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The key to a happy life is accepting yourself and managing your emotions.
We are emotional beings and we need to be able to manage our emotions in order to be happy. Managing your emotions is easier said than done, though. You have to know what emotions you’re feeling, why you’re feeling those emotions, and what you should do in response to them.
This section will focus on the key points that can help us learn how to better manage our own emotions.
Therefore, during the selection and assessment process, you want to demonstrate verbal and non-verbal skills to build rapport and foster engagement, which means not constantly looking at your notebook, looking up, treating the person like a person, offering a good relationship, let him know that you really care about them and their welfare and you want to do what is in their best interest, they are not just your four o’clock discussed with the clients the rationale purpose and procedures related to screening and assessment Before you start asking questions, be vulnerable before you start asking questions.
s let them know why you are asking how this information will be used and what this process will be like if you are going to ask really sensitive questions or if you are just going to ask some general questions and you will be done in five minutes, assess the customers’ immediate needs, including detoxification.
You can get a good idea just by looking at the customers if they need detoxification, but you want to assess their immediate needs; it can include housing, it can include food, it can include medical care you know I’ve had clients with different needs, and it’s important that we identify that when we do the screening so we can make appropriate referrals to evidence-based screening and use assessment tools to identify the client’s strengths and needs.
You want to use something that is fairly standardized. A lot of your assessment tools are semi- structured interviews, so you can ask questions, but you have room to expand , you know if the client says: oh yes, I was abused as a child, you know you can probe a bit ; you don’t want to probe too much in the assessment because you can reach Ramat, and look at the client, but you want to use tools that are standardized as I said, so that you use the same thing with every client and deliver effective information that you don’t want but just walk in with a notebook and go fine let’s talk for a while and get relevant history for eligibility and appropriateness of services so you need to know things where I’m from in Florida if someone were pregnant if they had small children at home if they were a needle user if they were HIV positive they were given priority for admission based on government guidelines for government funding these were things that were important to gather if I was trying to identify the suitability of services if I talk to the person and take a history, and I learned that they have three small children at home and no family to rely on to talk about you, know that h abstinence may not be the most appropriate recommendation for them, so it is important to understand the person and to tailor their treatment recommendation screen for medical conditions for physical needs and mental health issues that occur at the same time .
a substance abuse facility I will tell you that the odds are really bad. I am fine that the person will also have depression or anxiety if they start to get sober if they realize they need to make a change We are currently in a period of mini-crisis which brings depression and anxiety, but that means they are not necessarily serious don’t have depression, but if they’re experiencing depressive symptoms now , we need to help them address these things because they’re not going to stay clean and sober for very long if they’re hurting so much , we need to help them make sure they get all their presentation problems can address ning and assessment and integrate the information to formulate a diagnostic impression and determine the appropriate plan of action so when you that last page of the intake your diagnostic impression or whatever it’s called your cumulative assessment these are different things mentioned in different places don’t just spew the same stuff that’s already in the file, it’s time you weave it all together and you say that you know it’s the fit vaccine is.
These are the strengths she has. These are the issues she presents, this is her diagnosis as it turns out and this is the recommended course of action because you know we want everything in there, this is a summary of everything you’ve learned and why you’re making the recommendations do what you take during the intake.
is just the process of enrolling a client in a specific course, a series of activities are completed designed to gather information about the client and their significant other, most insurance companies require the involvement of the family, but define the patient the family and in fact recovery will be much more successful if the person has other significant stakeholders who can help them in the process intake, also ensure that the service is eligible for completing basic data collection identify barriers and assets, so what can the be barriers if you are talking about any kind of outpatient or intensive outpatient treatment, transportation can be a barrier? their work can be a hindrance if you work with someone who has shifts that change on a weekly basis.
-basis -to-week- basis which can be a barrier to getting to treatment, or if you have someone who works a day shift Monday through Friday, and your program is 9:00 a.m. to 12:00 p.m. Monday through Friday, that is a barrier to treatment so we want to identify those barriers and the solution of solutions another big barrier is often children if the person is responsible for children in the home then it is possible that they need childcare or you know that they may not be able to get there because they cannot afford childcare.
You know we have to look at all these things. We also want to look at their assets, but what is there for them that is supportive, do they have transportation, do they have a job, do they have the desire to get better, do they have knowledge about what’s going on, you know what are these assets that we can build to help them with the recovery and then the last part of the intake is determining a treatment approach and you don’t do it on your own, you do it with the client.
