PCN-488 T2 DQs

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Grand Canyon University *

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PCN-500

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Health Science

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Apr 3, 2024

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PCN-488 T2 DQs (Protecting the Client and Counselor) T2 OBJECTIVES: 1. Explain how fear of hospitalization can impact the treatment process for adult clients. 2. Determine referral needs for medication and/or hospitalization for adults with PTSD and addictive and substance use and abuse disorders. 3. Explain the importance of community resources for adults with PTSD, and addictive, and substance use and abuse disorders. 4. Explain the importance of self-care for a trauma counselor. DQ 1 Explain how personal therapy may help the clinician who regularly treats clients of trauma. What are some barriers that might prevent a clinician from seeking their own therapy? No one is immune to being affected by trauma at some point in their life, even if it is through helping someone else deal with theirs. According to Lawson and Venart (2005), the 2003 Task Force on Impaired Counselors of the American Counseling Association (ACA) found that counselors working in crisis or disaster situations are particularly susceptible to secondary trauma, vicarious trauma, and compassion fatigue. It is crucial to pay attention to the counselor's well-being as a preventive step because such a damaged state may leave the counselor open to ethical or legal failures (Hard, Talbott-Forbes & Bartlett, 2017). Counselors are only as effective at caring for others as they are at caring for themselves (Friedman, 2017). At times it may seem that there is a discrepancy between what counselors actually value and what they actually practice (Friedman, 2017). There may be barriers that are preventing the counselor from pursuing help. For some counselors, the accumulating stress may be gradual, take place over time, and go unrecognized. Therefore, one must first learn to discern when and if restorative measures are necessary before ever considering taking them. In this situation, mindfulness practices can be helpful (Friedman, 2017). As a result of being unable to discuss the accomplishments, failures, disappointments, and uncertainty of work outside of the professional context, a counselor may feel isolated due to the confidentiality required by the profession (ACA, 2005). This professional communication restriction may unintentionally encourage counselors to suppress their bad emotions or turn to potentially harmful distraction techniques (Friedman, 2017). References: American Counseling Association. (2005). ACA code of ethics and standards of practice. Retrieved from http://www.counseling.org/Resources/CodeOfEthics/TP/ Home/CT2.aspx Friedman, K. (2017). Counselor Self-Care and Mindfulness. Contemporary Buddhism , 18 (2), 321–330. https://doi-org.lopes.idm.oclc.org/10.1080/14639947.2017.1373437

Hard, P.F., Talbott-Forbes, L.L., & Bartlett, M.L. (2017). Ethical and legal considerations in crisis counseling. In L.J.C. & B.T.E. Editor (Eds.), Crisis assessment, intervention, and prevention, 3/e (3rd ed.). (pp. 127-175). Pearson Education. Lawson, G., & Venart, B. (2005). Preventing counselor impairment: Vulnerability, wellness, and resilience. In G. R. Walz & R. K. Yep (Eds.), VISTAS: Compelling perspectives on counseling (pp. 243–246). Alexandria, VA: American Counseling Association. DQ 2 Psychiatric hospitalization may benefit a client by keeping them safe but it has many limitations. What are at least three reasons a person may avoid hospitalization, even if they need it? One reason that a person may avoid hospitalization is actually beyond their control. When someone is arrested, they are frequently denied access to timely medical or mental health care, which may make their condition worse (Daughhetee, Jackson & Parker, 2017). Law enforcement participation in crisis intervention teams, according to Franz and Borum (2011), may lessen the arrest rate of people with mental illness and broaden access to mental health resources. Another reason has to do with finances. The quantity of hospital care that at-risk individuals may receive has significantly decreased as a result of changes in the health insurance and managed care sectors. Insurance does not cover all of the care that a client might need, and the insurance companies now put time limits on care, usually to the dissatisfaction of the counselor (Harrington & Daughhetee, 2017). There is also the possibility of shame that prevents a person from wanting to avoid hospitalization. Unfortunately, there is still a stigma to mental health and an individual may be ashamed to admit that they need help (Harrington & Daughhetee, 2017). References: Daughhetee, C., Jackson, J., & Parker, L. (2017). Safety concerns in crisis situations. In L.J.C. & B.T.E. Editor (Eds.), Crisis assessment, intervention, and prevention, 3/e (3rd ed.). (pp. 99-126). Pearson Education. Franz, S., & Borum, R. (2011). Crisis intervention teams may prevent arrests of people with mental illness. Police Practice and Research, 12, 265–272. doi:10.1080/15614263.2010.497664 Harrington, J. & Daughhetee, C. (2017). Risk Assessment and Intervention: Suicide and Homicide. In L.J.C. & B.T.E. Editor (Eds.), Crisis assessment, intervention, and prevention, 3/e (3rd ed.). (pp. 286-369). Pearson Education.

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