Counseling

Front 1

Counseling- Purpose and Functions

Back 1

1. Develop therapeutic relationship with clients, families, and significant others (S0) to facilitate transition into the recovery process. Develop a working alliance with them, connect with them in order to help them move toward recovery/ focus on client and their support systems.

2. Provide information regarding the structure, expectations, and purpose of counseling. (What do you want counseling to look like, what are your expectations for counseling, and what do you hope to get out of this).

Front 2

Counselors help clients:

Back 2

1. Explore and enhance motivation

2. Set appropriate treatment goals

3. Understand structure, expectations, purpose and limitations of the counseling process.

4. Mobilize resources to resolve problems and modify attitudes.

Front 3

Therapeutic Alliance (TA)

Back 3

Strength of the TA depends on the FACILITATIVE QUALITIES of the counselor and the strategies used to create a positive environment for exploration and change.

Front 4

FACILITATIVE QUALITIES

Back 4

1. Empathy

2. Genuineness

3. Interventions

4. Respect

5. Immediacy "Focus on the here and now"

6. Concreteness

7. Self disclosure (appropriate/ helps client move forward)

Front 5

Components of Therapeutic Alliance

Back 5

1. Bond between therapist and client characterized by warmth, genuineness, and respect

2. Consensus between counselor and client regarding :

_ Treatment Approaches

_ Goals of Treatment(The easiest way to figure the therapeutic alliance is to hear the client and treatment involves the goals of the client).

3. Primary responsibility for developing and maintaining the TA rests with the counselor

4. 80% of positive outcomes are due to TA

5. TA must be continually monitored and nurtured to prevent premature discharge and enhance treatment effectiveness.

6. Adapting the relationship to several patient characteristics; not just diagnoses enhances the TA.

Front 6

Counseling Skills

Back 6

1. Engage the client (expert on them, what they want, and guide me in treatment planning process).

2. Develop and individualize treatment and recovery goals

3. Effectively describe and negotiate access to the continuation of care ( other options are)

4. Adapt counseling strategies

5. Apply culturally and linguistically responsive communication styles.

6. Elicit clients perspectives on progress (ask them how you feel you are progressing).

7. Assist the client in monitoring and maintaining motivation

8. Document all relevant aspects of treatment clearly and concisely

9. Provide education regarding how to change risk behaviors, adopt protective, healthy practices, and make appropriate use of service systems.

Front 7

Active Listening

Back 7

1. Helps clients/counselor clarify what is going on (help them explore what is causing them to feel a certain way, what changed from today to yesterday.

Front 8

Clear listening

Back 8

Listen without judgement and without immediately trying to correct the clients thoughts (hear what is going on).

Front 9

Reflecting

Back 9

Summarizing and

repeating

Front 10

Counselor Attitudes

Back 10

1. Appreciation of strengths based approaches which emphasize client AUTONOMY and skills development

2. Respect for clients right to self determination

3. Appreciation of the roles of the SOs

4. Appreciation of the difficulties families & SO's

5. Appreciation in cultural differences

6. Willingness to be flexible.

Front 11

Setting Expectations

Back 11

The counselor generates curiosity and engagement by being honest and open and setting the frame and expectations for treatment.

Front 12

Setting Expectations

Back 12

Areas of Expectations:

1. What outcome does the client expect?

2. What proportion of clients reports their issues improve at this level of treatment.

3. What will treatment involve?

4. What are the rules and responsibilities?

5. Client Rights

6. What specific outcomes can the client expect?

Front 13

What is Motivational Interviewing?

Back 13

1. Treatment is a process of intentional change.

2. MI uses specific techniques that engender engagement and empowerment.

3. MI is more effective than intervention ( from the perspective of constantly engaging them).

Front 14

5 Motivational Principles

Back 14

1. Express Empathy

2. Develop discrepancy

3. Avoid argument

4. Roll with resistance (when clients become resistant)

5. Support Self- efficacy and Optimism (Can do attitude).

Front 15

Motivational Elements

Back 15

1. Partnership/collaboration (Avoid the expert role)

2. Acceptance/ Autonomy (respect the client AUTONOMY and strengths).

3. Compassion (keeping the clients best interest in mind?

4. Evocation (soliciting ideas from the clients ) Best ideas come from the clients

**MI techniques are designed to 'get at' internal ambivalence providing a place for discussion of the pros and cons of change .

Front 16

OARS

Back 16

1. Open ended questions

2. Affirmation

3. Reflective Listening

4. Summarize

5. Elicit self motivational statements

Front 17

Study observe Nonverbals

Back 17

Rate of speech

Volume of Speech

Posture

Gestures

Eye Contact

Facial Expressions

Front 18

Study Nonverbals (Information and Congruency)

Back 18

Dress and presentation may communicate

State of mind

Cultural Values

Body Image

Self Image

Front 19

Reflecting

Back 19

Reflect what they say

Front 20

Clarifying

Back 20

Clarify anything that seems unclear

Front 21

Focusing/directing to a particular topic

Back 21

Reflecting and clarifying bring back to self esteem

Front 22

Areas of Expectations

Back 22

1. What outcomes does the client expect?

2. What proportion of clients reports their issues improve at this level of treatment?

3. What will treatment involve?

4. What are the rules and responsibilities?

5. Client Rights

6. What specific outcomes can the client expect?

Front 23

What do Counselors do?

Back 23

Facilitate self- exploration, disclosure, problem solving and behavioral change. ( We want to help client look inside themselves, free and feel able to disclose stuff inside). Use Socratic questioning. Help them brainstorm or problem solve. Facilitate skills in clients

Front 24

Counseling

Back 24

is a collaborative, professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education, and career goals.