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The Role of Mental Health Counselors
Roles of a mental health counselor
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Helping a person in crisis it is important that a counselor recognize the needs of support. The work of a crisis worker helping a victim that has just experienced a traumatic experience, should have the awareness and passable insight to assist with the problematic issues(Laureate,2010). These methods of demonstrating efficient service provision, should have the capabilities of therapeutic techniques that will assist the clients(Laureate,2010). A client centered approach is the focal point of service in addressing the needs of the client in crisis. (Laureate, 2010).The ABC Model in a crisis is significant to think rapidly and provide the assurance that despite the outcome, there was efficiency in service provision (James,&Gilliard,2013).
As a crisis counselor, understanding the mindset of the client is important part of the healing process. The approach of a crisis worker from an objective point of view, is relevant in the crisis. The emotional fragile state of a client, behavioral and cognitive thoughts, holds regards according to the needs of treatment(James,&Gilliard,2013). In the video segment, “Crisis, trauma, and disaster response,” there were three issues that was identified from the counselor’s behavior The counselor had demonstrated unprofessionalism by not applying the attentive time needed to address the victim in crisis, showing emotions about the incident that occurred with victim and physically touched the client who was in the crisis(Laureate,2010).
Predispositioning is the initial step when addressing a person in crisis (James,&Gilliard,2013). The ability to be empathetic and supportive during the counseling session is key in the initial interaction (Laureate,2010). Dr. Kristin spoke of the ...
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...ng services to victims of a traumatic experience should have training in the different practices of crisis situations. One of the important training that should be mandated is the core listening skills while dealing with a crisis(James,&Gilliard,2013)With an empathetic approach, it is important to let a person who is crisis know that you are supportive of them in a crisis(James,&Gilliard 2013). As a worker in the human service field, one of the issues this video segment shown me was to not let the phone distract me during the time I am meeting with a client. The contact of the administrative assistance informing me that a client is waiting, I should disregard it until I am finish with client. My action can detour the client in telling me anything of relevance. This is a practice that I will implement because my service provision come from a client centered approach.
This paper will highlight and examine “survivors coping” from the text “Crisis Intervention: Promoting Resilience and Resolution In Troubled Times” by Echterling, Presbury, and McKee in relation to the effectiveness of crisis intervention.
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate information concerning the client and the client's presenting concerns to establish an effective treatment strategy. Using a combination of assessment techniques increases the likelihood of positive interventions and promotes successful treatment (Erford, 2010, p.271). A case conceptualization reflects how the professional counselor understands the nature of the presenting problems and includes a diagnostic formulation. Case conceptualization organizes assessment data into meaningful outline, applying research, and theory to make sense of client’s current problem.
In potential crisis situation, when the client is having aggressive behavior, I might get scared. The crisis level does not matter because fear is the normal feeling that anybody can have. For example, if client is swearing, hitting himself or others then I can get scared at once. I might go blank. I might leave the situation by thinking that I can get hit. In this situation, concentrating on client to help him/her to get out of that particular situation is really difficult. So first of all, as a helper I need to accept my feeling and I have to cope with it.
Contrary to the similarities of both models, The ABC Model of Crisis Intervention is used as an assessment consisting of three components: A- achieving contact, B-boiling the problem down to basics and C-coping (Kanel, 2010). Kanel (2010) suggest that the ABC Model of Crisis Intervention is designed for a client whose functioning level has decreased following a psychosocial stressor. It’s most effectively applied within 4 to 6 weeks of the crisis. The Seven Task of Assessment consists of the following seven tasks: (1) Initiating Contact, (2) Defining the Crisis, (3) Providing Support, (4) Examining Alternatives, (5) Re-establishing Control, (6) Obtaining Commitment, and (7) the Follow Up (James, 2013). The Seven Task Assessment is a more detailed assessment focusing solely on the difficulties faced by the client due to a severe crisis. It allows for a closer encounter with the client to evaluate the crisis’ severity, their current emotional status, alternative methods, support systems and coping
The therapist must be aware of individual values and beliefs in order to develop an understanding of why the client responds to certain life-stressors. For e...
