DEPARTMENT OF GUIDANCE AND COUNSELLING LECTURER’S NAME: DR. JOY BOYE OLIVE
COURSE TITLE: GUIDANCE AND COUNSELLING
COURSE CODE: EGC 403
QUESTION: EXPLAIN FOLLOW-UP SERVICE.
DATE: 14TH JUNE, 2023. A follow-up service in counseling refers to the provision of ongoing support and assistance to individuals who have previously received counseling or therapy. In the follow-up services, the counsellor gets in touch with the counselee (students) he has counselled or placed in a higher educational institution or in a job to assess the extent of their progress. This happens sometimes after the termination of counselling or placement of the counselee (student) has taken place. In addition, follow-up services are crucial for maintaining the client's progress, offering ongoing support, and ensuring their well-being. In order to achieve this aim, the counsellor may invite the counselee for an interview to obtain data on his progress. That is, whether the counselee has maintained the goals he achieved successfully. Again, has the counselee stabilized in his new acquired behaviour (e.g., a good study habit) or has he gone back to his old undesirable habits, which he wanted to eliminate? Some examples of follow-up services in counseling include phone or email support, Referral services like support groups, workshops, or specialized therapists’ Psychoeducational materials, such as relevant articles, books, or educational resources, Feedback and evaluation through surveys, questionnaires, or discussions, among others. This essay will focus on four aspects of follow-up services. These are check-in sessions, progress evaluation, skill reinforcement and lastly, relapse prevention.
To begin with, one of the most important aspects of follow-up services is check-in sessions. Check-in sessions are one of the essential aspects of follow-up services in counseling. They involve reaching out to clients between sessions to provide support, monitor progress, and maintain a therapeutic connection. Check-ins can be conducted through various means, such as phone calls, emails, or secure messaging platforms. Phone and email support provide clients with additional avenues to reach out to their counselors and continue the therapeutic process outside of scheduled sessions. Phone support also allows clients to have direct, real-time conversations with their counselors. It can be particularly helpful for urgent or time-sensitive matters. Phone support can be crucial in situations where clients are experiencing emotional distress or crises. Also, phone conversations allow counselors to provide clarification on previous discussions, answer questions, and offer guidance on specific issues the client may be facing. Email exchanges provide clients with a chance to reflect on their thoughts and feelings before sharing them with their counselors. Additionally, it allows counselors to document important details and insights from the client's emails, aiding in the therapeutic process. Check-in sessions are very important because it provides benefits like support and Encouragement. That is, regular check-ins demonstrate to clients that their counselor cares about their well-being. It provides a sense of ongoing support and reassurance, especially during challenging times. Counselors can offer encouragement, validate progress, and provide a safe space for clients to discuss any concerns or setbacks. It also ensures progress Monitoring. Check-ins help counselors assess the client's progress and identify any areas that may require further exploration or intervention. By checking in between sessions, counselors can keep track of changes in the client's well-being, behavior, or circumstances. This allows for timely adjustments to the therapeutic approach, if necessary. Lastly, it leads to crisis Prevention. Check-ins serve as an opportunity to identify and address any emerging crises or challenges. That is, by maintaining regular contact, counselors can pick up on warning signs or changes in the client's situation. This enables them to intervene early and provide the necessary support, potentially preventing a crisis from escalating.
Moreover, progress evaluation is also one of the vital aspects in follow-up services when offering counselling to clients (a student). Progress evaluation is a crucial component of follow-up services in counseling. It involves assessing and reviewing the client's progress over time to determine the effectiveness of the counseling intervention and make any necessary adjustments. Progress evaluation can be conducted in follow-up services through outcome Measures. Outcome measures are standardized tools or questionnaires used to assess various aspects of a client's well-being, symptoms, or functioning. These measures can be administered periodically to track changes and evaluate progress. Examples of outcome measures include the Beck Depression Inventory (BDI), Generalized Anxiety Disorder 7 (GAD-7) scale, or the Outcome Rating Scale (ORS). Again, progress evaluation can be conducted by reviewing goals that you have been able to achieved. Progress evaluation can involve reviewing the goals set by the client and assessing the extent to which they have been achieved. This process may include examining both short-term and long-term goals. Clients can provide self-reports on their progress, and counselors can offer their observations and insights based on the client's behavior, experiences, and feedback. In addition, progress evaluation can be conducted through feedback and discussions. Counselors can engage in open and honest discussions with clients about their perceived progress. This allows clients to reflect on their journey, share their experiences, and provide feedback on the counseling process. Counselors can actively listen, validate the client's perspective, and explore any challenges or areas where further growth is desired. Lastly, reviewing of the therapeutic strategies employed. Progress evaluation involves assessing the effectiveness of the therapeutic strategies employed. Counselors can reflect on the interventions used and explore whether they have been helpful in achieving the client's goals. If certain strategies have been particularly effective, they can be reinforced and continued. Alternatively, if some approaches are not yielding the desired outcomes, adjustments can be made to the treatment plan. To conclude, progress evaluation should be conducted at regular intervals agreed upon by both the client and counselor. This ensures that progress is monitored consistently and provides an opportunity for adjustments and refinements to the counseling approach as needed. It also helps track the effectiveness of the intervention and informs decisions about the duration and termination of counseling services.
