CONSULTATION The Core of Program Planning, Organization & Evaluation Stephen Southern Department of Psychology & Counseling Reference Books Brown, D., Pryzwansky, W., & Schulte, A. (2001). Psychological consultation: Introduction to theory and practice. (5th ed.). Boston: Allyn and Bacon Dougherty, A.M. (2012). Psychological consultation and collaboration in school and community settings. (5th ed.). Belmont, CA: Brooks/Cole. Overview of Consultation and Collaboration Consultation Defined (Dougherty, 2005, p. 11) Consultation is a process in which a human service professional assists a consultee with a work-related (or caretaking-related) problem with a client system, with the goal of helping both the consultee and client system in some specified ways. Consultation: Caplan’s (1970) Classic Formulation Consultation involves a voluntary, nonhierarchal relationship between two professionals who are often from different occupations (e.g., psychologists and psychiatric nurses) and is initiated by the consultee for the purpose of solving a workrelated problem (Brown, Pryzwansky, & Schulte, 2001, p. 4). Comprehensive View of Consultation Human service consultation is defined as a voluntary problem-solving process that can be initiated and terminated by either the consultant or consultee. It is engaged primarily for the purpose of assisting consultees to develop attitudes and skills that will enable them to function more effectively with a client, which can be an individual, group, or organization for which they have responsibility (Brown, Pryzwansky, & Schulte, 2001, pp. 5-6). Collaboration Defined (Dougherty, 2005, p. 13) Collaboration refers to “two or more people working together, using systematic planning and problem-solving procedures, to achieve desired outcomes’ (Curtis & Stollar, 2002, p. 226). Collaboration permits people with diverse expertise to share decision-making power in order to prevent or solve problems for some client group Assumptions Underlying Consultation (Dougherty, 2005, p.2) Consultation is a cost-effective use of resources relative to direct services such as counseling. Discussing cases and programs with consultees is sufficient for them to change their behavior. Consultees will generalize the problem-solving skills they learned in consultation to future situations. Direct contact between the consultant and client systems is often unnecessary. Additional Assumptions (Dougherty, 2005, pp. 8-10) Consultation and collaboration are very similar in terms of skills and processes. How a consultant performs is as important as what he or she does. Consultation is a human relationship. Human services professionals need training in consultation and collaboration. There is no one best way to consult. Consultation is science, art, and craft with commitment. History of Consultation: Early Developments Clinical consultation in medicine began in the 13th century and evolved as a major function in medical practice (Gallessich, 1982) Lightmer Witmer, a psychologist, consulter with schools in the 1920s regarding the education of children with disabilities (Brown et al., 2001, p. 1) Kurt Lewin (1951) developed field theory and action research, a prototype of the consultation model involving group work and organizational analysis History of Consultation: Recent Developments Gerald Caplan (1970), working with refugee children in postWorld War II Israel, essentially developed the field of consultation and defined the parameters of prevention in his seminal text, The Theory and Practice of Mental Health Consultation The rise of behaviorism contributed to the development of behavioral consultation models, especially with parents and teachers (Bergan & Kratochwill, 1990) Community psychology, borrowing from systems perspectives in social work, influenced the expanding scope of consultation to include community projects (Heller, 1985) Organizational development concerns extended the consultation model to institutions and businesses (Lippitt & Lippitt, 1986) Caplan’s (1970) Model An egalitarian relationship between the consultee and consultant Theme interference: Mild confrontation of stereotypical ideas held by the consultee A taxonomy of consultation approaches: Client-centered Consultee-centered Program-centered administrative Consultee-centered administrative Characteristics of Caplan’s (1970) Model Typically, the consultant comes from outside the consultee’s organization Consultation effort avoids focusing on the consultee’s personal problems The consultee has primary responsibility for implementing solutions arising from the consultation process Criticism of Caplan’s Classic Model (Brown et al., 2001, pp. 4-6) Consultation may be viewed as too collegial or egalitarian (sometimes expert power is important) Consultation does not necessarily have to occur between two professionals (the effort could include families even communities) The consultant can come from inside the organization The consultee does not