You say it’s good, you know we’ve been through it and we’ve done this scoreboard called a Sam and you know this is what my recommendations are and this is why we think and this is where we get an idea of where the client is in terms of readiness to change, and hopefully you have listened through the intake to determine if they are ‘again in preparation before the contemplation etc.
but this last step is you know what the deal is if you make recommendations and the person says yes I’m on board or no or I don’t have a problem I don’t know why you’re making these recommendations so it’s a few different reactions you can get, but that’s when we figure out what the recommended course of treatment is intake is mainly administrative nature you don’t intend to do counseling in those you can have some moments where you have to stop and do some counseling, but it’s not a counseling session, and I tell clients that we need to get the paperwork out of the way from the start and I really don’t like to feel that me to interview you, but to get you enrolled in the program, we have to.
So this is not the time when you want to go into deep traumas or go deep into anything else; the only exception to this is if you learn they have suicidal ideation, murder idea, or if they are in danger such as in a domestic violence relationship, then you will probably need to put other things aside and focus on the safety and well-being of your client intake so that there is no accusation that one person got allowed than another person because of bias if everyone asks the same questions and you use the a Sam on everyone yada yada then you can present the data and say it is the objective reasons why this person was admitted and this person was placed on a waiting list.
intake is an extension of the screening and assessment process and can be used to engage the client in treatment and improve motivation for change. That’s when we start talking and presenting our assessment of what’s going on what we see happening with the customer and getting the customer to explain to us, we start to put the ball in their court, you know I’m not going to force you to do anything don’t, and I tell my clients this from the start n they come it’s an intake I’m going to make recommendations but we’re going to decide together what the best course of action is for you so I won’t force you to do something to do what you know if I can say that orientation is the next step and that can take place in individual family or group settings and be completed after the intake after you have decided that the person is coming to the program then we need them to orientate; it describes the schedule of the objectives and the rules and responsibilities for the treatment the service hours you have to do with medication, what is the policy with the treatment of medicine costs and customer rights; this is all that needs to be covered, and it is highly recommended that all of these things be part of a written informed consent that is transferred to the client , not all clients read very well and is now initialed and signed by the client in Florida undefined and I’m using the Florida statutes because that’s where I’m from, you want to look in y our state of origin to find out information about client rights, but in Florida the client rights are 380 1.
0 to 6 and it says that clients have the right to individual dignity, confidentiality, non-discriminatory non-discriminatory services, and this means that we cannot discriminate against them on the basis of age, race, gender, sexual orientation, or disability, we cannot discriminate against them on the basis of previous employment violations.
If they left AMA before we couldn’t hold it, we can’t hold it against them if they ‘we’ve had multiple or no relapses, we can’t hold it against them if they’re on certain psychotropic drugs prescribed by a doctor prescribed, and we can’t hold it against them if they don’t have the ability to pay public agencies that receive state funding, but all of these things need to be considered, and Florida thinks it’s so important that they share made of the law, and customers have the right to quality services, so we don’t just mark them in a room and say congratulations that we will provide high-quality services.
They have the right to communicate now in the beginning with informed consent and informed consent is so important that communication can be limited, sometimes people need a week or so people in the outside world, especially in homes, so they email and their phone calls may be limited for a period of time, but it should be part of the orientation and the informed consent, you can’t just get someone there, the way you can’t communicate with the outside world for the next month that doesn’t work, they have the right to personal possessions, unless those personal possessions infringe on the right of another page or as medically or programmatically contraindicated for documented medical safety or programmatic reasons, so personal objects that could fall into this could include certain perfumes, you know that there are many people who are sensitive to perfumes, so there are a lot of treatment programs that said you can’t perfume you know a picture of your child is from pl an to infringe on the rights of someone else guitars musical instruments you know what is generally allowed because they generally do not intend to infringe on the right of any other patient and it can make your patient feel safer.
Personal belongings can be kept temporarily by the agency, but they must be returned at the end of the treatment; sometimes, when people check-in, we take their cell phones and some of their higher ticket items like musical instruments, and we keep them safe and if the customer has access to them, they have to check them.
