Therapeutic Encounters for Mental Health Nursing: Exploring Partnerships in Recovery and Communication Techniques

In this document we will discuss about Therapeutic Encounters for Mental Health Nursing and below are the summary points of this document:- Effective communication techniques in therapeutic alliances include nonverbal and verbal measures, active listening, and creating a respectful environment. Glover's model of empowerment/recovery outlines shifts in assumptions and states that contribute to a patient's recovery process. Service providers play a crucial role in supporting patients' change of state and fostering their psychological and physical strength for better self-analysis and development.

Therapeutic Encounters for Mental Health Nursing 5160 - 2018
Assessment #1

Table of contents
1.4 Exploring partnerships in recovery............................................................................................3
2. 2 Reflecting on Trauma Informed Care Principles......................................................................4
3.2 The questions you use in practice..............................................................................................5
3.5 Considerations for closure.........................................................................................................6
4.3 Strengths based practice............................................................................................................8
References:......................................................................................................................................9
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1.4 - exploring partnerships in recovery
Connection communications are a vital practice in therapeutic alliance and partnerships as it
helps health professionals build a more connected and favourable environment for patients.
Assessment of patient communication needs nonverbal and verbal measures, taking time to
initiate effective client communications, developing a respectful behaviour for personal beliefs
and values and encouragement in terms of verbalized feelings are some of the most important
inclusions that can initiate better client and health professionals’ relationships (Martin and
Chanda 2016). These initiatives are integrated as some of the most compatible inclusions for any
therapeutic alliance.
Some of the widely used therapeutic communication development techniques are as follows:
 Use of silence
 Acceptance
 Recognizing
 Self-offerings
 Providing broadest openings
 Active listening
 Observing and making clarifications
 Comparison encouragement
Glover’s model of empowerment/recovery provides analysis of a personal recovery state for any
individual through a set of five different states or processes. The professional, as well as social
responsibilities that any medical practitioner is liable to exhibit, are also included among these
five states. These shifts in assumptions are highly relatable with the ongoing perceptions from
both the patient as well as the practitioner’s point of focus (Bentley et al. 2016).
Following are the various shifts which depict a recovery process among patients:
 Passive to active self-sense
 From despair and hopelessness to hope of getting better
 Taking recovery responsibilities and shifting from other's control to self-control
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 Alienation to discovery
 Development of connectedness from disconnectedness
Service providers play a major role in stabilizing the entire change of state and help patients to
gain physical as well as psychological strength in generating better self-analysis results. This
triggers the development process and also fastens it up to many folds. It acts as a link which
transfers the patient from an unhealthy state of mind to a healthy state of mind (Persson et al.
2017).
In order to develop favourable therapeutic relationships, working together as a team to initiate
recovery is a major medical practice that produces positive results. It helps patients gain and
develop more psychological strength and motivate them to accomplish their primary health
development goals. As there are a wide number of cases that depict the reliability of this process
in managing health development practices, it can be considered as a major tool to maintain
positive environment throughout the entire recovery process (Fisher and Lees 2016). The
relationships developed through therapeutic alliances cultivate high-end results and are also
responsible for generating better health conditions among a large number of patients.
2. 2 Reflecting on Trauma Informed Care Principles
Safety is the first objective in SAMHSA principle along with four other aspects which relate
with choice, empowerment, collaboration and mutuality and transparency and trustworthiness. In
the course of learning about mental health practices, the safety principle is largely helpful as it
focuses on the ability to create a patient-friendly environment. It resembles coordinating support
in terms of emotional, cultural and physical safety for any patient who is going through the
treatment process (Cutcliffe et al. 2015). It also instigates a cooperation mechanism that is
related to the development of awareness, concerned with an individual’s uneasiness and
discomfort. Aligning learning techniques with this fragment will be highly beneficial for both the
practitioners as well as the patients. It will increase the concerning behaviour and also illustrate a
more dedicated service management system. Its consideration will be also helpful in providing
basic operational excellence to all the learners and it will affect their serving capabilities in a
positive manner.
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Safety for both the staffs as well as the consumers can be justified through comparing practices
with principles. These principles are universally accepted practices which must be incorporated
in any medical facility and thus are based on researches and studies. The practical applications
related to these principles are also quite justified as there are evident results of positive impacts
produced by the inclusion of these possibilities (Shea 2016). The ability to develop a relative
awareness in terms of an individual's discomfort and uneasiness are an added factor which is
positively supported by a safe operational environment.
The principles of culture, history, and gender are highly related to the construction of an ideal
vision of the consumer that helps in providing better services to them. Certain likes, dislikes, and
psychological orientations are an additional advantage as they provide a significant amount of
information related to the consumer. It helps in providing the best possible option in the
minimum possible time segment (Sandhu et al. 2015). It also justifies the individual safety
concerns mentioned under the SAMHSA principles. Another major advantage associated with
including principles of culture, gender and history is its cooperation mechanism in developing
collaboration and mutual understanding between the service providers and consumers. Relativity
and association are the two basic requirements of any health-related service and with the
availability of cultural, historical and gender-based relevance, this perspective is largely resolved
(Jones et al. 2016).
3.2 The questions you use in practice
Open questions are a medium to engage a consumer or their families to extract important
information by making them feel comfortable about the association. These questions can be in
general as well as specific in context. A major inclusion is the availability of a more free and
