It is important, during these final stages, that the counsellor and client can resolve any unfinished business and have time to consider the complex feelings about endings. According to Dryden and Feltham (1994), ‘a fear of loss may cause some clients to cling on to relationships in life and this will obviously have some bearing on the therapeutic relationship.’ As the counsellor, I need to be aware of what an ending might signify for the client, and for me, and manage these ethically and with the guidance of my supervisor.
I would like to outline one of the termination processes with the one client I have been working with since I started at the agency and that I have written about before. This client has had a major depression relapse in the last year, caused by a car accident and
Once the client’s needs have been established and the resources have been located the case manager must constantly review the progress of the client and determine if continuing case management service is needed. Terminating the relationship is never an easy process; the case manager must carefully create a termination process depending on the client’s level of dependence in him or her. If a client is heavily dependent on the support of the case manager, the need for a gradual decrease in the amount of contact with the client may need to occur before termination.
Once the therapist has made the determination of termination she/he must prepare the client for termination by explaining the process and listen how the client feel about the termination process (Shaw, 2015). Also, the therapist should include some benefits of the new service that has been recommended through referral. This would help the client to transition to a new service in a more healthy and therapeutic way (Caldwell, 2015).
overview of their lives and feelings, the therapist will get an insight into what the client is going through and a little of what brought them to their presenting issue. It is important at an early stage to make the client feel that there is hope and light at the end of the tunnel – without making unrealistic promises that cannot be reached. The therapist needs to make the client feel they are in safe hands and that they are being listened to and really heard. A potentially suicidal client should not leave a therapy session feeling worse than when they arrived, yet at the same time, the client needs to know that they may have to go through some difficult times in order to start to heal
My intervention was exhibiting a non-judgmental stand. I reviewed what was said in our session and stated my intention. I linked his difficulty with the idea that we are approaching termination. I normalized feelings associated with termination (sad, happy, angry) and compared the termination process to permanent
The client has every right to choose whether or not they receive the treatment that they are recommended by a counselor. By providing the client with any information that can contribute to them making an informed decision on their treatment plan, we can be sure that we have
In the psychology field, contemporary issues are perpetual in the clinical/counseling regions of psychology. What is termination? According to Psychology Today it can be defined as a “clinical jargon for the last phase of therapy.” A specific issue, which I would like to address would be an ethical reason for termination of treatment. Is it ethical to terminate treatment when a client can no longer pay? Since no obligations are in procedure to visually perceive clients who cannot pay, is it congruous to terminate treatment? Although, it might be appropriate, therapists should not forsake clients. A major contribution that can depict termination of treatment, is the client-therapist relationship. The bond shared between client and the therapist
When considering termination with clients who are involved in Milieu therapy, one must consider the progression of the client from their initial enrollment to present. If the client's goals are met then the client would be able to return back into society. On the other hand, if the client's goals are not met but they age out of the program, then another
Group members should know that they are ready to graduate from the group from being able to reflect on the group and individual counseling. There should be a post-test that will measure group and individual changes. Group termination may be difficult for some members. For those members who may not be able to process closure, they may have feelings of loss, abandonment, rejection or grief. Working through the closure phase is an important element of the treatment goal. The
The concept of termination is a term that is used as a phase of the intervention process. In human behavior termination relates to the combination of everything done to this point leading to attachment and separation. Termination is the last step between the client and worker. There are many different reasons for termination. Before termination evaluation information is gathered. Formative evaluation is done to gather ongoing feedback as the group evolves for improving and refining the group to improve outcomes. Summative evaluation’s purpose is to determine whether a group has met its goals and should be continued. Group leaders should also consider methods of evaluating whether the group was implemented and conducted as planned. The
This will allow Vara time to reflect and explore her feelings she has regarding the ending process, help encourage Vara to prepare and move towards more independence, gain a new motivation to solve and manage her own issues and not be so reliant on counselling. I would also review with Vara what she has learnt about herself through counselling and help her identify the successes she has accomplished through counselling. As well as give Vara a chance to talk about goals she wasn’t able to achieve in counselling and look at ways or other options to resolve those issues.
As the counselor, the first step I will take in treating the patient, is ask the client to commit to treatment. This plan will outline the responsibilities of both parties. The client will e made aware of his responsibilities and I will describe my role in correcting the problem as well. We will also discuss the importance of increasing the number of visits until a healthy outcome is reached. I will attempt to get in the clients mind and discover their negative feelings and why they occur. Another beneficial coping skill would be to assist the client in discovering their value, identify reasons they should live, and create coping cards to remind the client of reasons they should live. If the counselor finds that there is still a high level of potential suicide, he should maybe consult with colleagues to find more appropriate
The NMC (2015) are the providers of the Nursing Code of Conduct. The code contains the professional standards to which all nurses must uphold, allowing for accountability of patients that come into their care. As well as the code of conduct, all nursing professionals have a responsibility to develop their knowledge in relation to law within clinical practice, and furthermore, ethical frameworks that are linked to judgment and decision making when providing care (Savage & Moore, 2006). In light of this, the overall aim of this essay is to elaborate on issues surrounding law and ethics in nursing. To do so, a case study has been chosen from a previous clinical experience. The focus of the case study will be on the decision of withdrawal from life sustaining treatment. Emphasis will be largely on the law and ethics concerning the issue of withdrawal from treatment. Moreover, the ethics and law involved in the palliative/advanced end of life care planning and decision making. In order to protect the identity and uphold the confidentiality of the case study, a pseudonym will be used throughout. Hendrick (2005) portrays confidentiality as being ‘one of the most important and well established moral obligations of health-care ethics’.