Avslutning og evaluering av hjelpende samtaler

Question 1

Hvorfor skal man fortløpende evaluere effekten av hjelpende samtaler?

Answer 1

• It keeps us from wasting our time or from potentially damaging the helping relationship
• If you track outcomes, the therapist can gain a personal sense of power and confidence that they are doing something that works.
• Evaluation of effect is important to good outcomes and it prevents dropouts.
• Evalueringenkan brukes både til å sementere viktige element som klienten kan jobbe videre med, men også til å utvikle deg som terapeut.

Question 2

Forklar globale og spesifikke mål på bedring?

Answer 2

• Utilizing global measures periodically can help you chart whether the client is generally improving or deteriorating.
• Sometimes you are looking for a specific change such as a decrease in depression, anxiety, and the like. Then you have to use specific measure.

Question 3

Hvordan kan man som hjelper prøve å forhindre for tidlig avslutninger?

Answer 3

• Use client feedback and assess client progress. Create a strong working alliance early on and fix ruptures as they occur.
• Avoid delays in seeing clients.
• Make contracts with clients , in cases and settings where clients might be expected to drop out early.
• Do not process clients through several channels.
• Provide an orientation to the helping process, and offer information about the qualifications of the helper
• Use reminders to motivate client attendance
• When a client terminates early, call him or her and find out why.
• In cases where the client decides to terminate before goal completion, the helper should make it easy for the client to return at a later time.
• Consider negotiating a treatment plan with the client

Question 4

Når er det riktig å avslutte hjelpende samtaler med en klient?

Answer 4

• Clients should be terminated when they have attained their goals
• When they have been receiving counselling or psychotherapy for some time and have not made progress
• When there are signs that they can handle their issues independently.
• Det er ikke alle vi kan hjelpe. Noen ganger er vi nødt til å avslutte saker av ulike årsaker.

Question 5

Hvordan kan hjelperen jobbe for å forhindre at klienten får tilbakefall?

Answer 5

• A general technique to deal with relapse is to normalize it
• Another way is to schedule follow-up sessions. So-called booster sessions
• Role-playing can allow the client to face risky situations more realistically
• Letter writing by the helper is an underutilized but powerful way to spark the client’s motivation to continue working on goals
• Self-help groups can be extremely powerful support
• Self-monitoring where the client keeps records of progress on the treatment goals

Question 6

Hva er “Drop-out” raten, og hvorfor velger klienter å avslutte?

Answer 6

• Vanlig drop-out rate er 49% i følge en undersøkelse
• Måten klienten oppfatterrelasjonen på er avgjørende for at de ikke fortsetter i terapi.
• Andre avslutter terapiengrunnet økonomi