Process Recording Outline Use the information below as a guide as you complete each column of the “Interview Log” in Section II of the Process Recording Outline. Column Heading Interview Content (May Also Include Client Behavior – i.e., Non-Verbal Communication) How to Complete the Column Use a dialogue format to record the exchanges you thought were important in your interaction with the client(s). For example: T: Tell me what you mean by “alright.” C: Like I’d rather be at home but I can’t be. (T = Therapist Sample_Process_Recording C = Client) Describe Clients Feelings/Affect Record how you perceived the client(s) was feeling, moment-to-moment, as the activity or verbal interchange was taking place. Describe Your Gut Level Feelings Record how you were feeling as the activity or verbal interchange was taking place. Do not use this column to analyze the client’s reactions; instead, use it to identify and look at your feelings. Be as open and honest as you can and don’t worry about having to use any special professional language. Tell it as you feel it. What Interviewing Skills Did You Use During This Interaction? List the appropriate labels for the interviewing skills you used in your interaction with the client(s), for example, “exploration,” “summarization,” or “clarification.” Use the Wisconsin Guide Section III in your field manual as a reference. Supervisory Comments The supervisor will use this section to provide written commentary and feedback on your interactions with the client(s) in order to help you move towards greater proficiency in your knowledge, skills, and planning. J. DeBonis Page 1 PROCESS RECORDING OUTLINE Student's Name: Ima A. Student Client's Initials: _________________ __EA___ Interview Date: _10__/_06_/_08__ Session #: 1 __17___ Date Submitted: _10__/_08_/_08__ Date Reviewed Client’s Age: Client’s Ethnicity:Latino-Mexican in Supervision: _10_/_20_/_08 I. Purpose of the Session (Clearly state the goals and objectives you had in meeting with this client this session.) II. Interview Log (Refer to face sheet for category instructions) T = Therapist Purpose of session was to complete intake, assess if client qualifies for services, and build rapport. Interview Content (May Also Include Client Behavior – i.e., Non-Verbal Communication) Describe Clients Feelings/Affect T: Hi Eric. My name is Ima and I’m an MSW Intern here at LHLA. I’m just going to be asking you some questions to see how we can best assist you. Is that OK with you? C: Yeah, that’s fine. Uninterested T: So I know you’re at a group home. Tell me what that’s like. C: It’s alright I guess. Uninterested, bored T: What do you mean by alright? C: Like, I’d rather be Frustrated Sample_Process_Recording C = Client Example client’s name = Eric Describe Your Gut Level Feelings Nervous, unsure, scared Still nervous, a little more prepared Confused What Interviewing Skills Did You Use During This Interaction? Rapport building, clarification of my role, asking for client’s agreement/acceptance Supervisory Comments You might in future research a bit more about HUB process― what your role is and in what ways you might be able to help Nonverbal head nod Open ended? Clarification via open ended? Nonverbal cues This is good―asking him what he means by … J. DeBonis Page 2 Interview Content (May Also Include Client Behavior – i.e., Non-Verbal Communication) Describe Clients Feelings/Affect home but I can’t be. T: Why can’t you be at home? Describe Your Gut Level Feelings Confused What Interviewing Skills Did You Use During This Interaction? Clarification Why are you confused here? Seems like you know where to take things. This is a good moment ―seems like you were finally able to get at something real C: Cuz my mom kicked me Sad, angry, confused, out after I stole her car. resentful [Looks sadly down at floor] T: It seems like you’re really sad about not being able to be at home. Sad, contemplative Empathic, sad Statement/rephrase of client’s feelings C: I miss seeing my Sad, pensive brothers and sisters. T: When did you last se them? C: Like 6 months ago Sad, worried, regretful before I got arrested & sent to Taft. T: That must be really difficult for you to not be around them. C: Yeah, they’re all Contemplative younger than me. They look up to me. Really sad Empathy Sample_Process_Recording Supervisory Comments Rapport building Really sad Empathic, sad Reflecting client’s feelings/rephrase Felt sorry for him Active listening Good. You might have asked him to tell you about them, giving him a chance to disclose things without directly talking about how he feels J. DeBonis Page 3 Interview Content (May Also Include Client Behavior – i.e., Non-Verbal Communication) Describe Clients Feelings/Affect Describe Your Gut Level Feelings T: How do you feel about being the oldest? C: I don’t like talking Frustrated, annoyed about feelings. My other therapist makes me do it all the time. Try to bring up something positive T: That’s fine. We don’t have to talk about your feelings. What do you want to talk about? Stuck Sample_Process_Recording What Interviewing Skills Did You Use During This Interaction? Letting client know I understand and it’s OK to feel that way Supervisory Comments It is OK to feel that way―but you might have pursued the “makes me do it” and asked about what else he feels forced about Would ask directly: Do you feel you were “made” to see me? J. DeBonis Page 4 III. Impressions/Assessment A. Identify presenting issues. Include clients’ cognitions (basic beliefs about self, others, and the world), and the impact those had on you. Client expressed mild sadness and major frustration regarding not being able to live at home and being away from his siblings. I felt sad for the client because it seemed like he was genuinely concerned about his siblings. Seems also that he is sadder than he lets on about it. Also there is a vagueness about exactly why mom won’t take him back. B. Describe the clients’ affect and behaviors and what effect they had on you. Client had a sad affect at times that made me feel a little sad and at other times was somewhat uninterested and/or resistant which made me feel like I was asking too many serious questions. That can be damaging for the clinician, especially when the client is not really voluntary. If it feels like a problem you can address it directly either with an interpretation or questions. C. Identify any recurring themes and patterns if applicable. Frustration, sadness. Seems like “being forced to do things” vs. “not doing what you are supposed to.” Also, theme of being thrown away. D. What cultural factors were you aware of during the interaction? How did these factors influence the session? Client family is undocumented which leads to more stress for all family members. Other cultural levels too―having been incarcerated and what that means to the family. IV. Interventions A. Describe how at least one of your interventions was effective/not effective to the needs of the client(s). My clarifying via asking open-ended questions helped me gain better understanding of some topics. Sample_Process_Recording J. DeBonis Page 5 B. What would you change and why? I would have focused more on the client’s likes and dislikes so I could have connected with him earlier in the session. Sounds like you did connect when you showed an interest in what he was talking about―for example, about his siblings. Sometimes that works better than just asking about likes and dislikes. V. Professional Use of Self A. How did you use your own body language, space, and voice? I sat in the same posture as the client and remained at the client’s level the entire session. What about voice? B. Describe your own feelings and how they impacted the interview process and client(s). My initial nervousness caused me to seem unorganized at first. Good to be aware of. You’ll get more comfortable once you have done it a few times. It’s OK to take a few breaths and engage in some positive self-talk to stay on track. VI. Issues, Questions, or Problems: List questions for supervisory discussion. What would you have done further if he had not already been involved with another therapist? What would a care plan for him have been? VII. Plan (complete in supervision): Make plans with supervisor regarding future contact(s) and intervention(s) with client(s). What do you plan to do next with this case? Sample_Process_Recording J. DeBonis Page 6