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Effects of mental health services in foster care
Effects of mental health services in foster care
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Your work with the client
Length and frequency of contact At the Screening Center, clinicians only meet with clients when a crisis is present, which causes the client to become a threat to themselves, others, or property. I typically would meet with this client once, but for the sake of this assignment, I have been able to follow up with the client on two different occasions. The client was evaluated at the screening center once in November and December of 2013, once in January of 2014, twice in February of 2014, once in March and September of 2014, and lastly evaluated by me in February of 2016. Each time that the client was evaluated at the screening center, she was discharged and recommended to continue treatment with current outside treatment
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I only deal with the problem at the surface, but there is so much more going on beneath the surface, that is not being attended too—at least that’s what is seems like. I noticed that the client doesn’t like living in a group home, but is afraid to eventually have to be out on her own one day. One of the things that strikes me is that she was raped by her brother from her, and when she is upset or AWOLS, she says that she just wants to go get raped by anyone and die, or come back saying that she had sex with random men. Those are maladaptive sexual behaviors that I don’t think are discussed enough, or that she is receiving treatment for. The client participates in more group therapy or activities than she does individual treatment. Group therapy is great but, this type of therapy is generalized and discusses goals that each youth may have but it’s not specific enough to treat trauma—in this particular case at this time. When completing the contract for safety, there were staff listed on the plan for her support teams and out of the four names listed, she crossed off two. This tells me that the client doesn’t always feel like she …show more content…
I think it is very important during the hiring process to strive to pick the best individuals and train them annually. I have seen programs have too much money at the end of a fiscal year that they are trying to figure out how to spend it, so it doesn’t look like the money isn’t need it. We need to use our funds wisely and train our staff, because we as professionals can help save the lives of these youth.
If I decide to stay with this organization, I may volunteer to start going out to the group homes and school for presentations for the youth and the staff. I want to beable to do more for my clients than I am doing. In crisis, I see someone is having a problem and then I make the referral hoping that they follow up or follow through and that is not good enough. Some where my current clients’ needs are not met, and I now learned that we don’t realize that as professionals we are part of the problem and need to brain storm about what we can do better to service our
In the video, Whose Records, the client demonstrated frustration with her current counselor and made a request for her medical records in order to transfer to another counselor. During the conversation, the counselor remained calm and respectful to the client regardless of the clients’ disrespectful approach. I do not agree with the challenge approach made by the counselor regarding the client seeing a different counselor every three to four weeks. That seemed to increase the level of tension on behalf of the client. I feel a better approach would have been to allow the client to express her concerns regarding her current treatment. After which, the counselor could explain the process of obtaining her medical records along with requesting the client to sign the appropriate release of information to acquire her records.
These ethical concerns must be addressed with every client. This is where closed ended questions may be considered, the best approach is to intertwine these questions into the normal flow of conversation so that the client does not feel like they are being judged. One of the ethical concerns the clinician needs to address is suicide, since those dealing with the crisis have no ability to cope and are vulnerable and overwhelmed, suicide may feel like their only option to end the crisis (Kanel, 2007). The clinician needs this information to keep the client safe. Another ethical concern the clinician must address is the possibility of abuse towards a child or the elderly or any harm to others. It is always a counselor or mental health workers ' duty to report any suspicion of this kind of activity to the proper authorities (Kanel, 2007). Organic or medical concerns are one of the other ethical considerations which must be addressed in the second stage. This includes making evaluations about any mental health or behavioral disorders as well as making any necessary referrals (Kanel, 2007). Substance abuse is another ethical concern that must be addressed by the clinician. Since substance abuse is commonly used to treat stress for those in crisis the clinician must be assertive in gathering information about drug use (Kanel, 2007). This information will direct the clinician in the
As we all know, there is a solution to every problem - but having the resources and support to resolve one of these could be the hindrance to a satisfying outcome for you, the worker. Often, one feels they haven't done enough to meet the client's needs, especially when you keep hitting road blocks, therefore you go above and beyond - often putting yourself in an uncomfortable situation in the long run. I can see these two concerns listed as being a personal challenge for any human service professional.
Looking for new and more effective ways to treat the issues of their clients, counselors and therapists may often begin to consider leading a group therapy session. Group therapy is a form of therapy in which a therapist either treats or provides psychoeducational skills to a small, carefully planned target group of individuals in an effort to ameliorate the issues and dysfunctions of each individual in that particular group of patients together (Scheidlinger, 2004). In this group, therapists often utilize some of the psychotherapy theories such as Gestalt, transactional analysis, psychotherapy or psychodrama which they often use to treat clients individually.
