International interviewing and counseling 9th ivey chapter 14

Intentional Interviewing and Counseling: Facilitating Client Development in a Multicultural Society 9th Edition Allen E Ivey Mary Bradford Ivey Carlos P Zalaquett Copyright © 2018 Cengage Learning All Rights Reserved Chapter 14 SKILL INTEGRATION, DETERMINING PERSONAL STYLE, AND TRANSCENDENCE Copyright © 2018 Cengage Learning All Rights Reserved Chapter Goals and Competency Objectives (slide of 2) ▲ Awareness and Knowledge  Review theories emphasized throughout the book (Note that detailed reviews of crisis counseling and cognitive behavioral therapy were presented in Chapter 13.)  Review and integrate concepts, skills, and strategies learned in previous chapters  Explore a pre-interview checklist to help ensure that critical points are covered in the first session  Understand the place of case conceptualization, treatment planning, referral, and relapse prevention, closely related to action planning Copyright © 2018 Cengage Learning All Rights Reserved Chapter Goals and Competency Objectives (slide of 2) ▲Skills and Action  Create long-term treatment plans for a client, and keep systematic records  Increase client take-home of thoughts, feelings, meanings, and behavior in the fifth stage of the interview through action planning and relapse prevention Copyright © 2018 Cengage Learning All Rights Reserved Skill Integration Skill Integration: Integrate the microskills into a wellformed interview and generalize the skills to situations beyond the training session or classroom Anticipated Result: Developing interviewers and counselors will integrate skills as part of their natural style Each of us will vary in our choices, but increasingly, we will know what we are doing, how to flex when what we are doing is ineffective, and what to expect in the interview as a result of our efforts Copyright © 2018 Cengage Learning All Rights Reserved Decisional Counseling: Overview ▲ Philosophy  “Let’s be practical and find something that works.” ▲ Key Methods and Strategies  Five-stage decision structure + microskills ▲ Implications for your practice  Whether you favor person-centered, cognitive behavioral therapy, or some other system, all require decisions and ultimate client action in the real world Copyright © 2018 Cengage Learning All Rights Reserved Person-Centered Counseling: Overview ▲ Philosophy  Clients are the experts in their own life history and direction  Personal self-actualization to reach one’s full potential ▲ Key Methods and Strategies  Relationship and empathic understanding, the centrality of emotion, and emphasis on listening ▲ Implications for your practice  Regardless of your chosen theory, listening will always be central in helping your client Copyright © 2018 Cengage Learning All Rights Reserved Logotherapy: Overview ▲ Philosophy  Life always has meaning ▲ Key Methods and Strategies  Discerning what we care for, what we are about, and our life’s meaning and purpose seems to transcend all other issues ▲ Implications for your practice  Exploring meaning can be particularly useful in crisis situations Copyright © 2018 Cengage Learning All Rights Reserved Multicultural Counseling and Feminist Therapy: Overview ▲ Philosophy  Both rest on a foundation of the cultural/environmental context ▲ Key Methods and Strategies  Both focus on raising personality consciousness of how the individual develops in a cultural/environmental context ▲ Implications for Practice  Remember that clients, regardless of race, ethnicity, gender, or socioeconomic background, have a cultural background and history that affect their identity and all the issues that they face Copyright © 2018 Cengage Learning All Rights Reserved Importance of Case Conceptualization and Working Formulation (slide of 2) ▲ Your understanding of your clients, their issues, and the decisions they want or need to make is foundational to your work ▲ A case conceptualization is an individualized application of your theoretical model that takes into consideration the antecedents of the case and your observations and inferences ▲ The data to be considered include what you may find in the intake file, information from ongoing sessions, and other sources Copyright © 2018 Cengage Learning All Rights Reserved First Session Checklist (slide of 3) Copyright © 2018 Cengage Learning All Rights Reserved First Session Checklist (slide of 3) Copyright © 2018 Cengage Learning All Rights Reserved First Session Checklist (slide of 4) Copyright © 2018 Cengage Learning All Rights Reserved First Session Checklist (slide of 4) Copyright © 2018 Cengage Learning All Rights Reserved Additional Considerations: Referral, Treatment Planning, and Case Management (slide of 3) Referral ▲ No interviewer has all the answers ▲ Helps clients find community resources for their continued growth ▲ Helps when counselor skills are insufficient to aid client ▲ Maintain contact with the client as referral