have sole responsibility for implementing solutions There are no right or wrong definitions of consultation; Consultation is defined by client needs and their circumstances Comparing and Contrasting Consultation with Other Helping Services Organization development (OD): Uses action research such as surveys; administration holds decision-making power Teaching and training in both; more formal in OD settings Therapy and counseling Based on relationship; greater depth and intensity in therapy Services are provided directly in therapy Comparing and Contrasting Consultation with Other Helping Services Supervision Consultants and supervisors provide direction; supervisors have evaluative power and authority Supervision can be supportive, but it is less clientcentered or humanistic than supervision Expert Advice Advice giver provides information or resources, but does not collaborate in finding solutions Relationship is based on access to expert, rather than needs of consultees or clients Characteristics of Consultation Initiated by consultee or consultant Relationship based on effective communication Consultee may be professionals or nonprofessionals Consulting services prepare consultees to function independent of consultant Consultation is fundamentally triadic in nature Characteristics of Consultation Problems are “work-related” with the concept of one’s work broadly defined Consultant’s role varies with consultee’s needs Locus of consultant may be internal or external Communication and interaction between consultant and consultee are confidential and otherwise adhere to ethical guidelines Consulting Interventions Prevention Remediation Primary Secondary Tertiary Direct Informational Triadic Development Skill building Program revision Curriculum development Targets of Interventions Individuals Parents Teachers and therapists Groups Organizations Communities Examples of Consultation (Dougherty, 2005, p. 15) Consulting with juvenile court counselors Needs assessment with counselors Workshop on counseling with adjudicated youth Collaborating with a teacher Focus on case of “incorrigible student” Develop together a token economy Examples of Consultation (Dougherty, 2005, p. 15) Consulting with a human services professional Case consultation regarding help for the family of a dying child Treatment recommendations and follow-up References Bergan, J.R., & Kratochwill, T.R. (1990). Behavioral consultation and therapy. New York: Plenum. Brown, D., Pryzwansky, W., & Schulte, A. (2001). Psychological consultation: Introduction to theory and practice. (5th ed.). Boston: Allyn and Bacon Caplan, G. (1970). The theory and practice of mental health consultation. New York: Basic Books. Curtis, M.J., & Stollar, S.A. (2002). Best practices in system-level change. In A. Thomas and J. Grimes (Eds.), Best practices in school psychology (4th ed., pp. 223-243). Washington, DC: National Association of School Psychologists. References Dougherty, A.M. (2005). Psychological consultation (4th ed.). Belmont, CA: Brooks/Cole. Gallessich, J. (1982). The profession and practice of and collaboration in school and community settings. consultation: A handbook for consultants, trainers of consultants, and consumers of consultation services. San Francisco: Jossey Bass. Heller, K. (1985). Issues in consultation to community groups: Some useful distinctions between social regulations and indigenous citizens groups. The Counseling Psychologist, 15, 403-409. References Lewin, K. (1951). Field theory in social sciences. New York: Harper & Row. Lippitt, G., & Lippitt, R. (1986). The consulting process in action (2nd ed.). San Francisco, CA: University Associates Roles & Characteristics of the Consultant Characteristics of Effective Consultants (Brown et al., 2001, pp. 166-168; Dougherty, 2005, pp. 23-25) Awareness of values Multicultural sensitivity Ability to solve problems Tactical flexibility Good interpersonal and communication skills Mastery of knowledge base Personal and professional growth orientation High Intuition score on MBTI Ability to establish working alliance High achievement orientation and persistence Skills Needed for Consultation (Brown et al., 2001, pp. 169-173; Dougherty, 2005, pp. 25-31) Multicultural knowledge and comfort with diversity Ability to influence (marketing, attracting referrals) Knowledge related to contracts, legal and ethical considerations, and business issues Ability to conduct needs assessment or determine feasibility Good relationship and communication skills Problem-solving skills and resources Ability to work with groups Understanding of system and organizational dynamics Basic Categories of Roles (Dougherty, 2005, pp. 31-32) Task versus process Task: Expertise, results orientation Process: Relationship, person orientation Directive to nondirective Directive: Consultant is technical expert Nondirective: Consultant is facilitator Common Consultation Roles (Dougherty, 2005, pp. 32-36) Advocate Most directive