mental health clinician interview Flashcards

1
Q

Can you tell us what client-centered care means to you?

A

active participate in decisions about care, needs and preferences, quality improvement initiatives, respect and dignity at all times

I believe in a co-collaborative approach to treatment, in which the client feels empowered. This also means that I understand the client’s reasons for attending treatment and working on a goal developed together.

Building on this, I believe it is essential to acknowledge clients’ needs and preferences. This can mean ensuring treatment is accessible to them, and providing clients with an opportunity to provide feedback on their care, so that adjustments can be made

Lastly, and perhaps most important to me, is that clients are treated with dignity and respect at all times.

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2
Q

Do you have experience with decision guide processes?

A

Not specifically with this process, but from what I understand from the website, I do have knowledge about components of the process, such as goal setting, I’m a big fan of SMART goals, determining client needs - how can we best use our limited time together, that motivational interviewing piece to ensure im not making decisions for the client, but rather, they come to the decision themselves, assessing clients strengths, challenges and barriers to treatment, identifying needs of client that might go beyond what I can offer and referring out, and that navigation of other services piece.

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3
Q

Do you have experiences providing short term therapy?

A

While I haven’t had direct experience with providing short term therapy, I have experiences in drawing from CBT and solution focused therapy with clients at Creative Counselling, I was also able to practice skills related to solution focused in my distress line volunteer role. I also have had experience as a client receiving short term therapy. I believe this experience provides me with important insights into the client experience. My own experiences as a client receiving short term therapy have informed my own practice as well as my understanding of the benefits and challenges of short-term therapy. For example, I understand that the nature of short term therapy means there will be an end-date, perhaps before the client feels ready. So I recognize the importance in providing support when transitioning the client out of therapy and ensuring they are able to continue their healing journey on their own.

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4
Q

Do you have experience with CBT?

A

I’ve introduced some concepts to clients, such as progressive muscle relaxation, looking at the CBT iceberg, educating about ABC - activating event, belief and consequence. and I use CBT concepts in my own self-healing journey. - thought records, value clarification, mindfulness, problem solving to end bad habits

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5
Q

Why is accessibility, accountability and evaluation important in providing therapy?

A

Accessibility: meeting the client where they are at. If someone is a visual learner vs a verbal; you would provide options for them in visual aids. Using language that makes sense to them and checking in to make sure they understand. I learned the importance of this when working with children with FASD at creative counselling.
Accountability: I believe in the importance of accountability as a therapist for a number of reasons. First, there is the practical sense of accountability, such as returning phone calls, emails, but also as a staff member, being accountable to SJCG. and most important, being ACCOUNTABLE with the OCSWSSW by upholding their standards of practice.
Evaluation: Continually evaluating your work as a SW; best practices and measures with OCSWSSW; you can say that you’re always wanting to learn the newest education about topics/therapy. Also ensuring I’m receiving feedback from my clients, so that I can ensure I am providing them with the best care.

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6
Q

What do you know about EFAP?

A

8 sessions yearly, free of cost,

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7
Q

Can you tell us about your educational & professional background and how it has prepared you for this role as a Mental Health Clinician?

A

Educational: Masters in social work, background in Fine Arts.
Completing my placement at Creative Counseling allowed me to shape my own practice. During this placement I was able to strengthen my ability to form therapeutic relationships, plan sessions based around client needs, become familiar with working with a diverse client population and draw from various therapeutic models such as IFS, DBT, CBT, trauma informed therapy, art & play therapy and EMDR.
I am very excited by the prospect of learning more about CBT, as I recognize it as a foundational approach to therapy.
During my placement at Hospice Northwest during my bachelors, I conducted intakes for HNW’s grief support services. These intakes were comprehensive, often an hour in length. I learned how to assess whether a client was suitable for services and how to refer them to more suitable services if needed.
Professional:
Grief support group facilitator at HNW - these groups are 4 sessions long, and 23 hours per session. Two facilitators, I’m able to be the lead facilitator due to my experience. Learning how to redirect conversations, focus on goals. Lots of psychoeducation.
Palliative program coordinator: - performed client intakes, triaged clients, advocated on clients behalf. During my short term in this role, I decreased the waitlist from 25 to 7 through my motivation and dedication to the clients.
Volunteer Work: Distress line: really set the foundation for me and gave me the confidence to know that I can work under pressure and with clients in distress

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8
Q

Explain your knowledge and experience with addictions, youth, parenting, marital, and family counseling. Give examples of your work in these areas.

