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Cognitive behavioral therapy is short-term psychotherapy that emphasizes the need for attitude change to maintain and promote behavior modification (Nichols, 2014). Cognitive behavior therapy (CBT) has been found to be effective in a broad range of disorders. CBT can be done as an individual treatment or in a family setting. Individual CBT has a broadly defined framework with an emphasis on harm-reduction, especially with clients that have anxiety and substance abuse (Wheeler, 2014).

Cognitive-behavioral therapy for families is also brief and is solution-focused. Family CBT is focused on supporting members to act and think in a more adaptive manner, along with learning to make better decisions to create a friendlier, calmer family environment (Nichols, 2014). An example from practicum is a male (T.M) that participates in individual CBT once a week and family CBT once a week. T.M is struggling with alcoholism.

He originally presented for individual CBT because he had been “told by his wife” that he had a problem with alcohol. He reported that he drank “a few vodka drinks” three times a week but none for six weeks. Individual CBT therapy is a collaborative process between the therapist and client that takes schemas and physiology into consideration when deciding the plan of care (Wheeler, 2014). We worked with him using open-ended questions to assist with obtaining cognitive and situational information.  He would become angry easily and it was a felt that he was not being truthful about his alcohol use. Each time he was questioned about it, the story would change. He attended two individual sessions and it was then recommended he begin family CBT with his significant other (S.M) because “things were not going well at home.”

With family CBT, cognitions, emotions, and behaviors are seen as having a mutual influence on one another (Nichols, 2014). The first session was stressful, to say the least. T.M began talking about his alcohol use. S.M interrupted and said, “what about that one-time last month at the hotel. You were seeing things.” He became defensive, raised his voice, and said, “I was drugged. It had nothing to do with drinking.” She then looked down and was tearful. When he left the room to use the bathroom, S.M questioned if he could be tested for alcohol. This led the therapist to believe that T.M’s last use was not six weeks ago.

T.M’s automatic thoughts were that his alcoholism was not a problem in the marriage or in life. One of the core principles in using CBT for SUDs is that the substance of abuse serves as a reinforcement of behavior (McHugh et al., 2010). Over time, the positive and negative reinforcing agents become associated with daily activities. CBT tries to decrease these effects by improving the events associated with abstinence or by developing skills to assist with reduction (McHugh et al., 2010).

It was noticed that when T.M was alone, his stories would change. But when his wife was in the room, he would look at her while he spoke to ensure what he was saying was accurate. The therapist informed the client that it would be appropriate to continue individual therapy and family CBT once a week with the recommendation of joining the ready for change group. The CBT model for substance use states that, when a person is trying to maintain sobriety or reduce substance use, they are likely to have a relapse (Morin et al., 2017).

Ready for change meetings was recommended because like this week’s media showed, clients may relate to others that are going through similar situations. Getting T.M to realize that his alcohol use is a problem, is the primary goal currently. This example was shared because it shows the difficulties that may be encountered with psychotherapy and that both individual and family may be needed to ensure that goals are met. Some challenges that counselors face when using CBT in the family setting are wondering if the structure of the session and if the proper techniques were effective (Ringle et al., 2015). Evaluating and consulting with peers may also assist with meeting client and family goals.

References

McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive behavioral therapy for substance use disorders. The Psychiatric clinics of North America, 33(3), 511-25. doi:10.1016/j.psc.2010.04.012

Morin, J., Harris, M., & Conrod, P.  (2017, October 05). A Review of CBT Treatments for Substance Use Disorders. Oxford Handbooks Online. Ed.  Retrieved fromhttp://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780199935291.001.0001/oxfordhb-9780199935291-e-57.

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

Patterson, T. (2014). A Cognitive-Behavioral Systems Approach to Family Therapy. Journal of Family Psychotherapy, 25(2), 132–144. https://doi-org.ezp.waldenulibrary.org/10.1080/08975353.2014.910023

Ringle, V. A., Read, K. L., Edmunds, J. M., Brodman, D. M., Kendall, P. C., Barg, F., & Beidas, R. S. (2015). Barriers to and Facilitators in the Implementation of Cognitive-Behavioral Therapy for Youth Anxiety in the Community. Psychiatric services (Washington, D.C.), 66(9), 938-45. doi:10.1176/appi.ps.201400134

Chapter 9: Planning for Community Change

1. Explain the planning process of community health improvement. Choose one of the models / tools for community health planning discussed in your book and explain it. (Please, mention which model / tool you chose).  ONLY 21% OF PLAGIARISM 

Please do a powerpoint presentation on the attached link below/ Nursing Journal on HPV: An updated Guide on Treatment and prevention. PLEASE No plagiarism, proof of turnitin document. Please add pictures and a possible short min film. Precise and complete. References/GUIDelines no older than 5 years!!  

