COUC 505 Notes (week 3)
Week 3
Most common Fears of a CIT
Quick to listen and slow to speak
Responds well to feedback without making excuses
Courageous; not frightened to try new things
Practiced
When you first meet your client
The minute that you meet your client, you are consistently observing.
You use each other’s first names
Let the client chose where you are going to sit
Don’t ever let the client sit between you and the door
Provide informed consent
45 minutes to an hour
Nothing between you and your client (no desk, notepad, ect.)
Not too cluttered
Tissues available within your client’s reach
Review the summary with the client so they know what is in their Documents (except for
assessment)
Informed consent
(Do not say “break” or “breach”) use
Informed Consent:
“Hey there, so before we get started, I wanted to discuss confidentiality, so everything that you
tell me is kept just between you and me, however, there are certain TIMES that confidentiality
does not apply. So if you are a to yourself or someone else, or if there is (or danger Abuse
suspected abuse) of a child, a person with a disability, or an elderly individual, I am mandated to
report that. And lastly if there is a order I may asked to disclose information as well. Does court ,
that all sound good?
(do not report adult or spousal abuse) or have to give information for a subpoena (anyone can get
a subpoena).
BROACHING: “I want to know that I value you and your experiences, and while I do my best
to stay informed, but there may be aspects of your cultural identity or personal experiences that I
may not fully understand. So, if there's anything about your that I miss that is important to you,
please feel free to share or correct me because I want to do whatever to respect you and better
understand where you're coming from.”
Minimal encouragers:
Verbal: Uh huh, go on, hmmm, one word reflection of content
Nonverbal: Bodily movements, gestures, nods
Look for splinters that you want to you can reflect on. (emotions, key points, content)
Counselor Initiated
■Control dialogue
■Encourage the client to collect thoughts, reflect & speak
■Shows conversation has ended
○Client initiated
■Struggling to gather thoughts
■Provides a reflection time
■They are done with t
Today we are discussing the limits of confidentiality
Hey there, so before we get started, I wanted to discuss confidentiality, so everything that you
tell me is kept just between you and me, however, there are certain that confidentiality TIMES
does not apply. So if you are a to yourself or someone else, or if there is of a DANGER ABUSE
vulnerable person (so a child, a person with a disability, or an elderly individual), I am mandated
to report that. And lastly, this would be rare, but if there is a COURT order I may asked to ,
disclose information for that as well. Do you have any questions regarding that?
First Session
Explore presenting problem
Gather information about culture
Identify their values and beliefs
Help them identify person centered goals
Focused on their values
Improve their quality of life
Increase their independence
“You identify more as American”
Look for splinters
Use a person-centered approach (states require this): Working towards what the client
values, working towards their quality of life, and increase their independence. (That is
what you are doing the first few weeks)
Say it in the fewest words as possible.
Broaching: (on culture)
Also “I want you to know that I value you and while I do my best to stay informed, there may be
aspects of your cultural identity that I may not fully understand. So, please feel free to share or
correct me if I miss something because I want to do my best to understand where you're coming
from.
Invitational Skills
Minimal encouragers
Help me understand
Describe to me
Tell me more about
Say more about
Clarify for me
Help me see
Reflection of client with silence
*(tip: once the counselors feel uncomfortable, I count to 10, or if I see a thinking face, I don’t
speak)
Provokes thinking
Encouraging expounding
Let’s client lead
Reflecting content: Exact words
Restating what the client said
only choose 1-2 words as minimal encourager
emphasizing words to encourage thinking or expounding
Demonstrate tracking and understanding.
Reflecting content: Paraphrase
Dos:
create short version of client’s story
Highlight essential aspects
Use your own words and insight
Clarify “I’m hearing you say…”
Don’t:
Take their side/agree with them
Tell them what is right or wrong
Use your words to manipulate them
Reflection of Emotion
Men often come in with an anger, it’s usually depression or fear.
Anger is your giant red flag, but then you will eventually let them know that they will be
coming down
Sometimes it’s outside in and from the inside out
If you have a coping skill
Vague: anxious is vague pull-out feelings wheel,
