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| Future Garden |
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| Garden Now |
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| Work In Progress |
Wednesday, June 22, 2011
Coming Soon..... Work In Progress
The first top picture is the future garden. The middle picture is the garden now and the bottom picture is the work in progress to create the future garden. In the future garden we see the sun flowers starting to grow. We will also have different fruits and vegetables planted. We will also have built in sprinklers to keep are graden watered. Behind the garden we will have a table in side are screen tint to sit down and get a break from the sun. To the right of the garden we will have three activity tables were the kids will do arts and crafts. They can customize their own garden pots and make different flowers with Popsicle sticks.
Fun Outdoor Learning - Youth Graden Project 6/22/2011
Tuesday, June 7, 2011
Practice Theories & Interventions
Abstract
Social workers select interventions from amongst several practice theories and models based on how well the intervention match the client problem and the intent to which impractical research has found them to be effect. The mainstream approach in social work is the psychosocial model which incorporate elements of many different theories include for example ego psychology, system theory, and role theory. The psychosocial model is a set of principles that guide intervention. Social works generally apply psychosocial principles to their practice but use whatever psychotherapeutic techniques best match each client problems and preferences. The psychosocial model emphasizes both psychological and social causes of dysfunction.
Introductory Sentence
Social works generally apply psychosocial principles to their practice but use whatever psychotherapeutic techniques best match each client problems and preferences. The five main stages of psychological development include: oral, anal, phallic, latency and genital.
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Psychodynamics is the systematic study and theory of the psychological forces that underlie human behavior, emphasizing the interplay between unconscious and conscious motivation. A focus in psychodynamics is the connection between the energetics of emotional states in the id, ego, and superego as they relate to early childhood developments and processes. The Id is the unconscious at birth; ego is the rational thinking at childhood and super ego- values, socially acceptable drives.
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Behavioral Therapies believe previous behavior can be unlearned or changed. Behavior assessments differ from traditional assessments. Behavioral assessments focus on generational specific responses while traditional focuses on global traits. The focal object for the developing child’s energy serves to define five main stages of psychological development: oral (0-18 months), anal (18 months - 3 1/2 years), phallic (3 1/2 years - 6 years), latency (6 years - puberty) and genital (puberty - adulthood). Each psychosexual stage has three main parts. First, a physical focus: where the child’s energy is concentrated and their gratification obtained. Second, a psychological theme: this is related to both the physical focus and the demands being made on the child by the outside world as he/she develops. For each stage, there can be two extremes in psychological reaction - either doing too much or not enough of what is ideal. Third, an adult character type: in the first three stages this adult character type is one that is related to being fixated or stuck at that stage. If a person doesn’t resolve the psychological issues that arise at that stage they will always have problems relating to those issues.
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Positive reinforcement is the adding of an appetitive stimulus to increase a certain behavior or response. For example a father gives candy to his daughter when she picks up her toys. Positive punishment is the adding of an aversive stimulus to decrease a certain behavior or response. For example a mother yells at a child when running into the street.
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Negative reinforcement is the taking of an aversive stimulus to increase certain behavior or response, for example rolling up the window to block the wind. It strengthens a behavior because a negative condition is stopped or avoided as a consequence of the behavior. Negative punishment or omission training is the taking away of an appetitive stimulus to decrease a certain behavior, for example, taking away a night light when child does not go to bed.
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Defense mechanisms are unconscious psychological strategies brought into play by various entities to cope with reality and to maintain self-image. Healthy persons normally use different defenses throughout life. An ego defense mechanism becomes pathological only when its persistent use leads to maladaptive behavior such that the physical and/or mental health of the individual is adversely affected. The purpose of ego defense mechanisms is to protect the mind-self-ego from anxiety, social sanctions or to provide a refuge from a situation with which one cannot currently cope. Ego defense mechanisms, occurs when the id impulses are in conflict with each other, when the id impulses conflict with super-ego values and beliefs, and when an external threat is posed to the ego.
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Cognitive behavioral therapy is a psychotherapeutic approach, a talking therapy, which aims to solve problems concerning dysfunctional emotions, behaviors and cognitions through a goal-oriented, systematic procedure. Play therapy is a technique whereby the child’s natural means of expression, namely plays, is used as a therapeutic method to assist him/her in coping with emotional stress or trauma. Practitioners of play therapy believe that this method allows the child to manipulate the world on a smaller scale, something that cannot be done in the child's everyday environment. By playing with specially selected materials, and with the guidance of a person who reacts in a designated manner, the child plays out his/her feelings, bringing these hidden emotions to the surface where s/he can face them and cope with them.