There are many things that goes into a client seeking help out of the human service system. For some, it is because they realize they have a problem that they the help of a professional. For others, they need to be told by their family that they need to seek help. For others, they have safety needs and that’s why they seek help, or they have physical needs and know that without help they will not have any of the basic needs of life.
The counselling process is one that may last for as little as one session or for years, it is within the middles stages of the helping relationship that particular counselling skills such as a focusing, challenging and immediacy can be implemented, as well as use of advanced empathy that can be applied due to increased familiarity with a speaker. Many actions may occur within middles stage of the helping relationship such as transitions that occur for a multitude of reasons and the outcome of which can vary based on the attitude of the speaker. Self-awareness remains vital throughout the entire counselling relationship due to the continual influence of empathy in the helping relationship and remaining aware my own motives and values when using advanced empathy and specific counselling skills. Ethics and boundaries are also involved within the counselling process as within a counselling relationship, I as the counsellor, must be careful with the balance or expenditure of power when challenging.
Counseling skills has provided me with a valuable insight into the helping relationship and how it is both created and maintained in order to encourage growth and development in the client. The factors involved within the helping relationship include considering Roger’s core conditions, congruence, unconditional positive regard and empathy as the three main characteristics necessary in a helping relationship. In order to fully incorporate all three of Roger’s core conditions, I as the counselor must be self-aware, as a lack of self-awareness may inhibit truly listening and understanding the client; self-awareness can be enhanced through exercises such as Johari’s window. Counseling skills such as body language and active listening also plays a role within encouraging the client to open up and can help me as the counselor convey empathy.
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
A number of issues are involved regarding the ethical and legal responsibilities that this job entails. Whilst the affected persons in normal environments have the advantage of counseling, which concentrates firstly on their own safety, the counselors operating within the correctional environment must first consider the safety of the counseling centers. Any mistreatment or violent acts must be reported- and therefore the fundamental posits of remedial intervention.
Effective crisis intervention must follow ethical principles which ensure that client is not placed in further harm also that the decisions and opinions of the client are respected throughout the process and the intervention upholds a rights-based approach. This involves good listening communication skills, observing, understanding, genuineness, respect, acceptance, non-judgment and sensitivity demonstrating empathy, among other support provided by counselor. A number of specific strategies can be used to promote effective listening during crisis intervention. These include using open-ended questions - “what” or “how” questions. They are used to encourage sharing of information from a client about their feelings, thoughts and behaviors, and are particularly useful when exploring problems during a crisis.
Roger, Patricia R, and Stone Gerlad Counseling vs Clinical" Society of counseling psychology, n.d. Web. 13 Feb 2014.
One theme of the book that stands out is the counselor as a person and a professional. It is impossible to completely separate one’s personal and professional lives. Each person brings to the table certain characteristics of themselves and this could include such things as values, personality traits and experiences. A great point that Corey, Corey, and Callahan (2010) make is to seek personal therapy. Talking with colleagues or a therapist will keep counselors on their toes and allow them to work out any issues that may arise. This could also prevent counselors from getting into a bad situation. Another good point made in this book was counter transference. Therapists are going to have an opinion and some reactions are going to show through. It is not easy to hide one’s emotions, but a good therapist will keep the objective in sight and keep moving forward. After all, the help counselors are providing is for the client.
As a social worker, I consider it an honor when people walk through my office door and even more so when they do it continuously I know it is hard to reach out when you are struggling. I have had the struggle many times in my life. As with me, I know there needs to be a sense of feeling safe in order to start the process of dealing with. why my office threshold was broken. I think Courtois and Ford (2014) hit the head on the nail when it comes to personal safety and safe relationship being critical to the process to begin working with traumatized individuals. One of the first priorities when working with someone who has experienced trauma is to make sure safety outside of the office isn’t endurance to healing. If the person is dealing with domestic violence, parents abusing them or suicidal thoughts they won’t be in learning mode but survival mode. Another consideration is creating an atmosphere in the office that the person feels safe to discussing these issues in the first place.
It is very clear to me, as a facilitator, to understand the importance to offer gentle, non-judgmental support and guidance without trying to fix or change the outcome of the person I come in contact with. During the healing process of resolving trauma/challenging emotions, we need to be aware of giving people the power to trust their own intuition, keep your own ego out of the way, and make them fell safe enough to