Beginning Phase
Engagement Process
To engage the client and the family, the therapist should provide interpersonal warmth to avoid barriers in the therapist-client-family relationship, and for a successful treatment outcome. Therapist should be empathetic to their client’s and the family’s situation, be culturally competent and respectful, build a collaborative relationship, know the client’s and their families’ needs for treatment, and ensure their understanding of the therapeutic process (Rodriguez, Hoagwood, Gopalan, Olin, McKay, Marcus, & Legerski, 2012).
An important engagement strategy is to be empathetic of the client’s and their family’s experience and current situation. To truly understand their feelings, therapist should appreciate
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Many ethnic groups are resistant to treatment due to mistrust of the system and stigma around mental health. The issue of trust should be brought up in the beginning of treatment in order for the client and family to feel comfortable and be more likely to disclose information. Therefore, the therapist should establish clear and effective boundaries to ensure the development of a safe therapeutic environment on which trusting relationship can be developed and provide psycho-education on mental health to avoid resistance to treatment (Harper & Steadman, 2003). It is also very important to establish a positive working alliance with the family system as defined by the client; they are the most important resources to the client and support system to help guide the client through the therapy process and for better success in …show more content…
Plan should address the child’s needs across all the major system of care- mental health, social, educational, health, vocational, and recreational. In addition the treatment plan should be specific, measurable, attainable, realistic, and time-bound for a client to have successful treatment outcomes. A cultural competent assessment and plan is necessary for ethnically diverse clients and families for greater effectiveness of the treatment (de Arellano & Danielson, 2008). Consent and contracting for treatment is important due to the federal and state laws governing consent for services. Written parent consent must be obtained in order for a minor to participate in mental health services. Children and adolescence that do not have written consent cannot receive services due to liability issues and compliance with the law. In addition it is important to discuss confidentiality and the exceptions to
Consequently, this week’s interpersonal/relational wiki proves to have a strong focus on therapies that analyze the core of relationships. Thus, the similarity that stood out was the depiction of relationships. Most of the models rely heavily on a client’s relationship, either with self, family, or society. While each model focuses on one’s relationship/s, each model differs in its perception of where relationships fail, how they are empowered and what role the therapist plays. In Relational-Culture Therapy (RCT) the therapist empowers clients through growth fostering relationships; Family Systems Theory (FST) the therapist remains neutral and creates structure; Adlerian therapists model social behaviour; Gestalt therapists create space for
The presenting problem is on the Northern New Mexico (Nuevomexicano) Hispanic culture how they have sustained two periods of colonization, first by the Spanish and later by the United States (Nieto Phillips, 2004). The issue of colonization and historical oppression have led to current mental health issue with the practitioner-client relationship. Where clients are not comfortable in expressing their culture historical oppression and it impact in their lives, due to the lack of trust they have encounter with people who are non-Nuevomexicano. Moreover, the social worker is encountering some difficult challenges with this particular group because they have trust issues with people who are not from their ethnic group and this attitude portrayed deprived them of
Therapy needs to build up .this has to be earned. Client feelings have to be acknowledged and know the limits of client emotional state. It is very important to explain to the client how the process of therapy works .Also any assessments; process has to be explained to client in a clear manner in order for the client to able able to make decisions. This trustworthiness is built in time.
Every stressor that an individual goes through can affect them to the where they may need to seek out help from a professional. These individuals have different values and beliefs that they developed from their families and or experiences. When seeking out therapy, these individuals may want someone who understands their values and beliefs. Being able to find someone who understands their beliefs and values would assist with creating a better relationship between client and therapist. Being able to have this understanding, a therapist does not need to identify a part of the culture
Chapter 32 Assessment and Interviewing Heather J. Walter and David R. DeMaso It is estimated that 20% of children living in the United States experience a mental illness in a given year, at a cost of nearly $14 billion. In children, mental illness is more prevalent than leukemia, diabetes, and AIDS combined; far more money is spent on mental disorders than on any other childhood illness, including asthma, trauma, upper respiratory infections, and infectious diseases. Although nearly 1 in 5 youths suffers from a psychiatric disorder, 75-85% do not receive specialty mental health services.