What is most interesting about this podcast?
I think everything about the podcast was interesting. When dealing with clients you should know which theories to use as interventions. The mainstream approach in social work is the psychosocial model which incorporate elements of many different theories include for example ego psychology, system theory, and role theory.
What can you share with other students about this podcast?
I would recommend all social work students read the podcast because the social work exam will include questions that test your knowledge on major practice theories and interventions used in clinical social work. It’s best to know the psychosocial model because it is very significant in the social work profession.
Concluding Sentence
In conclusion, social workers select interventions from amongst several practice theories and models based on how well the intervention match the client problem and the intent to which impractical research has found them to be effect. Social works generally apply psychosocial principles to their practice but use whatever psychotherapeutic techniques best match each client problems and preferences.
Human Diversity
Abstract
Diversity is used because many world view differences are the results of factors other than a person country of origin. In this nation there are certain groups that are not always thought of as distinct cultures but in each case, there members share a world view that differs in important ways from that of the mainstream or dominant cultures. Examples of these groups include African American, Native Americans and groups with distinct characteristics based on their life style and experiences with discrimination and prejudices.
Introductory Sentence
As a social worker you cannot refuse to work with a client’s simply on the base of race, ethnicity, age, gender, sexual orientation and so on. You must learn and know to work with a diverse population. We will also explore the elderly, homosexuals, person with physical difficulties and individuals with HIV disease.
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Discrimination refers to negative behaviors directed toward other people based on certain characteristics such as their race, ethnicity, or gender. Prejudices refer negatives attitudes towards other groups and may or may not include behavior manifestations. As a social worker you cannot refuse to work with her simply on the base of race, ethnicity, age, gender, sexual orientation and so on. If you feel there is an ethical dilemma you should refer the client to another worker. Your personal views may not interfere with your objectivity. For instance if a qualified gay couple to adopt a child you must support their decision just as you will support a straight couple, regardless of how you feel about gay adoption. Stereotypes are a commonly held popular belief about specific social groups or types of individual. Stereotypes are standardized and simplified conceptions of groups based on some prior assumptions. Cross-cultural counseling occurs whenever the cultural heritage of the counselor and the client differ. Because culture impacts how we view the world, including values, beliefs, behaviors, customs, etc., cultural differences must be attended to if counseling is to be effective. Counselors and other health care providers require unusual life experiences and extensive special training if they are to practice with cultural competence in one or more cultures that are different from their own. Acculturation is defined as the process of adopting traits of another cultural including its beliefs, attitudes, values and language. Racial or ethnic identity refers to a sense of collected identity based on the perception that one shares common racial or ethnic heritage with a particular group.
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When working with a client who culture differs from your own you should openly acknowledge your awareness of the differences between you and client and actively support and explore rather the client have any concerns about the difference. You should also be willing to seek consultation and do research to learn more about the client culture. A client from a different culture may report an agency behavior while upsetting to you may be approved in her culture group. You should educate yourself about different culture behaviors. In some cultures the concept and process of psychotherapy may be unfamiliar or even unaccepted. African Americans, Native Americans, and Hispanic Americans, tend to reply on help from family members and to use outside sources as a last resort. Therefore needing and seeking help from a mental health professional can engender there shame, fear and other discomfort. A to further facilitate the development of rapport you should attempt to establish your trusting worthiness early on. Creditability refers to the client perception of your ability to be a trust worthy and effective helper. With a different culture client you can receive credibility by acknowledging your difference to the client and demonstrating you are a sensitive to and respect her culture background. And you can understand her problem is a culturally relevant framework.
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Social displacement theory proposes that immigrants and refugees usually feel happy and optimistic when they arrive in the U.S. There after experience, depression, confusion and frustration. There are likely to display the most serve mental health problems at the end of the first year through the third year after moving to the U.S. Immigrants may suffer PSTD. In terms of world view, you should know that among African Americans the family traditionally like both nuclear and extend family members. Children are taught to respect and obey there adults and elders. Children come independent often early. Gender roles tend to be flexible. Despite their difference there is a deep sense of mutual responsibility. This is consider a strength and contributor to self-esteem and is believe arise from long experiences with discrimination and poverty. Cultural transference may occur if an African American client has experience racism projective on to a non-black therapist feeling because of her past experience with non-black people. Cultural paranoia goals of treatment with such a clients are to correct the presenting problem confront the meaning of her paranoia help her bring into conscious awareness her negative feeling toward whites ability to distinguish and help her when it is and is not important to self-disclose. Multi system approach in tells taking full advantage of all the appropriate resources available in the community. Important goals including increasing the clients awareness of all the available support systems is and resources and empowering her to use them. Extend family is often treatment of choice.