consultant role Outreach: promotion of available services to selected populations Expert Most frequent or common consultant role Risk of cultivating dependence Common Consultation Roles (Dougherty, 2005, pp. 32-36) Trainer/Educator Frequently requested role by consultees From brief workshops to formal educational programs Collaborator Rapidly increasing role in human services and educational systems Risk of overestimating consultee’s abilities Common Consultation Roles (Dougherty, 2005, pp. 32-36) Fact Finder Common to all consulting efforts Needs assessment and research Process Specialist Least directive consulting role Observing and/or facilitating consultee groups and meetings Internal Versus External Consultants (Dougherty, 2005, pp. 36-37) May be viewed as a continuum, rather than a dichotomy A consultant can always be external to a particular problem, bringing the “outside” perspective Internal consultants increasingly functioning like external consults Internal Versus External Consultants (Dougherty, 2005, pp. 36-37) Internal consultants less humanistic and democratic More likely to conduct rigorous program evaluations Affected by hierarchy and politics of organization External consultants are more marginal, “outside” the organization or system More comfortable with ambiguity, conflict, and stress Can be more neutral or objective in problemsolving Consultation Research (Dougherty, 2005, pp. 37-40) Effectiveness of consultation efforts Interactions between consultants and consultees Consulting practices Consultation Research (Dougherty, 2005, pp. 37-40) Outcome studies indicate consultation can be effective Most outcome research on behavioral consultation Problems of definition confound research efforts Lack of precision and outcomes to justify meta-analytic studies Process and organizational studies are needed Mental Health Consultation Key Concepts (Caplan, 1970) Mental health consultation is a method used by two professionals in respect to a lay client or a program for such clients. The consultee’s work problem must be defined by him or her as being mental health related, such as a mental disorder or personality idiosyncrasy of the client, the need to promote mental health in the client, or interpersonal aspects of the work situation. Key Concepts (Caplan, 1970) The consultant has neither administrative responsibility for the consultee’s work nor professional responsibility for the outcome of the client’s case. The consultee is under no compulsion to accept the consultant’s ideas or suggestions. Key Concepts (Caplan, 1970) The basic relationship between the two is coordinate: there is no built-in hierarchy or authority-subordinate tension, which in our culture potentiates the influence of ideas. The coordinate relationship is fostered by the the consultant’s membership (typically) in another profession and his or her arrival into the consultee’s institution from the outside. Key Concepts (Caplan, 1970) The coordinate relationship is further supported by the fact that consultation is usually given as a short series of interviews—two or three on average, which take place intermittently in response to consultees’ awareness of their current need for help with a work problem. Key Concepts (Caplan, 1970) Consultation is expected to continue indefinitely, for consultees can be expected to encounter unusual work problems throughout their careers. Consultants have no predetermined body of information that they intend to impart to a particular consultee. Key Concepts (Caplan, 1970) The twin goals of consultation are to help consultees improve their handling or understanding of the current work difficulty and through this to increase their capacity to master future problems of a similar type. The aim of consultation is to improve consultees’ job performance, not their sense of well-being…personal worth will probably be increased by successful consultation. Key Concepts (Caplan, 1970) Consultation does not focus overtly on personal problems and feelings of consultees. It respects their privacy. Consultation is usually one of the professional functions of a specialist— even if he is titled consultant. He should use the consultation method only when it is appropriate. Key Concepts (Caplan, 1970) Finally, it is worth emphasizing that mental health consultation is a method of communication between a mental health specialist and other professionals. It does not denote a new profession, merely a special way in which existing professionals may operate. Mental Health Consultation Process (Caplan & Caplan, 1993) Client-Centered Case Consultation Consultee-Centered Case Consultation Program-Centered Administrative Consultation Consultee-Centered Administrative Consultation Goals of Consultation (Caplan & Caplan, 1993) Client-Centered Case Consultation Level of Intervention: Case Target of Consultation: Client Goal: Behavior change in the client Consultee-Centered Case Consultation Level: Case Target: Consultee