Feedback Informed Treatment ( Fit )

A typical day for a social worker consists of helping those that are in need, providing appropriate resources, and empowering their clients. Before a social worker can help their clients, they will need to do an assessment. An assessment consists of learning about the individual and their everyday lives. According to Timberlake, Zajicek-Farber, and Sabatino (2008), “The client system and the social worker conduct an assessment of problems, needs, strengths, and resources; establish priorities and goals; and reach agreement about the preintervention date-collection activities necessary to provide a baseline for evaluating change” (p. 79). It is important for the social worker to collect all this information because it will provide insight on

There are a multitude of reasons why an individual may need or want therapy; whether it’s due to learning how to cope with a mental disorder or disability, life happenings such as traumas or abuse, addictions, or even PTSD. Anybody can receive it – individual persons, families, or groups. It isn’t hard to argue that most therapists and psychologists will agree that the therapeutic alliance is one of the most beneficial foundations of a therapy session. Also referred to as the working alliance or working relationship, it represents the bond between therapist and

Allowing for our ethical codes of conduct, if the client is someone we feel we can proceed with, then as always, the first stage would be to develop a good rapport and gain the clients trust to develop an honest and open relationship with them. The client centred approach as always is the best method for this – to put the client at ease in a non-judgemental space where they can express their emotions and explore what it is they want to achieve with therapy. In giving the therapist an

They both have a “positive view of human nature and view the individual as not necessarily being a product of their past experiences, but acknowledge that they are able to determine their own futures” (Holder, 2013). They both attempt to improve their client’s wellbeing by implementing a two-way therapeutic relationship where both client and therapist collaborate to enable the clients coping mechanisms (Holder, 2013). CBT and PCT both instil the three core conditions of empathy, unconditional positive regard and congruence but in CBT it is used mainly in the establishing of the working alliance (Holder, 2013). In both methods, the relationship between client and therapist is congruent and they both use the skills of reflection, paraphrasing and

In social work practice, client assessments are important because they allow social workers to gather information from clients. This information helps the acting social worker better understand clients presenting problems. The assessment also helps social workers evaluate a client’s progress and evaluate the effectiveness of interventions used. In this paper, a multidimensional assessment will be performed on a client I have been working with at my internship placement, Urban Ministries of Durham. Once all relevant information is presented, and intervention and treatment plan will be discussed.

Common factors are not located solely in the therapist but also in the client not solely in the intra-therapy alliance, but also in the broader environmental context; not solely in formal treatment,

In order to address the client’s problems and strengths Birkenmaier suggest using a “two compartment model”. “In this approach, the assessment includes a two component model in which the social worker first explores a series of questions with the client to define the problem situation (Component 1). The questions will not only help to identify the client’s strengths, but also their life experiences (both positive and challenging), and strategies for coping with adversity. Gathering this comprehensive perspective on the client’s identity can aid both the social worker and the client in formulating a perception of the client in terms of strengths, versus deficits. (Birkenmaier, 2014, pg.110)”

The foundation of therapy starts by building rapport with the client and applying strategies when necessary to overcome a variety of barriers. It is imperative to have rapport with a client and to be aware of barriers to facilitate a good treatment outcome. This will take practice and the use of methods and strategies ready to be implemented when needed. There are many components to building a good client rapport such as: intimacy, vulnerability, exploration of inner challenges, self-awareness, staying present; inner resiliency, empathy, anxiety management, and self-integration, and relationship acceptance. The two types of barriers are internal and external and this is for both the client and the therapist. The common barriers to rapport are countertransference and transference. Strategies for overcoming barriers are: Pause Moment and self-awareness. It also requires skills such as being genuine, sensitive, open, and

As previously mentioned, it is thought that engagement and understanding are key elements involved in creating and maintaining a therapeutic relationship (Orlinskey et al 1994). Throughout the risk assessment I checked the patients

Collaborative therapy approach was founded by Harlene Anderson, Harry Goolishian and Tom Andersen. Their approach required the client and therapist to engage in a two-way dialog to examine and create a positive understanding to the client’s situation (Gehart, 2014). Creating a positive understanding and meaning can be done with the help of the therapist and sometimes a reflection team. The therapist and reflection team try to help the client shift their meanings and beliefs. Once that is done the therapist and client starts the restructuring process by changing the client’s behavior and interactions. Collaborative therapist have identified ways to help the client solve concerns by helping the client to stabilize, normalize,

Establishing an efficient relationship between client and counsellor is one of the key aspect in counselling. Every therapeutic session starts with the process of building up a therapeutic alliance. Bob Shebib defines the therapeutic alliance as a time limited period of consultation between a counsellor and one or more clients for assisting the client in achieving a defined goal (Shebib, 2014). However, to achieve successful results, a partnership that primarily focuses on the clients’ needs and goals is required. The therapist must be eager to help the clients with care and compassion while the patient also need to

Therapeutic relationship is defined as the collaboration and attachment between the client and therapist that focuses on meeting the health care needs of the client (Bordin, 1979). In this relationship, the therapist without prejudice shows Empathy, insight, understanding and acceptance of the client. Duan and Hill (1996) defined Empathy as “feeling into” the experience of the client. Over the years, the research evidence keeps piling up, and indicating a high degree of Empathy in a Therapeutic relationship is possibly one of the most potent factors in bringing about positive outcome in the therapy

Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by

By examining the bond between a therapist and his client we can further understand how important the role of therapeutic alliance is in treatment outcome. The authors point out that therapeutic alliance plays a major positive impact on the outcome of therapy. Individuals who build good therapeutic alliances with their therapists experience more productive and effective therapy than individuals who do not.

There are many variables that influence the success of therapy for the client, none more so than the therapeutic relationship. The therapeutic relationship is defined as the strength and collaborative relationship between the client and therapist that emphasises mutually agreed goals and tasks within the context of a strong affective bond (Horvath, 1994.) In the therapeutic relationship, the clinician offers care, touch, compassion, presence, and any other act or attitude that would foster healing, and expects nothing in return (Trout, 2013.) Some clinicians believe that the “therapeutic relationship is a precondition of change, others as the fertile soil that permits change, while others see it as the central mechanism of change itself” (Norcross, 2010.) This is not to devalue other variables that impact the success of the therapy such as client involvement and the treatment method.