The therapy addresses relationship problems including behaviors, thoughts, and trauma amongst the family.
Children and Youth Services Review, vol. 145, Feb. 2023. EBSCOhost, https://doi.org/10.1016/j.childyouth.2022.106797. Simmel, Cassandra, et al. “Antipsychotic Treatment for Youth in Foster Care: Perspectives on Improving Youths’ Experiences in Providing Informed Consent.” American Journal of Orthopsychiatry, vol. 91, no. 2, 2021, pp. 258–70.
De Bord (2014) states that children do not possess the decision-making capacity to provide informed consent. By definition, consent is given for an intervention for oneself; therefore parents are only providing informed permission or authorization (De Bord, 2014). In working with children, I am dealing more with assent. This assent takes many forms depending on the individual child’s developmental and/or cognitive level. This leads to two other elements of informed consent, understanding and disclosure.
Unfortunately, ethnic minorities are identified as a population that is vulnerable to mental health disparities and face unique challenges (Holden et al., 2014). Researchers have come up with numerous factors that may have contributed
In this assignment I will be discussing two forms of therapies, family therapy as well as narrative therapy. The assignment will begin with an overview of both family therapy and narrative therapy. I will discuss the key concepts, techniques, therapeutic goals as well as client-therapist relationship. I will then proceed to discuss whether family therapy and narrative therapy are able to be applied in a multicultural context. The assignment will then conclude with how family therapy and narrative therapy is applied in certain situations to clients and how each one will benefit the client.
1 As a practitioner, it is imperative for me to encourage autonomy with the participant’s perspectives toward their treatment experience, where they dictate the directions of their treatment. This would be evidence with the participant’s treatment plan, where (ACA) A.1.c. Counseling Plans: therapists and their participant will agree to conjointly work together toward formulating a treatment plans, ensuring the client an opportunity for a realistic potential to achieve their objectives in accordant to their abilities, temperament, developmental level, and circumstances of client. This would assist the counselor with eliminating whatever barriers in position to inflict harm to the individual. (ACA) A.4.a.
Firstly, the child needs to be in a mentally fit state to approve this agreement. Secondly, the parent or guardian also needs to give consent to this agreement. A registered doctor and psychiatrist/psychologist of the patient should also approve to the
Another possible weakness in family therapy from my perspective as a client is that, I might want something different from to what my parents or grandparent wants. For example, I want to marry a white or Indian male in the near future, because I want to explore the cross culture experience, my grandmother strongly disagreed with me on the basis that, in the past, she has had bad experiences with people from different ethnic groups and she is trying to protect me and my side of the story is that I have had a lot of white and Indian friends and I have never been treated badly by any of the. When going to therapy, it is just going to be an endless debate and I wouldn’t know how I will be able to be happy without going against my grandmothers beliefs. Another weakness of family therapy is that there is an assumption that western cultures are similar when in reality; there is variation which is what makes each culture unique (Corey,
the family direct the therapy session which was beneficial (). The ending phase really is for acknowledging the work that has been done and recognizing the use of new skills and information. Aponte really expresses how the family needs to stick with it and that both the mother and father need to work together in order for this family dynamic to work. This is when what was learned new can really be put into motion to help facilitate change. This is when Aponte really made the demand for work that wasn’t seen in the past.
Therapist met with the client and the client's foster mother at home for family therapy. Therapist did a check in regards to symptoms, mood, thoughts, emotions, coping skills, the highest moment of the week, the lowest moment of the week, the goals that she achieved, self-harm behavior, and behaviors. Therapist discussed with the client her thoughts about social skills, coping skills, school, her colleagues in the school, her type of communication with the foster family members, and her friends. Therapist discussed how the client can use her coping skills when she feels sad or when she feels like involving herself in a conflict. Therapist processed with the client and the foster mother, the client's thoughts about her positive communication