A

Youth: creative counselling: working with youth with diverse challenges, ranging from trauma, grief, FASD, ADHD, sexual assault and being in foster care. While the children were our clients, we would often invite the parents in during the last ten minutes to provide them with some psychoeducation as well. This was particularly helpful in encouraging parents to better understand their children’s behavior and how to work together to overcome challenges.

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9
Q

Can you describe your familiarity with referral processes, triage, and system navigation for assessing and treating individuals with persistent mental health concerns?

A

I really enjoyed my role as the palliative program coordinator at Hospice Northwest because it provided me with the opportunity to strengthen my knowledge of these processes and the skills needed to be successful. During this role I successfully reduced the waitlist from 25 to 7 clients. This was done through triaging clients, advocacy efforts, and problem solving. For example, there was one gentleman who really needed palliative support from a volunteer, however, due to his inability to care for his home, volunteers did not feel comfortable making in person visits. This gentlemen was a client of home and community care, so I advocated on his behalf to ensure that his home be in a state that is adequately clean for volunteers to visit. In the meantime, I encouraged his volunteer to make phone calls, and visit outside the home.

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10
Q

How would you adapt your communication style to effectively engage with clients from diverse backgrounds and cultures, including those who may speak a second language?

A

Ensure that I am using simple language, encourage feedback on techniques and questions, provide check ins to see if what I am saying is making sense, tailor techniques to learning styles, patience and empathy

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11
Q

Explain your understanding of anti-oppression and anti-racism principles and how you incorporate them into your clinical practice.

A

Anti-oppressive and anti-racist principles are key in clinical practice, as they recognize the systemic inequalities and discrimination individuals from marginalzied communities may face. I incorporate these principles into my own practice through self-awareness and self reflection, cultural humility, empowering clients, continued education and trauma informed care.
Awareness and self reflection: recognizing my own social location and how that intersects with that of my clients. Being self-aware enough to catch myself making any assumptions about my clients based on their social locations.
Having cultural humility is key. Recognizing that it is important to educate myself and be open to learning from clients about their experiences.

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12
Q

Share your knowledge and experience in the etiology and treatment of depressive and anxiety disorders, as well as OCD and PTSD.

A

I understand these conditions as resulting from a complex web of influences, with no one sole factor being responsible for its onset. an interplay of biological, environmental and/or physiological factors can all lead to the development of these conditions.

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13
Q

Can you provide an example of a challenging client case you’ve worked on and how you managed it to achieve a positive outcome?

A

The first client I was assigned at creative counselling was a gentlemen who had expefrienced traumatic grief and it was resulting in a lot of anger. This was a challenging case for me, as his anger meant I had to ensure I was not becoming activated during sessions. We worked together to develop strategies to help him cope with his anger in the moment. This included progress, muscle relaxation, and being mindful of when his anger was arising, what triggered it and what options he had available to him.

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14
Q

How do you collaborate within an inter-professional team, and how do you handle conflicts or disagreements within the team?

A

I really appreciate team work, as it contributes to providing clients with holistic care. I believe that communication is the key to successful collaborations. Ensuring open, transparent communication. I also believe in respecting the expertise of each tram member, and recognizing and appreciating their contributions to the success of the team. I also really believe in role clarity, and the importance of knowing what my role is, and it can help reduce misunderstandings and conflict.
Handling conflict or disagreements: prioritizing empathy and active listening. I believe that it is essential to work together to discover the root of the issue. I also recognize how emotions can run high during conflict, so I recognize the importance of slowing down, taking a deep breathe and ensuring that I act only from a place of respect for other staff members.

