PSYC 6233 - 2.1.2

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Yorkville University *

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6233

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Psychology

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Jan 9, 2024

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2

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PSYC 6233 Assessments in Counselling - Discussion Questions Week 2 – DQ 2.1 Discussion Question 2.1 : Initial Assessment in Counselling You are currently working within an outpatient mental health department at a large metropolitan hospital (ie Vancouver, Calgary, Montreal, Toronto, or Halifax). Your clinical supervisor informs you that your intake interviews require more structure and recommends investigating screeners to address certain mental health issues such as substance use, depression, anxiety, as well as severity/risk (crisis situations) . You begin a quick online search and notice terminology such as screeners and structured assessments come up. Within your current caseload, you realize the majority of clients have passive suicidality and/or comorbidity with mood/anxiety/addiction issues. The clinical supervisor emphasized the importance of time management within your initial assessment with the client, however, due to the variety of programs that your hospital offers, you recognize the importance of information gathering upon your first client meeting. Given the situation above, would you use a screening tool or a structured assessment? Provide your rationale. Based on your decision (screener or assessment), provide an example that may be helpful for you within this role. Are there any recommended within your textbook or used by a large Mental Health Hospital in Canada (Centre for Addiction and Mental Health, Saskatchewan Hospital North Battleford, Institut universitaire en santé mentale de Montréal, The Royal Hospital (Ottawa)? Extended scenario details for further discussion : One of your colleagues emphasizes the importance of behavioural observations, as found within your textbook (Hayes, 2017). What types of behaviours or symptoms displayed by your clients would be notable based on the types of mental health issues listed above? At least two questions should be answered fully within your posts in the Discussion Boards. The questions are also meant to spark discussion. DQ 2.1 – Post #2 I agree with you. Utilizing a screening tool appears to be more appropriate in the given scenario. As you mentioned, determining when to use a structured assessment is dependent on various factors like the therapeutic relationship. To add to what you mentioned, since clients may be unfamiliar or uncomfortable with the structured assessment process (Hays, 2017), counsellors must establish a strong therapeutic relationship, marked by trust, collaboration, and respect. One way to accomplish this would be by following the problem-solving model outlined by Hays (2017). This model provides a supportive and transparent way to introduce and explain the assessment process, which can promote enhanced collaboration by making the client an active participant in selecting assessments (Hays. 2017). Likewise, encouraging client feedback can provide information that can guide therapeutic interventions (Stone et al., 2023). Employing feedback-encouraging tools, such as the Session Rating Scale (SRS) (Duncan et al., 2003),
allows counsellors to reassess client-therapist alignment, including the therapeutic alliance, goal agreement, and task agreement (Murphy et al., 2020). Assessing the client’s perspective on client-therapist alignment not only enhances client agency in the therapeutic process but also permits conflicting approaches to be addressed and rectified (Stone et al., 2023). This is especially important because premature dropouts are suggested to be associated with the client's perception of the therapeutic relationship (Hauber et al., 2020). This increases the need for continuous monitoring and reassessment of client-therapist alignment, to ensure optimal assessment processes and outcomes. I am left wondering; how would you rectify client-therapist misalignments to prevent it from manifesting as client resistance or dropout? Words: 259 References Duncan, B. L., Miller, S. D., Sparks, J. A., Claud, D. A., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The Session Rating Scale: Preliminary psychometric properties of a “working” alliance measure.   Journal of Brief Therapy ,   3 (1), 3-12 Hauber, K., Boon, A., & Vermeiren, R. (2020). Therapeutic relationship and dropout in high-risk Adolescents’ intensive group psychotherapeutic programme.   Frontiers in Psychology ,   11 , 533903. Hays, D. G. (2017). Assessment in counselling: Procedures and practices (6th ed.). Murphy, M. G., Rakes, S., & Harris, R. M. (2020). The psychometric properties of the session rating scale: A narrative review.   Journal of Evidence-Based Social Work ,   17 (3), 279-299. Stone, G., Trainor, K., Gray, J., & Frederick, B. (2023). Client perceptions of the use of a continuous feedback system in therapy.   Journal of Social Work Education and Practice ,   8 (3), 27-46.
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