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Client paper Client paper Document Transcript

  • Running head: CLIENT PAPER 1 Client Paper Billie Jean Johnson BSHS/305 March 11, 2013 Ms. Annette Garcia
  • CLIENT PAPER 2 Client Paper Charles is 35 year old veteran, his parents took him down to the recruiting office the dayhe turned 18. His parents did this thinking this would make him a man because, of the problemshe had in school and in the community. They also, felt it would teach him how to disciplinehimself and take more responsibility for his own actions and make better decisions. Charlesenlisted in the US Marines and reenlisted four times for three years terms. He returned home after severing twelve years and two deployments of duties inAfghanistan and Iraq. He got a job soon after returning home, doing the same thing he did in theMarines and also married his childhood sweetheart. After he was home for about eighteenmonths, he began to experiencing a variety of stress reactions including sleeplessness,nightmares, and feelings of sadness, rejection, abandonment, or hopelessness. He engaged inaggressive behavior, such as aggressive driving; and used alcohol, tobacco and drugsexcessively. Charles was arrested several times for fighting, drunk driving and possession ofillegal substances which immediately prompt his wife and parents to get him some help. Heagreed and checked into VA hospital after his last arrest. On entering the hospital Charles was screened for substance abuse, Post-Traumatic StressDisorder (PTSD), depression, risk of suicide, and other behavioral health issues and theco-occurrence of these problems. He was assigned a human service worker to coordinate servicesand treatments and to give feedback about his screening results, describing the risks associatedwith a behavioral health disorder and advising about ways to begin addressing substance use andmental disorders. During initial contact with Charles the helper will try and establish rapport, explain ourwork together and what the schedule is like in the VA, provide information about the hospital,
  • CLIENT PAPER 3and explain exactly what services the VA provides. Also, let the client know what is expected ofthem. In turn, the helper may have some additional questions for the client for example, Dose theclient have insurance? Did someone refer you? At this point if the client’s screenings and testsare available you may go over the results. Then, let the client know in the next meeting we willexplore intervention strategies, set goals and determine how these goals will be reached or howthe problems will be solved. According to, An Introduction to Human Services, on the second visit,”you will addressthe current status of the problem or problems, the client’s aspirations and desires, and the client’spersonal and social resources.Should the helper find the client’s problems call for expertise orexperience that the helper do not possess, the helper should refer the client to anotherprofessional who has the necessary knowledge and skills” ( Wood &McClam 2011 ). Our class text book says that your communication skills are “the foundation for allinterpersonal relationships. Exchanging messages to understand another perceptions, ideas, andexperiences is especially important in helping relationships.It also says, “Communicationinvolves sending a message to another person with the conscious intent of affecting thereceiver’s behavior. When the receiver interprets the massage the way the sender intended,effective communication has taken place. When one person interprets the message differentlyfrom the way it was intended, the result is communication failure, the most sources ofmisunderstandings in interpersonal relationships. The book goes on to say, “The messages that aperson sends can be verbal or nonverbal. The most commonexample of a verbal message is thespoken words: “Hello, how are you today? “ The smile and handshake or hug accompanying thatverbal greeting is nonverbal messages” (Wood &McClam 2011).
  • CLIENT PAPER 4 Another skill mentioned in the text, active listening or response listening. These termsdescribe the behaviors of helpers as they attend to both the verbal and the nonverbalcommunication of the client. The special thing about this listening is that helpers also attendtowhat is not said, that is, to the underlying thoughts and feelings of the client, which are notexpressed in words (Wood &McClam 2011). There are five other guidelines behaviors helperscan follow to let the clients know they are physically present and actively involved in helpingrelationships; face the client squarely adopt an open posture lean toward the other person maintain good eye contact try to relatively relaxYou can remember them by the acronym soler. It also lists another listening skill techniqueattending behavior. Engaging in this behavior encourages the client to talk, reducing the amountof talk from the helper. The goal of attending behavior is to encourage the client to talk aboutand examine issues, problems, orconcerns. This attending behavior has four dimensions:Visual/eye contact, vocal qualities, verbal tracking, and body language.There is one morecommunication technique that beginning helpers should be wary of is questioning. Too manyquestions can interfere in with the helping relationship causing the client to feel like a witness.The text gives three a situation in which questioning is helpful. The first situation is at thebeginning of an interview is a appropriate time to ask questions, “Could you tell me, a littleabout yourself?, second situation is when specific information is needed, and the final situation iswhen the client is rambling on and on you can ask a question to refocus the client.
  • CLIENT PAPER 5 The human service model is what I would use with Charles because“ the primarymethod of treatment or service is problem solving, a process focused on the here and now thatmaximizes the identification and use of client strengths. Once the problem is accuratelyidentified and client strengths determined, some type of intervention may occur. The problem-solving approach is used in this for several reasons. First, the process provides a systematic wayof thinking about complex situation in clear, understandable terms, encouraging the client andthe worker to prioritize the problems that need to be addressed and discouraging impulsive,reactive behaviors. As a part of this approach, client strengths focus on the positive rather thandeficits, anencouraging approach for clients. Second, the effectiveness of the process can beassessed at each stage. Third, clients can learn this problem-solving process and use itthemselves when they no longer require services. Fourth, the outcomes of the process support thephilosophy of human services by fostering client self-esteem and sense of personal responsibilityas clients work successfully through the process. Fifth, the approach is a tool for identifyingother problems that may occur and determining strategies to prevent future problems” (Wood&McClam 2011).
  • CLIENT PAPER 6Woodsider, M., &McClam,T. (2011). An Introduction to Human Services. (7 ed.). Mason, OH:Cengage Learning.