Goal: Enhanced consultee performance in delivering services to clients Goals of Consultation (Caplan & Caplan, 1993) Program-Centered Administrative Consultation Level: Administration Target: Program Goal: More effective delivery of program Consultee-Centered Administrative Consultation Level: Administration Target: Consultee Goal: Enhanced consultee performance in programming Consultee-Centered Case Consultation (Caplan & Caplan, 1993) Lack Lack Lack Lack of of of of knowledge skill self-confidence professional objectivity Lack of Professional Objectivity (Caplan & Caplan, 1993) Direct personal involvement Simple identification Transference distortion (countertransference) Characterological distortions Theme interference Theme Interference (Caplan & Caplan, 1993) A conflict related to actual life experiences or to fantasies in the consultee that have not been satisfactorily resolved is apt to persist in his preconscious or unconscious as an emotionally toned cognitive constellation which we call a “theme” (p. 122) Theme Interference (Caplan & Caplan, 1993) Themes generally repeat themselves, carry a negative emotional valence, and take the form of a syllogism Initial impression (based on consultee’s unresolved life experience) followed by an inevitable outcome For example, self-made therapist who sees that “lazy” clients will never change. Theme Interference (Caplan & Caplan, 1993) Techniques for relieving theme interference Altering the emotional theme underlying the lack of objectivity by unlinking or reassessing the cues that lead to erroneous classification of client Invalidating the “inevitable outcome” sampling of potential outcomes and personal science—theme interference reduction Theme Interference Reduction (Caplan & Caplan, 1993) Re-assessment of theme Verbal focus on the client Verbal focus on an alternative object- the parable Nonverbal focus on the case Nonverbal focus on the consultation relationship Consultant’s intervention Ecological Perspective Less emphasis on particular case(s) More emphasis upon the characteristics of the environment or setting Focus on developing organizational resources to respond to client needs Person-in-environment perspective (not primarily intrapsychic theories) Prevention is a function of the consultant helping the consultee (organization) to acquire, modify, or somehow develop resources Emphases on empowerment and finding solutions Mental Health Collaboration More likely to be internal to the organization Combination of indirect and direct services with some client contact Team based Some potential for coercive power and breach of confidentiality Team defers to collaborator’s expertise Collaborator shares responsibility for outcomes Trends in Mental Health Consultation Movement toward increased use of collaboration Inclusion of nonprofessionals as consultees Group consultation perceived as costeffective Mental health consultants are more involved in staff development Trends in Mental Health Consultation Increasing amount of mental health consultation in medical settings Mental health consultants provide technical assistance to agencies Mental health consultants involved in making changes in response to managed care Mental health consultants are invited into educational and business/organizational settings Increasing emphases on empowerment and advocacy School Consultation School-Based Consultation Parents Teachers Administrators Incentives for School-Based Consultation Revisions to the Individuals with Disabilities Act mandated increase in school consultation services No Child Left Behind Act Reform movement Accountability and testing Inclusion and mainstreaming School Consultation Services Schools are different than mental health centers and business/industrial settings Direct and indirect services may be offered to students Emphasis on prevention Consultation and collaboration Adlerian and behavioral models most common Public health model is emerging Historically, consultation the domain of school psychologists or social workers Domains of School-Based Consultation Teaching and learning Testing and measurement Uses of technology Work-to-school programs Dropout prevention Reducing violence or substance abuse Domains of School-Based Consultation Increasing parent and community involvement (partnership) Facilitating governance and management Professional competence and development Innovation and planned change System-wide improvement or adjustment Long-term planning The Heart of School Consultation Working with adults to impact positively the lives of large numbers of students Enhancing the climate or setting of schools to accomplish educational, extracurricular, vocational, and social goals (especially for public schools) Examples of School-Based Consultation Instructional consultants implement direct instruction methods throughout an urban school district In-school consultation team designs programs for enhancing cultural diversity External consultant trains