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Behaviourism V Psychodynamics Essay

1582 words - 7 pages

Introduction:
This paper is a Service Review for Mr Jo Smith, who has been reluctant to engage with his support network agency. Due to his reluctances i.e. resistance, engagement was crucial in initiating a review of the support Mr Smith was currently receiving. Recently, Mr Smith agreed to meet with the two support workers, Rae Mondi & Ena Shebelle, to begin the process of reviewing his support plan. Herein, is the report of that meeting.

Initial Engagement for a Revised Service Plan
Ena Shebelle and I, Rae Mondi, visited Mr Smith at his home. The realisation that Mr Smith had afforded us this opportunity moved us to inform him that, as part of his support network, the agency ...view middle of the document...

We checked with Mr Smith if he understood the suggested process he assured us that he had.
Reassessment began with asking Mr Smith to explain what parts of the current plan did he like and why did he like it? This was followed up with, asking Mr Smith to tell us which part of the current plan he did not like and why he did not like it? The third phase included using the ‘HEADS’ model of psychosocial interviewing to revisit Jo’s world again to clarify where he felt he was and to identify, with his input, how he wanted to manage his life from here on. This enabled Jo to identify what was important to him to support his recovery and sense of autonomy. The fourth aspect of the reassessment, we asked Jo to structure a new revised plan with the concerns he had identified in the previous three steps. Jo asked for guidance over some of his choices, for which we provided.
Based upon our conversation with Jo, the following reasons may have contributed to his resistant and reluctant behaviour:
1. Jo receives his Newstart payment, from Centrelink, on Friday mornings. He thought that by shopping 3-4 days later wasn’t helping him budget his money. Jo did not like being transported by various drivers. One of his previous drivers had a habit of speeding.
2. Jo’s experience with the activities at the ‘drop in’ centre caused him to become nervous and anxious. He did not know which room to go to and what activities were available. The driver would drop him off and drive away leaving Jo to walk into a place full of strange people, he feared crowds.
3. Forgetfulness and fearful of doctors caused Jo to miss appointments.
4. Jo admitted that he resented the fact that every time support workers from the agency would call around they would go on about his medications, in particular, he is not taking them regularly.

As a result of identifying the areas that Jo was not happy with, Jo, then gave us what he wanted to happen in the new plan:
1. The challenge of sticking to the budget, after 4 days, has led Jo asking for shopping to be on Friday afternoons instead of Tuesday. He also requested if he could use the same driver and that we call him to remind him the day before. He hoped, in time, to learn how to catch the bus and shop himself.
2. Writing was an interest that Jo wants to pursue. He, with our guidance, has decided to join the ‘Writer’s Club’ at the ‘drop in’ centre. Jo would like to write about his experiences as one with a mental illness. The class of seven is something that Jo is confident that he can manage without being anxious. The agency agrees with Jo that someone needs to go with him to assist him in settling in. Jo also identified a bus which stopped outside the centre and wondered if the same support worker would teach him how to catch this bus to and fro the centre. Jo is happy with the present time and day, i.e. Thurs, 9.30-11.30am. Rae Mondi, current support worker, is now Jo’s designated driver, advocate and mentor.
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