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Native Americans place more emphasis on the extend family and tribe than on the individual. Extend family member and other members of the trade are treated like the immediate family members. The family is usually centered by the grandparents who surprise the children and pass on legends and values. Native American is likely to exhibit a spiritual orientation to life that emphasize harmony with nature And regard illness as a result of disarming. The goals for native clients are happiness, wisdom, or peace with nature. Experts recommend using a non-directive collateral problem solving approach. Last you should recognize and respect Native Americans forms of self-treatment and healings and consider elders and other healers in the treatment process. Age, sex, and generation status are the primary factors of role behaviors in the family. Family roles are structured so they don’t conflict with one another. Native American also avoids eye contact. Hispanic Cultures emphasize family welfare or individual welfare and promote inter-dependence over independence. Parents for example provide for their children until adult hood and expect to be cared for in return. Extend family, close friends, god parents are the major sources of emotional support and it is considered shameful to go outside the next work to discuss family problems. Catholic Church may display an important role in the life of a family. Father and husbands holds final authority and are expected to protect the family and provide its materials needs. Mothers are expecting to nurture and educate the children. It is important to not suggest treatment that being change to the masculine and feminist behavior.
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When working with elderly you help them find meaning in life, coping with change in loss, coming to terms with the mass, and conflicts with the family. Aging is associated with multiple losses for example retirement, death of a love one, loss of independence, los of familiarity and productive roles, los of physical function and loss of time. According to Erickson, the final stage in the life cycle is integrity vs. disappear. The older person has an opportunity to integrate all aspects of her life and doing so successfully help her remain active and involved in life. Experts recommend using multi-model approach with the elderly client. Grief therapy and crisis intervention are the most frequent used clinician intervention models used for elderly clients. When working with elderly client you will generally have the following goals, first you should provide the information they need to make informed choices, help them identify alternatives, second you should offer support as the cope with feelings, third help them figure out how to prioritize their needs. Gay clients seek help for reasons that have nothing to do with their sexual orientation. You must recognize the ways of the membership to an oppress group may play a role in the presenting problem. Some issues that affect gay people and not heterosexuals include coming out, relationship with other, people who don’t know they’re gay and discrimination and homophobia.
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The American disability act defines a disability as a physical or mental impairment that put a limit to one or more of individual major activities. This act prohibits discrimination against person with disabilities during employment. When counseling HIV clients there are several cell types that can be affect by HIV but the most important ones belong to the immune system. Most adults affected by HIV pass through four disease stages, acute infection, a systematic, chronic or systematic and AID’s. Overall however people with HIV disease are at risk for adjustment, anxiety and depressive disorders. Some of the common presenting issue with HIV positive clients includes loss of social support due to ones prejudice, irrational fears or inability to cope with illness, loss of financial security due to high medical cost. HIV support groups tend to be most effective when they focus on positive attitudes and hope and provide member with tangible outcomes such as information and friendship with others in a similar situation. Duty of warn is only for future suspect.
What is most interesting about this podcast?
The most interesting thing in this podcast was the explanation of the different cultures. Human diversity is the difference among people and how those differences make an effect on society. These differences can include biological, social, and cultural differences. Each culture has different beliefs and values and you cannot use the same intervention for all cultures. You should learn about each culture.
What can you share with other students about this podcast?
I would recommend other social worker students listen to this podcast because it will expand your understanding on cultures, as well as help you on the social work exam. When working with a client who culture differs from your own you should openly acknowledge your awareness of the differences between you and client and actively support and explore rather the client have any concerns about the difference. You should also be willing to seek consultation and do research to learn more about the client culture.
