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Counselor's role in counseling
Counselor's role in counseling
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Task-based Interventions. If I had to opportunity to work with this family long-term, I would encourage a number of task-based interventions, or homework, for various family members and myself. I would encourage both Kadisha and Anthony to look for employment, and I would encourage all family members, if they were willing, to keep a small journal around to record notes on what is going well for the family, what presents a challenge, and how they can work together for the benefit of the children. My tasks would include 1) researching GED programs and their cost in/around Sauk Village, 2) contacting Kadisha’s AOD worker to inquire about making a referral for outpatient substance abuse treatment in/around Sauk Village, and 3) researching a new …show more content…
When addressing the tasks that I am responsible for as the worker, I would take notes on the following information: phone number and contact information, name of the person with whom I spoke, parameters of available resources, and conditions of referral. I would then communicate that information to the family by phone or text (their preferred method of communication). For the family, I might use modified “goal attainment scaling” to measure what kind of progress the family has made or not made in reaching their goals. I prefer this evaluation design because it is meant to be a “collaborative process between social workers and client systems… to identify concrete intervention goals and to specify expected outcome levels for each goal” (Miley, O’Melia, & DuBois, 2017, p. 394). The family established their goals together so it would follow that the family would reevaluate them together as well. The goal attainment scaling might provide some structure to guide the conversation and get each person thinking about his or her responsibilities within the …show more content…
The DCP Investigator, Regina, for instance, appears to favor a ‘tough love’ approach and upon finding out that the client’s drug of choice was crack cocaine spent nearly five minutes berating the client for “smoking an 80’s drug!,” as in, “Girl, you’re 23 years old, what are you doing smoking an old person’s drug?” While I think that Regina was attempting to use humor as a way to connect with the client, Kadisha immediately felt embarrassed and withdrew from the conversation. When Regina tried another tactic—exerting power and making threats—Kadisha shut down completely. Not only did Regina’s approach alienate the client but also it was ineffective at initiating change. Forrester, Westlake, and Glynn (2012) write that, “The key skills associated with reducing resistance are those involved in skilled listening. Workers who seem respectful and empathetic, and who use open questions and reflective statements in order to check their understanding regularly seem to create less resistance; those who take the position of the expert, who try to argue or persuade the client to change, or who are explicitly confrontational tend to create greater resistance from clients” (p. 123).
The children would be overjoyed to work with their parents to make them better and have them live with them still. Some ethical dilemmas would be not to become too involved but you have to so that the family can trust you into helping them. You almost have to force the hand of the parents which is unethical you are not meant to force someone into getting help but if they don’t improve they are endangering the lives of their children. Another problem is getting the family to make changes again the children are willing to make those changes but the father is another problem. He has been through the whole cycle of change with drinking, he has stopped but then he has gone back and relapsed and it looks like every time he has relapsed he has gone deeper into drinking. Other challenges would be to find ways to get the family to actually attempt the intervention techniques that they would learn through the therapy or with working with the family. Another challenge would be finding a way to help the family pay for all this; it might be an ethical dilemma if wanting to provide these services, but not wanting to show them greater care than any other
Intervention options include trauma focused substance abuse treatment and parenting with children present. Barriers to this plan include financial issues, maslows hierarchy of needs, if she is unable to keep housing then she will not be able to address psychological well-being. May need a mezzo intervention to ensure. Macro intervention to affordability and transportation etc. Affordability of quality care and transportation/price to travel. Progress will be evaluated through her maintained sobriety, and tracking of skills through the parenting program as well as a parenting stress index, scl 90-r, and
As a social worker it is often complex to determine which theory to employ in practice, each client will warrant for an in-debt assessment of the presenting problem and goals the client desires to achieve. This paper will explore one family intervention model that can be applied to the Taylor family. The two theories analyzed are Cognitive Behavioral Family Theory, (CBFT) and Structural Family Theory (SFT); both theories can be utilized when assisting individuals or families. The social worker will focus on the Cognitive Behavioral Family Therapy model when applying treatment and interventions to the Taylor family case.
Copello, A., Velleman, R., & Templeton, L. (2005). Family interventions in the treatment of alcohol and drug problems. Drug & Alcohol Review, 24(4), 369-385. doi:10.1080/09595230500302356
...if the caregiver needs a break. Also, talking to the family about friends and family that they have reached out too, or organizations that they are currently using to make everyday tasks easier. In general, the evaluation is going to be based off observation, and the family and patients verbal report of their well being.