comfortable atmosphere for consumers to explore regulatory measures during treatments. These
questions are a medium for consumers and their families to talk freely and increase their
participation in delivering efficient information (Oates et al. 2017).
Some of the most common open questions asked by experienced nurses, midwives, and other
health professionals are:
 Would you like to tell me the reason for your visit?
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 What are the things that you would like to talk about?
 Tell me the things which trouble you the most?
General information seeking questions play an important role in encouraging recognition of
personal agency for consumers as it helps them in building a more stable and reliable
relationship with health practitioners. These questions are framed in a manner that depicts the
genuine interest and curiosity which a practitioner has while listening to any issue. It helps in
generating value-based services and compels consumers to elaborate on what and how they feel
about things (Stafford et al. 2016). It also helps in building a level of trust that can be extremely
helpful for both the medical practitioners as well as the consumers. It provides the conversation
with a natural flow that can be related to the successful completion of the recovery process.
These questions also provide a more specific information-base development which is very
important to construct the overall usability of the treatment process and gain acceptance from
consumers and their families.
Yes, I use more specialized questions such as miracle and goal-oriented questions as they help in
understanding the exact requirement of consumers. These questions come from solution-focused
therapy and are highly appealing for people with good imagination potentials. These types of
questions explore the accountability perceptions which are related to the development of a more
organized and dedicated operational process for the betterment of consumers as well as the
practitioners. The differences which would be faced once the recovery process is incorporated
are also a major part of this inclusion. The questions provide consumers with a development
based mindset that is liable to relate to progressive experience (Santangelo et al. 2018).
3.5 Considerations for closure
The ending of a session has many folds which need to be justified in order to provide a
satisfactory closure to the process. Firstly, before the actual ending of a session, some of the
ending time must be predefined. For instance, if the whole session of counselling is set to be 60
minutes, the last 10 minutes must be considered as the closure time. By this time the practitioner
must provide a warning to the consumer about the completion of the process. It can be carried
out through an innovative approach which can be understood by the consumer without getting
offended or distracted (Jacobs and van Jaarsveldt 2016). During this time, the practitioner can
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alert their consumers by making a concluding summary of all the major inclusions made during
the counselling process. It can be provided in the form of a summary to the operations focussed
in the current counselling session. It will help in justifying the accountability related to each and
every perspective incorporated within the session and also warn the consumer about limitations
in terms of session timings. Giving positive feedbacks are also an important initiative that can
facilitate the development of closing procedures for a counselling session. It provides the
consumer with positive hope for recovery and helps them feel better about the session in many
ways (McCaffrey and Moules 2016).
Some of the major factors which must be taken care of in the closing duration of a counselling
session are:
 Asking a question
 Feeling reflection
 Content reflection
I would like to follow the instructions mentioned in general theories related to managing closure
procedures in a counselling session. The traditional measures are highly advantageous in order to
provide relativity to consumers and thus, evaluate the origination of a more specialized process
for carrying out the interventions (Bingham & O'Brien 2018). Additionally, the inclusion of a
more personalized closure process for each individual consumer will help in obtaining a more
wide scaled analysis of their recovery process. It is a widely accepted fact that there are
differences between each of the cases that are associated with individual consumers. This gap
between operational processes can help in utilizing the closure process to favor clients.
Eventually, it will help develop better results in recovery reports and also illustrate the
accountability of practitioners in gaining detailed information about their consumers through a
personalized closure process for each client. This way, consumers will feel more connected with
their practitioners, which is a huge requirement for the success of any counselling session
(Bryant et al. 2018).
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4.3 Strengths-based practice
The inclusion of strengths and wellness in the recovery process initiates a progressive approach
in many ways. Both the consumers and well as the workers are benefited from this exploration. It
includes measures for positive support from the exceptions and extraction of positive learning
from negative experiences. The whole process of recovery is largely supported by a positive
psychological scenario for both the consumers and workers (Patterson et al. 2016). The
availability of strength-oriented behaviour helps in developing a positive mindset that is highly
beneficial in accelerating the recovery process. The strengthening objectives also provide with an
opportunity to highlight the awareness segment of individuals. This improves the psychological
and emotional connection between the workers and consumers. The main aim of any counselling
process is to extract high-end information and use them to analyze the situation for an individual.
The whole creditability of success is based on the amount and quality of information which is
provided by the consumer and analysing abilities developed by the workers (Sercu et al. 2015).
Strength development can be carried out by incorporating constructive questions and analysing
the answers through a set of predefined facts mentioned in medical theories. The questions
related to the attitude of an individual consumer provide a string of useful information which is
evaluated on the basis of their independent actions and abilities. This helps in gaining inside
knowledge of the major factors which are related to the association of high-end reliability for the
service, which elevates the chances of success for the entire session. Through the help of strength
analysing questions, a worker is much more eligible to perform required practices and conclude
the accountability of consumers in the recovery process. As the recovery process for each of the
separate segment is associated with a counselling session and consumer, the processes
incorporated must be adequately feasible with proper positive attitude-based analysis. In addition
to this, the inclusion of a positive environment that is based on strengths and exceptions also
eliminates the chances of operational failures in sessions which create several problems for the
workers (Stanton et al. 2015). A counselling process requires a distributive amount of knowledge
related to the consumer and this knowledge is most of the times, taken in a positive context that
reflects on the importance of developing a strong attitude in recovery process completion.
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