html5-img
1 / 28

KNR 273: Therapeutic/Helping Relationships

KNR 273: Therapeutic/Helping Relationships. Shank & Coyle, Chapter 11. Elements of TR Practice. Shank & Coyle (2002) Activity-based interventions Supportive environment Therapeutic/helping relationship

happy
Télécharger la présentation

KNR 273: Therapeutic/Helping Relationships

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. KNR 273: Therapeutic/Helping Relationships Shank & Coyle, Chapter 11

  2. Elements of TR Practice • Shank & Coyle (2002) • Activity-based interventions • Supportive environment • Therapeutic/helping relationship • “Of these three, the relationship between a client and a recreation therapist is most essential” (p. 189)

  3. Therapeutic/Helping Relationships • Austin (2002) • Little has been written in TR literature about describing or creating therapeutic relationships.

  4. Therapeutic/Helping Relationships • How do they differ from social relationships or friendships? • Focus solely on needs of client • Assist client to achieve goals • Assist client to grow toward self-sufficiency & independence • Are not reciprocal • Are not automatic • Need to learn & practice skills

  5. Group Work • Identify 10-15 therapeutic/helping relationship skills needed for CTRS working with • Homeless • Substance abuse • Spinal cord injury • Mental retardation • Psychiatric problems • Dementia • Compare

  6. Youth at Risk • Sprouse, 2004 • Ability to develop rapport • Boundaries • Empathy • Hope and connectedness • Ethical behavior • Sense of humor • Self-disclosure • Compassion & empathy

  7. Shank & Coyle • To be effective, need to understand what aspects of themselves influence client change & growth

  8. Personal Attributes • Altruism & compassion • Desire to serve • Openness & flexibility • Genuineness • Congruence between words & actions • Positive regard & respect for others • Unconditional positive regard • Belief in value of play, recreation, & leisure

  9. Characteristic Skills • Awareness of self • Ability to analyze own feelings • Empathy • Courage • Courage to seek help & acknowledge limitations • Inventive & creative

  10. Characteristic Skills • Stamina • Job can be physically & emotionally demanding • Enthusiasm • Pressure • Need reliable social support system • Nurture self • Sense of humor • Laugh at yourself • Use leisure to renew physical & mental health

  11. Competencies Needed • Ability to create partnerships/collaborate • Clients • Colleagues • Ability to empower clients • Cultural competence

  12. Competencies Needed • Communication competence • Listening & responding skills • Verbal & nonverbal • Interpersonal space • Using touch when communicating

  13. Issues in Therapeutic Relationships • Time • Takes time • Decreased length of stay • Starts when first meet (assessment) • Emotional Closeness • How close? • Self-disclosure • How much?

  14. Issues in Therapeutic Relationships – Crisis Prevention • CPI • Crisis Prevention Institute • World’s leading training organization • Management of disruptive & assaultive behavior • Started 1980 • In the past approved for NCTRC CEUs

  15. Issues in Therapeutic Relationships – Crisis Prevention • CPI • One-day seminar • Identify behaviors that could lead to a crisis • Respond to prevent escalation • Verbal and nonverbal techniques to defuse • Cope with own fear & anxiety • Principles of personal safety to avoid injury • $699 per person

  16. Issues in Therapeutic Relationships – Crisis Prevention • CPI • Two-day workshop • When appropriate to physically intervene • Team intervention strategies & techniques • Physical & psychological well-being of those involved in the crisis • Safety & how to transport individual • How to maintain rapport • Steps for debriefing • Documentation • $1,099 per person

  17. Issues in Therapeutic Relationships – Crisis Prevention • CPI • Four-day instructor certification program • Learn to conduct in-house training • Learn to customize for agency • Learn how to test participant’s competency in skills • $2,125

  18. Issues in Therapeutic Relationships – Crisis Prevention • TCI • Therapeutic Crisis Intervention • Training program for staff that work with youth in residential settings • 5 day curriculum • Train-the-trainer course

  19. Issues in Therapeutic Relationships – Crisis Prevention • TCI • Day 1: Crisis as Opportunity • Prevention of crisis situations • Maintain self-control • Awareness of person • Awareness of environment • Assessing the situation

  20. Issues in Therapeutic Relationships – Crisis Prevention • TCI • Day 2: Triggering & Escalation • Verbal crisis communication • Nonverbal crisis communication • Behavior management • Protective interventions • Teach alternatives to acting out

  21. Issues in Therapeutic Relationships – Crisis Prevention • TCI • Day 3: Escalation, Outburst & Recovery • When restraint should or should not be used • Team restraint • Small child restraint • Breaking up fights • Standing hold • Recovery process

  22. Issues in Therapeutic Relationships – Crisis Prevention • TCI • Day 4: Outburst & Recovery • 3 person restraint • Transferring control • Responding to feelings vs. behavior • Practice role plays

  23. Issues in Therapeutic Relationships – Crisis Prevention • TCI • Day 5: Implementing the TCI System • Recovery for staff • Documentation • Evaluation and testing

  24. Issues in Therapeutic Relationships • Termination • End relationship • Ritual, parties, tokens • Reunions • Client’s death • Impact on you • Impact on other clients

  25. Issues in Therapeutic Relationships • Burnout (Austin, 1999) • What is burnout? • Emotional & physical exhaustion • Professional’s attitudes & behaviors change in negative ways in response to job strain • Loss of idealism, energy, and purpose as a result of work conditions

  26. Issues in Therapeutic Relationships • Who are candidates for burnout? • Repetitive contact with people • Intense interpersonal contacts • The “giving” role • Job monotony

  27. Issues in Therapeutic Relationships • What are some signs of burnout? • More difficult to get work done during normal hours • Lose sense of humor, effectively flat • Physical fatigue • Become more irritable • Become more susceptible to illness, headaches, back pain, etc. • Social withdrawal • Increased absenteeism

  28. Issues in Therapeutic Relationships • How can we prevent burnout? • Develop support system • Learn how to manage time effectively • Know & respect your own skills, energy, & level of commitment • Spent time out of work role • Take time off (mental health days, vacations) • Use relaxation techniques • Cry “uncle” when you need help • Learn to laugh at yourself & the situation

More Related