Sample process recording mental health

Process Recordings

A process recording is a written tool used by field education experience students, field instructors, and faculty to examine the dynamics of social work interactions in time. Process recordings can help in developing and refining interviewing and intervention skills. By conceptualizing and organizing ongoing activities with social work clients, you are able to clarify the purpose of interviews and interventions, identify personal and professional strengths and weaknesses, and improve self-awareness. The process recording is also a useful tool in exploring the interpersonal dynamics and values operating between you and the client system through an analysis of filtering the process used in recording a session.

For this Assignment, you will submit a process recording of your field education experiences specific to this week.

(Please see attached examples as to how assignment should be done).

Note: You are submitting a written transcript, not an audio or video recording.

The Assignment (2–4 pages) (Blank template is attached):

· Provide a transcript of what happened during your field education experience, including a dialogue of interaction with a client (students internship is an inpatient mental health hospital as a therapist. Serving clients with mental health and substance abuse).

· Explain your interpretation of what occurred in the dialogue, including social work practice theories, and explain how it might relate to diversity or cultural competence covered this week.

· Describe your reactions and/or any issues related to your interaction with a client during your field education experience.

· Explain how you applied social work practice skills when performing the activities during your process recording.

used are pseudonyms.

Client information and presenting issue: John Doe is a 17-year-old gay male who has been homeless for a few months now. Most

of that time has been spent couch surfing between the homes of friends. He is involved with the juvenile justice system and is

currently on probation stemming from an altercation with his step-father. John Doe's mother and step-father highly disapprove of his

“lifestyle” and refuse to let him remain at home due to it. In an effort to get John Doe off the streets his probation officer, Paul,

suggested he join a program that he recently heard about, Casa De Change.

Any relevant information about setting and demographics: An interview with John Doe was arranged between myself, Sara, and

Paul. The agreed upon location was a central building in Brenham, TX where the DFPS and juvenile justice departments are both

located. Upon arrival, Sara and I were escorted into a room where John Doe and Paul were seated. They promptly stood up as they

greeted us. The following conversation picks up after the initial greetings had taken place and the interview/assessment had started.

Dialogue Identify skills , techniques and

theories,

Analysis/assessment of

dialogue

Personal reactions and self-

reflection to the interaction

Alex: John Doe, we aren't

sure what you know about

Casa De Change. Can you

share what you know, if

anything at all.

John Doe: You guys are a

home for homeless gay kids.

That's about it.

Alex: We do provide a safe

place for gay youth, and for

the rest of the LGBTQ

community. Along the way

we work with you to

establish and meet goals that

are important to you. There

are of course rules that must

be followed.

My main goal here was to find out

what John Doe's understanding of

the program was and to make sure

that he was aware of all that it would

entail. This did get sidetracked due

to John Doe's apparent disdain

towards rules. We were able to

mention how we help establish and

meet goals with our clients. This

model is often referred to as a “task-

centered approach” in social work

where specific, measurable goals,

and strategies to meet them, are

agreed upon between the client and

the professional.

During this segment of the

conversation I noticed

John Doe's mood change a

bit at the mention of rules.

He leaned back in his

chair as the expression on

his face went from an

excited one to one that

showed concern.

This is a common reaction that we

get from youth who accustomed to

doing things as a please. They are

often independent and view rules

as an attack on their independence.

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John Doe: I need a job and I

am scheduled to start my

GED work in January. What

kind of rules?

Using the Cognitive Behavior

Theory helps make his self-reflect

and think about the situation

differently.

Sara: That's great! We will

help you with those for sure.

There are a number of rules

that must be followed in

order to participate in the

program. Residents must

continue to work on their

education, complete chores,

respect staff and other

residents, be home at specific

times, and inform staff of

where they are at all times.

These are just some of them.

The others we will go

through in a bit.

John Doe: I don't do well

with rules. (laughs)

Alex: (laughs) I'm not a fan

of them myself, but they do

make things operate a bit

smoother!

John Doe: I can be stubborn

when it comes to rules…

Sara: You're aware of that

stubbornness so you are

ahead of the game.

