10 reasons to consider initiating an exchange of views with client
- Discrepancies 2. Person says one thing but does another 3. Different perspective than the client 4. Client says one thing but body language is different 5. Client says they support certain values but act differently 6. Client has unrealistic expectations of you 7. Unrealistic expectations for themselves 8. Asks for assistance but actions say otherwise 9. Contradictory 10. Destructive behavior
4 components of an “I message”
- Observations about the situation in a non blaming factual statement 2. Tangible outcome you believe you see as a result of the client’s consequences 3. Your suggestions 4. Invitation to collaborate
11 (+asking permission) rules for offering your point of view
- Empathy 2. Timing 3. Be matter of fact 4. Be tentative 5. Focus on tangible behavior/communication 6. Full responsibility for your observations 7. Refrain from accusing 8. Refrain from anger 9. Refrain from judgement 10. Refrain from producing a solution 11. Always collaborate
5 ineffective uses of “I messages”
I feel you are avoiding help, I am uncomfortable you don’t share with your family, I’m not clear why you are not sharing, It seems to be this will be rough, I feel this will work
5 reasons a case might be terminated
- Case manager and client agree to move on 2. Client/CM dies or moves away 3. No funding 4. Client refuses services 5. Client can’t be found
2 things that should happen at termination of services for each client
- Opportunity to meet to discuss termination 2. Follow up letter outlining the final interview with an invitation to come back
possible client feelings about termination of services
best relationship he/she has ever had
-be on own
-milestone in life
-revert to old behavior
-reluctance to end
-resentment
-“shoved out the door”
-need support and empathy
final interview
-summarize the work that’s been done
-ask client about how things have gone
-provide information client might need
-welcome the client to come/call back
-emphasize gains and accomplishments
-identify continued challenges
-plans to tackle future challenges
-referrals in place
-evaluation
-outcomes
-process
-satisfaction
-client
-you
-between you and client
-between you and your supervisor
-agency
-client’s environment
-community
11 things a discharge summary should include
- Name, DOB, Admission date, discharge date 2. Diagnosis 3. Medication 4. Reason for discharge 5. Goals and Objectives 6. Major presenting problem 7. Extent client participated in goals and objectives 8. Progress made 9. Identified problems that weren’t addressed 10. Client at intake and termination 11.Attempt to locate if client disappeared
ethical responsibility/NASW Code of Ethics
Take time and effort to understand other cultures
difference – a path to learning or an obstacle to communication
can be overcome with communication and can be a building block to learning about the client
culture
Societal culture what society is the client from
subculture
Follows the societal cultures mainly but have other views as well
race/ethnicity
Race is more physical traits ethnicity lines with culture
“we/them attitude”, in-group, out-group
Understanding how people can be part of a group but are different they are not all the same
categories/stereotypes/attributes
Defining a person based on who they are or what they do
scripts
Scripted messages in your head hi how are you? I’m fine thanks
perceptions
views on people without knowing them
1. Describe the person’s behavior
2.Tell person how you interpreted their behavior
3. Ask if perceptions are accurate
individualistic/collectivistic culture
Individualistic is person based thinking and views, cultural is a more societal view and thinking of yourself is second
obstacles to understanding
stereotypes
-ethnocentrism
-prejudice
-conflict
competence/consciousness
Listen to the people’s experiences and be competent you know nothing compared to them, be conscious with your words and thinking as to not offend the client