Concluding Sentence
In conclusion, Sue recommends that you attempt to offer concrete assistance in the first meeting with the client. In some cases a culturally diverse client will have difficulties trusting their therapist. The client culture background must be taken into account when making and assessment and diagnosis. Certain behaviors and interventional patterns are considered adaptive in the clients culture may be considered maladaptive in yours or vice versa. Culture-bound syndrome is a combination of psychiatric and somatic symptoms that are considered to be a recognizable disease only within a specific society or culture. There is no objective biochemical or structural alterations of body organs or functions, and the disease is not recognized in other cultures. While a substantial portion of mental disorders, in the way they are manifested and experienced, are at least partially conditioned by the culture in which they are found, some disorders are more culture-specific than others.
Legal and Ethical Issues
Abstract
The social work examine will include questions about legal and ethical issues affecting social work practice. You need to know the principals and values of the NASW code of ethics. When answering questions don’t apply any rules or regulations that are specific to the agency where you work. As a social worker when making ethical decisions you should use the NASW code of ethics to guide your professional conduct and decision making in situations that have ethical implications.
Introductory Sentence/ Opening Thought:
The NASW code of ethics should be you primary leader when making ethical decision. It is essential to know the principals and values of the National Association of Social Workers code of ethics.
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Code of ethics should be your primary resource. But the code of ethics does not give you explicit rules of conduct that defines precisely how you should behave in every situation. The code contains general information and you are to apply your decisions based on your understandings. In some situations ethical decision making will require to you to consider laws governing social work practice. You can’t apply laws that are only in one state. There are some laws that are applied in all states. One example is the laws that govern what kind of activities social workers are allowed to engage in, For instance a client wanting legal advice such as advice regarding divorce or preparing a will must be referred to an appropriate legal profession. Values can sometime effect ethical decision making. Ethical principles standard for a profession are meant to serve as a guide to what is right or wrong. Values are more abstract and related to what one person or group consider desirable. Values that social work consider desirable are incorporated in code of ethics. Examples include a commitment to the primary importance of the individual in society, and respect for confidentiality in the client social work relationship. In some situations you may find that your personal values are at odds with the code of ethics.
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You must attain a valid consent form for your client. The need to obtain a formal consent even applies when a client has been ordered by a court to attend therapy. Valid form consent usually acquire that four things are met. First, the client must have the capability to consent to therapy. Second, must provide the client with all significant information that might affect his decision to enter treatment including nature and purposes of you services related to them. The client must give his consent freely and without undue influence. Finally, the consent form sent must be appropriate documented, meaning, that you should obtain a formal sign written consent. The client must be able to understand the information you give him about your services, this can be complicated when a client is a minor, mentally retarded and or mentally disable.
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Confidentiality is the right to privacy which refers to the basic right of an individual to decide how much personal information can be shared with others. You can not disclose any of the client information without their permission. You can when the client or a legally authorized person such as a minor parent client has consent with disclosure. Second, to a consultant public presentation without the client consent if the client identity is adequately disguise. Third you can break confidentiality under specific circumstance defined under the code or ethics or law. To serve a client best interest you often need to share confidential information with other agencies and professional who are involved in his case. Sometime you have to share information to family members and teachers. You should release raw test data to another profession who is qualified to interpret them. In addition, you must only provide information that is clearly relevant to the request. When speaking to an consultant about a client case you are not to disclose any identify information about the client unless you have obtain the client consent unless an compelling need to disclose certain information without his consent.
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According to ethical standards you can and disclose confidential information without the client consent under the following circumstances when disclosure is needed in order to prevent serious harm to the client or another identifiable person or when law regulations require disclosure without consent. You can violate confidentially it you believe the client to be in danger or another person, And or you reasonably suspect or know child abuse has occurred. Code of ethics make it clear that you cannot discuss specific information about a client case with other people without the client consent unless there are compelling professional reasoning for breaking the client confidentiality. Tar sol case in California court decision establish a duty to worn or protect the intended victim of the client threat. So if the client make a threat against an identify victim an attempt to protect the victim in most cases this will involve notifying the police and warn the victim.
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When your client is a minor when you provide professional services to a minor his parents or legal guardians have a legal right to be given information about his treatment. At the beginning of treatment you should clarify that the minor and his parents the conditions surrounding the release information. When a person asks about their child treatment you must consider three things. From a legal perspective the parents of a minor client have the right to receive information from you about their child therapy. Second, for an ethical standpoint a minor client has the right to a confidential relationship with you. Third for a clinical perspective you should consider how the client interest will be served if the parent receive the information. NASW standard of practice with adolescents states that social workers must maintain confidentiality in their relationship with adolescent’s client and of the information attained in the relationship.