Sara wanted to give John

Doe a broad overview of

the rules we have in place

at the house. She also

wanted him to know that

there were more that

would be discussed

further in so that there

were no surprises when

that moment came. It is

important to know that

this is not just a place to

sleep, it is a home and we

function as a community.

It was nice to see that John Doe

was aware of himself to the point

where he was honest with us by

informing us that he can be

stubborn and defiant. Most youth

we encounter are not so honest or

aware of themselves. Also, though

he is not diagnosed with

oppositional defiant disorder, I

instantly thought of it. My mind is

getting better at analyzing what is

said, as well as a person's

mannerisms, during these

assessments. It was a great feeling

to realize this as it was occurring.

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John Doe: I like my

freedom.

Alex: You like your

independence?

John Doe: A lot. I've always

been independent and done

my own thing.

Alex: At Casa De Change,

we want you to remain

independent and in control of

your own destiny. That's

why we encourage residents

to be actively involved in

everything involving them.

The rules are there to ensure

that everything runs

smoothly at the house and to

help maintain your safety

and everyone else. We are a

community and the

behaviors and actions of

others have impact on

everyone them. Which is

another reason that everyone

should be on the same page

in regards to how the house

is ran.

John Doe needed to be reassured of

his right to self-determination while

at Casa De Change. He had no

problem making known what it

meant to him.

I also talked about how the actions

of one person has the potential to

disrupt the house and affect other

residents. The systems theory relates

to the house in the way that each

youth impacts the other in a positive

or negative way due to the system(s)

they are involved with. The house is

a sort of system that we all have in

common.

Here John Doe goes on to

state what Sara and I are

well aware of. Young

homeless youth become

independent at a young

age and are protective of

it. This is why we allow

them so much say in what

happens while they are in

the program. Rules must

be in place, but at the

same time, they must and

maintain some control

over their life.

I could tell that John Doe was

highly protective of his

independence. He had been in a

shelter a few months prior but had

left after a couple of days due to

all of the rules in place. This

happens a lot and is something that

we try to avoid. Had we not

stressed the control that he would

still have while in the program, I

am certain he would have not

joined?

John Doe: Oh, I get why

rules are in place. I still don't

like being controlled, but as

long as I don't feel like my

Casa De Change has an open door

policy for our residents and staff.

We are all encouraged to be open

and honest to one another. Bringing

John Doe is an honest,

upfront, sort of guy. He is

also the type of person

who appreciates the same

Sara and I both glanced at each

other trying to gauge what the

other thought of his words.

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independence is taken away,

I can deal with it.

Sara: We definitely do not

want any of our residents to

feel as though they are not in

control.

Alex: We also encourage our

youth to bring their concerns

to our attention before things

reach a boiling point.

Regarding this scenario, it is

critical that you it to our

attention when you start to

feel this way.

things to another's attention is a step

in the direction of problem solving.

Problem solving is a process that

some of our youth have never

engaged in.

Using the CBT theory he realized

that his behaviors kept adding fuel to

fire.

being given to him. We

also needed him to

understand that not only

does he have a say in his

life, but that we encourage

residents to voice their

concerns and opinions,

and that their voices are

valued.

John Doe: Deal. I can do

that. I have NO problem

letting anyone know when

something is bothering me!

(laughs)

Sara: That's a good, as long

as you are respectful about it!

(laughs)

John Doe: Of course!

Alex: Alright, shall we move

on?

John Doe: We shall!

John Doe responded well

to our conversation

surrounding rules and his

independence. Sara was

quick to point out how

respect while making

one's thoughts known, is

mandatory. From this

point we were able to

move forward with the

interview. The following

day we accepted John Doe

into the program and his

move in date is January

2nd.

The mood shifted to a lighter tone

here. Once everything was out in

the open, John Doe seemed to have

little concerns regarding the rules

of the house. This will no doubt

change once he is settled in. He

has a defiant streak in him, though

it does not seem to be cause for

major concern. When it rears its

head it will important that we

stress how he is still in control

despite there being rules in place.

I've no doubts about John Doe

joining us at Casa De Change. He

is going to do just fine here.

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