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Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

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Nội dung chi tiết: Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2or done. You may be concerned for your client's well-being, and you do not want your client to do something harmful or continue to behave or think in

ways that arc destructive. Occasionally you will have a problem because someone other than the client has in some way interfered with your ability to Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

do your job well. As noted earlier, when your needs are not met. you are responsible for resolving the matter or. at the very least, for bringing your

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

concerns out in the open where they can be discussed and examined by the client.Bringing something out into the open is called confrontation. To most

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2ding and perhaps to make meaningful changes or take important new steps. When you bling up your point of view, you arc holding reality as you see it b

efore the client for rhe client to consider. The client is in no way obligated to see things your way. but now both points of view are known and consi Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

dered. Many opportunities to grow and make constructive changes will be discovered when you use confrontation.The decision to use confrontation is ano

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

ther strategic decision. This chapter examines when confrontation might be a useful tool to help you and your client explore differences and resolve p

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2will communicate two different messages. Confronts* lion can help rhe client see the discrepancies and can offer an opportunity to look at the situati

on and at the person in another way. Some examples of discrepancies follow.The Client Says One Thing hut Does Another. Dalia tells you that she really Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

wants to go to the job-training program and that getting a job is a top priority for her. but she does not register for the classes. On the other han

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

d, she has numerous excuses for not registering, some of which do not seem entirely believable.The Client Has One Perception of Events or Circumstance

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2ksgiving even though the office was open. He was off work that day, and he wanted to make an appointment with you so that he would not have to miss wo

rk at another lime. Your perception is different. To you it was reasonable to be off work the Friday after Thanksgiving because there was only a skele Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

ton staff working that day. You also needed to take a day off before the end of the year or you would have lost some of your accumulated time. Clients

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

rarely come in on this date, and there was a crisis team to cover any crisis that might have come up.'Ib Harold you seem uncaring, while to you your

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2ine.” that she feels “okay,” and that “everything is all right.” She looks, however, as if the opposite is true. She speaks in a monotone, looks at th

e floor as she speaks, and appears depressed and disheveled. These are clues that the spoken message and the unspoken message do not match.The Client Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

Purports to Hold Certain Values, but the Client’s Behavior Violates Those Values. Paul tells you he “likes everyone” and “accepts" everyone. I le tell

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

s you ethnic differences arc unimportant to him and he finds them enriching. In one of his meetings with you. he tells a decidedly racist joke that ob

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2o will help to clarify the issues and help you and your client come to understand one another’s point of view. Ignoring discrepancies interferes with

understanding between you and your client because of conflicting perceptions.Other Reasons to Use ConfrontationThere arc other reasons besides discrep Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

ancies for using confrontation. It can also be used to bring out in the open behavior or communications that seem to interfere with clients meeting th

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

eir goals. Following arc some examples of such situations.The Client Has Unrealistic Expectations for You. Marcy expects that you will drop everything

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2d does not think she should have to see anyone else at night. Yon arc her case manager, and she wants you co be there when she needs you.The Client Ha

s Unrealistic Expectations for Him- or Herself. Miguel has been in a partial hospitalization program for a number of months and has been sick for abou Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

t 4 years. Stress seems to trigger his schizophrenic symptoms, and regulating his medication is difficult. He is very good at cleaning and janitorial

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

tasks around the center, and there is a good supervised janitorial program for clients in w hich they hold a regular job and clean actual establishmen

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2response.The Client Asks for Assistance, hut Actions Indicate the Client Is Not Interested. Serena asks you to help her find suitable housing so she w

ill not have to stay at the shelter any longer. You have some leads she could pursue, but she breaks appointments, calling in to say she was detained Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

and will reschedule. She docs not follow up on the leads you give her, and the two apartments she went to see that were suitable she turned down for m

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

inor problems, refusing to live there.The Client’s Behavior Is Contradictory. Art conics in to group and tells the group he Will stop drinking. He nev

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2 in group and at AA meetings and that he goes to A.A on Tuesday and Thursday and to his favorite bar on Friday and Saturday nights. Art’s behavior is

contradictory ill another way. While he talks to newcomers in the group about how helpful it is to stay in group and how wonderful the agency is. he h Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

as been denigrating a certain member of the staff outside the building where he goes to smoke during the break.The l-Message in ConfrontationBecause t

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

he problem is yours and the observations are your own, confrontations should begin with or include a reference to you. The term used for these stateme

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2ain the accusatory “you.” Figure 10.1 shows some examples of correct and incorrect l-messages to demonstrate the difference between them. The first ex

ample consists of messages to a client w ho w as late on Tuesday; note the use of “I” in t he correct version and the use of "you” in the incorrect ve Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

rsion. The second example demonstrates a worker's concern for w hat her client is about to do.A complete Lmcssagc usually contains four parts:1Your co

Ebook Fundamentals of case management practice - Skills for the human services (4th edition): Part 2

ncerns/fcclings/observations about the situation2A nonblaming description of what you have seen or heard—of the behavior3'The tangible outcome for you

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

www^ownloadslide.comCHAPTER10Bringing Up Difficult IssuesIntroductionThere will be rimes when you have a concern about something the client has said o

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