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Privilege refers to an individual legal right to prevent or attempt to prevent confidential information from being revealed. The client is the holder of privilege. The client decides whether confidential information can be shared. Dual or multiple relations are not allowed. Boundaries are drawn between therapists and clients rather than around them and include therapists’ self-disclosure, physical contact (i.e., touch), giving and receiving gifts, contact outside of the normal therapy session and proximity of therapist and client during sessions.
This whole podcast was interesting because it gives you tips for the social work exam. It tells you the legal and ethical issues you must now when dealing with clients. The most interesting thing from the podcast was the need to obtain a formal consent even when a client has been ordered by a court to attend therapy. Another interesting fact was the exceptions on when you can violate confidentiality.
What can you share with other students about this podcast?
I would recommend all social work students to listen to this podcast. This information is every essential and beneficial. All students must know the rules and regulations that are in the code of ethics to pass the social work exam.
Concluding Sentence/ Closing Thought:
In conclusion, the code of ethics should be your primary resource. Confidentiality is the right to privacy which refers to the basic right of an individual to decide how much personal information can be shared with others. You can not disclose any of the client information without their permission. You must attain a valid consent for your client. The need to obtain a formal consent even applies when a client has been ordered by a court to attend therapy.
DSM-IV-TR Review
Abstract
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is published by the American Psychiatric Association and provides a common language and standard criteria for the classification of mental disorders. DSM divides the mental disorders into three categories: mental disorders due to a general mental condition, substance related mental disorder, and primary mental disorders. Primary mental disorders are the mental disorders in the DSM except for those directing caused by a general medical condition and or substance.
Introductory Sentences
Before diagnoses a primary mental disorder such as major depressants disorder you must rule out the possibilities that a client symptoms are directly caused by a general medical condition or a substance. Culture is also an important situation when determining whether or not a client has a mental disorder because sometime a client symptoms will reflect beliefs, behaviors or experience that are particular to their culture.
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Differential Diagnoses is a systematic method used to identify unknowns. Differential diagnosis allows the physician to: more clearly understand the condition or circumstance, assess reasonable prognosis, eliminate any imminently life-threatening conditions, plan treatment or intervention for the condition or circumstance and enable the patient and the family to integrate the condition or circumstance into their lives, until the condition or circumstance may be ameliorated, if possible.
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A culture-specific syndrome, culture-bound syndrome or folk illness is a combination of psychiatric and somatic symptoms that are considered to be a recognizable disease only within a specific society or culture. There is no objective biochemical or structural alterations of body organs or functions, and the disease is not recognized in other cultures. While a substantial portion of mental disorders, in the way they are manifested and experienced, are at least partially conditioned by the culture in which they are found, some disorders are more culture-specific than others.
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A delusion can be bizarre and non-bizarre. Delusion is a fixed belief that is either false, unbelievable, or derived from deception. Hallucinations are defined as perceptions in a conscious and awake state in the absence of external stimuli which have qualities of real perception, in that they are vivid, substantial, and located in external objective space. Clients addicted to substance may experience tolerance or withdraw obsessions and compulsions. Mood disorder is defined by pathological extremes of certain moods - specifically, sadness and happiness. Paranoid Personality Disorder, Axis I - A pattern of pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent Individuals with his disorder assume other people will exploit harm or deceive them, even if no evidence exists to support it (Criterion A). They are preoccupied with unjustified doubts about the loyalty or trustworthiness of their friends and associates (Criterion A2). They read hidden meanings that are demeaning and threatening into benign remarks or events (Criterion A4). American Psychiatric Association (2005). Diagnostic and Statistical Manual of Mental Health Disorders (4th Ed.) Jaypee Brothers. Pg. 690
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Dementia is a loss of brain function that occurs with certain diseases. It affects memory, thinking, language, judgment, and behavior. Most types of dementia are nonreversible. The changes in the brain that are causing the dementia cannot be stopped or turned back. Alzheimer's disease is the most common type of dementia. Post-traumatic stress disorder is a type of anxiety disorder. It can occur after you've seen or experienced a traumatic event that involved the threat of injury or death. Post-traumatic stress disorder (PTSD) may occur soon after a major trauma, or it can be delayed for more than 6 months after the event. When it occurs soon after the trauma, it usually gets better after 3 months. However, some people have a longer-term form of PTSD, which can last for many years. Acute stress disorder (ASD) is an anxiety disorder characterized by a cluster of dissociative and anxiety symptoms that occur within a month of a traumatic stressor.