The Calgary Family Assessment Model (CFAM) is a well-known comprehensive and multidimensional template used by nurses to assess families. CFAM begins by having the nurse visit with the family and gain insight on the family’s functioning at a particular point in time. Interviewing the family allows the nurse to assess and identify potential issues. Furthermore, the CFAM consists of three main assessment categories, known as structural, developmental, and functional. Each of these categories contains several subcategories that allow the nurse to examine all aspects of a family’s functioning. The goal of the CFAM is for the nurse to openly discuss family issues, provide insight to families from an outside perspective and guide them towards their own problem solving tactics. CFAM allows families and nurse to develop a plan of care that is mutually agreed upon. The following paper illustrates a family assessment completed using the CFAM and applies nursing diagnoses and interventions relevant to the family’s current issues (Wright & Leahey, 2013).
I would encourage Danny to attend AA meetings, seek employment opportunities and encourage Laura to attend family sessions with Danny. CBT focuses on the here and now problems and I find that these are the areas that Danny needs most help on. In order for Danny to begin his path to sobriety, I would assist him in finding AA meetings near his community. By attending those meetings, Danny would receive positive feedback from group members and have a good source of support. By compiling a list of job opportunities in St. Charles, I would assist Danny in choosing a job that best suits him. Having Laura attend family therapy with Danny would be most beneficial to their relationship. In these meetings they could focus on how to deal with their divorce and how they are going to handle living separately. Incorporating Laura is crucial to Danny’s
In our society families are the foundation of all human relationships. Therefore learning to maintain and develop healthy families are the goals of family therapist. Counselors can use the Structural Family Therapy approach in counseling hurting families. The pioneer of structural family therapy is Salvador Minuchin (Hammond & Nichols, 2014).
The author makes the assumption that the reader understands the core concepts in traditional family therapy and that whilst many writers influenced the development of family therapy, the major models were primarily structural family therapy, strategic family therapy, and Murray Bowen (Flaskas, 2010). Four powerful theories evolved to form the backbone of family therapy – general systems theory, cybernetics, communications theory and ecological theory. These were the major initial paradigms and this has been considered as first order family therapy where the therapist was viewed as pure observer and the understanding that a person’s behaviour is not determined only by one’s internal world, but acknowledges that the social context is a primary determinant. This shift in thinking has been illustrated as movement from autonomous self to relational self (Olsen et al, 1980; Rasheed et al, 2011).
Divorce is and has become a major issue in our society, the reason for that has been attributed to the drastic increase in divorce rates over the years. Divorce often disrupts the flow of the family structure, increases discord, and affects how family issues are handled. Families dealing with divorce are often times in a state of complete confusion and disorder, and filled with frustration, anger, and pain. Power struggles between spouses, which often times spread to the children if there any increase as the addiction worsens. There is a growing concernment among those in different fields like Social Work, Academia, and Mental Health in the United States, other countries, who have taken an interest in how divorce is readjusting
The assessment will include to seeing how each family member expresses their thoughts to each other. “Based on information provided by the clients, a therapist can select an unresolved issue in the family and ask them to spend ten minutes or so discuss it while the therapist observes or perhaps videotape” (Nichols, 2013, p. 198). For example, Mary talks about how she wants to share the chore with Gladys.
All things cannot fall on the community, so the family has to become more involve in their children life. They need to build better relationships with them and be better role models. Make sure the children understand the do’s and the don’ts in their rulemaking decisions. Parents need to be aware of what their children doing by monitoring them more closely.
As a CCLS there are many family-centered care (FCC) interventions that one can facilitate and introduce that are related to educating the patient and family on the disease, managing patient pain, and adhering to treatments for children and adolescents. Providing FCC is an important aspect of the job of a CCLS. FCC is characterized by the inclusion of the patient and family into the healthcare team and treatment options while maintaining the core concepts of FCC (dignity & respect, collaboration, involvement, and information sharing). Three specific medical conditions where these FCC interventions would be beneficial are cystic fibrosis (CF), type 1 diabetes mellitus (T1DM), and leukemia. CF is a respiratory disease that causes difficulties
intervention. Families in Society. Vol. 88, pg. 42. Proquest Direct database. Retrieved February 25, 2015.
A family came in for therapy. There are five people in this family. There are two teenage girls, an 18-year-old male, and a mother and a father. Lately, one of the girls is no longer attending school, she is also withdrawing from friends. She has been disrespectful towards dad. She has been posting lewd pictures on social media, and there are people in the neighborhood telling the parents that they have seen one of their daughters drinking when with their friends.