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Direct Practice in Social Work, 2e

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1 Direct Practice in Social Work, 2e
Scott W. Boyle Grafton H. Hull, Jr. Jannah Hurn Mather Larry Lorenzo Smith O. William Farley University of Utah, College of Social Work Power Points by Julie Emmer, University of Central Florida This multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission of any image over a network; Preparation of any derivative work, including the extraction, in whole or in part, of any images; Any rental, lease, or lending of the program. © 2009 Allyn & Bacon

2 Direct Practice in Social Work
In Chapter 14 we will learn the following: Different models of termination Types of termination General termination guidelines General tasks of termination Maintenance/stabilization of change How to refer to a new therapist

3 Termination from different perspective
Ego psychology Task centered model Cognitive therapy Solution-focused therapy Behavior therapy Systems therapy Crisis intervention therapy Person centered therapy Family therapy

4 Types of termination Client moves Client chooses not to continue
Negotiated contract is completed Negotiated contract expires Social worker leaves job Social worker chooses to not continue with the client

5 General termination guidelines
All or most goals have been reached Should have been discussed throughout treatment Identify tasks and activities for client after treatment Teach client how to assess progress after treatment

6 General tasks of termination
Review why client sought treatment Discuss why the client needed social worker’s help with the initial problems Identify new skills client has learned Discuss how these new skills can be used in the future Explore how client can enhance or build on new skills in the future Discuss how the client is feeling about terminating contact with the social worker

7 Maintenance/stabilization of change (Miller, 1999)
Help clients see recurrence as both an event and a process. Identify high-risk factors and coping strategies; be aware of cues that can set off cravings. Find different ways to cope with negative emotions. Learn to cope with cognitive distortions. Be aware of social pressure to act in specific ways. Develop a social network supportive of their behavior change. Develop a balanced lifestyle. Develop a plan to deal with future recurrence of problem situations.

8 Addiction Relapse prevention Counseling (Miller, 1999)
Four assumptions: Addiction is an overlearned, maladaptive habit pattern Behavioral determinants and consequences have an impact on behavior People are not responsible for developing a habit or for not simply being able to stop it Escape from the addiction cycle hinges on changing habits through participation and responsibility

9 For relapse prevention in addiction, clients need to identify the following:
Situations that are high risk for them Skills to cope in high-risk situations Relaxation and stress management skills Positive outcome expectancies: realistic outcomes of addictive behavior Immediate and delayed effects of the addictive activity Action to take if a relapse occurs

10 Referring to a new therapist
Explain the reason the referral is being made Obtain proper authorizations for information release Introduce the client to the new therapist Provide new therapist with summary of counseling thus far Make sure the client has followed through


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