One objective is to utilize the most powerful tool at psychotherapy’s disposal; the group experience. By one individual sharing their experience within the group, the other members are able to identify their similar experiences and work toward their own growth. Group therapy also increases self-awareness of clients in order for them to think introspectively in order to make a change in behaviors, increases social comfort, allowing exploration of new behaviors, provide and obtain support, develop communication skills, and promote interactions with others using truth and
The physician will question the patient about any stressors she may be contending with at home or work prior to her entering the hospital. The physician will order lab tests and speak with the patient to understand the psychological factors; a referral will be made for making a final diagnosis. After the physician reviews both lab tests and the psychological factors, a referral will be made for the patient to see a clinician. The referral will focus on obtaining support and stabilization. The clinical assessment will gather information using written forms as a first step, including releases to speak with family members. The second step would be to invite the family along with the client in an effort to obtain a better understanding of existing medical conditions along with any past mental disorders. Abuse as a child or abuse as an adult will be determined. The clinician will evaluate if the client is portraying any signs due to alcoholism or a drug addictions. An example of one question her clin...
As a student, practice is crucial to learn group therapy techniques. In order to achieve these practices, I attended 2 support groups of the same topic. Observation and attendance constructs an idea of how group therapy works. Attending this group was important because of the profoundness of its meaning and experiences I have witnessed.
When dealing with an individual that is suffering from a behavioral or mental illness can be challenging, due to the fragile balance within their life. Not only do these members have to deal with the day to day changes of life, they must also deal with the reproductions caused by this instability. Moreover, the stigmas associated in these various contexts can lead to a plethora of problems. As social workers, it is our job to help navigate around these problems and help create success for the lives of our clients.
...h out and help persons and families. All these lead to better and higher quality, as well as more timely services to clients, and a sense of satisfaction for both the client and the professional.
Intake Form Critique The intake form or assessment form is designed to offer the provider with a multidimensional perspective about the new client that helps the provider to gain basic information about the Client’s current life context and presenting problem. The information could include general information about the client, health and mental health history as well as family and socio-economic history, and substance use or legal history. The intake form discussed in this assignment is used by Agor Behavioral Health Services, Inc. a. Does the intake form ask all of the necessary questions to determine what the client’s presenting problem is? The intake form chosen for this assignment asks numerous questions that could determine the client’s
Group therapy is considered one of the most resourceful forms of therapy. The benefits to group therapy can be both cost-effective and a great means of support (Corey, Corey & Corey, 2014). The process of experiencing ideas and viewpoints expressed by your peers allows group members to become more susceptible to the counseling procedure. Group counseling also helps individuals to feel a sense of belonging due to similar situations and experiences shared by the group. The sense of support from group members can be an excellent means towards developing long-lasting relationships and developing communication skills needed to move forward during the counseling phase. In this paper, I will discuss my experiences throughout the group-counseling phase.
Social Workers must be knowledgeable on how to facilitate and lead group sessions with clients. They must be cognizant on their responsibilities as a facilitator, and diligently work to meet the needs of all group members collectively and individually. According to Toseland, Ronald, & Rivas, Robert (2009) group work practice focuses on Social Work practice with a broad range of treatment and task groups and the group’s environment (pg. 2.). It is significant for Social Workers to be equipped with the knowledge and skills to be able to properly assess and assist in group atmospheres. At my field placement which is at the Covenant House, a homeless shelter in Detroit that services youth from ages 18-24. I am responsible for co-facilitating along with the agency’s Social Worker, a
This model is similar to socialization groups in that this model helps the clients build a report within the group and foster mutual aid networks that can be used as a tool for coping even after the group terminates. Unlike a socialization group this group also has another function and that is to help the clients gain valuable skills that will help them in life when they are experiencing a crisis or other issue that causes them emotional distress. This model is different from the remedial model because the reciprocal model is group focused and relays less on worker activity and more on group cohesiveness and mutual support to work through issues after a coping tool is learned. The worker would have regular contact with the clients but would enable and encourage the clients to look to one another in times of crisis for the solutions and help. In group, the worker would take a laze fare leadership style and would allow the members to be the experts on the issues which they have experience and can offer
(2012). Can a Structured Model for Group Intervention be Responsive to Group Process? A Proposal. Clinical Social Work Journal, 40(4), 391-400. doi:10.1007/s10615-010-0285-2
In reflection on my learning experience in the group class, I have gained clarity on what sorts of competencies of facilitating group therapy, as well as in what areas social workers and students tend to feel most strong in my practice. Regarding my specific gains in competencies, I feel that I learned the most and was most likely to gain specific group facilitating competencies at the weekly class. Learning in group class is taught me the tools to use to work with groups therapy, communities and also with individuals through the process of changes. In this past three months I think a lot of opportunities have been created to shadowing with (beside and behind) and being a part of group members to learn. In addition, this class has taught me about the skills and how effectively help