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Chapter I:
Introduction and Overview
Consultation Defined
Consultation is a process in which a human services professional assists a consultee with a work-related (or caretaking-related) problem with a client system, with the goal of helping both the consultee and the client system in some specific way.
Consultation Defined
Consultation deals The consultant and exclusively with the consultee work consultees worktogether in solving related or carethe problems giving related defined by problems. consultation.
.
Role of human service professional Problem-solving process Triadic in nature Helping relationship Internal or external Voluntary for all parties Relationship of peers Collaborative Temporary Remedial or developmental
Consultative Relationship
The relationship between the consultee and consultant is one of peers, of two equals. Though the two roles are equal in terms of power, it is the consultee who has the greatest need within the consultative relationship.
Length of Consultation
Though the consultation relationship is temporary, the length of consultation may range from a single session to weekly sessions for more than a year.
Triad of Consultation
Consultant Consultee
Client System
Collaboration Defined
Collaboration is very similar to consultation in that it follows the same problem-solving process Collaboration involves the interactive exchange of resources, interdependence, and a focus on decision making.
Collaboration contd
Collaboration is a service in which the helper accepts responsibility for the mental health aspects of a case.
Collaborator #1
Collaborator #2
Client System
Mental Health Consultation and Mental Health Collaboration Contrasted on Key Dimensions
Dimensions Mental Health Consultation Mental Health Collaboration
Consultee participation
Assumes confidentiality to exist with limits of confidentiality (if any) specified during initial contracting Yes
Does not automatically assume confidentiality, given organization realities and pragmatic need to share relevant information among team members Not assumed to be true, as a collaborators expertise is his or her specialty area is generally deferred to by team Shares equal responsibility for overall outcome, and primary responsibility for mental health aspects of case or program
No
From: Caplan, G.R., Caplan, R.B., and Erchul, W.P. (1994). Caplan mental health consultation: Historical background and current status. Consulting Psychology Journal, 1994, p.7. By permission of publisher.
Chapter II:
Consultants, Consultees, and Collaborators
Non-directive
Internal/External Consultants
A consultant can either be separate from or part of the system in which consultation is to occur.
Research contd
The research on collaboration is very limited
Chapter III:
Entry Stage
Stage I: Entry
Phase One: Exploring Organizational Needs Phase Two: Contracting
Phase Three: Physically Entering the System Phase Four: Psychologically Entering the System
Why am I here? Who are you? What is likely to happen? What will be the result? What can go wrong?
Elements of a contract:
goals time frame responsibility of consultant & agency boundaries review and evaluation
Chapter IV:
Diagnosis Stage
Types of Data
Genetic data Current descriptive data Process data Interpretive data Consultee-client system relationship data Client system behavior data
Chapter V:
Implementation Stage
Types of Interventions
Individual Interventions Dyadic and Triadic Interventions Interventions for use between groups Interventions for the entire organization
Chapter VI:
Disengagement Stage
Types of Evaluation
Summative
the evaluation of outcomes or products
Formative
evaluation of the process of consultation perform evaluations at the end of each phase of consultation
Follow-up the process of periodically checking how well the results of consultation are being maintained over time and how the organization is performing postconsultation efforts
Chapter VII:
Ethical, Professional, and Legal Issues
Ethics Defined
Standards of moral and professional conduct Code of ethics--a written ethical guideline followed by professionals
discourages inappropriate practice protects recipient of services promotes exemplary behavior
Values
Those beliefs and principles held by a person which have been formed by his/her life experiences Consultant should know what his/her values are Consultant should not expect other to hold the same values Consultant should be aware of specific values held by cultural and ethnic groups
Competence
Providing services and accepting jobs for which one is qualified
maintain high levels of professionalism know ones professional limitations know when to decline and refer avoid situations in which personal concerns could affect professional performance
Consultant-Consultee-Client Relationship
Work-related focus Dual relationships Freedom of choice
Rights of Consultee
Confidentiality--protecting the identities of parties involved in consultation Informed Consent--to inform consultees about the nature and goals of consultation, their right to privacy, the voluntary nature of participation and the complete freedom they have in following suggestions made by the consultant
Part III:
Models of Consultation and Collaboration
Chapter VIII
