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PSY380: Counselling and Behavior Change

PSY 380 Week 5 – Final Paper

Week 5 – Final Paper

Personal Action Plan

[CLOs: 1, 2, 3, 4]

For this assignment, you will develop a Personal Action Plan for the hypothetical client avatar created in Week 1. Taking into account the client’s health risk(s), diagnosis, psychosocial factors, and confidence in his/her ability to change, outline the specific steps you would implement to promote behavior change. 

Goals: Select one behavior that your client would like to change, and list five S.M.A.R.T. goals that are specific, measurable, attainable, realistic, and trackable for behavior change. State how these goals can help improve the client’s mental/physical health and build confidence in reaching his/her goals. Consider ethical issues that you may encounter during the development of these goals.

Barriers: Assess psychosocial factors that may influence the client’s health, wellness, and treatment. Be sure to list physical, social, moral, cultural and/or economic barriers that may inhibit the client from achieving goals.

Strategies to Address Barriers: Apply three counseling techniques and three motivational interviewing strategies to help the client overcome barriers to change. At least one of the counseling techniques must be implemented in a group setting. Next, compare and contrast three behavioral change theories/models, and explain how these approaches can strengthen the client’s emotional and physical well-being. Support your response with at least three peer-reviewed articles from the university library.

External Support: Discuss how you would incorporate the client’s family, spouse, or caregivers into the action plan. Next, identify three individuals to be a part of your client’s care team. Begin by assigning roles and tasks to each team member. State the method in which you will communicate with each other, and how frequently you will interact. Explain how you might engage an entire practice team in supporting the client from a systemic perspective.  Search the university library for recommended guidelines, and cite at least one peer-reviewed source.

Follow-up Plan: Describe how you will follow-up with the client to sustain healthy behaviors between visits and after termination. Recommend two social and/or environmental resources (e.g., peer-led groups, patient education classes) for ongoing support. Justify your recommendations with at least one peer-reviewed source from the university library.

The paper

  • Must be seven to eight double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must use at least five scholarly sources in addition to the course text.
  • Must document all sources in APA style as outlined in the Ashford Writing Center.
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PSY380: Counselling and Behavior Change

PSY 380 Week 5 – Discussion 2

Week 5 – Discussion 2

2020 unread replies.4444 replies.

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated.

 Self-Monitoring [CLO: 2]


Prior to completing this discussion, please read Chapters 13, 14, 15, 16, 17, and 18 in Hilliard, Riekert, Ockene, and Pbert (2018).

When working with clients with health risks and/or disease, it is important for the client to have self-management interventions to use in between sessions and after treatment has terminated. In your initial post, describe the central role that the client will play in managing his/her condition. Next, identify a self-management intervention to monitor symptoms, medication, and/or stressors for your assigned hypothetical client. Justify your choice with at least one scholarly source.

Please select your hypothetical client, based on your last name:

Marcus, a 45-year-old, Caucasian male with Cardiovascular Disease: Last names beginning with A through E
Tina, a 28-year-old, Asian female with Type 1 Diabetes: Last names beginning with F through K
Eddie, a 15-year-old, Hispanic male with Asthma: Last names beginning with L through P
Shana, a 34-year -old, African American female who is Overweight: Last names beginning with Q through U
Dalia, a 60-year- old, Caucasian female with Cancer: Last names beginning with V through Z

Guided Response: Respond to two peers who were assigned a different case vignette, evaluate the Self-management intervention that they selected for the client. Consider the questions or concerns that the client may have regarding health monitoring, and pose them to your peers. Then suggest a digital self-management tool that might also be useful.

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PSY380: Counselling and Behavior Change

PSY 380 Week 5 – Discussion 1

Week 5 – Discussion 1

2525 unread replies.4242 replies.

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated.

 Treatment Team [CLO: 2]


Prior to completing this discussion, please read Chapter  22: Health Care Provider and System Interventions Promoting Health and Behavior Change in Hilliard, Riekert, Ockene, and Pbert (2018), and any relevant Instructor Guidance.

For this week’s discussion, assume the role of a health care provider who is responsible for implementing system interventions to promote health and behavior change. Share at least one intervention from Chapter 22 in Hilliard, Riekert, Ockene, and Pbert (2018), and describe how you would establish two-way communication and partnerships within your local community. Next, outline some of the challenges and ethical issues that you may encounter when working collaboratively.

