BMFT 602: BMFT 602: Internship IInternship IBMFT 602: BMFT 602: Internship IInternship I

January 26, 2010January 26, 2010January 26, 2010January 26, 2010

AgendaAgendaAgendaAgenda

Practicing intake calls (8:00-8:45)Practicing intake calls (8:00-8:45)

Cozolino discussion (8:45-9:15)Cozolino discussion (8:45-9:15)

Break (9:15-9:30)Break (9:15-9:30)

Intake sessions (9:30-10:20)Intake sessions (9:30-10:20)

Assessment (10:20-10:50)Assessment (10:20-10:50)

Practicing Intake Practicing Intake CallsCalls

Practicing Intake Practicing Intake CallsCalls

Cozolino Cozolino DiscussionDiscussionCozolino Cozolino

DiscussionDiscussion

BreakBreakBreakBreak

9:15-9:309:15-9:309:15-9:309:15-9:30

Intake Sessions: Intake Sessions: Instilling Hope & Instilling Hope &

Confidence in Your Confidence in Your ClientsClients

Intake Sessions: Intake Sessions: Instilling Hope & Instilling Hope &

Confidence in Your Confidence in Your ClientsClients

Intake Session Intake Session OutlineOutline

Intake Session Intake Session OutlineOutline

Explaining testing, fees, confidentiality, Explaining testing, fees, confidentiality,

etc.etc.

JoiningJoining

Problem assessmentProblem assessment

Goal settingGoal setting

Message of hopeMessage of hope

Goals of Intake Goals of Intake SessionSession

Goals of Intake Goals of Intake SessionSession

JoiningJoining

Use accurate empathy & reflective listeningUse accurate empathy & reflective listening

Use the Client Information QuestionnaireUse the Client Information Questionnaire

Establishing credibilityEstablishing credibility

Best way - joiningBest way - joining

Therapist confidence is best determinant of client confidenceTherapist confidence is best determinant of client confidence

Making authoritative statementsMaking authoritative statements

Supervision & client expertiseSupervision & client expertise

Contract for 2-3 sessionsContract for 2-3 sessions

Goals of Intake Goals of Intake SessionSession

Goals of Intake Goals of Intake SessionSession

Discussing client goals & expectationsDiscussing client goals & expectations

Discussing potential risks of therapyDiscussing potential risks of therapy

““Tell me why you decided to come to therapy now.”Tell me why you decided to come to therapy now.”

Client goals may or may not be well-defined.Client goals may or may not be well-defined.

Instilling hope & motivationInstilling hope & motivation

Express confidence in your ability to help them & their Express confidence in your ability to help them & their

ability to help themselvesability to help themselves

End of intake session - point out strengths & leave End of intake session - point out strengths & leave

message of hopemessage of hope

Goals of Intake Goals of Intake SessionSession

Goals of Intake Goals of Intake SessionSession

Discussion administrative issuesDiscussion administrative issues

Revisit feeRevisit fee

Discuss confidentialityDiscuss confidentiality

Discuss videotaping & supervision Discuss videotaping & supervision

proceduresprocedures

Explain assessmentsExplain assessments

The Client The Client Information Information

Questionnaire & Questionnaire & Assessment PacketAssessment Packet

The Client The Client Information Information

Questionnaire & Questionnaire & Assessment PacketAssessment Packet

Setting Up the Client Setting Up the Client FileFile

Setting Up the Client Setting Up the Client FileFile

Yellow folders - 2nd cabinet from right in Yellow folders - 2nd cabinet from right in

Intern RoomIntern Room

Date in left-hand cornerDate in left-hand corner

Client code in right-hand corner - your Client code in right-hand corner - your

therapist code plus 01, 02, 03...therapist code plus 01, 02, 03...

Label - client’s last name, type of therapy Label - client’s last name, type of therapy

(I, C, F), your last name(I, C, F), your last name

Setting Up the Client Setting Up the Client FileFile

Setting Up the Client Setting Up the Client FileFile

Three tabs on inside rightThree tabs on inside right

Sessions - casenotes & progress records (most recent on top)Sessions - casenotes & progress records (most recent on top)

Testing - assessment profiles & other testingTesting - assessment profiles & other testing

Intake - Phone Intake Sheet, signed Client Services & Consent Intake - Phone Intake Sheet, signed Client Services & Consent

Agreement, Client Info Questionnaire & Assessment Packet, Agreement, Client Info Questionnaire & Assessment Packet,

Fee Sheet, other materials such as Releases of InformationFee Sheet, other materials such as Releases of Information

Inside leftInside left

Bottom - Opening & Closing ChecklistBottom - Opening & Closing Checklist

Top - Client Contact SheetTop - Client Contact Sheet

Informal & Formal Informal & Formal AssessmentAssessment

Informal & Formal Informal & Formal AssessmentAssessment

Assessment Assessment DefinitionsDefinitions

Assessment Assessment DefinitionsDefinitions

Group of procedures used at outset of therapy Group of procedures used at outset of therapy

to design an initial treatment planto design an initial treatment plan

The process of getting to know enough about The process of getting to know enough about

a family to make informed treatment decisionsa family to make informed treatment decisions

