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Why confidentiality in mental health
Why confidentiality in mental health
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When I approached my client and asked if I could use the FIT with him, he was a hesitant at first, because he really did not want to talk about certain topics that were going to make him emotional. I explained to him that we did not have to proceed with the FIT if it was going to make him uncomfortable, but I did inform him that I had to carry out this intervention as part of a grade. He then agreed to contribute because he said that I was helping him with finding permanent housing, so he was going to help me out, but I just think he felt sorry for me. I explained the steps and process of the ORS, and he rated his scores on the timeline. It took my client about one minute to put his scores on the timeline, and when he was finished were both discussed his results. According to my client’s results from highest to lowest, he had ranked himself from Overall, Socially, Individually, and Interpersonally in order. I decided to start our conversation off with his lowest score and working my way up, because I wanted to finish out session on a positive ending. …show more content…
He also informed me that he does have a son, but has not spoken to him in over 15 years, because they had a “falling out”. He also stated that he gets “depressed” whenever he thinks about his son, because it brings up painful memories. Also, my client told me that he is probably a grandfather, and that he would like to see his grandchild. I could see my client becoming emotional, and he asked if we could move on to a different
The client does not have any medical conditions that would be affecting his mental health. The client is slightly overweight which causes him to have lower-self-confidence. The client also has supplemental issues within his primary support group, especially with his parents and older brother. The client has reported difficulties with his father threatening to commit suicide and being unstable psychologically. He has also expressed that his mother puts a lot of pressure on him because he is the one that “she can count on”. The client’s older brother also causes him stress due to him stating he is going through a transition and his poor social skills. Although the client does not currently live in the household, his family is still involved with his life and he finds it difficult to separate himself. Also, the client has difficulties with his peer group. His friends recently moved away and he has had to make new friends. He was also just recently in an
Although, this session ended with amazing results, I feel as though I need more practice with this type of therapy. I have to continue to practice on allowing the patient to come up with their own solutions. I found it hard not giving advice to my client, because I already knew the situation. However, in the end I found myself very proud, because even though this was not a real therapy session, but the client was able to find a real solution to her problem. This experience is one that teaches the therapist restraint, it allows one to step back and listen. It also gives the client the opportunity to reach a solution themselves without someone giving them the answer to their
My name is Mylette Charles I currently work at PATH ( People Assisting the Homeless) located in Los Angeles, California. The goal of this agency is to end homelessness for the community. We provide job assistance, counseling, substance abuse treatment and other services such as providing temporary and permanent housing for those in need. I have a masters in social work and have been licensed for the past 5 years. My client, Chloe age 22 was referred to me by herself. She is looking to get her life together and get help. Assessment is using the tools social workers learned to evaluate the needs of a client. I chose to do the assessment with Chloe because my job is to figure out peoples problems and do my past to help them solve it and be an
Senior staff A had a had an approaching supervision and I had noticed recently that I had had to approach her on numerous occasions about not following service user b’s care plan correctly in supporting and encouraging their independence. I discussed this problem with my manager who also informed me she had spoken to her about similar occurrences. Before commencing the supervision I made notes of these occasions and also wrote recorded positive practice to relay back to her. I started the supervision off with positive feedback, saying how I impressed I am with how she carry’s out personal care in such a way that protects the individuals dignity and put them at ease, she seemed really pleased with these comments. I then expressed my concern
In the last decades, managerialist perspective of social work practice has been the centre of practice, however, relationship based and reflective practice in which involves ‘self’ has attracting attention in recent years (Harrison & Ruch, 2007). Reflective practice is a holistic thinking that involve social work knowledge and theories, as well as one’s own feelings and awareness of the self. It also requires the practice to incorporate with personal experience and wisdoms that cultivated through practice (Wilson, et al. 2011 ; Harrison & Ruch, 2007). This short essay explains of reflective practice; how it relate with relationship based practice, and influence on the practice outcomes.
