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Steps to manage the Reluctant Client From J. Barber (1991). 1. Clear the air 2. Identify legitimate client interest 3. Identify non-negotiable aspects of intervention 4. Identify negotiable aspects of intervention 5. Negotiate a case plan 6. Agree on criteria for change.
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Steps to manage the Reluctant Client From J. Barber (1991) 1. Clear the air 2. Identify legitimate client interest 3. Identify non-negotiable aspects of intervention 4. Identify negotiable aspects of intervention 5. Negotiate a case plan 6. Agree on criteria for change
Aims of casework by negotiation and conflict management • Maximising self-determination within statutory constraints • Operationalising clinical goals and orders through client involvement • The behaviour of skilled negotiations models peaceful conflict resolution
Step 1 Clear the Air • Explain the statutory issue - eg show court order or reason for intervention • Encourage client expression of thoughts and feelings re situation • Worker in role of mediator between the State and client
Step 2 Identify legitimate client interests • Explore what client has to lose by engaging in change or following court directions. • Notes are taken with a view to negotiating ways of minimising any negative consequences
Step 3 Identify non-negotiable aspects • Sit side-by-side • Reframe directives - eg mutual aim to prevent harm, keep court away etc. • Client & worker examine in detail what exactly the bottom-line means. • Client questioning is encouraged
Step 4 Identify negotiable aspects • Brainstorm with client ways to meet treatment goals • Use creativity and imagination (and possibly humour if appropriate)
Step 5 Negotiate the case plan • Plan based on legitimate client interests, bottom-line and brainstorm • Worker may express negotiable worker limitations (eg time, transport) • Possibly use decisional matrix or motivational interviewing to help decide on options
Step 6 Agree on criteria for change • How will the plan be monitored? • Evidence of the plan working? • Consequences if non-compliance? • What is non-compliance and compliance? • What is required before intervention terminated or renegotiated?