Post your response by Day 3 and respond to two of your classmates by Day 7. Include one of the course texts and one additional scholarly resource in your response. Use APA formant and organize your post using subheadings.

Guided Response: Review two of your classmate’s posts and evaluate the system intervention they shared. Suggest another intervention that may be used in the final paper. Include one reference to support your comments to your classmates.

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PSY380: Counselling and Behavior Change

PSY 380 Week 4 journal

Week Four Journal

[CLOs: 1, 4]

Prior to beginning work on this week’s journal, please read Chapter 5: Counselor Know Thyself in Meier and Davis (2018),  as well as Chapter 4: Developmental Influences on Behavior Change: Children, Adolescents, Emerging Adults, and the Elderly and Chapter 5: Culture, Behavior, and Health in Hilliard, Riekert, Ockene, and Pbert (2018).

In a journal entry of 500-1000 words, evaluate moral, ethical, and cultural issues that you may encounter while working with the hypothetical client from the “Motivational Interviewing” discussion. Describe how the client’s level or readiness (i.e. Contemplation Stage) and psychosocial history might impact behavioral change. Support your response with information from Chapter 4 and 5 in Hilliard, Riekert, Ockene, and Pbert (2018).

Next, state the amount of progress you would find acceptable, and if you can be flexible, accepting, and gentle with the hypothetical client. Address any biases that you may have towards the hypothetical client, and explain how you would work to overcome these issues. Include one suggestion from Chapter 5 in Meier and Davis (2018).

Include at least one scholarly source from the university library to support your response. All sources must be formatted in proper APA style. If you are unsure how to create an APA style title and reference page, please visit the Ashford Writing Center (Links to an external site.).

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PSY380: Counselling and Behavior Change

PSY 380 Week 4 Assignment

Week 4 – Discussion

3131 unread replies.4545 replies.

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated.

 Motivational Interviewing [CLO: 2]


Prior to beginning work on this week’s discussion, please read Chapter 10: Alcohol Prevention and Treatment:  Interventions for Hazardous, Harmful, and Dependent Drinkers in Riekert, Ockene, and Pbert (2018) and Moyers (2014) The Relationship in Motivational Interviewing. Be sure to also watch the Behavioral Health and Wellness Program (2015) Motivational interviewing for tobacco cessation (Links to an external site.) video.

Motivational Interviewing is a person-centered approach that helps clients explore areas of concern from a place of autonomy.  In this week’s discussion, you will have the opportunity to practice motivational interviewing skills with a case simulation. Review the client’s demographic information, presenting complaint, and psychosocial history. Next, select three questions you would ask the hypothetical client. 

Case Simulation.

In your initial post, share which three questions you selected. Provide a rationale for why you selected each question, supporting your response with information from the Moyers (2014) article. Next, list at least one Follow-up question and statement you would make after hearing Jake’s responses.

Guided Response: Respond to two peers who selected at least two different questions than you and evaluate your classmate’s rationale, follow-up questions, and additional statements to the client.  What follow-up questions or statements would make after hearing Jake’s response.

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PSY380: Counselling and Behavior Change

PSY 380 Week 3 Assignment

Annotated Bibliography

[CLOs: 2, 3]

Prior to beginning work on your annotated bibliography, review the instructions for your Final Paper, which are listed in Week Five.

Next, locate at least three scholarly sources from the university library applicable to the counseling interventions and behavior change models that you intend  to reference in your final paper.  Be sure to also include two scholarly sources that address external support and aftercare plans. Explain why these resources would be appropriate for your client avatar.

Submit a two- to three- page annotated bibliography with your five scholarly sources.  Each source must include an APA formatted reference, as well as four to five well-developed sentences in which you summarize each source.  Use scholarly sources (peer-reviewed journal articles, research studies, and government websites) from the university library that were published within the last five years. Popular internet sites such as Wikipedia are not considered scholarly sources. You will receive feedback on your annotated bibliography to help you make your Final Paper more effective.

For more in-depth assistance with your outline or annotated bibliography, please visit the Ashford Writing Center located under the Learning Resources tab in the left-hand navigation panel of this course. Specifically, the following Annotated Bibliography resources will be helpful to you:
http://writingcenter.ashford.edu/annotated-bibliography (Links to an external site.).

The Ashford Writing Center (AWC) has two kinds of tutoring available.