district teachers and staff on implementing school violence prevention program Internal consultant works with task force on adopting school uniform policy Focus of School Consultation Traditionally, focus on parenting, discipline, and communication Consultation and collaboration with particular teachers or classes Multidisciplinary teams, especially in special education Principals Whole schools as organizations (e.g., Total Quality Management) Adlerian Consultation with Teachers (Dinkmeyer & Carlson, 2000) Focused on encouragement and affective development of students Case consultation method C-Group: staff development and problem resolution C-Group (Dinkmeyer & Carlson, 2000) Consultation Collaboration Clarification Confrontation Cohesion Commitment Changes Concern Caring Confidentiality Communication Instructional Consultation Consultee-centered consultation Collaborator, trainer, and advocate Process Establishing a collaborative relationship Identifying the problem Observing the classroom Assessing curriculum-based learning Planning and implementing instructional interventions Evaluating outcomes Terminating Consulting with Parents Thirty years of research make it clear: Parents and families are pivotal to children’s learning (Riley, 1996, p. 480) Family involvement improves academic climate and achievement “Parent Involvement” Direct case consultation with parent Parent education Parent training Home-School Collaboration (Dougherty, 2005, p. 289) Preventive, problem-solving approach Educators and families are critical in socializing learners Broad opportunities for parent participation are essential Building relationships with parents can take time and effort Cross-Cultural Considerations (Dougherty, 2005, p. 290) Remain aware of the systemic impact upon the child Evaluate the cultural milieu of the child and the degree of acculturation Evaluate strengths of the culture of origin and its adaptive characteristics Focus on development/readiness and all aspects of cognitive style Be aware of characteristics influenced by culture that may have an impact on assessment and intervention results Interagency Collaboration Mental health center Social service agency Day treatment program Special classrooms Access to health and human services Resource development and advocacy Business and industry Business-school partnership School-to-work program Ethical Issues Confidentiality Informed consent Reduce coercion and control Multicultural issues in assessment Advocacy Parameters of School Consultation Systems view of school Frameworks for prevention and intervention Problem solving versus empowerment Time, space and structural constraints School Consultation in the 21st Century Expanding services to prekindergarten children External consultants train internal consultants (training the trainers) Identifying and assisting at risk students Softening the school reform movement Teacher support and professional development Organizational development Peer consultation models Linkage, communication and referral Organizational Consultation Consultation with Organizations Complexity increases with the number of subsystems Systems principles apply Most consultation models evolved from organizational development efforts in business and industry Systems Principles in Organizational Development (Lippitt, 1982) Leadership subsystem Executive function Hierarchy Goals & values subsystem Personal needs Satisfaction and fulfillment Systems Principles in Organizational Development (Lippitt, 1982) Technical subsystem Resources Linkages Structure subsystem Policies and procedures Rewards and disciplines Systems Principles in Organizational Development (Lippitt, 1982) Psychosocial subsystem Human resources Organizational climate Organizational Climate (a) A pattern of basic assumptions, (b) invented, discovered, or developed by a given group, (c) as it learns to cope with problems of external adaptation and internal integration, (d) that has worked well enough to be considered valid and, therefore, (e) is to be taught to new members as the (f) correct way to perceive, think, and feel in relation to those problems (Schein, 1990, p. 111) Organizational Climate Basic assumptions represent beliefs that are widely held through the organization New members are induced to accept the beliefs and assumptions Bad basic assumptions can lead to bad operating principles and poor morale Changing Organizations (Brown, Pryzwansky, & Schulte, 2001, pp. 88-90) Subsystems of an organization are interrelated and interdependent Problems in accounting may be functions of poor leadership, lack of technology, poor morale, low customer satisfaction There is no single or right solution to a particular problem Problem solving is a dynamic process Changing Organizations (Brown, Pryzwansky, & Schulte, 2001, pp. 88-90) Organizations relate dynamically with their environments All organizations have some outreach and referral functions Viable open systems can adapt