Read the following chapters in Financial Management for Nurse Managers and Executives, 5 ed., Jones (2019):

Chapter 3- The financing of health care

Chapter 4- Key issues in applied economics

Chapter 6 – Accounting Principles 

Write 150-300 words post Identifying healthcare FINANCIAL MANAGEMENT ISSUES for nurse managers.

You may use Google scholars or any other nursing journal or book.

Make sure all reference sources are within 5 years.

APA format.

Plagiarism receipt requires

• Public policy has a major impact on your practice and your patients. Advocacy is an expectation of the advanced practice nurse. Elected officials care about what their constituents have to say. To make a difference, you need to be informed and engaged. Contacting your legislator and discussing issues is an important attribute of nurse leaders. In your interactions with lawmakers you want to be positive and nonpartisan, personal, persistent, patient, focused on your message, and provide accurate information. 
  Directions
  1. Determine the issue or message (e.g., telehealth impact on your practice) you wish to discuss with your legislator(s). Resource: The American Nurses Association Federal Legislative Priorities for 2019.
  2. Identify your legislator and contact information from his or her website and/or search here.
  • Letters: The student must write three (3) letters to their identified legislators (State and/or Federal). The letters/emails are  three different legislators or three different topics to three different legislators. Legislators read correspondence, especially when it is personalized and clearly from a constituent. The following guidelines should be used when writing to your representative:
    1. Be brief (one page or less), and use your own words.
    2. Begin with the appropriate heading and address.
    3. Be specific: State the specific bill number and issue and state your opinion in the first sentence.
    4. Relate your experience with the issue. Use personal examples when possible. Your interest and concern about the issue is important. 
    5. Ask the legislator to specifically commit to supporting or opposing the legislation you are writing about.
    6. Ask for specific reasons they are supporting or opposing the proposal. 
    7. Sign and print your name and include your address and other contact information.
    8. If you have pertinent materials and/or editorials from local papers, include them.
    9. Cite any references at the end of the letter or email usingAPA format.
    10. Avoid form letters/emails if possible. If you are using a sample or form letter, be sure to adapt it, especially in the first sentence and paragraph.  Legislators and their aides recognize form letters and are less likely to be influenced by them.
    11. Thank him or her for considering your opinion.
    12. Submit the three letters and/or emails in Word docs in the D2L assignment link along with a separate one-page reflection on your experience.
  • Resource: 
  • Sample Legislative Letter
  • Expectations
  • Due: Monday, 11:59 pm PT
  • See USU NUR Writing Assignment Rubric for additional details and point weighting.

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Hi 

Would you please do the final check for me?  There is a last section (#5) need to edit.  Please complete by 12pm tomorrow 10/25/2020.  Thank you very much!

The first document is the question that you will have to answer, the powerpoint is where the information is located in order to help you find the answers 

re to this discussion post (site sources if applicable).

Evidence-based practice and research allow nurses to improve the nursing profession and improve patient outcomes. Once these improvements are made, they can be published in a professional journal or delivered at a nursing or health care conference. A professional journal that I would like to publish my article of improvement would be the American Journal of Nursing. “The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer-reviewed and evidence-based, it is considered the profession’s premier journal” (Powers, Dunlap, Cipriano, Fields & Kiser, n.d). With the nursing journal being around for so long, it’s important to understand the reliability. Because of its long-standing time of informing and educating nurses, I think that my change would be best if represented by the American Journal of Nursing. 

     One of the most recognized and popular nursing conferences is the Emergency Nurses Association Conference. The Emergency Nurses Association specialized in educating and informing emergency room nurses for a lifelong of learning. I would present my presentation/project proposal to the ENA, to spread the light on workplace violence. Workplace violence is a common problem in Emergency rooms all over the world. It is important that I am one voice that will fight for a change and to spread the knowledge around the world. The ENA thrives and believes in collaboration, mutual respect, integrity, lifelong learning, and honesty and through these values, I can work to create a change with these values in place.

need a research assignment done on mid range theory