Live Chat – If you have writing-related questions about a topic before you draft a discussion post or submit a written assignment, you will now be able to chat live with a tutor for a short (up to 20 minute) conversation. Live
Chat will be available Monday through Friday from 10:00-11:00 am and 4:00-5:00 pm (PST). AWC Live Chat

Email Paper Review – If you have a draft, partial draft, or even if you’re having trouble getting started, you can complete a submission form and email your paper to the AWC for review .
Writing Tutors will do their best to return your paper with their comments within 48 hours, not including Saturdays and Sundays. Please plan accordingly if you would like to receive feedback before an assignment due date.

The Annotated Bibliography

  • Must be two to three double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must use at least five scholarly sources in addition to the course text.
  • Must document all sources in APA style as outlined in the Ashford Writing Center.
  • Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
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PSY380: Counselling and Behavior Change

PSY 380 Week 3 Discussion 2

Week 3 – Discussion 2

2828 unread replies.3434 replies.

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated.

 Behavior Change Theories [CLO: 3]


Prior to completing this discussion, please read Chapter 1: Individual Theories, Chapter 2: Understanding Population health from Multilevel and Community-Based Models, and Chapter 3: Psychosocial Predictors of Behavior Change in Hilliard, Riekert, Ockene, and Pbert (2018). Be sure to also read Richert, Schüz, and Schüz (2013) Stages of Health Behavior Change and Mindsets: A Latent Class Approach (Links to an external site.), and any relevant Instructor Guidance.

Theories help health professionals with understanding, predicting, and maintaining healthy behaviors. By adopting healthy behaviors, many diseases and illnesses can be prevented. However, it is still confusing to many health professionals why some people are successful in adopting and maintaining healthy behaviors and why others are not.   No one theory can explain everything; therefore, sometimes two behavior change models may need to be utilized in the application process (Hilliard, Riekert, Ockene, & Pbert, 2018). In this discussion, use the client avatar you created in Week 1 and address the following prompt:

Identify two to three behaviors you would like to see your client avatar change. Select one behavior change model, as described in Hilliard, Riekert, Ockene, and Pbert (2018), “Handbook of Health Behavior Change”, and explain the major components of this model and why it was selected. Compare and contrast this model with two other models discussed in the text.  

Post your response by Day 3 and respond to two of your classmates by Day 7. Include one of the course texts and one additional scholarly resource in your response. Use APA formant and organize your post using subheadings.

Guided Response: Review two of your classmate’s posts and discuss the behavior change model they selected.  Do you feel this was the appropriate model?  Suggest another model that may be used in the final paper. Include one reference to support your comments to your classmates.

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PSY380: Counselling and Behavior Change

PSY 380 Week 3 Discussion 1

Week 3 – Discussion 1

2525 unread replies.4040 replies.

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated.

 Counseling Interventions [CLOs: 2, 4]


Prior to completing this discussion, please read Chapter 6: A Brief Introduction to Intervention in Meier and Davis (2018), Dusseldorp, van Genugten, van Buuren, Verheijden, and van Empelen (2014) Combinations of Techniques that Effectively Change Health Behavior: Evidence from Meta-CART Analysis, and any relevant Instructor Guidance.

When working with clients with health risks and/or disease, it is important to consider the psychological impact of implementing behavioral change. Adapting life roles to accommodate these changes can generate fatigue, stress, anger, anxiety, and depression, which can influence the client’s ability to meet goals. To alleviate these concerns, health and wellness professionals use various counseling interventions.

For this discussion, you will assume the role of a health counselor at a local wellness center and educate a hypothetical client about your assigned counseling approach and the interventions that you utilize.

Person-Centered Counseling: last names beginning with A through C
Cognitive, Social Learning, or Cognitive Behavioral Counseling: last names beginning with D through G
Behavioral Counselor: last names beginning with H through J
Psychoanalytic or Psychodynamic Counseling: last names beginning with K through N
Feminist Counseling: last names beginning with O through R
Brief Therapy and Solution-Focused Therapy: last names beginning with S through U
Multicultural Counseling: last names beginning with V through Z

Begin by reviewing the case of Sammy listed below.

Sammy is a 33 years old, Hispanic female, who resides in southern California with her sister Glenda. Approximately six months ago, her doctor diagnosed her with Type 2 diabetes and hypertension. She was instructed to implement a new meal plan, exercise, and take prescribed medication two times a day. Unfortunately, Sammy had an adverse reaction to her medication and was not successful in implementing a consistent exercise regimen, due to her rigorous work schedule. Disappointed by this set-back, Sammy begins to isolate herself from loved ones and stays in bed all day for two weeks. Concerned for her physical health and emotional well-being, her sister called a local wellness center to set-up an appointment.  When Sammy arrives at the center, she notices a list of health counselors who use different counseling approaches. Sammie is interested in knowing more, and asks you to explain your counseling approach.        

