Case Management and Rehabilitation Counseling

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Case ManagementandRehabilitation Counseling

• Chapter 3 The Intake Interview

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Introduction

• Regardless of the specific setting, the
  rehabilitation client will complete an intake
  interview
• Three general goals to be accomplished with the
  intake interview

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Introduction, cont

• Provide the client with necessary information
  about the role of the agency, available services,
  and client responsibilities
• Initiate the diagnostic process (information
  collection), and
• Develop adequate rapport

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Introduction, cont

• The following general questions can help guide
  the interview
• What are my goals for the interview?
• What information should be provided to the client
  during the intake interview?
• What information do I need to collect from the
  client during the intake interview?
• What is the most efficacious manner to exchange
  that information?

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Introduction, cont

• Effective intake interview planning requires more
  than determining the information that should be
  collected from or disseminated to a client.
• It also requires a clear realization of the
  purpose that such collected or disseminated
  information will serve for facilitating the
  clients ultimate rehabilitation

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The Intake Interview as a Service Orientation
Session

• The client should be orientated to
• The agencys purpose and services
• Service eligibility criteria and client rights
• The rehabilitation counselors function, and
• his or her (the clients) responsibilities

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The Intake Interview as a Service Orientation
Session, cont

• The content of this orientation should be highly
  relevant, specific, and meaningful to the
  clients needs, not a general discussion of
  agency policy

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The Intake Interview as a Service Orientation
Session, cont

• The rehabilitation counselor should explain his
  or her role as a direct provider of services, as
  an arranger or coordinator of services for the
  client, and as a client advocate

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The Intake Interview as a Service Orientation
Session, cont

• Confidentiality
• Limits
• Clients participation in any post-intake
  diagnostic activities
• Reduce apprehensiveness
• Purpose of various forms that require client
  signature

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The Intake Interview as a Service Orientation
Session, cont

• When clients better understand their interviewee
  role responsibilities, they are less likely to be
  anxious during the interview
• Overall, effective structuring of the intake
  interview results in the client having greater
  confidence in the rehabilitation counselors
  competence

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The Intake Interview as a Service Orientation
Session, cont

• However, dont overwhelm the client with
  information

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The Intake Interview as a Service Orientation
Session, cont

• Two rules of thumb
• Use language that corresponds with the clients
  background. Avoid the use of confusing
  terminology and jargon.
• Guard against providing the client too much
  information at one shot during the interview.
  Clients provided too much information at once can
  be overwhelmed.

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• Questions of comprehension
• Ask client for their interpretation of
  information provided
• Counselor should summarize significant content of
  the intake interview discussion near the end of
  the interview

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Initiating the Diagnostic Process

• The intake interview is a significant vehicle for
  information collection, because it affords
  clients an opportunity to provide the counselor
  with the social and vocational history necessary
  for diagnostic and prognostic purposes.

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Initiating the Diagnostic Process

• If intake interview is inadequate
• We may not realize the need for additional
  evaluations medical, psychological,
  educational-vocational
• rehabilitation plan may not be sufficient to meet
  the clients needs

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Listening

• Effective listening is active listening
• Clarification
• Paraphrase
• Reflection
• Summarization

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Listening, cont

• Three common purposes
• Communicates that the counselor is hearing what
  the client is saying
• Serves as a check on accuracy of the counselors
  understanding of what the client is saying
• Serves to facilitate client clarification of what
  which he or she wishes to communicate

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Listening, cont

• But you shouldnt be the Grand Inquisitor
• Dont collect superfluous information
• You must be able to distinguish between relevant
  and irrelevant information
• Comprehensive and relevant information collection
  will increase the likelihood of a successful
  rehabilitation outcome

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Table 3.1 A Topical Information Collection Guide
for the Intake Interview

• Topical Information
• Physical Factors
• Psychosocial Factors
• Educational-Vocational Skills Development Factors
• Economic Factors

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Case Study Shirley Steed
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Case Study Donald Jones
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Developing Adequate Rapport

• Preparing for the Interview
• Rehabilitation Counselor Interview Response Style

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Preparation for the Interview

• Effective furniture arrangement
• Generally, avoid placing physical barriers such
  as a desk between counselor and client
• Make sure that clients with physical
  disabilities have easy access to your office
• Other Pre-Interview Considerations

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Preparation for the Interview, cont

• Put items away that could be distracting
• Case files, papers, forms, reports
• Meeting place should ensure confidentiality
• Allow sufficient time for interview
• However.
• Provide client your undivided attention
• Phone calls, knocks on door, etc.

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Rehabilitation Counselor Interview Response Style

• Nonverbal behavior
• Verbal behavior

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Rehabilitation Counselor Interview Response Style

• Nonverbal behavior
• Distance (3-4 feet)
• Squarely facing client
• Eye contact?
• Leaning in
• Avoid distracting movements
• Yawning, finger tapping, fidgeting, frowning
• Head nods, smiling

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Rehabilitation Counselor Interview Response
Style, cont

• Social chit-chat at beginning of interview is not
  recommended
• Can actually increase clients anxiety
• But cultural differences do exist
• Five classes of verbal responses
• Three can be used to collect information from
  client

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Rehabilitation Counselor Interview Response
Style, cont

• Verbal behavior
• Continue responses
• Focus responses
• Check responses (reflections)
• Open-ended statements and questions
• Closed-ended questions
• Declarative responses
• Switch responses