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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
Recommended