Therapy services provided within the home are often defined by the audience in which the service is being provided to, the nature of how services were initiated (voluntary or involuntary), the severity and/or issue being addressed, the intensity of the services being provided, and the treatment modality used by the clinician (Woodford, 1999; Boyd-Franklin & Bry, 2000; Yorgason, 2005). These home-based, or community-based, treatment services often focus on the family unit such as a child with mental, emotional, and/or behavioral problems and the family who resides with them (Woodford, 1999; Yorgason, 2005). The services are provided in a short-term and intensive manner (six months or less for several hours per week) by master’s level clinicians …show more content…
For example, home based counselors should be aware of how to tailor interventions for particular treatment modalities such as Cognitive Behavioral Therapy (CBT) to the home environment, be knowledgeable about ways to interpret the therapeutic alliance between each party within the family system, engage the parties within the system to the proposed treatment services, and be able to successfully process the treatment content with the family’s system and home (Cortes, 2004; Thompson et al, …show more content…
This writer believes that treatment engagement should be conceptualized and measured as described by Lindsey et al (2014) as a multidimensional construct that includes attitudinal, behavioral, facilitative, and social domains. Each domain influences and demonstrates the level of active participation given by both the counselor and the client (or family) during their therapeutic work together.
Within the facilitative domain, a counselor must attend to the practical stresses affecting a family’s life to limit any potential hindrances to their involvement in treatment, address any past negative experiences the client may have had in mental health treatment, begin the process of building a positive working alliance, and empower the client to utilize supportive family and/or friends effectively (Staudt, 2007; Staudt, 2012). A counselor, within the facilitative domain, that is unwilling to review and address these issues are unlikely to receive treatment retention from the client (Staudt,