Minors have the right to be educated, they must be educated, so the school must be held for a certain number of hours. the day that clients do have the right to counsel, especially if there are involuntary proceedings if they are committed against their will, they have the right to counsel and they have the right to what is called habeas corpus which means that they have the have right to see the entire intake and all the evidence of what is alleged so they can defend themselves and they can say you know what no I don’t deserve to be here must be here specifically in Florida; patients have the right to respond quickly and reasonably to a question or request, this is very common in treatment, not only in the home, but also in outpatients and IOP, so you want to make sure that if a client asks you a question you get back with them in a quick way, you don’t say I’ll get to it or I’ll find out later and then not get back to them, give them a date and time I’ll give you will find out by tomorrow if you come in the tree or I will find you out this week and I will call you on Monday let them know when you will call them back as a patient who is in a health care facility or in provider office has the right to any bring person of his choice to the patient’s accessible areas The care office or service provider’s office to accompany the patient while the patient is being treated inpatient or outpatient or consults with his or her health care provider , unless it is the safety or health of the patient or other patients or per zonal of the institution at risk.
a bit unstable especially in residential because you can’t decide that oh I want my significant other with my whole treatment but what it says is when you with your individual sessions for example if you want your significant other to then come the client has the right to have their significant other there if they want their pastor to come and be a part of their treatment then they have the right to have their pastor come unless it would affect the safety or health of the patient endanger to remember especially in substance abuse facilities , you also have the standard of CFR 42, so we have to make sure that we protect confidentiality so many times patients are not allowed to go back into the patient wing; they must remain in the premises of the therapeutic offices; the lobby of the kind of thing that a patient has to refuse treatment and the right to complain to a health care provider, a health care institution, or the appropriate state licensing agency regarding alleged violations of patients’ rights, and I will tell you that it will happen if something happens and patients get angry, they will file grievances and they may even call their own budzma and even not call the State Department of Children and Families, it happens it doesn’t necessarily mean you did something wrong, you probably know there was a better way to handle the situation, but that doesn’t necessarily mean you meant to do something wrong.
One of the best ways to remedy this is to always make sure that when customers ask a question or if you give an order, you give a reason for it, I have to do it because we will make it happen because customers so below are what’s going on and they don’t feel like you’re just saying because I said so because I can make you dance like a puppet if I want you to want clients to feel like they can be in their own treatment if you do that 80% of the time you deflect your grievances they may not be happy with you but they probably won’t call the Department of Children and Families 20% of the time the Department of Children and Families because it is possible that the client has enough other things going on with them that they feel a need to try and control their own treatment, even if it is not in the best interests of their treatment program, have a patient the right to know the name function and qualifications of each healthcare provider.
providing medical services to the patient, the patient may request such information from his or her responsible provider or the health care institution in which he or she receives medical services so that patients have the right to know the name of each person. y who see their information and work with them, from the texts to the CEO of the agency if they want to know who those people are, that’s their right, they have the right to know what patient support services are available in the facility do you have HIV counseling available do you have nursing staff available do you have a recreational therapist available do you have child care available do you know what types of services are available to take advantage of they have the right to get information regarding their planned diagnosis from treatment alternative risks and prognosis, unless it is medically unacceptable or impossible to give this information to the patient, it is rarely inadvisable or impossible to give this information to the patient, so we want to tell the client what is going to happen, do you know if you enroll them in a methadone program, what does it look like what are their responsibilities? what types of treatment you will be exposed to you know so they can make an informed choice about yes it is good or no you know some clients are not good with hypnosis.
If your program does that, it can go, yes, we didn’t have a program at the residential facility where I worked, where we had acupuncturists, who would work with the clients, and acupuncture is an evidence-based practice. for addiction and not all clients were good with acupuncture, and that was fine, they had the right to refuse that type of treatment, but we had to let them know that’s the reason we bring these people in, that’s why we think this is a good activity for you.
these are the risks, this is what we think you will get out of it and let them make the choice health care providers must respect the patient’s legal right to own or possess a firearm and must refrain from harassing a patient unnecessarily about possession of firearms during an examination, so this usually occurs if the patient presents any suicidal or homicidal thoughts, but if you talk to a patient and say that they are an avid hunter, it does not mean that they are a danger to themselves not, therefore it is important to their legal right to a and then you know that you have to consider if they are suicide or murder, what steps should be taken to ensure that they are safe, but remember that you only know because someone ‘ have a gun in the house doesn’t mean we’ll use it and just because someone doesn’t have a gun in the house doesn’t mean they’re safe; they have butcher knives in the house.
