Intensive In-Home Counseling encompasses the clinician working with the client and their family performing individual therapy for several hours a week and family therapy at least once a week. Depending on the client’s level of acuity, risk level, protective factors and reduction of maladaptive behaviors, this process typically takes 3-6 months of therapy before discharging from services.
So what happens when the client becomes stagnate and no longer wants to improve? What happens when the client’s motivation to change ceases to continue? Well…when these things happen we first should evaluate the therapeutic alliance. Are we as clinicians working collaboratively with the client? What are the environmental factors and the social supports that may have an impact on the client’s motivation? Assess what has changed in the client’s life. Then address these factors and significant circumstances.
Always bear in mind Prochaska’s Model of Change. Assess where the client fits in this model. Bear in mind that as counselors, we address the client with empathy, realizing that growth and change are ultimately a choice.
Joanne Thomas is a Resident in Counseling, completing clinical residency to become a Licensed Professional Counselor in the state of Virginia. She has discovered her passion of working with youth and provides both individual and family therapy and concurrently is completing coursework to obtain her credential as a Registered Play Therapist.