1. What is disengagement and what steps should be taken during this process? 2. What steps would you take to ensure that Terrence's needs are met during the termination of services process?

Ciccarelli: Psychology_5 (5th Edition)
5th Edition
ISBN:9780134477961
Author:Saundra K. Ciccarelli, J. Noland White
Publisher:Saundra K. Ciccarelli, J. Noland White
Chapter1: The Science Of Psychology
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Terrence agreed to go to the local community mental health center for counseling. After completing the intake process, Terrence was referred to a clinical social worker, Marcia. Marcia and Terrence agreed to meet weekly for counseling; Terrence’s insurance company authorized 10 sessions.

At the end of the ninth counseling session, Terrence talked about how much he was benefiting from counseling and how, for the first time, he could talk about how he was affected by his abusive father. Terrence also began to address his alcohol problem and attend Alcoholics Anonymous meetings. Based on his progress, Marcia contacted Terrence’s insurance company and requested authorization for 10 additional sessions. The managed care company representative only authorized four additional sessions.

During their last session, Terrence began crying and talked about how depressed he was feeling, how distressed he was about issues in his marriage, and how much he wanted to continue counseling with Marcia. Unfortunately, Terrence’s insurance coverage had run out and he could not afford to pay for counseling out of pocket. Marcia understood that Terrence was feeling vulnerable, but she did not think her agency would permit her to continue counseling Terrence without payment.

 

1. What is disengagement and what steps should be taken during this process?

2. What steps would you take to ensure that Terrence's needs are met during the termination of services process?

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