They have ropes and straps in the house. There are ways in which they can kill themselves so it is more It is important to focus on their state of mind and their personal safety and then specifically on the implements that focus on their recovery management. Collaboration between traditional and non-traditional service providers and clients with the goal of stabilizing and actively managing the ebb and flow of symptoms is sort of the recovery management mantra which means that our clients will come in and it will be episodic, you know that they maybe from home will come in and then they will go to IOP and then to the outpatient and then something might happen and they have to come back to the polyclinic and then they will dismiss their doctor for a while who manages their medication and then they have to maybe back to the polyclinic for a while, so that there is an ebb and flow of symptoms as life happens, but recovery management means that we all talk together and find out what is going on with the client and that we maintain continuity of care, so that the person can easily get back into the system and manage their recovery don’t you know once they’re discharged you don’t want them waiting eight weeks on a waiting list before they get back into recovery whites can’t come is more than treatment goals try to reduce and eliminate symptoms tead van just stabilized the person so stabilization is the old way the new way is to reduce and eliminate symptoms and help clients learn how to deal with it the old way was to meet established outcomes the new way with the focus of recovery management is to wellness and health we really want to help this person thrive and grow and the focus on recovery management helps the client to re-attend and rebuild life in the community, instead of just reducing defenselessness and increasing resilience, we want them to get out there and engage and be productive and as productive as they want to be be and be integrated as they want to be in that community, recovery management has several components of recovery number one is abstinence and reduction of symptoms number two is improved psychology ge and physical health and number three is improved relationships.
We want to help them develop that support system so that they feel that they are loved and that they are cared for and that they have someone to lean on hen life hands and lemons repair is a process of change through which an individual achieves abstinence as well as improved health well-being and quality of life its long-term and well-centered not disease-centered wellness-centered we’re not going to focus on stopping alcohol we’re gonna focus on being the person you want to be with which probably means stop alcohol, but it’s ‘ a positive thing that we are looking for it involves on growth continued growth and self-discovery and creation of a new identity that I what I want to be where I want to be six months from now to help people to do that we must they offer relapse prevention education so you know they don’t end up here, as quickly as you know they can end up if your symptoms relapse, it can be investigated at some point, and that’s fine, we can get it back into the system, but we want to help them prevent as many relapses as possible.
We want to make sure that they have access to medicine and other treatments To maintain their well-being and continue their growth process, we want to make sure that they can connect with mutual self-help, so that they have a base from which to grow, the encouragement of exercise and nutrition and the right daily activities to prevent vulnerabilities.
they need to be as healthy and happy as they can to encourage spiritual practices and connections in the clients to help them develop a sense of authenticity with themselves and contact with other people to help community activities support that they can involve so they can feel a connection if people feel isolated like no one cares like no one notices if they fall off the face of the earth then they will be more likely to relive the symptoms if they connected feel to the community they feel they have a purpose, then they will be more likely to stay on the path of wellness and growth to have access to homeopathic and naturopathic c remedies if that is what they so prefer know where your resources for aromatherapy for acupuncture for naturopaths in your community and consider helping them connect with cultural healers as they believe will help them in their recovery process as counselors help us clients formulate recovery goals and many times clients come out of the old way of thinking where they’re trying to get rid of something they’re trying to stop being an alcoholic, they’re trying to get rid of their depression, so we’re going to help them formulate their recovery goals in terms of what you want, where are we going what is our destination let’s not worry about where we’re looking Let’s look at what our destination was we’ll help identify goals meet those goals linking to facilitate support services to help them achieve their goals, we will help them determine measures to mark progress; these are their little goals; those little achievements that they will do so they can see that y Ehh I’m moving along, we’ll monitor their progress to make sure they continue and we want to monitor their motivation to make sure they don’t decrease in their motivation pull some motivational enhancement exercises out if clients start to falter a bit, we offer support and encouragement because not every day is going to be a good day and we want to help them embrace that and see their strengths and their ability to push through the hard times to come as well as revel in the good times and help them create contingency plans for relapse prevention so that when they are triggered for one reason or another they have something written down and handy to access to prevent them from making an impulsive decision, peer recovery support links professional treatment with natural support networks in a structured way to increase the likelihood of long-term success, provides peer based recovery support non-professional and non-clinical help by people who e There are now many states in Florida, which included, have a certification process for peer supporters, so it is more of a professional position then it used to be ‘ n peer recovery in florida, you can be certified as a peer recovery specialist you need some knowledge to help you take your personal knowledge and help others with it, peer recovery services can be offered while a patient is waiting on entry into treatment during treatment to provide a connection to the community and after treatment to help the person manage recovery, it can be a wonderful person walking down, it is a stepping stone from the clinician to the peer support person, so common pathways to recovery if the person is in the community , can then end up in the recovery process if they use in the community and don’t use, but struggle to stay clean and sober, they can get into treatment if they’re incarcerated they can seek treatment and if they’re in treatment Awfully there’s a part of them that might want to recover so we have to meet each client where they are and the needs they have at that particular time , need to address, now people can recover from any of these different stages via self-help peer support or formal treatment, and ideally when we get them into a recovery-oriented system of care, they’ll have access to all of this self-help peer support and formal treatment, so 12 principles to recovery route to remember there are many ways to recover, not everyone is going to do it the same way, some people go to a methadone clinic; some people will begin mental health treatment.
