Confidentiality

2018F R. LUTZ
CLASS EXPECTATIONS
Each student will complete a Video Recorded session utilizing the Solution Focused Approach as scheduled. The format and steps identified below will be utilized in the interview and review.
It is expected that you will be on time for your own scheduled recording.
All students need to be prepared and aware that if a scheduled student is absent the next scheduled student will be called upon to step in. This is essential as role players are volunteering their time to help in your skill development.

INTRODUCTION
Introduce yourself
Confidentiality
What do you like to be called?
Some problem-free discussion, (i.e. things they enjoy, what they do well at, or skills, etc.) which may help assess strengths to draw on toward a solution

ASSESSMENT
Create a relationship
Open ended questions – questions that elicit options
Consumer as expert
Solution-focused therapy additionally reinforces individual dignity by identifying problems as an entity separate from the person. For example, the practitioner might say, “You are working hard to block out the hallucinations, and right now it seems as though you are in control.”

S.F.T. STEPS
STEP 1: CLIENT CONCERN / HISTORY
Explore the presenting issue
1. Ask: “How can I be helpful/ be of help”
2. Restate / paraphrase the issue
3. How else has this affected / been a problem for you
4. What have you tried/ how have you been resolving this
5. Listen for and identify strengths – of the individual, community, resources, support networks, and culture
– Strengths- Resources – Ways of coping – Determine any risks- Practical description
– Behavioral focus – Source of referral, i.e. who owns the problem?
– Pre-session change- How have things changed since you made the appointment
– May use scaling
– Use the words of the client
– Identify what is working and functioning

STEP 2: Create options and possibilities
– Realistic goals in the client’s world
? Never be angry or deal with anger more productively

GOAL FORMULATION

Elicit what they wish to be different or doing instead of what they are doing now.
What they will be doing rather than what they will stop doing or not do.
Solution Talk (not problem talk), and interrupt problem talk ASAP
Miracle Question
Imagine when you go to sleep one night a miracle happens and the problems we’ve been talking about disappear.

As you were asleep, you did not know that a miracle had happened.
When you woke up what would be the first signs for you that a miracle had happened?
What would be the first thing you would notice indicating a change?
What is it going to take to make this change happen?

– Often clients view their issues as unsolvable and give up.
– They don’t see a solution from their point of view.
– Using questions, we may help to see new options

STEP 3- EXPLORING EXCEPTIONS
Exceptions (i.e. when situation is/was functioning)
– Times when it was not / less of a problem
– What have you done that made the problem less of a problem?
– What do others notice is different?
– How, why, when, where, etc.

STEP 4: END OF SESSION FEEDBACK
– Provide Compliments on:
– Client stated strengths,
Example a) Motivation
b) Strengths of their supports
c) Clarity
– Identify productive solutions in the situation or similar situations
– Normalizing statements Reaction is understandable and shared by people in similar situations
– Restructuring Statements
– More useful ways of thinking about the problem
– Often clients view their issues as unsolvable and give up. They don’t see a solution from their point of view. Using questions, we may help to see new options.
– Affirmations offer the possibility of drawing the client’s attention to how personal and social resources can be utilized to develop solutions
STEP 5: SUGGESTION(S)
Highlighting and building on strategies the client has identified during the session.
This step can also be based on either previous productive solutions or it can be as simple as asking the client try something different. This step can be framed as an experiment.
Bridging Statement
– The logical the connection between the suggested next steps and what had been previously discussed

Suggestions
– These flow from the path of the session and are aimed at furthering the construction of solutions
– Keep it simple, emphasize possibilities, and design according to the client’s degree of ownership

6 – SCALING (Used throughout the interview)
– Scaling pre-session change (based on time from setting the appointment and arriving)
– Scaling change
– Scaling willingness to work
– Scaling confidence
DEFINE THE SCALE USED, (for example: 1 – least 10 – most)

 

 

 

 

 

 

 

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