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EXAM 4 - ENGAGEMENT (TERMINATION (Consolidating gains & maintenance…

- - - - Assess results achieved against the goals that were set
      - Current frequency of target behaviors
      - Changes in severity (scaled)
      - Achievement of tasks
      - Goal attainment scale - likelihood of achieving target goals (-2 - +2)
    - - Client feedback on whole process
      - Identify helpful and detrimental aspects of the helping process
      - Identify techniques/incidents that enhanced or blocked progress
    - - ORS - outcome rating scale
      - SRS - session rating scale
  - - - Important to address 1. factors that prevented reaching goals, 2. client's feelings about seeking help in the future.
    - - Time limited treatment can be positive, focus on work and gaining skills
  - - - Anger
      - Denial
        
        Empathic communication
      - Avoidance
        
        SW reach out as appropriate (letter, email) to reaffirm client's strengths and skills.
      - Reporting reoccurence of old problems or generation of new ones
        
        Express confidence in abilities and skills that client has gained
      - Attempting prolonged contact
        
        Establish boundaries and rules
      - Finding substitutes for SW
        
        Identify resources and supports in client's life
    - - Avoidance
      - relief
      - prolonging contact
      - feeling like you've "let the client down"
        
        Remember responsibility to vs for
- - - - work on target goals that are meaningful to the client as well as satisfying their mandate
- - - - Measuring covert behaviors (feelings/emotions)