Santonias Vs Mu

Stabilization and treatment require effective planning. The clients who enter this addictions program are the essence of this program and its success. Therefore, the needs of the clients we serve set precedence and our staff are to address the needs of the clients with regards to confidentiality as it can become an issue if no policy is in place. Client confidentiality is an issue for program staff who receive calls by family members who are seeking information about their loved ones. This becomes a policy and procedure issue at the time the phone is answered. To resolve this issue and to effectively manage client confidentiality a protocol is in place. The program staff will follow the procedural response for each phone call and request. After training and demonstrating how to answer the phone our staff will be properly trained. Each program staff will seek guidance if any breach of confidentiality is made and will log it immediately. This method of response and approach will reduce violation of policies and procedures that reduce legal obligations in the event confidentiality is breached. Proper steps in place to ensure compliance.

Samantha continues to make minimal progress towards this goal. Samantha struggles with complying with the rules of the home and community. Samantha’s behaviors are not constant. MHS provides Samantha daily reinforcement to decrease the poor behaviors and actions. MHS and MHP process non-compliance with Samantha at weekly visit. Samantha displayed physical aggression has decreased. MHS report Samantha displays more verbal aggression when redirected.

Intervention: MHS reintroduced herself to the client as him counselor. MHS facilitated a family session in the home. MHS explained her role, the purpose of the program, and allowed the client to speak freely about things he wants help with. MHS allowed the client discuss some of his behavioral issues. The client reports that he fights a lot with his siblings. The client shared why he fights with his sibling, the client said they take his things and they are not nice to him. The client and his sibling began to yell and blame each other for all the fighting in the home. MHS asked the mother to shared with the MHS some concerns she has with the client behavior.

Intervention: MHP request for a report of Samantha’s recent displayed behaviors. MHP, MHS and Samantha process displayed behaviors in the home and the outcomes. MHP and MHS listen to Samantha verbally express her emotions. MHP validate Samantha’s emotions about being in foster care and wanting to be with biological family.

Intervention: MHP and MHS discuss several incidents in the home that Samantha displayed defiance and disrespect. MHP use role-play to process outcomes from reported behaviors and practice alternative ways to express herself. MHP, MHS and Samantha discuss the role-play and possible trigger for the behaviors. MHP provide Samantha examples of her behaviors that is consistent in all environments. MHP administer the circle of support to prepare for Samantha’s discharge. MHP offers Samantha to review coping skills to improve overall behaviors. MHP explain to Samantha adjusting to a family unit is important.

In the article, “OMG Teens and Their Phones” by Bob Ross, he discusses a survey that shows on average everyday teens send about one text message every five minutes. Throughout this article Ross discusses the question of whether the use of technology is being abused by kids today and the answer is yes, but only if the parents let it happen. Parents cannot be ignorant about what their child is using technology for, they need to understand the technology their child is using and they also need to create rules about the use of technology so teens do not abuse their power of it. Ross explains how it is important for parents to set guidelines and rules that are reasonable for themselves and their child’s needs so they are more willing to follow them. To make sure that teens are not abusing their technology it is important for parents to encourage technology free time. It is important for a child to learn when the appropriate time is to use technology and when they should not, for example when they are in class or when they are doing homework. Another suggestion that Ross makes is for parents to check phone bills to make sure that their child is following their guidelines. On the phone bill a parent can see what times their child is texting and the other person who they are texting. If a parent sees that their child is not following their guidelines then they can always disable their phone during a certain

Focus: School meeting at the school district. Ms. Smalls (MHP) attend a meeting with Nayshondra Mercer (DSS worker), Myra and Ms. Simmons (MHS) attend via phone

For completion of the Abstention Project, I was assigned to choose a behavior that I would like to abstain from for at least four weeks. The behavior chosen is one that I wish to discontinue in all; I chose to abstain from late night web surfing on my cell phone. Prior to selecting a behavior, I did a considerable about of thinking. I chose a behavior that would be beneficial to me in several ways. During the four weeks I kept a journal of my experience and documented my feelings, thoughts, and any difficulties. Upon completing 4 weeks, I wrote a reflection paper summarizing my journal entries and any insights I acquired during the process. I also elaborated on how this project has been valuable to my training as a professional counselor.

Focus: Samantha will respect authority figures. Ms. Smalls (MHP), Ms. Smith (MHS), Ms. Brown (DSS) and Samantha discuss and progress displayed inappropriate behaviors in the home.

Intervention:MHS met with the client and inquired about how he was feeling. Client reported that she was feeling okay. MHS asked client to elaborate on okay. Client reported that things have been going well this week and that he has been in trouble. MHS reviewed the previous session. MHS and client discussed his behaviors in school. Client's grandmother reported that she has been doing well . The client teacher reported that client has been talking excessively in class but he has been talking back. MHS educated the client on following rules and being respectful to adults at school and in the community.

Intervention: MHP gave MHS and Valdimir think worksheets to aid Valdimir’s family and Valdimir with progressing reported recent behaviors displayed. MHP, MHS and Valdimir progress the details to the incidents and discuss alternative ways of avoiding making the same mistake. MHP and MHS review noticeable barriers to Valdimir’s ability to comply with the rules and decrease inappropriate behaviors. MHP and MHS discuss motivating Valdimir to comply and respect others.

A: MHP discussed the importance of positive behavior. MHP recommended that Jer’Quaren follows direction when first given. MHP recommended for Jer’Quaren to use a self-monitoring checklist at home to improve anger control. MHP advised Jer’Quaren to stay away from people who may cause him to get in trouble. MHP strongly challenged his destructive and aggressive behaviors, pointing out consequences for him and others. MHP provided positive reinforcements for improved behavior.

Mathew is currently participating in both individual and treatment group modalities. His progress is considered satisfactory at the time of this report. Mathew comes to each individual and treatment group session with a positive attitude and willingness to learn. Mathew is an active learner and asks questions when he does not understand concepts and other materials. Where Mathew continues to need work is in building trust in the treatment group. Mathew has been working through his shame and guilt about his offense and this showed up during his most recent disclosure to the treatment group. Mathew placed blame for his offense outside of his him to protect his self-image and how his peers would think of him. After much work Mathew was able to come to an understanding of how this cognitive distortion serves him, and was able to give a more accurate description of his committing offense to the treatment group.

CM spoke to Pete Hardell (IIC) regarding an update on Treshawn (youth). CM was informed that youth continues to display negative behaviors in the home and in the community. CM and IIC discussed OOH treatment for youth. IIC noted he will write a PN providing recommendations for OOH treatment for youth due to inappropriate behaviors. CM explained to CM that Kim Shipmon (DCP&P) will provide CM with the necessary document to start OOH treatment process. CM will continue to keep IIC updated regarding youth.

A: MHP discussed the importance of appropriate behavior. MHP recommended that Ty’Kevinyon uses the strategies taught by the MHP when angry or frustrated. MHP advised Ty’Kevinyon to utilize the calming techniques. MHP provided reinforcements for positive behavior.