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Client-centered case consultation and single-case research design: application to case management.

J G Baradell1

  • 1University of North Carolina, Chapel Hill School of Nursing 27514.

Archives of Psychiatric Nursing
|February 1, 1990
PubMed
Summary

This study shows how client-centered case consultation helped staff regain objectivity to treat adolescent social isolation. The approach enabled effective intervention for a teenager unresponsive to other therapies.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Adolescent Psychology

Background:

  • Severe social isolation in adolescents presents a significant clinical challenge.
  • Treatment resistance in adolescents requires innovative therapeutic strategies.
  • Staff objectivity is crucial for effective clinical intervention.

Observation:

  • A 17-year-old male adolescent presented with extreme social isolation.
  • Staff members experienced conflicting views, indicating a loss of objectivity.
  • The adolescent was unresponsive to multiple previous treatment attempts.

Findings:

  • Client-centered case consultation facilitated the restoration of staff objectivity.
  • Single-case research design guided the consultation process.

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  • Regained staff objectivity enabled the development of targeted interventions.

    • Implications:

    • Client-centered consultation can be effective in addressing complex adolescent behavioral issues.
    • Maintaining staff objectivity is vital for successful therapeutic outcomes in challenging cases.
    • This approach offers a model for improving interventions for social isolation in adolescents.