The sequence of actions taken by the therapist The sequence of actions taken by the therapist

designed to yield information about how the designed to yield information about how the

family operates & the functions of the family operates & the functions of the

presenting problem in the familypresenting problem in the family

General Assessment General Assessment PlanPlan

General Assessment General Assessment PlanPlan

Conduct initial assessmentConduct initial assessment

Presenting problemsPresenting problems

Attempted solutionsAttempted solutions

Crisis & stressful life eventsCrisis & stressful life events

Rule out substance abuseRule out substance abuse

Rule out biological problemsRule out biological problems

Rule out potential issues of harmRule out potential issues of harm

SuicideSuicide

Family violence & abuseFamily violence & abuse

Sexual abuseSexual abuse

Duty to warn issuesDuty to warn issues

General Psychosocial General Psychosocial AssessmentAssessment

General Psychosocial General Psychosocial AssessmentAssessment

Affect, behavior, cognitionsAffect, behavior, cognitions

Meaning systemMeaning system

SpiritualitySpirituality

Couple & family systemCouple & family system

Social systems outside the familySocial systems outside the family

Families in larger social contextFamilies in larger social context

Significance of Spiritual Significance of Spiritual AssessmentAssessment

Significance of Spiritual Significance of Spiritual AssessmentAssessment

Cultural competencyCultural competency

Family strengthsFamily strengths

Client autonomyClient autonomy

Accreditation requirementsAccreditation requirements

DefinitionsDefinitionsDefinitionsDefinitions

Spirituality - an individual’s existential Spirituality - an individual’s existential

relationship with God (or Ultimate relationship with God (or Ultimate

Transcendence)Transcendence)

Religion - expression of the spiritual Religion - expression of the spiritual

relationship in particular beliefs, forms, & relationship in particular beliefs, forms, &

practices that have been developed in practices that have been developed in

community with other individuals who share community with other individuals who share

similar phenomenological understandings of similar phenomenological understandings of

transcendent realitytranscendent reality

Spiritual Assessment Spiritual Assessment OptionsOptions

Spiritual Assessment Spiritual Assessment OptionsOptions

Initial brief spiritual assessmentInitial brief spiritual assessment

Identifies the effect of clients’ spirituality on service provision & client careIdentifies the effect of clients’ spirituality on service provision & client care

Determines whether more comprehensive spiritual assessment is requiredDetermines whether more comprehensive spiritual assessment is required

Spiritual historySpiritual history

Narrative frameworkNarrative framework

Anthropological framework - affect, behavior, cognition, communion, Anthropological framework - affect, behavior, cognition, communion,

conscience, intuitionconscience, intuition

Spiritual lifemapSpiritual lifemap

Spiritual genogramSpiritual genogram

Spiritual ecomapSpiritual ecomap

Spiritual ecogramSpiritual ecogram

Other Topics of Other Topics of AssessmentAssessment

Other Topics of Other Topics of AssessmentAssessment

Couples - relationship history & sexual functioningCouples - relationship history & sexual functioning

Family dynamicsFamily dynamics

Family rolesFamily roles

Family emotional expressionFamily emotional expression

Family individuationFamily individuation

Family power distributionFamily power distribution

Family communicationFamily communication

Family subsystemsFamily subsystems

Readiness for therapyReadiness for therapy

Family rules, myths, & ritualsFamily rules, myths, & rituals

DisengagementDisengagement

ParentificationParentification

SressSress

Work-related factorsWork-related factors

PTSDPTSD

Advantages of Formal Advantages of Formal Assessment ToolsAssessment Tools

Advantages of Formal Advantages of Formal Assessment ToolsAssessment Tools

Help to objectify & organize treatment effort Help to objectify & organize treatment effort

while establishing atmosphere of purposeful while establishing atmosphere of purposeful

direction to replace family chaosdirection to replace family chaos

Provide family members an opportunity to Provide family members an opportunity to

systematically understand what others’ concerns systematically understand what others’ concerns

areare

Opportunity to self-disclose through paper & Opportunity to self-disclose through paper &

pencil rather than their usual method, which has pencil rather than their usual method, which has

failedfailed

MFI Assessment MFI Assessment ProtocolProtocol

MFI Assessment MFI Assessment ProtocolProtocol

Instruments UsedInstruments UsedInstruments UsedInstruments Used

AdultsAdults

OQ 45.2OQ 45.2

RDASRDAS

Beck Depression InventoryBeck Depression Inventory

Solution Building InventorySolution Building Inventory

Questions re: violence in intimate relationshipsQuestions re: violence in intimate relationships

Premarital clients - PREPAREPremarital clients - PREPARE

Adolescents - open-ended questions about relationships with Adolescents - open-ended questions about relationships with

parents/peersparents/peers

Other Instruments Available in Other Instruments Available in MFIMFI

Other Instruments Available in Other Instruments Available in MFIMFI

MMPI-2, MMPI-A - need to seek assessment MMPI-2, MMPI-A - need to seek assessment

supervisionsupervision

16PF - need to seek assessment supervision16PF - need to seek assessment supervision

MSI-RMSI-R

ConnersConners

FACESFACES

Next WeekNext WeekNext WeekNext Week

Topic - ethical & legal issuesTopic - ethical & legal issues

ReadingReading

Midori Hanna, Appendices A & CMidori Hanna, Appendices A & C

Cozolino, 3-5Cozolino, 3-5

MFI Manual, Section VIIMFI Manual, Section VII