The Pragmatic Issues of Working within an Organization
Pragmatic Issues
A. Recent changes in society and organizations B. The influence of organizational theory C. Organizational change
*Open systems have permeable boundaries and can obtain energy from and send energy back to the environment. *Organizations can be viewed as open systems
9 Characteristics of Systems
Importation of energy The throughput The output Systems are cycles and events Negative entropy Information input, negative feedback, and the coding process The steady state and dynamic homeostasis Differentiation Equifinality
Top-down approach
Bottom-up approach Shared approach
Involvement by all staff in communicating and reinforcing an organization-wide view of events and decisions
Chapter IX:
Mental Health Consultation and Collaboration
Psychodynamic Approach
Fosters the concept that our behavior is a product of unconscious motivation and that most of our personal issues result from early childhood experiences, resulting in conflicts that affect our behavior and cause use problems
Transfer Effect
The concept that what is learned in one situation should be useable in similar, future situations
One-Downsmanship
A valuable relationship building technique that a consultant can use to ensure that the relationship remains on equal footing
Lack of Objectivity
Simple identification--identifies with the client Transference--Transfers onto the client feeling and attitudes from key relationships in the past Characterological distortions--Personality problem that interferes with effective delivery of human services Theme interference--A special type of transference in which the consultee experiences an unexplainable block in progressing on a case
Scanning--a general overview of the organization and its functions Gather and interpret additional data Consultant makes interim recommendations Formal report of recommendations for both short-term and long-term goals and methods of implementation
Ecological Perspective
Provides consultants with a way of making changes within a given system Helps individuals contribute significantly Helps people adapt to the setting in which something is expected of them Resources of the organization are an important part of facilitating change during consultation Prevention is the key goal Considers how persons, settings and events can become resources for positive developments with an organization
Multicultural Aspects
Client-centered allows for minimal disclosure on the part of the consultee Consultee-case suitable for consultees wanting assistance from a knowledgeable authority figure Increased breadth and flexibility allow fro sensitivity to cultural variables
Chapter X:
Behavioral Consultation and Collaboration
Verbalization Technology
Control of the consultants and consultees verbalizations by the consultant for full benefit and effectiveness for the consultation process to occur Four Aspects:
message source message content message process message control
The Training
The consultant trains consultees in general behavior principles or specific behavioral technology skills Can be formal or informal Individual or group Education/training model (chap. 9) is similar to this training
Chapter XI:
Organizational Consultation and Collaboration
Education/Training Consultation
The most frequently used purchase of expertise consultation The consultant provides education/training services in any number of areas and settings
Assessing training needs Developing and stating measurable objectives Understanding the learning and change process Designing a learning experience Planning and designing educational events
Program Consultation
A form of purchase expertise consultation in which the organization in some way uses the consultant to help plan a new program or revise or deal with factors that affect an existing program The goal is to provide an organization technical assistance so that a given program can be successful
Chapter XII:
School Based Consultation and Collaboration
Alderian Consultation:
Consultation with teachers
Four Basic Assumptions:
teachers cannot take responsibility for student behavior teachers should be more involved with encouragement than with praise teachers cannot always prevent failure on the part of the student teachers need to try to meet affective and cognitive needs of students
C-Group
Forces of the group:
Consultation Collaboration Clarification Caring Confrontation Communication Cohesion Commitment Change Concern Confidentiality
C-Group contd
The group consist of four to six teachers and the consultant It meets once a week Six to eight sessions Teacher presents problems with individual student and group discusses them
Instructional Consultation
A collaborative process in which a problem is identified and interventions are selected and made
Parent Education
A variation of the education/training consultation model (chap. 9)
Parent effectiveness training Alderian approaches Behavioral approaches
Interagency Collaboration
Rationale: The problems of children with social and/or educational problems effect all aspects of a childs life such as the home and school.
Interagency contd
The shared responsibility for the case shifts the focus from what the school can do to what the community should do to provide services
Chapter XIII
Case Study Illustrations