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BMFT 602: Internship IBMFT 602: Internship IBMFT 602: Internship IBMFT 602: Internship IFebruary 9, 2010February 9, 2010
agendaagenda
Exam #1 (8:00-9:00)
Break (9:00-9:15)
Building an effective co-therapy team (9:15-10:00)
Case management & record keeping (10:00-10:50)
Exam #1 (8:00-9:00)
Break (9:00-9:15)
Building an effective co-therapy team (9:15-10:00)
Case management & record keeping (10:00-10:50)
building an effective building an effective co-therapy teamco-therapy team
building an effective building an effective co-therapy teamco-therapy team
co-therapy: definitionsco-therapy: definitions
Form of psychotherapy treatment in which the therapist relates not only to a client or clients but also to a peer or peers
Professional relationship that has the potential to develop & deepen over time and to affect and alter profoundly the lives of its practitioners
Form of psychotherapy treatment in which the therapist relates not only to a client or clients but also to a peer or peers
Professional relationship that has the potential to develop & deepen over time and to affect and alter profoundly the lives of its practitioners
general benefits of co-therapygeneral benefits of co-therapy
Greater opportunity for learning through discussion & collaboration with another therapist
Widened perspectives for therapists
Widened transference possibilities for clients (if that’s your theoretical stance)
Greater learning opportunities for clients
Opportunity for therapists to check & balance complementary behavior
Greater opportunity for learning through discussion & collaboration with another therapist
Widened perspectives for therapists
Widened transference possibilities for clients (if that’s your theoretical stance)
Greater learning opportunities for clients
Opportunity for therapists to check & balance complementary behavior
benefits that enhance therapist self-carebenefits that enhance therapist self-care
Sharing the burden & loss of clients who terminate prematurely
Source of acknowledgement & appreciation
Can prevent burnout
Source of emotional support
Provide encouragement for tough cases
Personal growth through collaboration
Sharing the burden & loss of clients who terminate prematurely
Source of acknowledgement & appreciation
Can prevent burnout
Source of emotional support
Provide encouragement for tough cases
Personal growth through collaboration
benefits to therapists & clientsbenefits to therapists & clients
Help to stay centered & to avoid problematic countertransference
Less likelihood of being manipulated by clients
Ability to take greater risks in therapy
Help to stay centered & to avoid problematic countertransference
Less likelihood of being manipulated by clients
Ability to take greater risks in therapy
benefits to clientsbenefits to clients
Opportunity to learn about relationships between equals
Opportunity to see desired behavior modeled between co-therapists
Opportunity to see multiple choices
Observation of relationship development over time
Correction of misperceptions
Role flexibility
More available to clients
Opportunity to see people who disagree with one another maintain a relationship
Opportunity to learn about relationships between equals
Opportunity to see desired behavior modeled between co-therapists
Opportunity to see multiple choices
Observation of relationship development over time
Correction of misperceptions
Role flexibility
More available to clients
Opportunity to see people who disagree with one another maintain a relationship
characteristics of successful co-therapistscharacteristics of successful co-therapists
Complementary balance of therapist skills
Compatibility of therapist’s theoretical viewpoints
Openness in communication
Equality in participation
Liking each other as people
Respect
Complementary balance of therapist skills
Compatibility of therapist’s theoretical viewpoints
Openness in communication
Equality in participation
Liking each other as people
Respect
dysfunctional co-therapy teamsdysfunctional co-therapy teams
Encompasses more than mistakes committed by co-therapists
Systematic failure to perform as a treatment team or to communicate as colleagues or both
Will produce negative results for clients & themselves
Do not recognize or acknowledge their mistakes
Encompasses more than mistakes committed by co-therapists
Systematic failure to perform as a treatment team or to communicate as colleagues or both
Will produce negative results for clients & themselves
Do not recognize or acknowledge their mistakes
Five C’s of co-therapy dilemmasFive C’s of co-therapy dilemmas
Competition
How will decisions be made?
Who will talk & who will be silent & when?
Will conflicts be resolved or avoided?
Countertransference
Confusion & lack of communication
Lack of congruence
Co-dependency
Competition
How will decisions be made?
Who will talk & who will be silent & when?
Will conflicts be resolved or avoided?
Countertransference
Confusion & lack of communication
Lack of congruence
Co-dependency
stages of development in co-therapy teamsstages of development in co-therapy teams
Phase 1: Creating a contract
Phase 2: Forming an identity
Phase 3: Building a team
Phase 4: Developing closeness
Phase 5: Defining strengths & limitations
Phase 6: Exploring possibilities
Phase 7: Supporting self-confrontation
Phase 8: Integrating & implementing changes
Phase 9: Closing
Phase 1: Creating a contract
Phase 2: Forming an identity
Phase 3: Building a team
Phase 4: Developing closeness
Phase 5: Defining strengths & limitations
Phase 6: Exploring possibilities
Phase 7: Supporting self-confrontation
Phase 8: Integrating & implementing changes
Phase 9: Closing
Record-keeping & Record-keeping & case managementcase managementRecord-keeping & Record-keeping & case managementcase management
required reportsrequired reports
Weekly
Hours report for MarDee - filling out form in schedule book; must be filled out each week after your last client of the week is seen
Hours report for supervisor
Old system - Excel sheet (posted on MFI Blackboard)
New system - Access database (tutorial posted on MFI Blackboard)
Weekly
Hours report for MarDee - filling out form in schedule book; must be filled out each week after your last client of the week is seen
Hours report for supervisor
Old system - Excel sheet (posted on MFI Blackboard)
New system - Access database (tutorial posted on MFI Blackboard)
required reportsrequired reports
At end of each reporting period
Record of all hours seen & supervision received - turned in to Teri
Old system - format included in MFI Manual
New system - Access database will generate report for you
At end of each reporting period
Record of all hours seen & supervision received - turned in to Teri
Old system - format included in MFI Manual
New system - Access database will generate report for you
casenotes & progress casenotes & progress recordsrecords
casenotes & progress casenotes & progress recordsrecords
elements of the casenoteelements of the casenote
Identifying information
Client name
Therapists’ names
Session #
Date of session
Fee - collected/balance
Content
Description of what actually transpired in the session
Identified patient, presenting problems, goals
Ethical issues - suicide, child abuse, etc.
Process
Theoretical hypotheses, assumptions, & descriptions
Use theoretical & relational process terms
Describe patterns of interaction
Homework assigned
Supervisor recommendations
Space for supervisor’s signature
Identifying information
Client name
Therapists’ names
Session #
Date of session
Fee - collected/balance
Content
Description of what actually transpired in the session
Identified patient, presenting problems, goals
Ethical issues - suicide, child abuse, etc.
Process
Theoretical hypotheses, assumptions, & descriptions
Use theoretical & relational process terms
Describe patterns of interaction
Homework assigned
Supervisor recommendations
Space for supervisor’s signature
progress recordprogress record
Purpose - to provide a consistent record of progress in terms of signs, symptoms, & mental status for the IP in the client system
More appropriate to release to other mental health professionals, attorneys, clients, doctors, etc.
Review Progress Record
Purpose - to provide a consistent record of progress in terms of signs, symptoms, & mental status for the IP in the client system
More appropriate to release to other mental health professionals, attorneys, clients, doctors, etc.
Review Progress Record
next weeknext week
Topics
Interventions
Collaboration
Treatment planning
Reading
Midori Hanna, 8-9
Cozolino, 9-10
Gerhart & Tuttle, 1
Topics
Interventions
Collaboration
Treatment planning
Reading
Midori Hanna, 8-9
Cozolino, 9-10
Gerhart & Tuttle, 1