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There are three types of eating disorders: 307.1 Anorexia Nervosa, 307.51 Bulimia Nervosa and 307.50 Eating Disorder NOS. Anorexia nervosa is refusal to maintain a minimally normal body weight are intensely afraid of gaining weight and exhibit a significant disturbance in the perception of the shape or size of his or her body. Repeated episodes of binge eating followed by inappropriate compensatory behaviors such as self-induced vomiting, misuse of laxatives, diuretics, fasting, or excessive exercise. Believed to be determined by social, gender, psychological, familial, biological and cultural factors for some of the risk factors in eating disorders. Additional research had focused on personality characteristics, negative emotional moods, and sexual abuse as causing factors in eating disorders as well.
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ADHD is a problem with inattentiveness, over-activity, impulsivity, or a combination. For these problems to be diagnosed as ADHD, they must be out of the normal range for the child's age and development. ADHD is a long-term, chronic condition. About half of the children with ADHD will continue to have troublesome symptoms of inattention or impulsivity as adults. However, adults are often more capable of controlling behavior and masking difficulties. Adjustment disorder is a psychological response to an identifiable stressor or group of stressors that causes significant emotional or behavioral symptoms that do not meet criteria for anxiety disorder, PTSD, or acute stress disorder. The condition is different from anxiety disorder, which lacks the presence of a stressor, or post-traumatic stress disorder and acute stress disorder, which usually are associated with a more intense stressor. Adjustment disorder may also be acute or chronic, depending on whether it lasts more or less than six months.
What is most interesting about this podcast?
This whole podcast was interesting. It refreshed my memoires on the things, I learned in social work 236. There are so many disorders you must know when dealing with clients. Differential diagnosis allows the physician to: more clearly understand the condition or circumstance, assess reasonable prognosis, and eliminate any imminently life-threatening conditions, plan treatment or intervention for the condition
What can you share with other students about this podcast?
I would recommend that other social work student to listen to this podcast because the social work exam will include questions that will test your knowledge of DSM-IV-TR as well as your familiarity will affective treatments for some mental disorders. Some questions will ask you to choose the most likely diagnosis based on a set of symptoms. You will need to differential from mental disorders that share similar symptoms.
Concluding Sentence
In conclusion, before diagnosing a primary mental disorder such as major depressants disorder you must rule out the possibilities that a client symptoms are directly caused by a general medical condition or a substance. Culture is also an important situation when determination whether or not a client has a mental disorder because sometime a client symptoms will reflect beliefs, behaviors or experience that are particular to their culture.
1st Phase of Treatment
Abstract
The first Phase of Treatment lays a foundation for selecting and implementing intervention. This is aim at resolving the clients’ problem and promoting his problem solving skills. Goals to be accomplish in the first phase of treatment includes: exploring the client’s problem, establishing rapport, and enhancing motivation formulating a multi- dimensional assessment mutually negotiating treatment goals and formulating a contract and making referrals.
Introductory Sentence
In the first phase of treatment, the objective in the first meeting is to build rapport, explore and present the client presenting problem. The first meeting is vital for making a productive assessment because it increases the client willing ness to speak openly about himself problems and situations.
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The help process using begins with your efforts to explore the client presenting problems. With some clients however you will have additional priorities in the initial interview. First, if you are legally mandated to work with a client you must access the legal concerns. For instance if you are making an assessment at the request of a child protective agency or court, you must include an evaluation of those factors of interest in court. Second you made need to address serious health and safety concerns that require immediate attention, In some situation you may conclude that the danger to self or to other is some serious, you are legally required to take protection actions. Therefore with some clients your priorities in the first meeting will be to assess and properly manage clinical risks.
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The objective in the first meeting is to present the client presenting problem. The presenting problem is the client understanding of why he is coming to therapy and what he thinks his problem is because most clients are not always aware of all the factors that are affecting their problem, your views of the client difficulties make different from his. Your impression of the client problem may be affected by intake information and other documents describing his problem or situation. The presenting problem represents the concern and feelings that are upper most in the client mind. You should ask neutral and open-ended questions. This invites the client to describe why he has come in. At this point your role is to facilitate and exploration process and response to ways that conveys understanding. You should access pieces of information the client discloses and observe his interactions with you and with others who may be present in the interview.