to changing conditions within and without Adaptable systems have sensing mechanisms; they are self-regulating and avoid entropy and chaos History of Organizational Development & Consultation Kurt Lewin (1951) and Carl Rogers (1951) provided the philosophical bases of organizational consultation as well as some methods Social scientists provided models: Argyris (1970), Bennis (1970), French & Bell (1973), Schein (1969) Business consultants and trainers influenced the scope: Blake & Mouton (1993), Lippitt (1982) Demand for educational innovation contributed to model for “planned change” Havelock (1973) Duane Kurpius (1976) and colleagues (Kurpius, Fuqua & Rozecki, 1993) involved counseling professionals Entry Process in Organizational Consultation Preentry phase is critical for external consultants; preentry may be nonexistent for internal consultants Matching of expertise, time, and interest of consultant to some problem presented by an organization (“Go/no go” decision) Contract setting is a formalization of the process by which the consultant enters the organization Steps in the Entry Process (Brown et al, 2001, p. 91) Survey the problems the organization has and the goals the organization wishes to pursue Determine commitment to change Ascertain whether necessary resources (e.g., money, time, personnel) are available to complete desired change Establish a contract to continue the consultation Diagnosis in Organizational Consultation Four major data sources Genetic data such as published mission statements, minutes of meetings, annual reports, and internal memoranda Current descriptive data such as organizational charts, policies and procedures manual, and office arrangements Process data such as communication systems, decision-making structures, and problem-solving dynamics Interpretive data such as attitudes and beliefs and observations of informal relationships Diagnosis in Organizational Consultation (Brown et al, 2001, pp. 92-96) Organizational analysis addresses how well the organization is doing what it says it does (or wants to do) Systems-based perspective involves analyzing efficiency of operations, effectiveness of organization, and overall health of the organization All organizations have “product” even if they focus on services Goal identification in systems-based organizational consultation is a function of input/output boundaries Conducting a Systems Analysis of an Organization (Brown et al, 2001, p. 95) Conduct a general review of the organization Identify input/output boundaries Identify the goals of the organization Identify target groups Describe external support Describe production processes Identify feedback mechanisms List organizational constraints Principles of Organizational Change (Brown et al, 2001, pp. 100-104) Accommodating organizational variables Decentralized organizations are most open to change; autocratic and centralized organizations have rigid roles and functions Designing interventions Most successful interventions cost less, increase worker comfort, do not threaten traditional roles, and can be communicated easily Principles of Organizational Change (Brown et al, 2001, pp. 100-104) Managing resistance Best to recognize it’s always there and find constructive means to resolve fears and conflicts; information & communication are essential Locating the consultant Generally beneficial to come from outside the organization or the subsystem in question; cadre of consultants, external and internal Principles of Organizational Change (Brown et al, 2001, pp. 100-104) Leading the change effort Gaining formal and informal support of leadership is essential to planned change Reinforcing the change effort Sustaining motivations to change based on systems of extrinsic and intrinsic rewards Principles of Organizational Change (Brown et al, 2001, pp. 100-104) Maintaining the systems perspective Successful consultants are able to change the operations and perspectives of the consultees; systems perspective helps all see the big picture Interventions in Organizational Consultation (Dougherty, 2005, p. 250) Organizational diagnosis Team building Intergroup activities Survey feedback Management training Organization restructuring Role negotiation Sociotechnical systems design Planning and goal setting Counseling Schein’s (1999) Models of Organizational Consultation Purchase of expertise model Doctor-patient model Process model Purchase of Expertise Model Education/training consultation Program consultation Doctor-Patient Model Organizational diagnosis Healing sick organizations The Process Model Helping the consultee to become more effective in decision making and/or problem solving process Change occurs only if the consultee is involved in diagnosing the problem and generating solutions By focusing on the how rather than the what of problem solving, the consultant and client are able to collaborate Trends in Organizational Consultation Organizational consultants will continue to “wear many hats” in addressing complex OD problems Combination of process consultation with other models Performance consultation focused on demonstrating skills rather than traditional education and training Increasing involvement in organizational consultation within schools Stages in Consultation Stages of Consultation: A Generic Model (Dougherty, 2005, pp. 43-134) Entry Diagnosis Implementation Disengagement Phases of Entry Stage Exploring organizational needs Contracting Physically entering the system Psychologically entering the system Phases of Diagnosis Stage Gathering information Defining the problem Setting goals Generating possible interventions Phases of Implementation Stage Choosing an intervention Formulating a plan Implementing a plan Evaluating the plan Phases of Disengagement Stage Evaluating the consultation process Planning postconsultation matters Reducing involvement and following up Terminating Preparing for Resistance to Entry and Change Resistance is the failure of a consultee or organization to participate constructively in the consultation process (Wickstrom & Witt as cited in Dougherty, 2005, p. 50) All organizations must adapt to change; therefore, resistance is a normal process Issues of power, control, and conflict exacerbate resistance Ongoing communication decreases resistance Consultee Resistance Failure to perceive near future benefits Misperceptions regarding the nature of consultation Perceptions regarding the acceptability of a particular intervention Emphasis on persuasion or manipulation rather than creating consultee choices Dissonance in underlying concepts and basic assumptions Entry Stage Start-up Activities Phase One Should consultation take place? Congruence in value systems Resources committed to change Flexibility in organization Mutual understanding of expectations Organizational structure permits effective communication Phase One Questions Why am I here? Who are you? What is likely to happen? What will be the result? What can go wrong? Phase Two Contracting Formal, legal aspects Psychological aspects Elements of a contract Goals and time parameters Consultant and consultee responsibilities Consultant boundaries Review and termination Phase Three Physical locus of consulting effort Site visitation Involvement in work processes Office and support services Phase Four Psychological entry involves gradual acceptance of consultant within existing organizational structure “Joining without jargon” “Working smart without being phony” Involvement in informal and formal relationships within the organization Interpersonal influence process Interpersonal Influence Social influence theory asserts that people affected by consultation are more open to influence by competent, attractive, and trustworthy consultant Influence is planned without being controlling, manipulative, or deceptive Sources of power or influence: expert power, relational power, coercive power Interpersonal Influence Behavioral change may require initial changes in attitude or evaluative beliefs Motivating consultees for change requires their thoughtful involvement in the planning and problem solving processes Multicultural competence involves avoidance of stereotyping and biases Diagnosis Stage Core of Professionalism Phase One Methods of gathering information as important as the results of process Problem conceptualization delimits the change effort Consultant and consultee jointly determine what are relevant, useful, and persuasive data Initial scanning involves looking at the “big picture” and selecting targets for assessment Various types of data are available Data Gathering Methods Documents and records Questionnaires and surveys Interviews Observation Phase Two The importance of defining effectively the problem cannot be overemphasized Definition of problem determines range of possible solutions Systems approach may help Prioritizing is essential in multiproblem setting or situation Phase Three Goal setting involves specifying goals, objectives, standards, and time lines Goals should be written such that attainment can be measured and monitored Anticipating and neutralizing obstacles should be part of effective goal setting Phase Four Generating possible alternatives involves selecting tasks and interventions that facilitate goal attainment There is a creative process in generating alternatives (e.g., brainstorming) Consultants should use interventions that are evidenced-based or empirical whenever possible Implementation Stage The Action Stage Phase One Consultant helps consultee understand range of options in choosing an intervention Consultant facilitates a decision-making process Chosen intervention(s) would ideally fit the skills, expectations, and preferences of workers/clients Guidelines for Selecting Intervention Use positive interventions first Avoid complex and intrusive interventions Incorporate skill-building in daily routine Promote efficient interventions that require the least