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make this a fillable worksheet Group Worksheet: Diagnosis Fork Complete this together. Use counselor-scope language only. Group members Assigned group Diagnosis frame 1. Main target Because of this diagnosis, the main clinical targets become... Choose 2-4 target symptoms or concerns. 2. Missing assessment Before making a medication referral, what still needs to be assessed? Name at least 5. COUN 771 | Miguel medication consultation worksheet Page 3 of 8 Medication Consultation and Monitoring Use this page to keep Miguel's needs, safety, and consent at the center. 3. Medication consultation Complete one or both statements as appropriate. Do not prescribe, dose, or tell Miguel what he should take. A prescriber may consider... Medication is not clearly indicated yet because... I would want the prescriber to assess... 4. Monitoring and barriers Choose at least 4. Add Miguel-specific details in the space below. [ ] Sedation [ ] Activation [ ] Sleep changes [ ] Emotional blunting [ ] Suicidality risk [ ] Stigma [ ] Family pressure [ ] Cost [ ] Insurance [ ] Transportation [ ] Pharmacy access [ ] Substance use [ ] Privacy [ ] Adherence [ ] Court/school pressure Miguel-specific monitoring notes COUN 771 | Miguel medication consultation worksheet Page 4 of 8 Client-Centered Script and Prescriber Collaboration Protect Miguel's autonomy. Explain medication as optional support, not adult control. 5. What would you say to Miguel? Write 3-5 sentences that stay within counselor scope, name medication as optional, address abuela's pressure without demonizing her, protect Miguel's autonomy, and explain confidentiality/consent/assent. 6. Prescriber collaboration With appropriate consent, ROI, and attention to minor assent, complete the table. We would share... We would avoid sharing... We would ask the prescriber... COUN 771 | Miguel medication consultation worksheet Page 5 of 8 Treatment Plan and Ethical/Structural Check Diagnosis should clarify care, not shrink Miguel into a label. 7. How would the treatment plan change? Long-term goal Short-term objective Counseling intervention Medication-related care coordination step Community support or resource 8. Ethical and structural check This diagnosis could help Miguel by... This diagnosis could harm Miguel by... 9. Final sentence The diagnosis changes but it should not change COUN 771 | Miguel medication consultation worksheet Page 6 of 8 Report-Out and Debrief Use these prompts to teach the class what your diagnostic frame changed. Report-out prompt 1 What diagnosis or rule-out did you receive? 2 What became the main medication target? 3 What medication might a prescriber consider, if any? 4 What is the biggest risk of using this diagnosis carelessly? 5 What would you say to Miguel so medication does not become another adult decision made about him? Group report-out notes Whole-class debrief questions l Which diagnosis made medication seem most available? l Which diagnosis created the greatest risk of social control? l What did abuela's fear make more visible? l What did the court/police context make more dangerous? l What did Miguel need that medication alone could never provide? l What would ethical psychopharmacology consultation look like if Miguel's autonomy mattered as much as adult fear?
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