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15
Q

Are you familiar with relevant legislation and professional standards in the field of mental health, such as the Mental Health Act and the Health Care Consent Act?

A

Informed consent, ethical code of conduct, confidentiality, boundaires, supervision, duty to report, record keeping,

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16
Q

Do you have experience working with Indigenous people, people from diverse ethno-racial and cultural backgrounds, or LGBTQ+ individuals? Please share relevant experiences.

A

I do not have in-depth experience, but I do have some experience working with some indigenous children at creative counselling as well as LGBTQ+ members. When working with indigenous children at CC, it was always important to me to incorporate elements of Indigenous culture if suitable. For example, using the medicine wheel to talk about taking care of their physical, emotional, spiritual, mental.
While I do not have much professional experience working with LGBTQ+, I, myself am bisexual, and when I lived in MTL, I was on the very large queer scene. I”ve learned a lot from my friends about a lot of the challenges faced by differing queer memberships.

17
Q

Strengths / weaknesses

A

I’ve found my greatest strength, in the realm of therapy, to be my creativity, flexibility and my ability to stay grounded. I learned pretty quickly that you can plan for sessions in advance, which I still do, but they very rarely go as planned.
My supervisors at creative counselling pointed out this strength to me when I would join in their sessions with children. My supervisors would have an activity planned, and sometimes, the child just wasn’t interested in that activity. Rather than forcing them to do it, I would work with the child to create an activity that suited their needs at the time.
My desire to provide clients with the best care possible can sometimes result in being overly critical of myself. I’ve learned to channel this into continuous self improvement, seeking feedback
Difficulty delegating tasks - I think I have very high standards for how things should be down, and so sometimes I just want to do it myself. But I’ve been working on this by actively recognizing the strengths of those I work with and learning to trust their capabilities
My natural approach to therapy is a psychoanalytic approach. I’m always very curious about people’s childhoods, and its lasting impacts. However, I recognize that its not always appropriate to engage with clients from this approach - given the time constraints on therapy, or their personal capacity to handle more of a trauma treatment approach. So, its’ been important for me to not act on my first instinct, and take into account what will be most helpful for the client given their unique situation.

18
Q

what do you know about SJCG

A

responding to the unmet needs of the people of Northwestern Ontario since 1884. We are here for our clients, offering a broad range of programs and services in Addictions & Mental Health, Rehabilitative Care, and Seniors’ Health across eight sites in the City of Thunder Bay.
2,400 staff
core values of Care, Compassion, and Commitment.

19
Q

Ethical dilemma:

A

During my placement as a social work student, I had the responsibility of conducting intakes to gather essential information from clients. It was a crucial aspect of my role to ensure that these interactions were conducted in a trauma-informed manner
However, as I progressed, I began to notice that the intakes were not consistently trauma-informed. This raised an ethical dilemma for me, as I felt a responsibility to ensure that our interactions with clients were conducted in a manner that acknowledged and respected their experiences of trauma
I realized that certain aspects of the organizational culture and existing practices might not fully align with trauma-informed principles. This realization added complexity to the situation and made it challenging for me to address the issue.
After careful consideration, I recognized the importance of advocating for a trauma-informed approach. I understood that, as a social work student, it was part of my ethical responsibility to ensure the well-being of the clients we served. This realization motivated me to take steps to address the situation.
To address the issue, I first gathered evidence to support my observations and concerns. I then scheduled a meeting with my supervisors to discuss the matter. During the meeting, I presented my observations, highlighted the importance of trauma-informed care, and suggested potential changes to the intake process
The outcome of the meeting was positive, and my supervisors were receptive to my feedback. We collaboratively worked on implementing changes to the intake process to ensure a more trauma-informed approach. This experience taught me the importance of advocating for ethical practices even in challenging situations and strengthened my ability to address such dilemmas in the future.