time and effort Select empirically supported interventions Choose intervention that best fits the consultee Types of Interventions Individual Dyadic and Triadic Academic Behavioral Case consultation Third-party peacemaking Groups and Teams Team building Nominal group technique Quality circles Work teams Types of Interventions Between Groups Intergroup team building Organizational mirroring Entire Organization Total quality management Action research Parallel learning structures (Collateral organization) Strategic planning Phase Two Formulating a plan involves step-by-step method for accomplishing goals and objectives Good plans shape successful consultation outcomes Force field analysis (cf. Lewin, 1951) involves identifying driving and restraining forces Plans fail when they are too large, when previous stages and phases incorporate errors, and when system-wide dynamics are underestimated Phase Three Plan implementation requires sufficient energy to enact interventions Tactics or strategies may be employed to adapt a plan to the current structure or situation Consultants must be available to “fine tune” and “fire fight” in implementation phase (cf. “Go live” demands) Ongoing monitoring and measurement Maintaining compliance and adherence Treatment Integrity Degree to which intervention was implemented as intended Functional outcome analysis can determine cost-benefit ratio for interventions Social validity or significance Treatment acceptability and utility Outcome or effect size Phase Four Evaluating the plan facilitates recycling or concluding Evaluate the process (implementation) and the outcome Degree of goal achievement will be determined (e.g., goal attainment scaling) Standardized outcome assessments and consumer satisfaction surveys are used Disengagement Stage Termination Phase One Evaluating the overall consultation process (e.g., reviewing an annual report) Difficult to develop evaluation criteria or conduct research concerning consultation Formative evaluations are conducted as consultation unfolds Summative evaluation is completed at the end Evaluation may be quantitative or qualitative with conventional methodologies or specialized procedures Phase Two Planning postconsultation involves determination of the need for follow-up contacts Ideally change will be internalized or institutionalized, requiring little or no dependence on consultant Phase Three Consultant reduces involvement: less frequent visits, fading to consultee control Follow-ups may be formal or informal, scheduled or determined on “as needed” basis Phase Four Termination is formal end to the project Termination should occur when outcomes are most beneficial and consumer satisfaction is highest Abrupt termination for whatever reason can produce harmful effects Team prepares for termination and departure of consultant Ethics, Professional & Legal Issues Ethics Code of conduct arising from underlying values and professional standards Mandatory ethics relate to laws, regulations and minimal standards Aspirational or virtue ethics relate to personal values, morals, and norms Ethical codes provide guidelines for discussing and resolving ethical questions Ethics Generally, members are bound to adhere to the ethical codes of their professional group (ACA, APA, NASP, ASTD) There is no specific code of ethics for consultants The ACA code provides direction; “clients” can refer to “consultees,” whether they are individuals, groups, or organizations Value Conflicts Differences in worldview Differences in views of organizations Differences in views of clients Basic Ethical Principles Competence Protecting the welfare of clients Maintaining confidentiality of disclosures Responsibility for public statements Social and moral responsibility Relationships with other professionals Consultant Competence Active membership in professional organization Possession of license, certification or other credential Participate in continuing education Secure consultation and supervision as needed Relevant training and experience Adequate personal adjustment Dual Relationships Sexual, romantic, social, and business entanglements Conflict in counseling and consultant roles Conflict in supervision and consultant roles Consultee Freedom of Choice Consultee decides what to do with consultant recommendations Consultant should not cultivate dependency Egalitarian relationships without misuse of power Open, honest and direct communication (minimum of strategy and indirect influence) Other Ethical Issues Confidentiality Informed consent Multicultural sensitivity and competence Evidence-based approaches or outcome effectiveness Internet and remote consultation Malpractice Issues Misrepresenting training and skills Improper assessment or treatment techniques Improper means to collect or distribute fees Inappropriate public statements Breach of contract Failure to obtain informed consent Failure to maintain adequate records Providing poor advice, service, or product