I do have some improving to do, such as saying word such as “like” and “um”. I have to become comfortable with the silence that can be needed in order for my client to gather her thoughts. My facial expressions are also something that I want to learn to manage. Some of them are so natural, I don’t realize how much I frown my face, lick my lips and poke my lips out. Those things can be a sign of judgment; I have to be careful to not make natural facial expressions a part of my social work profession. It was hard for me within this interview because I wasn’t able to ask questions and often times I would make a statement but it sounded as if I was asking a
At the beginning of this class, I did not have very much understanding of theories and perspectives, but now, by using the different theories and perspectives in settings that require research and define, I am able to work with the Hispanic/Latino populations. Competent of theories and perspectives in the social work profession is a gift. By studying and using the different theories and perspectives, have given me a new attitude about my social career because this term is like the lost nail that I was looking for to finish a task.
My concentration for human services is children and family so I took this journal topic very seriously. I was already knowledgable with this topic, but I had never been asked to put them in order from most influential to least. I thought this was going to be really easy but I struggled with deciding which was more influential. I thought the biggest problem for at risk children would be parent criticism, anger, and blaming. Growing up kids look up to their parents and if someone they look up to is making them have low self-esteem that is going to cause major problems later on in life. The second I felt was the next biggest problem was children feeling shame. I feel like these last two go hand and hand with each other. The next was parental imbalance, if
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.
When I first seek out for therapy, it was interesting and scary. I made my first appointment and I was anxious and upset during my visit. I did a 20 minutes interview over the phone before my first initial office visit. My intake worker that assess my caseload allowed me to know her briefly, and let me know she would not be my therapist, but allowed me to accept the rules, polices, and therapist assigned to me. As the article stated, “explain what therapy is, how it works, and answer questions about what the client can expect from therapy in general and from therapy with you.”
When I came into my office this morning, I had a new client waiting for me. This client, Kaitlyn, has been an anorexic for a couple of years now. She showed a few pictures of her in the past, and she was so outgoing. She had no trouble talking to people, and had a positive attitude. She used to be on the dance team growing up and still enjoys it. She always dreamed big and wanted bigger and better things for herself. She feels uncomfortable with herself currently sometimes, and wants to stop feeling that way. She feels “ugly” as she put it. She wants to be able to hold her head up high and not feel embarrassed about her body. It has not has been as bad as it is now. Just recently, she has started using laxatives to help her lose the
Based on my experiences at Neville’s Family House, a generalist social worker would have to be well informed in multiple subjects to effectively aid the sick and disable population. The social worker will have to know about the physical, economic, social and environmental barriers that hinder this group. I would expect the social worker to be at the forefront of efforts to understand and advocacy for the government to respond to new developments and concerns of this population. The social worker will need to know that disability rates very among the major racial and ethnic groups and remain aware of some of the stigma, of being “strange” and “different” this population still faces. Each day that that I greeted a Family House’s resident,
This was my first time talking to a client and having to speed up or close up the conversation so I could move on to the next topic before running out of time. It showed me that I was very interested in what she had to say, and I wanted to know more about everything that was going on in her life. If I had more time, I would have talked more about her job and how it goes and the feeling she gets working there. I would also have asked her what’s the things she plans on saving her money for or items that she might want to buy now. I would also go more in depth with the family counseling asking her what the counselor said and what some of her responses were but, I had to wrap the session the up.
families, and communities to enhance their individual and collective well-being. Social workers are change agents and because of that, they aim to help people develop their skills and abilities to use resources provided to them to strengthen and improve their lives and communities to resolve problems. One of the main goal of social workers is to improve the well-being and lives of the most vulnerable populations, fight against poverty, unemployment, domestic violence and the underserviced population by emphasizing on the person-in-environment and social justice model. The social work profession, considerers the individuals’ internal and external struggles, while working with the individuals to examine their relationships, family, work environment, community, and other things that might impact them and identify ways to help address problems and challenges.
Social worker began session by informing client that the purpose of the session was to clarify the clients goals, how client believes she can achieve her goals, and how social worker can help client reach goals. Social worker explained what a written contract is and its purpose. Social worker than inquired about how the client has been since the last session. Client reported that she finally discussed the status of her relationship with her boyfriend. The client stated that her boyfriend did get physical during the discussion and pushed her down, but never slapped or punched her. The client stated that the conversation concluded with the relationship ending. Social worker inquired about the clients plans now that the relationship has ended.