Easy. Bib Free Bibliography Generator MLA, APA, Chicago citation styles. Cite a website by entering its URL or by searching for it. Cite a book by searching by title, ISBN, or keywords. Enter online video URL or film title to cite. With Office, of course, it all comes down to the applications. Different people use different Office applications, while almost completely ignoring others. Search by article title, keywords, or DOI number. What kind of database article are you citingArticle published by database pick this if unsureWidely Used Databases JSTORPro. Quest. Most popular Book. Chapter in a book. Encyclopedia article. Journal article. Magazine article. Newspaper article. Other Bible. Book chapter in a collection. Conference Proceedings bookConference Proceedings periodicalCongressional publication. Dictionary entry. Dissertation. Dissertation abstract. Editorial found in a magazine. Editorial found in a newspaper. Film. Government publication. Interview from a magazine. Interview from a newspaper. Journal article in a collection. Lecture speech address. Letter. Magazine article in a collection. Manuscript. Map chart. Music audio recording. Newsletter. Newspaper article in a collection. Painting. Photograph. Preface introduction. Report. Review found in a journal. Review found in a magazine. Review found in a newspaper. Thesis. Sending you to the appropriate form. Home Visits, Celebrations, Adventure Therapy, Incidental Encounters and Other Encounters Outside the Office Walls. By Ofer Zur, Ph. D. To cite this page Zur, O. Beyond the Office Walls Home Visits, Celebrations, Adventure Therapy, Incidental Encounters and Other Encounters Outside the Office Walls. Retrieved monthdayyear from http www. Introduction. Interactions between clients and therapists outside the walls of the office, or what have been dubbed Out Of Office Experiences Zur, 2. Such experiences include home visits to homebound or bedridden clients or home visits to families who do not have the means or organization to travel to family sessions at the office. It also includes adventure or outdoor therapy and home visits that are part of a case management, child welfare or child abuse prevention program. Some clinical interventions are only possible outside the office space, such as going with an agoraphobic client to an open space, accompanying a client to a dreaded medical appointment to which he would not go on hisher own or going on a brisk walk with a depressed, medically non compliant patient. These, and their like, fall under the heading of out of office experiences. This is true also of interventions where, for instance, a therapist attends a client artists gallery exhibition or, perhaps, a clients graduation, wedding, etc. There are many other clinical reasons to leave the office joining an architect to view hisher new building upon its completion going to see the performance of a young client who overcame shyness and is appearing in a school play, etc. Additionally, the paper discusses the complexities of incidental or chance encounters between therapists and clients that are quite common on college campuses and many other small and interconnected communities, examining particularly the issues of privacy, confidentiality and therapeutic relationships. While there is limited information on incidental encounters, or what has also been called chance encounters e. Glover, 1. 94. 0 Grayson, 1. May, 1. 98. 8 Sharkin, 1. Sharkin Birky, 1. Spiegel, 1. 99. 0 Zur, 2. Bass, 1. 98. 8 Christensen, 1. Snyder Mc. Collum, 1. Speck, 1. 96. 4 Washburn, 1. Morris, 2. 00. 3 Volker, 1. There is also a growing body of knowledge on Adventure or Outdoor therapy Davis Berman Berman, 1. Ewert, 1. 98. 9 Gass, 1. Lowry, 1. 97. 4 Orchin, 2. Professionals generally find that the resources needed to guide them in this important area are very thin on the ground. In addition to describing the different types of out of office experiences, the chapter differentiates between and defines boundary crossings, boundary violations and dual relationships. Furthermore, it identifies and contrasts the relationships between out of office experiences and different therapeutic orientations. It also looks at the relevant cultural, ethical and standard of care considerations involved in leaving the office. While analytically oriented practitioners and risk management experts are likely to frown upon any interventions that require departure from the office, this paper will document the differing stances on such clinically driven and ethically sound boundary crossings by humanistic, family, behavioral, feminist, cultural based, adventure, child, geriatric or social worker therapists. Top of Page. 2. Home Visits, Home Based Therapy, and In Home Therapy. Therapists conduct assessments and treatments in clients homes for clinical, pragmatic and other reasons. Some clients cannot make it to the therapy office because they are too ill, disabled or too poor. Some families are too disorganized, do not have the means of getting to the office or live too far away to bring all family members together for an office visit Zur, 2. Other families might derive special benefit from a home visit where the therapist can observe the complexities and hardships of their lives and become familiar with the context of their family life, support system or lack thereof and neighborhood. In some cultures, such as that of certain Indian tribes, the home is a much more acceptable venue for mental health interventions than the medical office Schacht, Tafoya, Mirabla, 1. Zur, 2. 