged to help identify the different steps. Encourage the parents and client to implement a reward system to positively reinforce the client for successfully completing each step. It is recommended that the final reward for completing the entire project on time be of greater value or significance than the rewards for completing the smaller steps. Negative consequences may also be used if the client fails to complete a step by the specified time period.

ACADEMIC UNDERACHIEVEMENT 1

EXERCISE I.A

BREAK IT DOWN INTO SMALL STEPS

Are you tired of rushing around at the last minute or cramming the night before to complete a long-term project that you have been given plenty of time to complete? If so, then this exercise will assist you in completing your large or long-term projects in a more timely and efficient manner. You are encouraged to meet with your parents, teachers, and therapist shortly after you are assigned a large project to help break down the task into smaller steps. In this way, you will avoid the pattern of procrastinating or putting the project off until the last minute. The project will become more manageable and you will experience less anxiety or stress in the long run. Place this assignment sheet in your notebook or post it in a prominent place to remind you of the steps that need to be completed before you turn in the entire project. 1.

First, identify the project that needs to be completed. Name of project:

Class: Final deadline: 2.

Break the project down into several smaller steps. Establish a deadline for each separate step. Step 1. 2. 3. 4. 5. 6. 7. 8.

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ACADEMIC UNDERACHIEVEMENT

Target Deadline

EXERCISE I.A

9. 10. 3.

Sit down with your parents, teachers, or therapist and identify a reward for successfully accomplishing each step on or before the deadline. The reward may be the same for each step. Record the date you completed each step and the reward you received in the following spaces. Actual Completion Date

Reward

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 4.

Develop a list of negative consequences for the times when you do not meet your deadline. Record the date you completed the step and the negative consequence you received for not completing it on time in the following spaces. Late Completion Date

Negative Consequence

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

ACADEMIC UNDERACHIEVEMENT 3

EXERCISE I.A

5.

Identify a grand reward for completing the entire project on or before the final deadline:

6.

Please respond to the following questions after you have completed and turned in your entire project (and also if you were not successful in turning the assignment in on time). A. What motivated you to complete each step?

B. Were you more motivated by trying to get the rewards or trying to avoid the negative consequences?

C. What obstacles or frustrations did you face along the way?

D. What helped you overcome or work around the obstacles or frustrations?

E. How did you feel about yourself after you completed each step? How about after you completed the entire project?

F. What did you learn about yourself and about organization in doing this project?

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ACADEMIC UNDERACHIEVEMENT

Therapist’s Overview

GOOD GRADE / BAD GRADE INCIDENT REPORTS

GOALS OF THE EXERCISE 1. 2. 3. 4.

Explore factors contributing to either good or bad grades on an assignment or test. Identify effective strategies or positive study skills that will help to improve academic performance. Take ownership or assume personal responsibility for academic performance. Attain and maintain a level of academic performance that is commensurate with level of ability.

ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL • • • •

Anxiety Attention-Deficit / Hyperactivity Disorder (ADHD) Conduct Disorder / Delinquency Oppositional Defiant

SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT In this assignment, the client is asked to complete either a Good Grade or Bad Grade Incident Report to identify the factors that contributed to him / her receiving either a good or bad grade. The incident forms will help the client to identify the strategies or positive study skills that he / she will need to utilize on a regular basis to achieve and / or maintain a level of performance that is equal to his / her ability level. The assignment will also help the client begin to take ownership of his / her grades or school performance. The client should be reinforced for taking personal responsibility for doing what is necessary to receive good grades. The assignment may also identify emotional factors or social pressures that contribute to the client’s poor grades. The therapist should consider using the incident reports in the therapy sessions with clients who have a learning disability. Teachers or school officials can also be asked to help the client complete these forms.

ACADEMIC UNDERACHIEVEMENT 5

EXERCISE I.B

GOOD GRADE INCIDENT REPORT

1.

Please give a recent example of when you received a good grade on a test or assignment. What grade did you receive? What class did you receive the good grade in?

2.

Which of these factors and / or strategies helped you to receive the good grade? (Please check all that apply.) Motivation / desire to do well Studied in advance Reviewed material more than once Broke assignment down into small steps over time Studied with a friend or other student

Asked teacher in class for help to better understand subject Met with teacher after class or before school Asked parent for help Called a friend for help Other (please identify)

Received help from an adult tutor Received tutoring from another peer 3.

How did you feel after receiving the good grade?

4.

How did your parent(s) or teacher(s) react to your good grade?

5.

In what other class(es) can you use these strategies to improve your grade?

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ACADEMIC UNDERACHIEVEMENT

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