20
Q

SUICIDE (Case question hinting at risk without directly saying so

A
  1. Direct Inquiry:
    Have you had thoughts of self-harm or suicide?
  2. Assessing Ideation:
    Ask about the frequency, intensity and duration of their thoughts. Do they have a plan? If so, how detailed is it? This helps to gauge the immediacy and severity of the risk.
  3. Assessing Intent and Means:
    Inquire about their intent to act on these thoughts and if they have access to any means of self-harm.
  4. Emergency Response Protocol
    If client is expressing suicidal thoughts with immiment risk, then I would activate the established procedures without hesitation.
  5. Collaborative Safety Planning
  6. Supervision
21
Q

Scenario: Confidentiality Dilemma
A client discloses sensitive information during an intake session that raises concerns about potential harm to themselves. What steps would you take to balance the duty of confidentiality with the duty to protect the client’s well-being?

A

A: *I would prioritize the safety and well-being of the client. While confidentiality is crucial, if there is a concern about potential harm to the client, I would follow the organization’s policies and procedures for reporting such situations. This may involve consulting with a supervisor, involving a mental health professional, or taking appropriate steps to ensure the client’s safety.

22
Q

Scenario: Informed Consent
You have a new client who seems hesitant to provide consent for sharing information with other professionals involved in their care, such as a psychiatrist or a medical doctor. How would you address the importance of collaboration while respecting the client’s right to confidentiality?

A

A: *I would engage in a transparent and collaborative discussion with the client about the importance of information sharing for their comprehensive care. I would address any concerns they may have, provide information about the benefits of collaboration, and seek their informed consent before sharing information with other professionals involved in their treatment.

23
Q

Scenario: Family Involvement
A client’s family contacts you, seeking information about the client’s progress and treatment plan. The client has not given explicit consent for sharing this information. How would you handle this situation while maintaining the client’s confidentiality?

A

*I would respect the client’s confidentiality and inform the family that I cannot share specific details without the client’s explicit consent. I may offer to facilitate a family meeting, with the client’s permission, to discuss broader aspects of the treatment plan and ways in which the family can support the client.

24
Q

Scenario: Dual Relationships
You encounter a situation where you have a personal connection with a potential client outside of the professional setting. How would you navigate this dual relationship to ensure the confidentiality of the client is not compromised?

A

A: *I would acknowledge the potential conflict of interest and the importance of maintaining professional boundaries. I would discuss the situation with a supervisor, seeking guidance on how to proceed ethically. It may be necessary to refer the client to another qualified professional to avoid compromising the therapeutic relationship.

25
Q

Scenario: Electronic Communication
A client reaches out to you via email or social media, sharing personal details about their mental health. How do you manage electronic communication to maintain the confidentiality of the information shared?

A

A: *I would communicate to the client the limitations and potential risks of electronic communication for discussing sensitive information. I would encourage them to use secure and confidential communication channels provided by the organization and discuss any necessary boundaries for electronic communication to ensure the privacy and confidentiality of their information.

26
Q

Scenario: Group Therapy
In a group therapy session, one member discloses information about another member that is potentially harmful if shared outside the group. How would you address the need for confidentiality within the group while considering the safety and well-being of all members?

A

A: *I would remind the group members of the importance of maintaining confidentiality within the group. If necessary, I would facilitate a discussion about the impact of breaching confidentiality on the trust and safety of the group. In extreme cases, I may need to address the issue individually with the member involved.

27
Q

Scenario: Legal Mandates
You receive a court order requesting client records for legal proceedings. How would you respond while considering the legal obligations and the duty to protect the client’s confidentiality?

A

A: *I would review the organization’s policies and consult with legal and ethical guidelines. If the court order is valid, I would comply with the legal mandate while taking steps to inform the client about the disclosure and, if possible, seek legal advice to protect the client’s rights.

28
Q

Are you familiar with the Mental Health Outpatient Program?

