The first step would be to employ provider relations representatives. In most plans, there are people who are fully responsible for maintaining communications with the physicians and their office staff. Their job includes obtaining feedback from the physicians and office staff, updating them on changes, troubleshooting, maintaining and managing the contracts and other required documents, and to keep things running properly. This function is extremely important and the provider relations staff must be experienced. It is important for them to represent the physician’s point of view to plan management, but they should not side against the health plan unless they are truly at fault.
When looking at coping with change it is not possible to ignore some of the events which change our development, life events which cause significant change are called transitions (Jeffery, J in Aldridge, S & Rigby, S 2004). If these transitions are not prepared for, they can cause emotional difficulties or even physical illness. Counselling skills can be very effective at this stage as the helper needs to work out how to make the adjustment to these changes more satisfactory for the client, to lower the emotional distress. The counsellor has to first establish what kind of transition the client may be going through; Scholssberg (1989) in Aldridge, S & Rigby, S (2004) identified 4 different kinds of transitions: Anticipated, Unanticipated, Non-event transitions and chronic hassle transitions. Unanticipated transitions are unplanned and can be projected as a crisis; this was personally experienced when my parents got divorced.
It is best that ‘dual relationships’ are avoided, such as when the therapist knows the client as a friend as this can be detrimental to the client. Records must be kept and referred to throughout treatment, but should be confidential between client and therapist. There may be times when the therapist may have to break client confidentiality, i.e. when a client poses a risk to themselves or someone else. The therapist must also work within the confines of the law, for example if treating a child who has suffered sexual abuse then the therapist has a duty to disclose any details of the offender.
It is imperative for case managers to use intervention practices that will prevent risks, reduce the negative behavior, and promote productivity and success. Intervention practices are included in case management plans because they serve as actions to improve life situations. The concept with helping clients in the criminal justice is complex because each person is different and unique, so therefore, the treatment and services have to be different to promote success. In order for clients to change their behavior, they must change their way of thinking. References Freeman, D. W. 2001.
A counsellor should be fully competent and understand the principles of counselling and its ethical framework, as it deals with some very sensitive issues. The clients progress depends on the therapist professionalism as the impact of being unprofessional could have catastrophic results. i.e. a client could commit suicide and you could be held responsible and possibly face liability. Clients may never return to counselling again if left traumatised by an unprofessional.
The main problem that will be focused on at first is Bradley’s sexual inappropriate behavior. This is due to it being the most concerning problem, and it will provide a good therapeutic base to work off of. It is important to first address the disturbed feelings Bradley has and how those feelings are evident through his behaviors and thoughts. To address his sexual inappropriateness, Bradley will need to be taught about victim empathy. To be able to work on understanding his sexual inappropriateness, Bradley will first need to recognize how it affects others and be able to view his behaviors from the victim’s point of view.
One issue that maybe encountered is involuntary group members. Corey, Williams, and Moline (1995) explained that ethically a counselor should advise clients of their rights, privileges and duties, as well as, advise them of any probable concerns they face if they choose to follow treatment. Another issue that may be encountered in group therapy is informed consent, which is extremely important when participation is mandatory. Informed consent is something that all counselors and counselor have to obtain from clients. Fallon (2006) states it is important because certain guidelines have to be followed by the counselor during a session and when a client becomes involuntary this puts the counselor in a comprising position.
I think there, precisely, lies our responsibility to use ourselves as effective facilitators and introduce certain concepts and interventions only when participants are ready for them. I think that a well attuned therapist who works collaboratively with participants will not introduce interventions prematurely at the risk of a potential serious setback for the therapeutic process. But this is why engaging, assessing and evaluating are ongoing transactional throughout the therapeutic alliance. I do, however, think CBT has limitations as does any other form of therapy. I think that working with participants who have severe mental illness might be a challenge.
This is usually as a result of the client needing to gain more from their sessions rather than continually going over the same issues. Failure to recognise any of these issues can lead to a breakdown in the communicating process and often set the client back to where they started. The client needs to feel valued and listened to. To miss the signs being sent could have major effects on the client. Should a session stop proceeding forward and the client become silent, this would be a good place to find out exactly how they are feeling, and
The goals should also be in coordination with your values and your purpose for the goals. It can often depend on what the couples are coming to counseling for in order to help the couple decide on what some of their goals should be. For example: A couple may come into the counselor office and needs help with their relationship because they seem to always argue. One of their goals could be how to help them minimize and eventually stop arguing so much and be able to discuss things in a decent manner. Goals can and will sometimes go wrong.