Provide Sammy with a general overview of your assigned counseling approach, supporting your response with information from Meier and Davis (2018).  Next, explain how this approach could help Sammy meet her targeted behavioral goals. Evaluate the cultural issues within this case, and describe how your counseling approach takes into account cultural factors.  Post your response by Day 3 and respond to two of your classmates by Day 7. Include one of the course texts and one additional scholarly resource in your response. Use APA formant and organize your post using subheadings.

Guided Response: Respond to at least two of your peers who were assigned a different counseling approach than you, and evaluate the efficacy of the approach. Explain how a combination of techniques can effectively change the client’s health by referencing the  Dusseldorp, van Genugten, van Buuren, Verheijden, and van Empelen (2014) article.

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PSY380: Counselling and Behavior Change

Psy 380 week 2 discusssion 2

Week 2 – Discussion 2

3535 unread replies.4343 replies.

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated.

 Collaborative Goal Setting [CLO: 2]

Prior to beginning work on this week’s discussion, read the Stevens, Beurskens, Köke, and van der Weijden (2013) The Use of Patient-Specific Measurement Instruments in the Process of Goal-Setting: A Systematic Review of Available Instruments and their Feasibility article. 

Health and Wellness Professionals use a myriad of tools (e.g., MyPlate or MyFitnessPal) to help clients identify specific target behavior(s) and S.M.A.R.T. goals that are specific, measurable, attainable, realistic, and trackable for behavior change. In this discussion, you will assume the professional role you selected in the “Post Your Introduction” and generate three goals for your client avatar. Be sure to take into account the client’s personal and cultural background, as well as confidence level in their ability to change. Select one of the patient-specific measurement instruments from the Stevens, Beurskens, Köke, and van der Weijden (2013) article, and demonstrate how this tool can be used to establish and evaluate progress towards a specific goal. 

Post your response by Day 3 and respond to two of your classmates by Day 7. Include one of the course texts and one additional scholarly resource in your response. Use APA formant and organize your post using subheadings.

Guided Response: Respond to at least two of your peers. Assume the role of a team member on the client’s care team, and assess whether your colleague’s goals are specific, measurable, attainable, realistic, and trackable for behavior change? Suggest one additional goal for the client, and the risks and benefits of implementing this goal.

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PSY380: Counselling and Behavior Change

PSY380: Week One Journal

Week One Journal

[CLOs: 2, 4]

Prior to completing this journal assignment, please read Chapter 1: Setting the Stage: Counseling Process, Chapter 2: Strategies to Assist Client in Self-Exploration, and Chapter 3: A Few Mistaken Assumptions in Meier and Davis (2018), as well as Chapter 24:  Principles of Health Behavior Measurement in Hilliard, Riekert, Ockene, and Pbert (2018). Be sure to also read Dollarhide, Shavers, Baker, Dagg, and Taylor (2012) “Conditions that Create Therapeutic Connection: A Phenomenological Study“ and any relevant Instructor Guidance.

In a journal entry of 500-1000 words, create a brief transcript of your first session with the fictitious client you created in the “Client Avatar” discussion. In your transcript, demonstrate how you would utilize reflection, paraphrasing, silence, and minimal encouragers to build rapport with the client. Be sure to notate who is speaking in bold font similar to the examples in Meier and Davis (2018). Once you have created your transcript, reflect on what it was like to apply basic counseling skills. Explain why it is important to pace and lead the client, address assumptions, and plan for termination in the initial session. Support your response with information from the Dollarhide, Shavers, Baker, Dagg, and Taylor (2012) article.  

Next, identify at least one Health Behavior Measurement from Chapter 24 in Hilliard, Riekert, Ockene, and Pbert (2018) that you would use to gather information about the client’s overall health and wellness. Describe the format and state whether the assessment would result in the client becoming defensive or facilitate self-exploration. Finally, evaluate the appropriateness of the assessment from a cultural perspective, and explain how you would share the results with the client.Note: All sources must be formatted in proper APA style. If you are unsure how to create an APA style title and reference page, please visit the Ashford Writing Center (Links to an external site.).

Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.