Premature termination can be a big inconvenience for the helper and the client during treatment. “Frequently our issue is not how to exit the relationship but rather how to restrain the client from terminating until real progress has been made.” Young (2013) This quote resonates with me because I have dealt with this in some form working with juveniles and their parents. In some cases, the parents have had enough with services and believe counseling will not work. In other cases, the youth feel forced to participate and engage is lost after a month or so. I can imagine a counselor still face these issues even in outpatient counseling. In my opinion the main case of early termination is lack of engage between the counselor and the client. From my experience lack of engage can mean anything from the client prefer a female over a male or vice …show more content…
To prevent lack of engagement Young quoted strategies from Joyce, Piper, Ogrodniczuk & Klien 2007; Mennicke, Lent & Burgoyne 1998; Pekarik 1985, Piselli, Halgin, & MacEwan 2011. Which are “Avoid delays in seeing clients, In cases and setting where clients might be expected to drop out early, Make contracts for clients completing a small goal, Do not process clients through several channel, Provide an orientation to the helping process, Use reminders to motivate client attendance, When client terminates early, call him or her and find out why, in cases where the client decides to terminate before goal completion, the helper should go the extra mile, provide a safe environment, Consider negotiating a treatment plan with the client.” Young (2013) I have utilized a few of these to prevent loss of engagement. I have found that giving the client homework or making contracts, using reminders, Contacting the client when they cancel seem to have an impact on the client’s cognitions about the service in a positive
I would have terminated early when signs of high stress levels on the participants were visible. Such as them forgetting the concept that they can leave at the time and showing signs that they felt institutionalized. A follow up study should have occurred to understand the mind set of all the individuals involved.
... By scheduling an activity that the client can participate in and complete, it can give them a sense of mastery in a specific task. This can be beneficial for the client to feel accomplished. Another technique that I feel can be beneficial in therapy is role-playing. Role-playing can be helpful for a client to learn how to dispute irrational beliefs by becoming aware of negative feelings towards theses beliefs (Tan, 2011). In addition, role-playing can help the client to overcome their emotions and practice coping skills that are more effective. The last technique I would incorporate into therapy would be relaxation training. I would suggest ways that can help the client relax including, deep breathing, meditation, yoga, a massage or exercising. By getting the client to have methods to relax, I think it can help with managing their thoughts, feelings and behaviors.
In respect to counseling mandated individuals, the ACA code delinates the ethical guidelines to follow, but the AMHCA code does not mention this obligation (ACA Code of Ethics, 2014, p. 4; AMHCA Code of Ethics, 2010). It is important for counselors as a profession as well as specifically mental health counselors to understand how to ethically address mandated clients. Furthermore, as the ACA code states, it is important to counselors to discuss with clients the reprocutions for refusing services due to being mandated for treatment (ACA Code of Ethics, 2014, p. 4). Interestingtly, the AMHCA code does not include ethical standards for terminating a supervisory relationship whereas the ACA code does (ACA Code of Ethics, 2014, p. 13; AMHCA Code of Ethics, 2010). Such that the ACA ethical code indicates that both parties have the right to terminate the relationship and the supervisor should make a refferal (ACA Code of Ethics, 2014, p. 13; AMHCA Code of Ethics, 2010). It appears as though this is a highlighted difference between the expectations in a supervisor/supervisee relationship between mental health counselors and counselors as a professional entity. When addressing clients who are also receiving services from other professionals, the ACA and AMHCA codes present different guidelines for how to
A common struggle for counselors can sometimes be to find the right balance between “the demands or managed mental health requirements and obligations to clients” (Braun & Cox, 2005, p.426). Often times counselors may be t...