00. 6. Therapy or assessment at the clients home has been referred to as in home therapy Volker, 1. Boyd Franklin Bry, 2. Morris, 2. 00. 3. Detailed outline of the different aspects of home visits, home based therapy, and in home therapy. Boyd Franklin and Bry 2. Most of the literature on home based therapy has focused on interventions that were either part of family therapy Bass, 1. Berg, 1. 99. 4 Christensen, 1. Halvorson, 1. 99. Kanter, Snyder Mc. Collum, 1. 99. 9, Washburn, 1. Morris, 2. 00. 3. Home based therapy has been reported with American Indian families Schacht, et al., 1. Cherniss Herzog, 1. Berg Miller, 1. Erkolanhti Ilonen, 2. Henggeler, et al. Heath, 2. 00. 5 Menikoff, 1. Gordon, Arbuthnot, Gustafson, Mc. Green, 1. 98. 8, with teenaged mothers Cherniss Herzog, 1. Bass, 1. 98. 8 in conjunction with Head Start projects with disadvantaged families Synder Mc. Collum, 1. 99. 9 Volker, 1. Families in Extreme Distress Rabin, Rosenbaum Sens, 1. While home based therapy is, in many situations, the only available option, there are actually very few studies that compare its efficacy with traditional, office based therapy Christensen, 1. Morris, 2. 00. 3. In the early years of psychotherapy, when analytic thinking was prominent, home visits were not considered a valid clinical option for clinical tranferencial reasons. However, with the cultural and civil rights revolution of the 6. Zur, 2. 00. 7. However, it was not until the passage of Public Law 9. Adoption and Child Welfare Act of 1. Morris, 2. 00. 3. The law was enacted partly in an attempt to avoid out of home placement of foster children and to also increase their safety through case management and home based family therapy. The proliferation of case management, primarily conducted by social workers as part of their assessments of child abuse, child neglect and domestic abuse, as well as the increased use of interventions since the early 8. However, the increased focus on risk management and defensive medicine in the 9. Williams, 1. 99. 7. Let us look more closely at the various reasons for conducting in home therapy Physicalpractical reasons. The home visit is likely to be the only option open to many. One of the most obvious reasons for choosing home based therapy is to treat a homebound, ailing or dying client who is physically unable to leave the house Morris, 2. This includes hospice clients, perhaps dying of cancer or AIDS, who choose to die at home. Then, too, there are such cases as the overwhelmed new mother who is suffering from postpartum depression, the acutely, and thus homebound, agoraphobic, paranoid or OCD patient Christensen, 1. Morris, 2. 00. 3, Rabin, et al., 1. Zur, 2. 00. 1a, 2. Also, sometimes clients or families are simply too poor, disorganized or chaotic to get to the office. Schacht, et al., 1. Similarly, there are clients who are in acute crisis, which prevents them from coming to the office Cortes, 2. Rabin, et al., 1. The family doctor making a house call to an ailing child has been a revered part of American mythology and actual medical practice for a long time. However, this practice has not been emulated by most of the psychotherapeutic community. This is largely because of the early domination of the world of psychotherapy by the traditional analytic approach which is strictly office based due to its emphasis on neutrality and the relative anonymity of analysts Langs, 1. Simon, 1. 99. 1. The geriatric population is growing exponentially Brickey, 2. Untreated mental illness in elderly patients causes increased suffering and morbidity. In the United States, more than 3 million persons, age 6. Kohn, et al. 2. 00. Traditional, clinic based mental health programs have not been sufficiently responsive to the needs of mentally ill, elderly patients. Physical, economic, and social barriers may often prevent aged persons from receiving essential psychiatric treatment. Access to such services by homebound mentally ill, elderly patients is even more limited. In addition, elderly patients are generally more reluctant to seek out psychiatric care and are often less likely to recognize the signs and symptoms of mental illness.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |