The client needed someone who specializes in family therapy. By continuing to counsel Ella, Ludwig was preventing Ella of getting the type of help she needed. As a case worker, I would help Ludwig by reminding him of the AAMFT code of ethics and have him refer her to someone who is trained in family therapy. It is also important before starting any therapy to review the expectations and informed consent with the client. When talking to the client it is important to disclose that if the counselor is unable to treat the client because his limitations, that the counselor will refer the client to someone that can and also follow up to ensure that the client is getting the help they need. By talking to the client and explaining why the referral is necessary it will help the client not feel that the counselor is abandoning her and it will also help with not having the client feel that they are responsible for the counselor not being able to counsel…
Once we have made these things known, I would then go over confidentiality policy and then ask her if she have any question, or is there anything she don’t understand, then I would go forth and let her know that if she need other help outside of the help I’m giving, then I would need her permission in order for me to refer her to…
Prior to starting the practicum, this student was required to sign a statement of confidentiality which outlined the parameters of confidentiality within the organization regarding sharing client information, accessing resources, altering documents and computer usage. Residents have 3 consent forms to sign upon admittance: one for consent for assessment and treatment which allows team members to talk to each other; one for the consent to disclose information between agencies (i.e. the MSDSI); and one to release information to various information to specific individuals, such as the client’s family or partners. If these forms are not filled out, staff are not allowed to share anything, including whether a resident is at home, even if the caller is the client’s parent or partner. Additionally, if a client threatens harm to self or to another person, there are procedures in place which guide how a staff member should react. As intent to harm one’s self is not uncommon, documentation and meetings allow team members to create a safety plan for each…
When I got to my office after a long day, I checked my voice message. I had a message from a new client, who wanted to schedule a time. She introduced herself as Mrs. Shayan in the message, and from her accent I could tell she was from Middle East. Thus, she didn’t mention what type of therapy she was looking for. When I called her back, she paused for a second and asked me to hold on the line for a minute. Then she apologized, and explained that she didn’t want to talk in front of her daughter. She reported that she was concerned about her daughter, Sheila. She was 9-years-old. She has experienced lots of issues with her peers since several months ago. Mrs. Shayan asked me if she needs to bring Sheila for the initial…
This essay will show the application of Transactional Analysis (TA) and Gestalt Counselling (GC) to a client, and will consider what possible outcomes could be achieved.…
Client is 16 years old, female Mexican American who is straight sexually active, and lives with her boyfriend’s family house at sharing the same room. Client is currently a student at Village Academy- Pomona High School in grade 11 Client was referred by DCFS social worker after presenting with the following symptoms: withdrawn, sad affect, anxiety related to family history/separation/conflict, difficulties with accommodation adjustment, and feeling of loss due to losing her fetus.…
A recent decision in the rehearing of the Tarasoff v. Regents of the University of California case, mandates that not only should mental health professionals and social service workers warn a potential victim of possible harm by their client, but there is also a duty to protect the potential vicitm. This can be carried out through any or all of the following steps:…
This article was about a case implicates the Georgia Regional Hospital, Atlanta. In January of 2009, a patient, Na Young, this patient has a history of psychotic episodes. This patient was released form the psychiatric hospital. On a Friday evening in January at the Regional Hospital in Atlanta, Na Yong, refused to sign the release paper. The patient go valance with the nurse and told her that she will now longer take the antipsychotic medication. The patient family pleaded the doctors and nurses to reconsider discharging her from the hospital. The patient prior to been admitted into the hospital had physically abused her mother on several occasion. Na Yong told physician and nurses that if she were discharge from the hospital she would kill her mother, which was the target of her schizophrenia-fueled rage. The hospital staff still…
My role as a manager is to act in the best interest of the resident and I Immediately informed my local safeguarding team , had a conversation with our GP and family -in the family meeting were we did decided to asses her needs again by involving a psychiatric nurse who did a mental capacity assessment.…
A nurse is caring for a client who states that he has abused his son because of the stress caused by his son's mental illness. How should the nurse use the communication tool of 'clarifying' when speaking with this client?…
Resources increase knowledge of something, it’s important during therapy to use resources that have been obtained throughout in order to get a full picture of the client’s life style, past history and what the client wants.…
This informed consent will be used at the very beginning of the counseling process. Client will receive a copy after reading and agreeing to the terms. From a risk management perspective, keeping copy of the consent with the client’s signature will also be stored. This is a standard of care. There will be an emphasis on confidentiality before each session. Other necessary specific items from the informed consent will be reiterated if needed. The specific ethical and legal standards addressed in the creation of this form were confidentiality and the client’s rights. Informed consent is an important part of counseling its purpose is to diminish or eliminate potential ethical dilemmas. For instance, informing clients that there is an exception to confidentiality in the event they are suicidal is a critical aspect of informed consent. This is something that this particular client needs to be aware of. This could include laying an expectation for involving family and or other supports if an individual’s suicidality moves beyond a certain threshold. Informed consent is very important when…
The patient’s mother, though not biological, has primary custody of the patient and will not consent to treatment while the biological father consents to treatment but lacks custody. The nurse has the responsibility to uphold the…
Before I start the individual sessions with the client, I would explain to them about confidentiality and what my job is as a Mental Health Counselor and because the client is under 18, I would have the parent to sign consents, saying it is okay for the client to be seen in and treated in this office. Discussing informed consent is explaining to…
It was very important that the client knew that confidentiality would be maintained throughout the session and beyond, unless she made references to being involved in acts of terrorism, money laundering and/or drug trafficking. I mentioned to the client that in this case I would be obliged to tell a 3rd party but I would tell her first. Any disclosure in client's confidences should be undertaken in ways that best protect the client's trust and respects client autonomy ( British Association for Counselling and Psychotherapy, 2011. p.2 )…