Engagement
Engagement is a vital component to the therapeutic process and the framework to which a social worker establishes trust with the individual receiving services (Berg-Weger, 2013). This interaction is suggested as paramount to achieving a collaborative therapeutic relationship (Easter, Pollock, Pope, Wisdom, & Smith, 2016). Methods of engagement are considered as continuing throughout mental health services beginning with the initial contact.
Practice Skills
In an inpatient setting, patients admit with a mental health crisis and are especially sensitive to interactions with others. Often the first levels of engagement are challenging due to medications that are first given to stabilize each patient. During the engagement with Mark, it was important to encourage the sense of wellbeing towards recovery and placing a focus on his strengths. Engaging a client with their challenges and goals are suggested to be of focus instead of an individual’s mental health status or symptoms (Novotná, Urbanoski, & Rush, 2011).
Active listening
Due to Marks very depressed state, the initial interaction required a great deal of empathy and high degrees of compassion. When first engaging a client, it is important to be compassionate and empathetic and listen without interrupting, prompting or advising (Berg-Weger, 2013). Reflecting and summarizing content delivered in the session is a valuable way to let the client know that you are actively listening to what they are saying
This essay intends to introduce the reader to the most important skills involved within developing and maintaining a therapeutic relationship between a client and the therapist or counsellor. The onus will be on Humanistic counselling but many of these skills are central to all counselling types.
Allowing for our ethical codes of conduct, if the client is someone we feel we can proceed with, then as always, the first stage would be to develop a good rapport and gain the clients trust to develop an honest and open relationship with them. The client centred approach as always is the best method for this – to put the client at ease in a non-judgemental space where they can express their emotions and explore what it is they want to achieve with therapy. In giving the therapist an
As social workers, it is our responsibility to use the most effective method of practice to engage our clients, assess their situation, and help them create goals that will produce positive outcomes. Every client will present a unique set of challenges; therefore, the social worker must be careful in choosing an approach that will meet the client’s needs, compliment the skills of the therapist and are in line with the agency’s mission. According to Robert and Watkins (2009), psychotherapy is a therapeutic interaction between a trained therapist and a client that is
The foundation of therapy starts by building rapport with the client and applying strategies when necessary to overcome a variety of barriers. It is imperative to have rapport with a client and to be aware of barriers to facilitate a good treatment outcome. This will take practice and the use of methods and strategies ready to be implemented when needed. There are many components to building a good client rapport such as: intimacy, vulnerability, exploration of inner challenges, self-awareness, staying present; inner resiliency, empathy, anxiety management, and self-integration, and relationship acceptance. The two types of barriers are internal and external and this is for both the client and the therapist. The common barriers to rapport are countertransference and transference. Strategies for overcoming barriers are: Pause Moment and self-awareness. It also requires skills such as being genuine, sensitive, open, and
As previously mentioned, it is thought that engagement and understanding are key elements involved in creating and maintaining a therapeutic relationship (Orlinskey et al 1994). Throughout the risk assessment I checked the patients
This assignment will be analysing on communication in mental health nursing and child. Aspect of communication will include patient engagement, diversity as well as how it is used as a therapeutic intervention. It requires a range of appropriate and effective communication and engagement skills with clients as well as their carer and anyone involved in the care team according to practice of Nursing and Midwifery Council (2015) Finally both fields will be contrast and compared.
Accurate empathy - accurately sensing the client's world and communicating that understanding. Genuineness - self-awareness, honesty and openness; being real (not phony). Unconditional positive regard - accepting and valuing the client as a unique and worthwhile person, being nonjudgmental. Active listening - listening carefully and empathically to the client's story with undistracted attentiveness to 1) gain an understanding of the client's problem, 2) learn how the client thinks, feels and acts, 3) discover the client's strengths, assets and personal power, and 4) build rapport with the client. This includes maintaining comfortable eye contact and open body posture. Reflecting - mirroring the client's thoughts and feelings to demonstrate active listening and encourage the client to continue speaking. This includes: Restating - repeating verbatim the main thought or feeling expressed by the client. Paraphrasing - stating, in your own words, the main thought or feeling expressed by the client. This 1) lets the client know you are working to understand what they are communicating, 2) brings focus to the client's communication, 3) allows the client to correct any misperceptions or misunderstandings, and 4) encourages client self-exploration. Summarizing - summarizing, in your words, a set of thoughts or feelings expressed by the client. Open-ended questioning - Asking questions that require more than a minimal or one-word response by the client. They usually begin
Through my academic and clinical training, I have developed an integrative theoretical orientation. Foundational to my therapeutic approach is establishing an empathic, caring, genuine, and authentic relationship with my client. My perspective on therapy utilizes a strength-based, trauma informed, and developmental lens. With this foundation and perspective, I explore the unique interaction within and between my client’s intrapersonal dimensions and their context.
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
The following essay is a case study of a client named John who is suffering from major depression and was sent to see me for treatment by his concerned wife. I will provide brief background information about John then further discuss interventions and strategies I believe can be applied in each session with my client in order to make John's life more manageable. In the essay, I will be writing as the therapist, and the sessions are based on a ten week period.
In this assignment I shall be defining the topic surrounding crisis throughout the field of mental health. I will be attempting to do this by using a various range of literature and theories of that can help us create a greater understanding and knowledge base of what a crisis is, why it occurs and how we can potentially prevent a crisis from occurring. I shall then be discussing how I would engage those individuals that are in crisis, exploring the engagement process and showing the skills that are necessary to provide support to the person in crisis. I will then be discussing what challenges we meet as both professionals and the individual that is in crisis and what tools and strategies are placed in order to conquer these
Active listening is very important to me in communicating with your client. You can get great answers and details with open-ended questions. Listening to body language is just as important as verbally communicating. Nonverbal cues are to be taken seriously and listened with an urge to act on any violent intentions. Paraphrasing or summarizing is the feedback clients, listening out for the therapist response. The client tells the therapist their situation and waits to see if he or
Clients’ emotions have a large impact on services rendered. There are factors; such as, different cultures, protecting others, or just scared; which can keep a client from disclosing emotions. A person culture has an impact on their reaction to the helper because they may view situations differently. If the counselor do not have a clear concept of oneself, it can have a negative impact on the delivery services for people of another background. We must not be too talkative, avoidant, or anxious when talking with clients. These actions can help or harm the client success of treatment if the interviewer do not know how to correspond properly.
By creating a therapeutic environment in which the client feel safe to be entirely honest and open about their thoughts and feelings we can enable the client to be
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which