Review Riverbend City: Goals of Counseling Sessions (linked in the Resources), using the "Goals of Counseling Sessions: Initial Phase, Working Phase, Closing Phase" document (linked in the Resources) to apply to the activity.
In any counseling session, certain criteria are expected to be included throughout the therapeutic process. As indicated in activity and document above, regarding the goals of counseling sessions, phases of the clinical process that are essential to conflict resolution are the initial session, working phase sessions, and termination.
Your site supervisor at Riverbend City has asked you to explore issues of human sexuality as they apply to the case of Maria presented in the previous discussion in this unit. As you continue to examine Maria’s presenting issues, what would be your focus during an initial session, a working session, and termination of Maria’s therapeutic progress while attending to issues of human sexuality? Refer to the "Goals of Counseling Sessions: Initial Phase, Working Phase, Closing Phase" document as needed to include information that would contribute to Maria’s sexual awareness and growth during her adolescent years.
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· History assessment
· Gathering clinical information
· Identifying information about the client, presenting concerns and level of client distress, history of presenting concern, family background, personal history, previous counseling experience, risk assessment (suicidal or homicidal ideation), clinical impression and/or diagnosis, client’s goals for counseling.
· Establish rapport, build therapeutic relationship
· Determine risks, benefits, and alternatives
· Provide structure to the counseling process
· Help clients take initiative in the change process
· Develop initial case conceptualizations
· Examine cognitions and thinking patterns
· Recognize and explore emotions experienced
· Emotional, physical, or a combination, overt, covert, or a combination, positive negative or neutral, in or out of awareness, level of intensity, appropriateness for context and stimulus, congruence, helpful or harmful.
· Case notes
· Signs and symptoms, topics of discussion, interventions, progress and plans, special issues (STIPS format, from Prieto & Scheel, 2002)
· Documentation with high-risk clients (explain how the conclusion was reached, take action, and document the action (R.M. Mitchell, 2007).
· End a learning experience properly.
· Closing gives clients opportunity to maintain changes achieved in counseling and generalize problem-solving skills to new ones.
· Closing serves as a reminder that the client has matured.
· Final Assessment:
· Has the client achieved behavioral, cognitive, or affective goals?
· Has the client developed better coping skills?
· Is the counseling relationship no longer helpful?
· Has the context of the original counseling relationship changed?).
Mitchell, R. M. (2007). Documentation in counseling records: An overview of ethical, legal, and clinical issues (3rd ed.). Alexandria, VAL American Counseling Association.
Newsome, D. W., & Gladding, S.T. (2014). Clinical mental health counseling in community and agency settings, (4th ed.). Boston, MA: Pearson.
Prieto, L.R., & Scheel, K.R. (2002). Using case documentation to strengthen trainees’ caseconceptualization skills. Journal of Counseling & Development, 80, 11-21.
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