19 Oct Treatment plan
This is am example of a Treatment plan and chart:
Intervention: I will be meeting client J once a week for one hour. I will be providing feedback, enhancing motivation, and providing affirmation. Additionally, I will do treatment-planning mapping, which includes:
Before engaging J, remember to ask permission
– Firstly, ask J would it be ok with you if I____________________
· Asked you some questions to get a better understanding of how you view your gambling?
· Ask you some more questions to better understand how you and your brother see your gambling differently.
Define Aspirations and Goals for client J
– What do you like most about gambling? What does it do for you? How do you think it makes or has made your life better?
– What would you most like to accomplish in the next 1-6 years if your life?
Engage problem gambling client
A counselor is to be familiar with the most common crisis of the problem gambler and be ready with some problem-solving strategies that emphasize engagement in the treatment process:
– Financial conflicts – “I am losing my car…”
– Family conflicts – “My brother is not giving me money and he is my payee”
– Mood stabilization – “I can’t go on like this anymore…”
– Vocational conflicts – “I’ am going to lose my job”
Counselor: I understand and I can help you, we know what to do…”
It is important to engage client J as a problem gambler by:
– Speaking to client J in specific terms he can relate directly. As a counselor, you can begin to bring structure to chaos.
– NB: Simple things can bring structure (e.g., readiness rulers)
How important is it…How confident are you…How ready are you…
1 2345678910Not at all Very much
– Help Client J to sort out and manage emotions. Just notice what kind of feelings are coming up.
– Structure problem solving
– Ask client J, what would motivate him to come in for another session
– Ask – How client J helpful was this session or how well did this session meet your needs
– How well as a counselor did I listen to your needs and concerns
– How well did I respond to your concerns and questions?
– If you would like to have another appointment, how many sessions do you expect would be best?
– Are you gambling in a way that is most helpful for you know?
· Gambling: Explain to the client what gambling. It is any act that involves the risking of money or valuables on the outcome of a game, contest, or any other risk-taking event that is not guaranteed. Allow the client to tell you what gambling means to him/her.
· Developing a collaborative understanding of client J concern’s, hopes, aspirations
· How did you get to this point?
· Map of you today
· Current concerns and priorities
· Check on his impulsivity, regulation failure (Not able to self regulate). According to Ciarrocchi (2001) “research evidence is mounting that self-regulation is critically important for psychological functioning” (p. 52).
· What do you hope will be better/different as a result of counseling/recovery?
– Client J. Ok, I guess. I never really thought much about my gambling. It seemed like a way I could relax and not think about my problems.
– Counselor – That’s great. I appreciate your willingness to talk about an area that you haven’t thought about before a look at how it might affect your anxiety and depression.
Open-ended questions
Counselor – Tell me about your gambling and how you think it fits in your life and any way it may be connected to your anxiety and panic attacks or losing your balance in crowded places like the casinos and large synagogues.
Client J – Well – I like going to the casino after work. It seems to help me unwind. I think I saw it as helping to reduce my anxiety, but I guess when I started loosing, it may have contributed to my worries and getting unbalanced.
Feedback
Open–ended questions
Counselor – That’s a great connection you made. I think that is something to think about. One way we can look at your card playing is to look at the pros and cons. Is that something you’d be willing to do?
Counselor – I can see from your response during your assessment that you are aware of being really honest and open. That shows how motivated you are to work on your treatment nad recovery process.
Some of your responses about gambling suggest that gambling may have a negative effect on your recovery and I’d like to give you some feedback and information that we talk about. How does that sound?
Goal exploration with client J
Possible problems? Solutions?
I will win at poker and lose it back on slots
I won’t win at the poker or I will win and keep gambling till I lose back and more
Call a friend when done with poker and talk to while walking out of the casino
Take limited money and leave ATM card at
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