Some people will embrace the 12-step, some people won’t mean it. that they are not going to recover, everyone has a different path than they are going to recover is self-directed and empowering. we want people to help. we want to help people feel like they’re growing and they’re moving and they’re doing positive things themselves, we don’t want them to feel like we’re doing it to them, we want them to feel agency and ownership, and what happens, repair, involves a personal recognition of the need for change; we can’t force anyone to change so they have to realize that the need for change is recovery holistically yes we can help them stop using and you know you get alcohol from the drink or whatever but recovery involves feeling better emotionally to help them change their smelly thinking patterns and the internal critic who tells them that they’ll physically help bring the brain back into balance so they can feel happy again and see colors and can feel the excitement.
It helps their body to get healthy again so they have energy and don’t feel sick and in pain, all the time recovered because it helps them develop healthy support systems. The recovery is not environmental because it helps them to use their environment to be self-enhancing and self-growing instead of self-defeating, so we want to take out the things in the environment that can be potentially toxic or harmful, and have cultural dimensions, so we need to be sensitive to the fact that recovery exists on a continuum of improved health and well-being, so when people first enter treatment, they enter detoxification, for example, when they move to the treatment wing, they are detoxified.
It is part of the continuum after 30 days. The brain starts to pick up, and they move along the continuum after 90 days they start to get their energy back and their mood starts to stabilize a little bit, and maybe they have more energy to maybe not exercise yet but to do some activities so they moving further along the continuum, but each a step in the direction is a step in the direction of improved recovery of health and well-being, stemming from hope and gratitude if people do not have hope that they are not going to recover, they should see that there is a light End of the tunnel recovery involves a process of healing and redefinition.
The person needs to forgive themselves for things they have done, repent the losses they have experienced, to address depression or anger they have in order to heal them. body while they heal their mind and they have to redefine themselves because a lot of times when people come into treatment they feel really bad about themselves and they have very not nice adjectives to use to describe themselves we want to change that description in their recovery involves addressing discrimination and transcending shame and stigma to help them feel empowered to make changes in their life recovery is supported by peers and allies and involves rejoining and rebuilding a life in the community so we need to make sure that our community is welcoming to people and supportive of people in recovery and finally recovery is a reality it’s not a myth that exists people can find recovery people can deal with their substance abuse issues their addictive behaviors their mood issues and live a happy healthy meaningful life so formal treatment begins with the development of an individualized treatment plan with the client treatment plans are continuously updated and reassessed sed to address developing treatment needs and match them with community resources that’s the whole recovery approach that we were talking about counselors communicate client needs to referral sources to ensure a smooth transition and engage in follow-up and advocacy so we want to kind of be there behind the scenes empowering clients to go connect with these referral sources do what needs to be done but we want to make sure that we’re following up and ensuring that the connection happened and it went okay and if not then we can try to facilitate improving that connection the counselor must document treatment progress outcomes continuing care plans and use multiple pathways of recovery so it’s not just one way we need to be open to the fact that people recover in different ways so if they want to use a cultural healer if they want to use naturopathic approaches if they want to use medication assisted therapy that that’s okay you know we need to be open to each person’s individuality you so that was your sort of brief review on the intake and orientation process a lot of that stuff is sort of mundane but it’s really important for you to remember for your addiction counselor exam so please feel free to review it on this articles section or if you want to listen to this as a podcast the video is on our youtube channel at Era24UK.