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Human Service Manager Exercise Reinforce, Refer, and Release

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| Human Service Manager Exercise Reinforce, Refer, and Release | University of Phoenix | | BSHS 322Brian LannJocelyn Besse | 8/30/2010 |

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Scenario #1

Family Support Services Center

Staff Member: Tom Martin

1. Demographics

a. Age: 32 b. Gender: Male c. Marital Status: Divorced d. Race/ethnicity: Caucasian e. Years with Agency: 4

2. Staff Member History and Current Assessment

f. Employed as an individual counselor for adult clients. g. Considered an adequate but not outstanding counselor. h. Two previous client complaints that could not be substantiated. i. A review of Tom’s previous case files shows four female clients who terminated counseling with no explanation. j. Female client of Tom has informed supervisor that he had made inappropriate sexual comments, bought her presents, had one out-of-office ‘date’, and implied that he could help get custody of her children back from protective service with a favorable treatment report. k. Tom initially denied these accusations when they were presented to him but does admit that he is attracted to client.

Recommendation: ___Refer__________________ Strategies:

In order to effectively resolve this situation and incorporate evasive action of future issues, each party needs to communicate openly and effectively. The clinician should be non-judgmental in their tone and body language. Tom must resist the urge to be defensive and listen to the advice and recommendation of his organization. Two extremely sensitive issues are present innocence and reputation. Tom wants to be validated that the accusations are not true, and is fearful of losing his job. The organization is fearful that keeping Tom could reflect badly on the organization and build a reputation as having unethical practices. All parties, including the client, want to find out what the truth is. So many varying dynamics make finding solutions that satisfy everyone difficult. I would suggest that the agency incorporate both inside and outside referrals for Tom. While his record does show two prior accusations, they were unsubstantiated and he has only admitted attraction to the client. I believe that Tom could also benefit from completing a training seminar focused on morals, ethics, legal obligations, and appropriate workplace behavior. Considering that the accusation is extremely specific about the unprofessional relationship and there were four mysterious female clients lost, I would also suggest that Tom consider having an observer in his sessions. Tom could either allow observation of all clients, the one particular client with the complaint, or any client willing to sign a disclosure statement. I would probably suggest that Tom focus more on having a witness party with only the complaining client, so as not to damage the trust already established with other clients. While not the best option because Tom would learn nothing, Tom could also be restricted to a list of all male clients. Since four clients who mysteriously dropped counseling and the client with the complaint are female as well, leaving Tom with an all male clientele would reduce the risk of these accusations. Tom should also be informed that this is a last resort and that should accusations or misconduct be filed again, Tom will be terminated. This allows Tom to know that while the organization is giving him the benefit of the doubt, such behavior or accusations cannot be tolerated on a regular basis. The boundary line has been set and Tom is aware of the consequences. Tom, the organization, the clients and an observer (if incorporated) should all enter into a contract together. The contract should state that Tom agrees to maintain a professional relationship with all clients, should the organization allow him to continue seeing female clients. All clients should ask for an observer should they ever felt discomfort during a session. Tom agrees to outside counseling for a period of six months, and the organization agrees to provide Tom an observer should he feel the need to be protected from accusations.

Scenario #2

Family Support Services Center

Staff Member: Janice Wellington 1. Demographics a. Age: 28 b. Gender: Female c. Marital Status: Single d. Race/ethnicity: Hispanic e. Years with Agency: 2

2. Staff Member History and Current Assessment a. Employed as a child and family counselor. b. Displays good therapeutic skills. c. Client records indicate that she is well liked by her clients. d. Client case logs are not always complete or submitted in a timely way. e. Janice states that she does not feel confident and knowledgeable with some of the situations she is exposed to. f. She further states that she is more comfortable working with children than with the entire family during counseling sessions. Recommendation: __________Reinforce____________

Strategies:

Janice has a successful record with the organization and her clients. This speaks highly about her skills, so the main dynamic here is Janice. She feels more confidant working with children rather than the whole family. In this case, I would suggest that Janice is given a specific clientele of only children. However, since children have a greater tendency to be inconsistent, Janice’s record keeping and logs must improve. I would suggest a refresher seminar that focuses on the official aspects of her career, such as logs, record keeping, employee reviews, case reviews and such. Once she has successfully completed the course, Janice would be able to accept more responsibility and have a client list mainly comprised of children with only one or two sessions a week with the entire family. Once Janice has shown successful rates with these types of cases, Janice could transition to child therapy. Communication should go smoothly since Janice is already proven an asset to the organization and the organization will agree to her concerns. A new contract should be drawn up between Janice and the organization and Janice and her clients. Janice should agree to take the training session and complete more accurate logs in a timely manner. The organization should agree to start transitioning Janice and her clients to a different routine of therapy and if needed find the adult members of the families other therapists as Janice begins to focus more on the children. Janice should begin by setting weekly goals for her logs to begin accomplishing her goals. She should reserve time at the end of each day to update client’s reports she saw that day. Each week she should set aside time to update her log and client updates. Imploring these techniques will make the task of completing logs seem less rushed and also help Janice stay better organized.

Scenario #3

Family Support Services Center

Staff Member: Michael Thompson 1. Demographics

a. Age: 44 b. Gender: Male c. Marital Status: Married d. Race/ethnicity: African American e. Yeas with Agency: 16

2. Problem Presented/History of Problems and Assessment a. Currently employed as a substance abuse counselor. b. Recovering addict with 18 years of sobriety. c. States that he is under a lot of stress at home and concerning financial obligations. d. Has a good work record except for periods of repeated absence from work and periods of depression. e. Has stated recently to co-workers that he is not sure he can relate to client’s addiction issues as well as he has in the past. f. Staff concern and suspicion that Michael may have suffered a relapse or is contemplating drug use. g. The agency has an Employee Assistance Program and Policy.

Recommendation: ______Refer____________

Strategies:

First, Michael needs to be enrolled in the Employee Assistance Program. Even though he has been sober for 18 years, co-workers are concerned he may be using again. Though there has been no evidence, Michael is still suffering bouts of depression, lack of confidence, repeated absences and growing financial pressure. It is obvious that Michael is having some kind of problem and is not successfully dealing with it. The Employee Assistance Program may be of value to whatever issue Michael is having. His confidence in being able to relate with clients about drug addiction could be coming from so much attention to personal problems, and once those are resolved, may feel differently about his abilities. Should his other issues be resolved, Michael could then enroll in an enrichment seminar to learn new ways of developing empathy, rapport, and connections with clients. Michael is married and has a support system at home as well as at work where he has developed relationships after 16 years. After 18 years of sobriety Michael knows that depression can trigger a relapse and that he has these support systems to reach out to, as he has probably done at some point in his 18 years of sobriety. I would be inclined to believe that while Michael may be considering drug use, he will override his urge and reach out was this the issue. Communication is vital though both parties should be able to communicate adequately. Michael understands the importance of reaching out for help before problems feel like they are burying you, and the organization understands the needs of supporting co-workers. The approach to Michael taking an enrichment seminar and enrolling in the Employee Assistance Program should be done gently; however, I believe each party would be open to the idea. Michael has been with the organization for 16 years and probably realizes the good intention and be more accepting of the help. The organization recognizes Michael as a valuable employee and should offer assistance where they can. Michael should begin setting goals immediately with the enrollment of the Employee Assistance Program within a week. After enrollment, Michael should begin to set goals for meeting financial obligations. He should list financial obligations by necessity and regularity and once a functional budget has been established stick to it. After a month of this budget, Michael should begin to sort what he may be able to cancel to free up some money for other obligations. Keeping a list of what needs to be done, financially, would be beneficial to Michael for these goals. Once Michael’s finances are stabilized, Michael should reevaluate his relationship and confidence with his clients. Should he find the stress was not the cause for his lack of confidence, Michael can then begin to make goals to become better able to relate to his clients using seminars and coaching.…...

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