PROCESS RECORDING TEMPLATE
Student’s Name: Client’s Name: Katherine Jones
Interview Date: 06/03/2020 Session #: 2
- PURPOSE OF THE SESSION:To talk about the Client’s condition, to show concern for Client’s physical and mental health, help Client to deal with depression, help Client reduce alcohol abuse.
- OBSERVATION:Client was touched by social worker’s concern. Client was ashamed of her condition.Client was afraid that she had completely destroyed her life. Client was willing to get help. Client was willing to stop drinking and get over depression.
- CONTENT:This content is from the middle of the session.
| INTERVIEW CONTENT/INTERACTION (SW intern said, Client said)
| SKILLS USED
| YOUR THOUGHTS/ FEELINGS/REACTIONS
| CLIENT’S FEELINGS/AFFECT
| Field Instructor Comments
|
| SW intern said: “I want you to understand why it is important you stopped excessive drinking. I am worried about your physical and mental condition. Drinking will only make the condition worse. The more we do not confront the problem, the more the problem. So how about we look for alternatives to solve the problem apart from alcohol? “ Client said: “I am very ashamed of my situation. I did not imaginemyself in this condition at this point in life. I have lost a job, and a family and I do not know what to do. Alcohol is my only solution to drain my sorrows.(Client breaks down. SW intern passes her some tissue. Clients sobs for a minute. SW intern lets give her time. Client proceeds. “Now, all I do is drink, drink, and drink. It helps me to forget my problems sometimes.” SW intern said: “But alcohol will make it worse because every morning you wake up at the problems are still there. They do not leave until you have faced them.” SW Intern said: “we will start by making arrangements of how you can see your children. I am positive this will help in dealing with the depression.” Client said: (wipes of her tears). My ex-husband will not allow me to see my children. He says I am a bad mother and will portray a bad picture to them. SW intern said: I will talk to him this time, and see what we can arrange. Client said: “I would like that. (Tears again). I miss them so much without them. I do not know how to live without them.” SW intern: “So tell me about your friends. Are there any that can help you get through this?” Client: (smiles faintly). “I have two best friends actually. They convinced me to visit this hospital actually. I can give you their number if you want.” (SW intern gives Client a paper and a pen. Client writes the phone numbers down). SW intern: what about your parents? would like to involve them in the treatment plan?” Client: My parents are very worried about me right now. My mother is quite old right now, and I do not want to worry about her. But my brother is very supportive and has always been there for me. I can give you his number too.”
| Empathy, clarifying.
Emphasis, sympathetic.
Optimistic, showing signs of hope. | I will need to involve her friend and parents to support her in her treatment. She needs assurance of seeing her children to help her fight this condition.
It is unfortunate that she is ashamed of herself right now. It is also unfortunate that she had to lose her job and family and thinks alcohol will solve her problems. Confrontations of the problems is the only solution.
Client needs a distraction from alcohol. She needs friends and family. She needs to feel she is not alone | Sad, cannot maintain eye contact.
Embarrassed.
Sad and bursting in tears, sounds quite desperate.
|
- IMPRESSIONS/ASSESSMENT: 1) What did you observe throughout the session — behavior and affect; 2) was the behavior/affect appropriate, explain; 3) how does this behavior/affect fit with what you know about the Client’s past behavior/affect, and 4) identify the major themes/issues that emerged.
- Client was sad and tearful throughout the session. Client is regretful of her decisions. Client is desperate to get her life back; she is ready to get help. The behavior/affect was appropriate. It showed that Client is willing to stop taking alcohol. It shows Client wants to fix her life, and get to see her children. The major issues that arise are depression, alcoholism, unemployment, and family separation.
- USE OF PROFESSIONAL SELF: Choose two significant interventions you made: 1) identify/describe; 2) what was your impression of your effectiveness, and 3) what would you change.My two interventions are family/friends interventions and psych-education. I called her parents and friends so that they could support her through this journey. I did not want her to feel alone. I also talked to her husband to allow her to see her children twice a week. I used psych-education to advise her on the ways she can deal with alcoholism. I am positive that these interventions will work for her.
- PLANS: (Brief statement of your plans for the next session, long-range goals, short-range goals that are relevant for this Client.)The long term goal is to help the patient stop alcoholism and reduce the depression levels. The short term goals are to help patient realize it is not a shame to seek help, formulate ways that she can use to avoid alcohol, and seek ways to help her reduce depression level. Advice client to take her medication as directed by physician. Check her general proceedings in every visit. Consult the parents and close relatives on her proceedings. Consult Client on her proceeding. Check alcohol levels. Check Client’s proceedings. Ensure everything is in order if it is, discharge patient.
VII. ISSUES, QUESTIONS OR PROBLEMS: (To explore in supervisory sessions.) Areas to explore in your supervisory conference: include issues of diversity, value dilemmas, counter-transference etc.
Dilemmas: I had a difficult time with this Client because she was very vulnerable and emotional.
Counter-transference: I felt that my Client did not deserve what was going on in her life. I felt it was not okay that her husband had to take her children away from her.
Problems: I had a problem convincing her husband to allow her to see her children. He felt that she was only doing this to herself to get him back, and it was a road he was not willing to go down.
EXPLANATION OF PROCESS RECORDING SECTIONS
Interview Content: Begin this section with a short description of where and when (the date and time) the interview took place, (e.g. standing in a hallway, meeting in an office, etc.), who was present, and its purpose. For purposes of confidentiality, change the name of your Client or use initials only.
Select a 10-15 minute exchange and record word for word what happened during the interview, including verbal and non-verbal content, which may include silence, gestures, and other details that occurred during the interview. The goal is to write the exchange as closely as possible to the actual interview.
Skills Used: Identify the social work skills utilized throughout the interview. Identify the skills you learned from your social work courses. Include the theory behind your practice and why you chose a particular technique, and what knowledge of human behavior helps you to understand this interaction. This section will raise your awareness of the techniques you are using in your practice.
Your Thoughts/Feelings/ Reactions: Record how you were feeling as the interaction was taking place. Before you write this section, take a few moments to read through your exchange section by section and then reflect back to how you felt during that time. Describe your subjective reactions (thoughts, feelings, sensations) to your own words during this exchange. How did you respond to your own words or those of your Client? Analyze why you think your interaction with the Client unfolded in the manner it did. What is your assessment of your Client’s reaction(s)? Reflect on the strengths and weaknesses of your intervention and identify an area you would like to improve upon for your next session.
Client Feelings Affect: Interpret the interview. Include detail about the tone and climate of the setting, your initial impressions of attitudes and feelings of the Client, what attitudes and feelings you brought to the interview, what significant changes in the Client occurred during the interview in terms of appearance, gestures, and posture?
Field Supervisor Comments: Supervisor provides critical feedback in writing to the student, and discusses their review of the process recording with the student during supervision. The focus of the Field Supervisor’s analysis should be written in clear language so that the student understands the educational value of the feedback, including references to social work knowledge, values and skills.