Developing A Counselling Plan For Caiden

Trauma Informed Care

1. Open and non-leading questions of gathering information
2. Could you kindly share with me the reason as to why you have come here at CareShore Community services Office?
3. Have you been visiting the school nurse for blood sugar level checkup in the last one month?
4. Have you had any challenges in getting insulin medications for your health problem?
5. What are some of the challenges you have encountered while trying to seek health care for your health problem?
6. What are the reactions of your family towards your health problem and how have they influenced this problem?
7. Communication techniques used during the initial session to gather information in counselling
8. Greeting the client and welcoming the client to the facility and explaining the counselling process and proving ad overview of all the services provided at you the facility.
9. Actively listening to the client and maintaining good body language such as eye contact, expression of positive emotions and avoid distractions.
10. Asking open-ended questions to seek clarification where I may not have understood well. Open –ended questions enables the client to hold back and filter her opinions or thoughts.

1. Keeping eyes low-show that she is resentful about the session of counselling
2. Sitting at the edge of the chair-Shows that the client is uncomfortable and anxious.
3. Hiding her face using her hands-indicates fear, shyness and lack of confidence
4. Crying when asked some questions-indicates that there is a very psychologically traumatizing story that the client does not want to be reminded about.
5. Sleeping or yawning in the session-shows boredom and lack of interest in the topic of discussion.

Some of important elements to consider in the referral letter from the school include client identification which includes name, age and the level of studies. Reason for writing the letter, detailed information on the problem and how it has impacted on her are also important.  A detailed history of the presenting issue and any remedies or effort had been made towards the problem.  Additionally, her personal history, clinical assessment, social history and differential diagnosis should be considered.

Stage 1(What happening) -involves provision of safe environment for the client to narrate his or her story in their own format, be fully listened and acknowledged. This stage can be applied in Valerie’s case to encourage her narrate her story with good listening skills to enable her unfold, explore and reflect the tale.

Stage 2 (What do I want instead?)-Involves problem-solution approach where the client applies skills such as imaginative thinking and brainstorming in order to generate hope and energy. It can used in Valerie’s Case to help her open a mental picture of what she wants and the betterment of things.

Stage 3 (How will I get there?)- This focuses on how to achieve the goals identified in stage 2. It focuses on specific actions and possible techniques or strategies to ensure change. This stage can be applied in Valerie’s case to help generate solutions to her problem in order to achieve what she wants and make things better for her.

1. Age (below 18 years)-this impacts on decision making in counselling because the case manager has to be very careful and follow some policies to avoid violating their rights.
2. Some special requirements such as adolescence. Adolescents are associated with certain behavioral patterns which should be dealt with in a special manner, hence it impacts on a counselling approach used.
3. Disabilities-This impacts on counselling approach because the counsellor must employ special techniques of handling them to ensure successful counselling session.

PART TWO: RISK IDENTIFICATION

Age-a young client is not mature enough, therefore he may not exhibit the same signs as an adult in a case of abuse. An adult can find other ways of dealing with the abuse but a young client may not think of such things when abused (France et al, 2012

Gender- There are some disorders which are associated with a certain gender, for instance,  depression in females leads to suicidal ideations than it does to a male gender. This affects the degree of signs exhibited.

Culture-It determines on the signs exhibited since some cultural beliefs do not allow some behaviors while others do. Therefore, a client may exhibit some signs and may not exhibit others due to cultural obligations (France et al, 2012

Disability-patients who are deaf and dumb may have difficulties exhibiting signs such as crying or communicating, therefore signs exhibited may be impacted by these disabilities (France, 2012

Sexuality- this affects the signs exhibited since some clients opt for the same sex while others go for the opposite sex. Like in homosexuality, the client is attracted to people of the same sex (France et al, 2012

Person-Centred Practice

C-Impact of risks in Valerie’ Case: These risks may impact the life of Valerie in a negative manner. Unattended health problem shows child neglect. Additionally, the family shows less concern for her health problem. This may psychologically impact the client through depression, dissociation, low self-esteem and academic challenges. Physically, she may be affected by the complicated of diabetes if it goes untreated to elevated sugar levels since she has been having challenges to get insulin medications.

