BMFT 602: Internship I

January 13, 2009

Agenda

Welcome back (8:00-8:45)

Syllabus questions & selection of novels (8:45-9:15)

Break (9:15-9:30)

Beginning therapy (9:30-9:45)

Intake calls (9:45-10:50)

Think, Pair, Share

What do you feel like you must know before you walk into the therapy room?

What are your expectations for this semester?

What are your expectations for this course?

What fears do you have this semester?

Syllabus

Assignment questions

Intake Interview

Theory of Change Paper

Blog Posting

Treatment Plan Group Presentation

Supervision

Inform professor of presentation groups & select novels

break9:15-9:30

Beginning therapyDealing with Your Own Feelings

Dealing with lack of confidence

Realize that feelings are completely normal

Share experiences with other therapists & supervisors

Identify distorted thoughts getting in your way

Realize importance of client-therapist relationship

Recognize presence of a learning curve

Give yourself permission to not know

stages of therapist development

Stage 1: Learning essential skills

Stage 2: Learning to conceptualize cases

Stage 3: Self-of-the-therapist issues

intake calls

types of referrals

Self-referrals

Outside referrals

Someone other than intended client makes first contact

Family members’ level of motivation

Family’s influential external relationships

Whether therapy is appropriate

outside referrals

Explain your role as one that can address disagreements & conflict between family & others

Gain clear picture of whether there is disagreement between referral source & family

Encourage referral source to emphasize your independence to minimize client defensiveness

Gather info about problem & referral source’s attempts to alleviate it

silverman’s three r’s

Reachable

Responsive

Reassuring

suggestions for initial contact

Listen & reflect

Crisis?

Consider scope of practice

Respond promptly

Remember rapport

Address business efficiently

Stick to basic, relevant information & issues

suggested questions

What is the problem? What is the severity of the problem?

How has the family responded? How have they been coping with the situation?

Has there been previous therapy?

Why is the family seeking help now?

What other factors may be influential?

mfi specifics

2 hours for intake session

Determine enough information to know which assessment packet to give

Explain fee scale & payment options

Directions to clinic

Keep track of contact at bottom of intake form

who should come to the 1st session?

Who does the family want to come?

Who is involved in the problem?

Generational boundaries

“Individual” problem - would family members’ presence facilitate or hinder treatment

What is the family’s motivation?

Be flexible

making hypotheses based on intake

information

practicing initial phone calls

next week

Topic

Intake sessions

Formal & informal assessment

Reading

Hodge

Midori Hanna, 6-7

MFI Manual, Section VI