These techniques include showing concern for clients through active listening and empathy, showing respect for and confidence in clients, focusing on client’s strong points and positive traits, resources, replacing discouraging thoughts with encouraging ones, and helping clients to develop a sense of humor about life. (Watts & Pietrzak,2000,p 443) Another method, as mentioned earlier is building a strong rapport with the client. Therapists use a variety of techniques to facilitate change in the client’s behavior. Therapists help clients to choose alternative behaviors to the behaviors that are maladaptive. The next method is getting the client to change how he or she views a situation. This is done inside and outside of counseling. Through this technique a client comes to realize their abilities and strengths. Last but not least, therapists help clients draw on their resources and strengths when faced with a situation that seems troublesome. (Watts & Pietrzak,2000,p
One of my biggest challenges is to separate my personal feelings from the client. There are times where I get my emotions too involve when my clients specially when working with children. During the Panhandle Promise Project Summer Camp, I had the chance to meet and talk to the children in the program. I deeply care for this children and their living situations, knowing that some of this children are in foster care or are living in poverty make me sympathize and involved personal feelings. This also impacts the boundaries that need to be set with the children and me because involving myself too much in their lives will not be healthy for either one. Continuing in working own myself will be a priority and easier to know if I recognize it and work on it before it becomes an
People inherently have the power to solve their own problems and come to their own solutions. Clients are expected to play and active role in their own change by being open to expressing their problems,creating goals and ultimately evaluating their progress. Clients often use stories to explore their problems in preparation for deciding which goals they want to set and subsequently accomplish. Each client has specific issues and life experiences which the goal should reflect. Clients are expected to put great effort into discovering a desire that the client has deep convictions about and will commit to putting in the work it takes to change behaviors that are no longer working in their life. When the client discovers what they want to be changed it can become their goal. The goal needs to be important to the client and not something that someone else wants them to change. When ...
A counselor should always keep their thoughts to themselves and remain open-minded about the situation. The only time a counselor should share their thoughts is if it helps the client with their situation that they are dealing with. “Counselors must practice only within the boundaries of their competence (Standard C.2.a.), and, if they “determine an inability to be of professional assistance to clients” (Standard A.11.b.), they should facilitate a referral to another provider. (Kocet, M. M., & Herlihy, B. J. (2014). Addressing Value-Based Conflicts Within the Counseling Relationship: A Decision-Making Model. Journal Of Counseling & Development, 92(2), 180-186 7p. doi: 10.1002/j.1556-6676.2014.00146.x).” Keeping your thoughts to yourself is
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
Counselors ' use resilient treatment and other remedies to ensure those who need professional help can get it, resulting in a society that has fewer mentally ill people who can harm others. Counselors are good for everyone who needs it. Their programs are designed to teach, assist, and treat various dysfunctions criminals, victims, and the general public may have. Psychologists, psychiatrists, and other mental health personnel such as social workers or family counselors generally conduct treatment (Center for Substance Abuse Treatment,
...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.
The first set comprises four “initiating” strategies for influencing positive client engagement: displaying an engaging personality, identifying with clients, developing mutual interests, and practicing reciprocity. Displaying an engaging friendly personality – a prerequisite for building relationships (Cialdini, 2001; Gilley, 2006) – creates initial positive perceptions and helps establish personal rapport. Identifying with clients on their level (Gilley, 2006) by altering personal communication style, language, dress, and behaviors to match with their cultural norms, reinforces perceptions of the author’s willingness to ackn...
Within the therapeutic alliance, the clinician-client relationship can be critical to the outcome of therapy. If a client does not feel that his or her feelings, expressions, and or thoughts matter to the therapist, there is no alliance much less a relationship. When a client feels invested in it can certainly change the outcome of therapy. For instance if a client has come to therapy with feelings of inadequacy, lack of visibility and indifference if the therapist treats him or her in the same manner it is highly unlikely the client will return to this clinician. A study (Friedlander, Bernardi, and Lee, 2010) shows that outcomes were more negative when clients felt clinician lack of engagement and involvement in session.
Sexual relationships between counselors and clients should never ben permitted due to the power associated with the counselor’s role with clients. While ethical guidelines vary between different counseling associations as to whether it is acceptable for counselors to have sexual relationships with clients after the professional relationship has ended, in many cases these relationships continue to be prohibited. This standard is held because some believe that the powe...
Treatment Termination. The length of treatment for this family will determine how long it will take the parents to gain custody of Collin their younger child. Progress in treatment is determined once the family has united and continues to report and demonstrate improvement while maintaining living together. The therapist will inform the family of the termination several sessions in advance while providing the date of termination. Due to the family history of failing progress toward improving their relationship, it is possible the family will display some anxiety and other emotion. However, this phase will allow the family to manage their daily living with little to no assistant from others.