International interviewing and counseling 9th ivey chapter 14

 Understand the place of case conceptualization, treatment planning, referral, and relapse prevention, closely related to action planning... Chapter Goals and Competency Objectives sl

Intentional Interviewing and

Chapter 14

SKILL INTEGRATION, DETERMINING PERSONAL STYLE, AND

TRANSCENDENCE

Chapter Goals and Competency

Objectives (slide 1 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.

Chapter Goals and Competency

Objectives (slide 2 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

Skill Integration

Skill Integration: Integrate

the microskills into a

well-formed 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.

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.

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.

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.

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.

Importance of Case Conceptualization

▲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

Importance of Case Conceptualization

▲A case formulation will be produce based on all this

information

▲This formulation will be the working hypothesis used to

guide treatment, and it will evolve over sessions

▲A working formulation will help you make decisions about the treatment plan, select interventions, assign

homework, cope with setbacks, assess outcomes,

determine paths to action, and complete treatment

▲Allen’s work with Mary illustrates many of these

concepts

Planning the First Session and

Using a Checklist

First Session Plan and Objectives

▲Before the first session

 Study the client file and anticipate what issues you think are important.

 Think how you want to help the client.

 Consider what issues will be important in the session and how you might handle them

 Prepare a tentative plan as a guide.

 Be flexible and modify your plan if necessary.

First Session Checklist

(slide 1 of 3)

First Session Checklist

(slide 2 of 3)

First Session Checklist

(slide 3 of 4)

First Session Checklist

(slide 4 of 4)

Additional Considerations: Referral, Treatment Planning, and Case Management (slide 1 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

Additional Considerations: Referral, Treatment Planning, and Case Management (slide 2 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

Additional Considerations: Referral, Treatment Planning, and Case Management (slide 3 of 3)

Treatment Planning

▲May be structured using the five stages.

▲Includes highlights from each stage.

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

▲ The Maintaining Change Worksheet is completed

with the client to help prevent treatment lapses

▲ Anticipate possible obstacles to treatment.

▲ Include strategies for treatment success.

Your Turn: The Final Audio or

Video Exercise (slide 1 of 2)

Transcribe the session and use what you have learned so far to fully analyze:

▲ Your work

▲ Consultation

▲ Referral

▲ Treatment planning

Your Turn: The Final Audio or

Video Exercise (slide 2 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 1.

Summary: Skill Integration and Determining

Personal Style (slide 1 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

Skill Integration and Determining Personal Style

(slide 2 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.

Action: Key Points and Practice for Skill Integration and Determining Personal Style

Action: Key Points and Practice for Skill Integration and Determining Personal Style