A

is an interprofessional, time-limited, goal-oriented team approach to mental health treatment. The program aims to provide timely access to mental health services using an evidence-based decision guide model that is focused on matching mental health needs to the appropriate service(s) available. We aim to support individuals in making better informed, strength-based and holistic choices for their mental health treatment.
Counseling services - discover more appropriate treatment plan: CBT Program, psychiatric consultations, psychological assessment services, specialized services including peer support, first nations spiritual care, and workshops and groups

29
Q

Why do you want to work for St.Joes?

A

St.Joe’s values align with my own: care, compassion and commitment.
Commitment: I was reading up on the strategic plan, and I really appreciate St.Joe’s commitment to not only the care of their clients, but their staff and their partners. I also love that there is a monthly report keeping st.joe’s accountable for meeting their strategic plan actions.
Walking with Humility: The commitment to developing relationships with indigenous peoples that prioritizes culturally safe and culturally sensitive care.

I appreciate the wrap around care of St.Joe’s - meaning I have access to an interdisciplinary team from which I can learn from

30
Q

Why do you want this job?

A

From reading about MHOP, it really aligns well with my values as a social worker. I love how client-centered the program is. It recognizes that treatment plans are not a one-size fits all. I love that the time-limited, outpatient nature of the program means it is accessible.
I really appreciate how holistic this program is, from what I see, it attends to the whole person - such as their spirituality (with a first nations spiritual care provider)
I am eager to LEARN. I look forward to working with an interdisciplinary team and learning from everyone.
I’ve heard that Shannon is a great manager, and that is really important to me
I also really enjoy intakes and I believe I am very good at them. I believe in the importance of performing trauma-informed intakes, which I believe aligns well with St.Joe’s values as well. I recognize that intakes are often clients first encounter with the program, so they can hold a lot of power in cultivating hope within clients. I love working with clients to hear their stories, discover their strengths and work together to discover what is the best course of action for them.

31
Q

Greatest strength?

A

I’m incredibly self-aware. This looks like recognizing signs of burnout and knowing how to take care of myself. This also looks like recognizing the areas in which I need improvement and supervision. This self-awareness also looks like humility. Recognizing when I don’t have all the answers, and when to seek guidance.

32
Q

Greatest weakness?

A

My desire to provide clients with the best care possible can sometimes result in being overly critical of myself. I’ve learned to channel this into continuous self improvement, seeking feedback from both clients and my supervisors.

33
Q

Previous experience?

A

Chronologically:
FINE ARTS: My background in fine arts really strengthened my observational skills which allows me to pay close attention to detail. This background also strengthened my ability to problem solve through creative solutions. These skills really set the foundation for how I approach social work.
HNW: During both my placement at hospice northwest and working briefly as the palliative program coordinator, I had the opportunity to conduct intakes. These intakes were exhaustive, often hour long intakes. I also had the opportunity to conduct intakes for the gashkendamdee Indigenous grief program. These intakes specifically taught me not only the importance of, but how to conduct culturally safe and trauma-informed intakes.
During these roles I found that I excel in the intake process, not only in my ability to ensure the client’s emotional wellbeing during the intakes, but also in my ability to connect clients to resources that align with their individual journeys. I was so motivated and passionate in this role that I reduced the waitlist from 25 to 7 in the short time I fulfilled this role.
CREATIVE COUNSELING:
During my time at creative counseling, I honed my strength-base, trauma-informed and culturally humble approach to working with clients. I had the honour of working with clients from diverse backgrounds, with varying mental health challenges. During this placement, I became more comfortable conducting suicide risk assessments and learned more about the limits of confidentiality in cases of child abuse and self-harm in the case of a minor.
Grief Support Groups:
In my role as a grief support group facilitator, I have learned how to work as a part of a team. This includes meeting with the grief coordinator of HNW to discuss participants, and working with my co-facilitator to provide the best care possible for our clients, while also taking care of one another through debriefing.
In this role, I have strengthened my ability to navigate challenging situations with empathy and respect.