1. Age of the client since she is a child who has not yet attained 18 years hence cannot make decisions for herself.
2. Social support of the client, the family seems not to cooperate with the school in the care of the child
3. Gender, she is a female gender, so I have to make a decision or take an action that fits a female gender.

1. Federal laws that deal with child welfare realm
2. Policies on provision of community services with respect and dignity irrespective of age of the client.
3. Child protection plans for more information to avoid violation of child’s rights and freedom.

PART ONE: DEVELOPING A COUNSELLING PLAN

1. How to implement goal setting processes with Caiden as a Case Manager
2. Supporting Caiden to set goals: I can implement this by first defining what he wants, why and when. Secondly, I would try to identify the congruence level between the goal and his lifestyle, values, priorities, beliefs and self-ideal. Thirdly, I will do a check on ecology to identify factors that might influence the achievement of the goal. I will then develop a blueprint for achievement of the goals and finish with drawing a plan of action for goal accomplishment.
3. Breaking down goals: I can help him by guiding him on some of the goals that are client focused, achievable, realistic, easily understood and measurable. I can schedule regular appointments with him for continuity in the goal setting process.

Trauma Informed Care refers to an organizational structure and a framework of treatment involving recognition, understanding and response to effects of different types of trauma. It emphasizes on psychological, physical and emotional safety for providers and consumers. It can be applied in the case of Caiden to help him rebuild empowerment and sense of control. Caiden has physical and psychological injuries. Application of TIC in this case would facilitate holistic care to him which hence improvement and healing. It focuses on past traumatic experiences of an individual, which is very applicable in Caiden’s case (Clarkson and Cavicchia, 2013. 

D- Process that can be used to clarify Caiden’s needs, expectations and commitment in relation to counselling. This process involves a well-structured approach and techniques in counselling which clearly explains the entire process of counselling to the client. Secondly, establishment of health relationship will help him properly understand the nature of services involved in the counselling process hence promoting client satisfaction. Confirming the appropriateness of the relationship ensures use of appropriate counselling methods and resources that meets the needs and expectations of the client (Clarkson and Cavicchia, 2013. 

E- Person-centred practice and its application in Caiden’s case:

Person-centred care refers to a manner of doing things or thinking using social and health services equally in planning, development and monitoring of care to ensure that they meet their expectations and needs. It involves respect, integration of care, emotional support respect for one’s values, and teamwork to ensure good education, information transmission and communication. It can be applied in Caiden’s case to provide quality and individualized care, meet his expectations and needs which promotes healing and good health (Mearns, Thorne and McLeod, 2013).

F-Potential Anxieties with Caiden about the counselling process and how to explore them.

1. Social anxiety-client feels fearful to be in public places and he does not want to interact with strange with people.
2. Diagnostic anxiety-sweating and shaking fearing the outcome of his condition after assessment.

H- Protecting Caiden’s rights

I can protect his rights by ensuring privacy and confidentiality of all the information obtained from him and in any other services I provide to him. I do this by not discussing his case with any other person without his consent. I will properly keep all hard copies of records to avoid access by unauthorized persons. I will lock all the records with his names and other identification information in locked cabinets or files (Clarkson and Cavicchia, 2013

Exploring potential anxieties

I-Ethical Concerns applying in Caiden’s Case

Some of the ethical concerns  that may apply in the counselling process of Caiden include confidentiality and privacy, dual relationships, professional competence, informed consent when doing some procedures to him, ethical decision-making, disclosure statements, rights of the client, multicultural counselling. Ethical concerns are very critical in all aspect of care to avoid violation of client rights (Clarkson and Cavicchia, 2013).

A-Scope and nature of a counselling relationship:

Scope of counselling comprises of three major areas. The first one is individual counselling which involves adolescent concerns and identity, teen-parent relationships, peer relationships, gender sexuality, identity and sexuality, anger and stress management, workplace relationships and stress, family issues, children issues in families, interpersonal and personal relationships and depression. Secondly, it focuses on pre-marital and marital counselling which involves infertility, relational and marital dynamics and relationships in extended families. Thirdly, counselling focuses on family counselling which involves life transitions and stages, divorce issues, family dynamics such as communication, estrangement and conflicts, child behaviors and adolescents and patterns of parenting (Clarkson and Cavicchia,2013) .