Furthermore, in follow-up services, it is very crucial to offer relapse prevention to the client or student. Relapse prevention is also one of the vital components of follow-up services in counseling, especially for individuals who have experienced challenges related to addictive behaviors, mental health issues, or other recurring patterns. The goal of relapse prevention is to equip clients with strategies and support to maintain their progress and minimize the risk of setbacks. Relapse prevention can be conducted or achieved through education and awareness. Counselors provide clients with education about the nature of relapse, including common triggers, warning signs, and high-risk situations. By increasing clients' awareness of the factors that may contribute to relapse, they can develop a proactive mindset and be better prepared to handle potential challenges. Also, by identifying personal triggers. Counselors work collaboratively with clients to identify their individual triggers for relapse. This may involve exploring specific situations, emotions, thoughts, or behaviors that have historically preceded relapse episodes. By recognizing these triggers, clients can develop strategies to manage or avoid them effectively. Again, by developing a relapse prevention plan. Counselors assist clients in creating a personalized relapse prevention plan. This plan outlines specific steps to take if relapse is imminent or has occurred. It includes strategies for seeking support, engaging in self-care, utilizing coping skills, and implementing healthy routines. The plan may also involve identifying supportive individuals or resources to reach out to during challenging times. In addition, through lifestyle modifications. Counselors collaborate with clients to identify and modify lifestyle factors that may contribute to relapse. This may involve addressing issues related to sleep, nutrition, exercise, relationships, or work-life balance. Making positive changes in these areas can enhance overall well-being and reduce vulnerability to relapse. Lastly, through the celebration of milestones. Recognizing and celebrating milestones and achievements along the way is essential in relapse prevention. Acknowledging progress and reinforcing positive changes can boost clients' self-confidence, motivation, and sense of accomplishment. This further strengthens their resilience and commitment to maintaining their progress. Relapse prevention is an ongoing process, and counselors should continuously assess and adjust strategies based on the client's evolving needs. As a result, counselors get to support clients in maintaining their progress, reducing the risk of setbacks, and promoting long-term well-being.
Lastly, there should be the provision of skill reinforcement. Skill reinforcement helps clients solidify and maintain the skills they have learned during counseling sessions. Skill reinforcement focuses on supporting clients in applying their newly acquired coping strategies, communication techniques, or behavior change skills to real-life situations. Skill reinforcement can be conducted through practice and application. Skill reinforcement involves encouraging clients to practice and apply the skills they have learned in their day-to-day lives. Counselors can discuss specific scenarios or challenges that clients are facing and guide them on how to use their skills to navigate those situations effectively. This might involve role-playing, providing examples, or brainstorming strategies together. Also, by conducting homework assignments. Assigning homework tasks can be an effective way to reinforce skills outside of counseling sessions. These assignments can be tailored to the client's goals and can include practicing specific techniques, journaling, engaging in self-reflection, or completing worksheets. Homework assignments provide clients with structured opportunities to apply their skills and reflect on their experiences even when counselling has been terminated. In addition, through problem-solving and decision-making. Skill reinforcement involves helping clients apply their skills to solve problems and make informed decisions. Counselors can guide clients through the process of identifying challenges, exploring potential solutions, and evaluating the potential outcomes of different choices. This empowers clients to use their skills to navigate challenges effectively and make choices aligned with their goals. Lastly, through relapse prevention. Skill reinforcement includes preparing clients for potential setbacks or relapses. Counselors can discuss strategies to recognize early warning signs and develop plans to prevent relapse or manage setbacks effectively. This might involve discussing coping mechanisms, identifying triggers, and exploring alternative strategies to maintain progress after the termination of the service. To conclude, it is important for counselors to tailor the skill reinforcement activities to each client's individual needs and preferences. By incorporating skill reinforcement into follow-up services, counselors support clients in translating their newfound skills into lasting change and improved well-being to continue their progress.
In conclusion, the essay discussed four aspects of follow-up services. These are check-in sessions, progress evaluation, skill reinforcement and lastly, relapse prevention. Follow-up services are crucial for maintaining the client's progress, offering ongoing support, and ensuring their well-being. Even though some clients may benefit from weekly or monthly check-ins, while others may only require occasional follow-ups, it is still the obligation of the counselor or the guidance program to do a follow-up with their clients.