With peers, reflect on which populations would be best served by counseling in a non-traditional environment and which would be hesitant to engage in such.
1. Traditionally, counseling was confined to formal settings like offices, hospitals, or schools. However, in the last 30 years, there has been a growing recognition of the effectiveness of evidence-based practices delivered in the community or clients’ homes. There are several positives and negatives to this.
On the positive side, offering counseling at home or within the community yields numerous benefits for therapists and clients alike. According to goodtherapy.org, this approach enables the establishment of rapport, observation of family dynamics in a natural context, assessments, and the modeling of consistency and routine₁. This proves particularly advantageous for clients facing transportation or scheduling obstacles, including those working from home, individuals with disabilities, the elderly, or those dealing with mental health issues such as Agoraphobia or Asperger’s syndrome. Furthermore, clients with diverse cultural backgrounds often find more effective therapy when counselors engage in their homes, gaining insights into their environment, family dynamics, and community influences.
However, alongside these advantages come notable challenges associated with conducting sessions outside a controlled office environment. Privacy concerns emerge as a primary issue, as the confidentiality of counseling sessions may be compromised. Potential interruptions, ranging from phone calls to unexpected visitors or ambient noise, can disrupt the therapeutic process, causing client and counselor discomfort. Another significant challenge involves navigating the delicate balance between professional and personal boundaries, as therapists must be present in the client’s personal space while upholding ethical standards.
In summary, counseling in the community or home presents clear advantages regarding accessibility, cultural sensitivity, and real-world application. However, it poses challenges related to privacy, logistical issues, and maintaining professional boundaries. The success of this approach depends on a thoughtful consideration of these factors and an understanding of each client’s unique needs.
QUESTION FOR THE CLASS:
What do you perceive as the most significant barriers counselors often encounter when meeting a client in their home, and what strategies would be most effective in overcoming these challenges?
2. Some of the most obvious pros of counseling in the clients homes are:
- The counselor would get a good idea of what the family dynamic is. The counselor can view firsthand how the client acts in their own home.
- There is always the possibility that the client may feel more comfortable and find it easier to open up about their feelings.
- Sometimes clients don’t have adequate transportation, but the counselor does.
Some of the cons conserning home counseling are:
- The counselor going into a home unfamiliar to them and not knowing if they are putting themselves in danger.
- There is always the possibility that the client does not answer the door, causing the counselor to waste their time.
Another disadvantage of home counseling is the lack of consistency that could hamper the counseling sucess. (Morris, J., 2003)
I think the poor population would benefit most from home counseling. They don’t always have the resources needed to have adequate transportation. The client may be disabled and is limited in being mobile.
Question for class: Would you feel comfortable going to the clients home?