• Purpose of counselling:  Counselling plays an important in problem solving. Counselling acts as an inspiration of successful endeavors for goal attainment. It encourages and promotes development of interests and abilities.  It helps clients in achievement of their goals and gain high insights in the different aspects of their life.

Additionally, it empowers individuals, groups and families to accomplish education, health, wellness and other goals such as career. It also enables clients to adequately deal with life circumstances, make rational and well-informed decisions and manage stress for personal growth.

Counselling as a helping relationship began when human beings got a realization that there is more comfort and relive in sharing their own fears, feelings or problems and narrating their stories to other specialized individuals who in turn offered psychological and emotional support. When things get tough or seemed not to be working properly as per their expectations. As a result of this, counselling emerged to be a helping relationship.

D-Place of counselling within the helping services: It helps to enable client perceive things and situations from a different point hence enabling them focus on experiences, feelings or behavior aimed at facilitation of positive change. As a helping approach, counselling helps to highlight the intellectual and emotional experiences of clients, their feelings and their thoughts and views on the problem they wish to be guided on.

E-Licensing –Licensing-Certified Case Manager Credential from the Case Manager Certification Commission. Case managers can maintain these by obeying laws, rules and regulations, maintaining the integrity of code of professional conduct, maintaining competency in their practice, maintain objectivity with their clients and placing the interest of the public higher than theirs. Additionally, they can maintain this by acting with integrity when dealing with different individuals of different professions to facilitate achievement of maximum benefits by their clients (Counselling, 2015.

A.

Referral Letter

Dr.Smith

 CareShore Community Services Office,

129 Skylight Street.

[email protected]

March 15, 2018

To Dr.Martin, Jane Doe Community services

I am Dr.Obanor, a case manager at CareShore Community Services Office. Enclosed is a copy of the client’s information.

Background Information

Caiden is a 16-year-old male client who stays with his parents and his young brother. He disclosed his homosexuality to his parents and friends and he was brought to us 12 months age.

In the past two months, it was noticed by the parents that he was increasingly becoming withdrawn. He was also noticed to have physical bruises on his body and he claimed that he had been injured by friends while playing soccer. In the last one month, he has been so reluctant and he does not go to school. The parents discussed with his teachers and it was reported that in school he sits alone without interacting with his normal friends. Last week, Caiden was discovered to have suicidal ideation whereby he told his mother he would rather die than live.

Based on my working, I came up with a diagnosis depression.

I would appreciate your assessment. You can share your assessment and contact us anytime you need any enquiries.

1. Managing Caiden’s Records

I would show accountability and responsibility for all records regarding Caiden’s case. I would record all the information obtained from the client since it is useful in the whole process and also for communication purposes in the facility with other professionals. I would ensure the information is confidential and private by avoiding discussions with unauthorized personnel. I would put the records in lockable cabinets and files where they cannot be easily accessed by unauthorized individuals. I disposal of the records, I would follow the procedures and policies regarding disposal of a client’s records (Counselling, 2015).

References

Burnard, P., 2013. Practical counselling and helping. Routledge.

Counselling, C. and Psychotherapy Association, 2015. Standards of practice.

Clarkson, P. and Cavicchia, S., 2013. Gestalt counselling in action. Sage.

France, M.H., del Carmen Rodríguez, M. and Hett, G.G. eds., 2012. Diversity, Culture and Counselling: A Canadian Perspective, 2e. Brush Education.

 Mearns, D., Thorne, B. and McLeod, J., 2013. Person-centred counselling in action. Sage.

Thapar, A., Collishaw, S., Pine, D.S. and Thapar, A.K., 2012. Depression in adolescence. The Lancet, 379(9820), pp.1056-1067.

Trower, P., Jones, J. and Dryden, W., 2015. Cognitive behavioural counselling in action. Sage.

Van Deurzen, E., 2012. Existential counselling & psychotherapy in practice. Sage.

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