GENERALIST INTERVENTION: PLANNED CHANGE

1. GENERALIST INTERVENTION:PLANNED CHANGE

2. Generalist Intervention Model Engagement Engagement • Substantively and effectively prepare for action with IFGOC • Use empathy and other interpersonal skills • Develop a mutually agreed-on focus of work and desired outcomes • Collect, organize, and interpret client data • Assess client strengths and limitations • Develop mutually agreed-on intervention goals and objectives • Select appropriate intervention strategies • Initiate actions to achieve organizational goals • Implement prevention interventions that enhance client capacities • Help clients resolve problems • Negotiate, mediate, and advocate for clients • Facilitate transitions and endings • Critically analyze, monitor, and evaluate interventions Assessment Assessment Planning Implementation Intervention Evaluation Termination Follow-up Evaluation

3. ENGAGEMENT

4. ASSESSMENT • STEP 1: IDENTIFY YOUR CLIENT • STEP 2: ASSESS THE CLIENT-IN-SITUATION FROM THE FOLLOWING PERSPECTIVES • MICRO • MEZZO • MACRO • DIVERSITY • STEP 3: CITE INFORMATION ABOUT THE CLIENT PROBLEMS AND NEEDS • STEP 4: IDENTIFY CLIENT STRENGTHS

5. ASSESSMENT • “Hypotheses are decidedly not diagnoses. They are open, flexible, and changeable in the face of information from the family.” (Even Imber-Black) ASSESS (see) HYPOTHEIZE INTERVENE (think) (do)

6. ASSESSMENT • 1. I SEE this…. • 2. I THINK of it from these different theoretical perspectives… • 3. I DO this… • 4. and I SEE this… • 5. and around we go…

7. A 65 year old Native American woman is self-referred for counseling. She identified her reason for counseling as having chronic feelings of sadness. Client was quiet and reserved throughout the interview. She did not initiate conversation. She engaged in long pauses and sporadic eye-contact when speaking. Client responded to questions and actively provided the social worker with information. Client became tearful when discussing her feelings. She acknowledged feeling increasingly overwhelmed, tired, despondent, and tearful. Client stated that she is becoming increasingly impatient with herself and other people. She also acknowledged that she has recently begun to isolate herself, somewhat. Client stated that she is experiencing secondary sleep disturbances, but is able to fall back to sleep eventually. She has not had a change in appetite, but did admit that she does not have a strong appetite.

8. Client has been widowed for seven years. She has five children who have all periodically moved in and out of her home several times during the course of their adult lives. She is presently raising her 5 year old grandchild, although she does not have legal custody. Client remains close to her mother, 3 brothers and 4 sisters. They all remain on the reservation and she has regular contact with them. Her children and her family are her primary support systems. Client occasionally joins the reservation elders quilting group and has had less desire to participate in this activity. Client did not report any physical health concerns. Client’s primary medical physician is a provider at the Indian Health Service clinic.