Case management, post-discharge, is an integral part of working with clients who suffer from severe mental illnesses. Post-discharge is when the real opportunity to recover begins. Being able to recover and learn how to cope, is a very real option for those who struggle with mental illness if they have the proper supports and plans in place. Recovery can be defined in social work, as the clients new found, self-defined success within the community (Kondrat &Early, 2010). It is therefore, our job as social workers, to create and develop post-discharge plans for our clients that will help them strive and learn how to navigate their communities successfully, while living with a mental illness. This paper will examine the importance of case management
How this alliance is created is by him asking questions about the client such as “why are you here”, “what are your strengths”, and “what do you wish to gain from therapy”? This technique helps him get to know the client and establish a better understanding of the client’s case. Nonetheless, this helps the client “unfold” and become comfortable to disclose more information about the issues. After they have become comfortable, they start to create goals together that are in the client’s interest. The kinds of questions he prefers to ask this population is “where do you see yourself in five years”, “how were your past relationships”, and “what are your strengths”?
In conclusion this semesters group therapy, has been a great learning experience to understand the therapeutic elements of the group. In the previous semesters of practicum, it was mostly about the experience and developing self-awareness, but with this semester, I can lead group with greater understanding of it’s effectiveness and what to be careful of when conducting group. The 11 therapeutic factors as expressed by Yalom, was apparent over the course of the semester, with each therapeutic factor playing its
Even after having their lives turned upside down by the constant use and abuse of drugs and/or alcohol, the biggest challenge facing the people who want to break the cycle of addiction is admitting they have an illness. Once that hurdle is cleared, help is always available, though a good deal of effort should be put into finding the right rehabilitation center to begin the recovery process.
Therapeutic relationship is the relationship between a therapist and a client, where they engage and interact with each other, hoping for beneficial change in the client. This relationship mainly focuses on the client’s needs and goals towards the change. Therapeutic relationship began from psychoanalytic theories, which theorised the relationship into three components – transference, working alliance and the real relationship (Greenson, 1967). Transference is the transfer of positive and friendly feelings to the client. Working alliance is the agreement between the therapist and the client, in terms of tasks, goals and bond (Bordin, 1979). Tasks are what the client and the therapist agree to be done to reach the goals. Goals are what the client
During this week at my field agency, I participated in the following including; attending team meeting where cases are presented and clients assigned. I observed, conducted family as well as individual sessions, took referrals and attended the multidisciplinary team meeting.
The procedures of individuals counseling for substance addiction is when the counselor sits down with the client one-on-one and examines the individual addiction problem and treatment options. In a private setting individual attending individual rehabilitation can speak in confidence for those who feel uncomfortable speaking in a group environment. Individual counseling allows the therapist to spend more quality time with one person, this way the patient and the therapist can dig further down into the client overall problems. Several more benefits to individual session is that if the client is pressed for time, he or she can schedule session around their calendar instead of trying to adjust their schedule to attend group meeting. And, if the
The role for licensed professional counselors in this agency are to maintain their license, continue their education, follow ethical procedures, buy their own insurance, document sessions, and provide therapy. The agency provides full benefits after three years to their staff and pays for trainings, which contributes to the agencies low turnover rate. The agency provides trainings to LPCs and they have clinical supervision once a week for an hour. In order to improve the agency, clients fill out evaluations, employees fill out evaluations twice a year, and supervisors set up a meeting once a year on how employees can grow professionally.
In successful cases it turns out that throughout the therapeutic process the problematic voice establishes contact with the community of voices within the self, negotiating an understanding until it is assimilated by the community and become a resource (Stiles, 2001). This process reflects the mutual understanding between the dominant voice and the problematic voice, so the voice initially problematic joins (being assimilated) to the community and becomes an accepted aspect of the experience. Thus, the client will no longer experience the self rigidly and starts to live it as a flexible set of characters (Honos-Webb & Stiles, 2002).
Of the top five conditions driving overall health cost, depression is number one. There are financial benefits of integrated care (Korff , Katon, Unützer, Wells , Wagner (2001). The platform for this model is important to be in clinics where patients visit the most and supervised with a collaborative team of patient educators, social workers, nurses, physicians, and consultant psychiatrist (Hunter, Goodie, Oordit, & Dobmeye, (2009). The team should be available to the patient for a first encounter the same day to identify the patient’s needs. Each appointment is concise except the evaluation by the Social Worker. The purpose of the first meet and greet is to give an evaluation of the condition. Based on this a plan is formulated with the focus of improving there coping skills during treatment. Can this treatment model be effective in outpatient settings with evidence-based anxiety and depression? Based on several articles the team will be the effective system who are liable for outcomes and who direct he connections between different professions. Each member plays a specific role in the process of a patient’s intervention. Works together to approach a better treatment and better outcome (Seaburn, Lorenz, Gunn, Gawinski, & Mauksch,
We live in a complex, unpredictable world, filled with an array of family styles and personalities. Whether or not we recognize it, the family in which one is raised or currently resides plays a pivotal role in their development and opportunities. While we should not blame our circumstance on where we came from, it is crucial that we understand how our childhood influences why we are the way we are. One phenomenon that affects several families, particularly ones with low-income, is parentification. Parentification, also known as the role-reversal of a parent and a child, is not inherently harmful for a child, but it is important to look at the situation objectively and consider the risk-factors.
A main theory that is applied at the adult unit of the mental hospital is the use of psychoeducation theory. Patients would attend group therapy sessions based on psychoeducation practice, the patients would refer this time of their schedule as school. Patients were very open to attend these sessions though it did occur as if they were back in school where after the completion of one group another would be occurring shortly afterwards. Psychoeducation practice influenced the social intervention requiring patients to be in a group setting, interacting with each other, while provide their personal insight of what was gained in the session. This provided immediate feedback that the patients understood the content of the psychoeducation, while
Gardner argued that where “PAS children are likely to exhibit these symptoms, . . .children who [had] been genuinely abused-neglected are not likely to.” When true parental abuse and/or neglect is present the child’s animosity may be justified, and so the parental alienation syndrome diagnosis is not applicable. In differentiating between bona fide abuse/neglect and the diagnosis of PAS in a child, Gardner suggest that children subjected to abuse are likely to exhibit symptoms similar to post-traumatic stress disorder, while PAS children rarely exhibit any of these
The approach of PP acknowledge the importance of therapeutic alliance. Meissner (1999) suggests that the “components of the therapeutic relationship include transference and its correlative, countertransference, the real relationship, and the therapeutic alliance”. The establishment of a therapeutic relationship between the therapist and the client that is open, non-judgmental and empathic serve as the basis of new internalisations. It allows the client to develop trust towards the therapist and bring about collaboration to work together to address the issues towards a healthier resolution (Chua, 2017).
Much discussion is devoted to the literature regarding group work as it remains an integral part of the social work field. Group work is important as “the need to belong is one of the most basic and powerful human needs as well as the most social” (Ashford, & Lecroy, 2008, pg. 140). Group work is found to be an effective intervention and has become a major treatment modality in the mental health services (Knight, 2017; Clements, 2008). This intervention has been found just as effective as an individual intervention (Knight, 2017). Groups have played an instrumental part in transforming how the social work field thinks about the helping process for clients. Social work using groups utilizes group processes as ways to help individuals and the groups accomplish their goals (Social Work Practice with Groups, n.d.). Group work can be defined as “a method of working with people in groups for personal growth, the enhancement functioning, and for the achievement of socially desirable goals” (Social Work Practice with Groups, n.d.). Group work emphasizes member empowerment and mutual support both which