James Barber (1991) in his acclaimed book Beyond Casework , states;
" Work with involuntary clients must begin with the recognition that the interaction between worker and client is based on conflict rather than cooperation, that social work with involuntary clients is a political, not a therapeutic process involving the socially sanctioned use of power. " (p 45 )
An involuntary treatment order is the basis for providing in-patient and out-patient treatment to involuntary patients under the Act. The criteria for making an involuntary treatment order are that:
(a) the person appears to be mentally ill; and
(b) the person's mental illness requires immediate treatment and that treatment can be
obtained by the person being subject to an involuntary treatment order; and
(c) because of the person's mental illness, involuntary treatment of the person is necessary for his or her health or safety (whether to prevent a deterioration in the person's physical or mental condition or otherwise) or for the protection of members of the public; and
(d) the person has refused or is unable to consent to the necessary treatment for the mental illness; and
(e) the person cannot receive adequate treatment for the mental illness in a manner less restrictive of his or her freedom of decision and action.
According to De Jong and Berg (2001), most clinicians view involuntary clients negatively. Likewise, R.G. Rappaport (1982) found that some involuntary clients, especially those in correctional settings, have negative views of rehabilitation programs. These negative views may adversely impact the therapeutic relationship and subsequently, treatment outcomes.
Set the stage of negotiation by stating the statutory framework (including any court order) under which casework is being conducted (eg. protection of children, drug-relate offences, domestic violence, self-harm)
Encourage the client to express their feelings and thoughts about the situation - the worker should use their reflective listening skills at this stage
Worker express her/his thoughts and feelings about the constraints of the intervention while being respectful of the client
Reframe directives working towards meeting the conditions of attendance whilst working for the client’s best interest
Client and worker both invited to question aspects of the bottom line and the worker should be prepared to negotiate where appropriate. For example, the worker needs to specify what is counted as an attendance (not a 5 minute drop in)
Where there are risk issues, clear information should be provided regarding what will occur if there are concerns e.g. Mental health client not attending for treatment
By the end of this step, both client and worker have agreed on bottom-line limits of intervention and the client has experienced a process of empowerment in their involvement of interpretation of the statutory issue or court order.
Negotiate a case plan taking into account the legitimate client interest, the bottom-line and the brainstorm of negotiable aspects of intervention. Keeping written notes from the former steps will be helpful here.
Worker may express her/his legitimate interests (eg. amount of time for the case, availability of transport, etc.) to enable the fairest plan for both client and worker.
Where there is ambivalence around choosing a particular course, the worker may use a modified motivational interviewing to help with decision making. In this modified version, both worker and client progress through the decisional balance of costs and benefits.
The main points of an initial plan are drawn up while you are both there.
Samantha is a 17 year old young woman who attends your service as a result of a special condition of a Youth Supervision Order. During the intake appointment she is extremely abrupt and hostile. She has an extensive history with Child Protection and makes a point of telling you that she has had “hundreds of workers that have done nothing” for her in the past. You are required to provide feedback to Samantha’s Youth Justice worker in relation to her attendance and she can be breached if she fails to adhere to the special condition to attend your service.
An approach that builds on the idea that people live their lives according to stories they construct about who they are, and what their lives are, (and can be) like. These stories can act like a lens, filtering out new and different stories which don't fit the main story.
Uses the stories people bring about themselves and their lives, to re-shape new lenses, new stories, new experiences and new futures
Narrative therapy seeks to be a respectful, non-blaming approach to counselling and community work, which centres people as the experts in their own lives.
It views problems as separate from people and assumes people have many skills, competencies, beliefs, values, commitments and abilities that will assist them to change their relationship with problems in their lives.
Given over-responsibility's encouragement of busyness, have there been any times when you have been able to rebel against it and satisfy some other of your desires? Did this bring you delight or pleasure?
• (If there have not been such times) Have there been times that you have thought -- even for a moment -- that you might take some time out?
• Did you give your responsibilies the slip to come here and indulge yourself in the luxury of this conversation?
• Can you imagine a time in the future that you might defy some responsibility and give yourself a break?
Dominant views of addiction and mental health in our society are informed by the disease model that locates addiction within the individual, as a physiological, pharmacological or psychological deficit in the individual.