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Most clients talk in general you will need to move to the specifics to see what the problem is. Some skills that will encourage the client to continue talking is: fulfilling response are used to offer the client immediate feedback that you have understood his message. Paraphrasing involves using other words to restate a client message. It focuses on the client facts rather than emotional state, and emphatic responding. Closed ended questions define a topic and limit the client response to a few words or simple yes or no answers. Close ended questions are used late to find missing data. By exploring the client’s expectations for treatment you create an opportunity to establish mutuality. It allows professional competence and communicating o the client that you are equal partners in the helping relationship. You are both responsible for seeking solutions to his difficulties. Last in the initial interview it is important to access certain factors that can affect the presenting problem. These factors include using alcohol and other drugs to abuse a violence that presents health problems, depression or other mental health problems and the use of other prescription medications.
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To establish rapport you should you should show that you are an interesting listener who is making an effort understand the client as he relates his problems. The first meeting is vital for making a productive assessment because it increases the client willing ness to speak openly about himself problems and situations. You should use verbal and non-verbal communication to show your understanding. You should also demonstrate respect of the client neatness, worth and capacity to solve problems. Demonstrate a commitment of confidentiality and to the client’s need of self-determination. Empathic responding involves the ability to perceive accurate inner feelings of the client. In the initial meeting reciprocal empathic responding is use to prepare the client for a deeper exploration of its feelings. This skill promotes a climax of trust and understanding that enable the client to self-disclose his feeling and problems. At the reciprocal level your verbal and non-verbal response convoys an understanding.
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When building rapport you must start where the client is. It involves focusing your attention on the client immediate concerns and emotional state. It helps with building rapport because it shows that you have a perceptive understanding and interested. If a client is emotionally upset in the interview you will work to reduce his distress before exploring his problem. It is important to start where the client is because if the client get the impression that you don’t know want to deal with his problem or he feel that your priorities is different from his he will have no reason to trust you. When building rapport it is good to use authentic behaviors. Which usually encourage the client to return the favor and be more openly to you. In the first phase of the helping process being authentic involve relating as a genuine person rather than as a professional. You will also self-disclose some background information about yourself so you and the client can develop a working relationship.
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Multi-dimensional assessment gathers and formulates relevant information to develop an image of the client and circumstances. Among the systems if depression hopelessness is the best predictors of suicide risk. The ego map understands the client environment. The ego map is used to develop a diagrammatic depiction of the client relationship with his family and environment. The gio gram is used to gather the client family relationships at least three generations. Another important process in the assessment is to identify the client’s needs and wants. Needs refers to universal necessities such as adequate nutrition, housing, and health care. Wants refers to strong desire that motivates behaviors and that when fulfill enhance the clients sense of well-being. Examples of wants include greater self-confidence, more independence, less family and martial discord and less depression. When expressing the presenting problem clients may state his needs and wants. As a social work you are not advised to tell clients about side effects or how to cope with them. You must advise them to see a medical assistance, or the person who gave them the medication. Clients who come involuntary are more motivated than those who were referred or legally mandated. You should help the client express his immediate feeling about therapy and you. A client commitment to change can be enrich by giving them choices. When there is usually more than one goal when setting and planning treatment. You should help the client prioritize his goals.
What is most interesting about this podcast?
I believe this whole podcast was important and interesting because it teaches you the first phase of treatment which is the foundation for selecting and implementing intervention. The objective in the first meeting is to present the client presenting problem. Social workers generally rely on a bio psychosocial model when attempting to understand a client problem. These models assume that biological, psychological, and social factors may all play a role in the initiation and maintenance of a problem. Cultural resources are important when a client has a mental disorder or a substance abuse related disorder that may prevent him for providing reliable information.
What can you share with other students about this podcast?
I would share this podcast with other social work students because this podcast offers vital information relating to the first phase of treatment. Your knowledge and skills may be tested in the social work exam. It tells you how to go about solving the client problem and choosing interventions.
Concluding Sentence
In conclusion, Intervention must be based on an accurate and complete assessment of the problem. Second, you must take in account the client reviews regarding how best to resolve his problem and allow him to participate in choosing interventions. This respect his right of self-determination and increase his likely that ne would understand and corporate. You must select these interventions that are most relevant. It is important to end the phase with a treatment contract. The contract includes the goals to be accomplished in order to prioritize and an agreement that the help is mutual in the problem solving process.
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