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 assignmentsallowing 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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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.
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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 IAcademic Underachievement
Exercise I.A
Break It Down Into Small Steps
Exercise I.B
Good Grade / Bad Grade Incident Reports
SECTION IIAdoption
Exercise II.A
Questions and Concerns Around Being Adopted
Exercise II.B
Some Things Id Like You to Know
SECTION IIIAnger Management
9
11
16
Exercise III.A
Anger Control
17
Exercise III.B
Stop Yelling
23
SECTION IVAnxiety
Exercise IV.A
25
Finding and Losing Your Anxiety
SECTION VAttention-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 VIAutism / Pervasive Developmental Disorder
45
Exercise VI.A
Managing the Meltdowns
46
Exercise VI.B
Progress Survey
49
SECTION VIIBlended Family
52
Exercise VII.A
A Few Things About Me
53
Exercise VII.B
Stepparent and Sibling Questionnaire
55
xi
xii
CONTENTS
SECTION VIIIChemical Dependence
57
Exercise VIII.A
Keeping Straight
58
Exercise VIII.B
Taking Your First Step
62
Exercise VIII.C
Welcome to Recovery
68
SECTION IXConduct 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 XDepression
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 NeedsIdentification and Satisfaction
97
SECTION XIDivorce Reaction
100
Exercise XI.A
Identify a Change Resulting from Parents Divorce
101
Exercise XI.B
Initial Reaction to Parents Separation
104
SECTION XIIEating Disorder
106
Exercise XII.A
Fears Beneath the Eating Disorder
107
Exercise XII.B
Reality: Food Intake, Weight, Thoughts, and Feelings
112
SECTION XIIIGrief / Loss Unresolved
116
Exercise XIII.A
Create a Memory Album
117
Exercise XIII.B
Grief Letter
119
SECTION XIVLow Self-Esteem
122
Exercise XIV.A
Three Ways to Change Yourself
123
Exercise XIV.B
Three Wishes Game
127
SECTION XVMania / 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 XVIMedical Condition
xiii
142
Exercise XVI.A
Coping with a Siblings Health Problems
143
Exercise XVI.B
Effects of Physical Handicap or Illness on Self-Esteem
and Peer Relations
147
SECTION XVIIMental Retardation
149
Exercise XVII.A
Activities of Daily Living Program
150
Exercise XVII.B
You Belong Here
156
SECTION XVIIINegative Peer Influences
159
Exercise XVIII.A
Choice of Friends Survey
160
Exercise XVIII.B
I Want To Be Like . . .
166
SECTION XIXObsessive-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 XXOppositional 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 XXIPanic /Agoraphobia
188
Exercise XXI.A
Panic Attack Rating Form
189
Exercise XXI.B
Panic Survey
193
SECTION XXIIParenting
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 XXIIIPeer / 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 XXIVPhysical / 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 XXVPosttraumatic 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 XXVIPsychoticism
Exercise XXVI.A
Recognizing Early Warning Signs
SECTION XXVIIRunaway
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 XXVIIISchool Violence
253
Exercise XXVIII.A
My Pent-Up Anger at School
254
Exercise XXVIII.B
School Violence Incident Report
257
SECTION XXIXSexual 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 XXXSexual 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 XXXISexual Acting Out
287
Exercise XXXI.A
Connecting Sexual Behavior with Needs
288
Exercise XXXI.B
Looking Closer at My Sexual Behavior
291
SECTION XXXIISexual Identity Confusion
Exercise XXXII.A
Exercise XXXII.B
293
Parents Thoughts and Feelings About Son / Daughters
Sexual Orientation
294
Unsure
298
CONTENTS
SECTION XXXIIISocial 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 XXXIVSpecific Phobia
316
Exercise XXXIV.A
Gradually Facing a Phobic Fear
317
Exercise XXXIV.B
School Fear Reduction
321
SECTION XXXVSuicidal 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 clients symptom presentation and the providers 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 softwares 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 wivesJudy, Cherry, and
Lynnwho 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.
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HOMEWORK PLANNERS INTRODUCTION
ABOUT PRACTICEPLANNERS HOMEWORK PLANNERS
In todays 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
Plannerallowing 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,
dont 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 clients 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
Therapists 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 clients 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.
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?
ACADEMIC UNDERACHIEVEMENT
Therapists 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 clients 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?
ACADEMIC UNDERACHIEVEMENT