process evolves ▲ Continue to work with the client while additional help is acquired from specialized professionals Copyright © 2018 Cengage Learning All Rights Reserved Additional Considerations: Referral, Treatment Planning, and Case Management (slide of 3) Treatment Planning ▲ Treatment planning, in the form of specific written goals and objectives, is increasingly standard ▲ Often required by agencies and insurance companies ▲ When possible, negotiate specific goals with the client ▲ Write concrete and clear goals ▲ Include specific indicators of behavioral change and emotional satisfaction Copyright © 2018 Cengage Learning All Rights Reserved Additional Considerations: Referral, Treatment Planning, and Case Management (slide of 3) Treatment Planning ▲ May be structured using the five stages ▲ Includes highlights from each stage ▲ Summarizes issues ▲ Includes decisions, interventions, and shifts in topic direction ▲ Captures generalization/homework plans Copyright © 2018 Cengage Learning All Rights Reserved Case Management as Related to Treatment Planning ▲ Case management requires the professional helper to coordinate community services for the benefit of the client, and very often the client’s family as well ▲ Counseling and therapy are an important part of case management, but only a part ▲ Advocacy action is important throughout ▲ In many communities and agencies, all of the necessary services may not exist—and, equally or more likely, they may not work together effectively This may require organizing to produce change Copyright © 2018 Cengage Learning All Rights Reserved Maintaining Change: Relapse Prevention Relapse Plan ▲A relapse plan is developed to reduce client’s slips or relapses ▲The Maintaining Change Worksheet is completed with the client to help prevent treatment lapses ▲Anticipate possible obstacles to treatment ▲Include strategies for treatment success Copyright © 2018 Cengage Learning All Rights Reserved Your Turn: The Final Audio or Video Exercise (slide of 2) Transcribe the session and use what you have learned so far to fully analyze: ▲Your work ▲Consultation ▲Referral ▲Treatment planning Copyright © 2018 Cengage Learning All Rights Reserved Your Turn: The Final Audio or Video Exercise (slide of 2) ▲Cultural/environmental/contextual issues ▲Evaluation of your work ▲Your current natural style and expertise ▲Compare your current performance with the transcript or recording of the session you conducted earlier, in Chapter Copyright © 2018 Cengage Learning All Rights Reserved Summary: Skill Integration and Determining Personal Style (slide of 2) ▲ Skill integration combines the microskills, stages of the interview, and your natural expertise into the interview or counseling session ▲ The chapter presents a brief review of several counseling approaches (e.g., decisional counseling, logotherapy) ▲ A case conceptualization is an individualized application of your theoretical model that takes into consideration the antecedents of the case and your observations and inferences Copyright © 2018 Cengage Learning All Rights Reserved Summary: Skill Integration and Determining Personal Style (slide of 2) ▲ Using the checklist helps you systematically plan for the initial session using the five-stage structure and reduces the chances of missing the basics ▲ Know your community What medical offices are available? What social services are available for additional treatments, financial assistance, and advice? ▲ A treatment plan is a long-term plan for conducting a course of counseling sessions ▲ Case management requires the professional helper to coordinate treatment plans with community services and family support systems for the benefit of the client Copyright © 2018 Cengage Learning All Rights Reserved Action: Key Points and Practice for Skill Integration and Determining Personal Style (slide of 2) ▲Skill Integration ▲Multiple Counseling Approaches ▲Case Conceptualization ▲Planning the First Session and Using the Checklist ▲Referral ▲Treatment Plan Copyright © 2018 Cengage Learning All Rights Reserved Action: Key Points and Practice for Skill Integration and Determining Personal Style (slide of 2) ▲Case Management ▲Maintaining Change ▲Preventing Relapse ▲Developing and Reviewing Your Final Interviewing Transcript ▲Your Personal Theory and Transcendence Copyright © 2018 Cengage Learning All Rights Reserved .. .Chapter 14 SKILL INTEGRATION, DETERMINING PERSONAL STYLE, AND TRANSCENDENCE Copyright © 2018 Cengage Learning All Rights Reserved Chapter Goals and Competency Objectives... Awareness and Knowledge  Review theories emphasized throughout the book (Note that detailed reviews of crisis counseling and cognitive behavioral therapy were presented in Chapter 13.)  Review and. .. life history and direction  Personal self-actualization to reach one’s full potential ▲ Key Methods and Strategies  Relationship and empathic understanding, the centrality of emotion, and emphasis