Therapy Oddities

  • When your client with OCD is late.
  • When a client says he/she is “nuts” but won’t use coping strategies.
  • When you have 10 clients scheduled every day. Eight show up.

quilt for kelly

Facebook Event: HERE

The quilting community is welcoming and supporting. Since joining a local one last September, I have received support and encouragement. Recently on FB an event has been created to provide an impoverished quilter with a new one for herself.

I have decided to learn to machine applique just for this. The first two were easily created:

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and

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However, I wanted to make a block with the recipient’s first initial “K”. First I sketched it during my morning at the office on a Post-It note. Then I drew it onto parchment paper.

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I do not have a light box so I improvised with the clear lid of my thread sorter and the LED lights that hang on the wall of my den (welcome to apartment living).

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I turned the parchment upside down and traced it onto my Heat n Bond Lite iron-on. I’m done for the evening after trimming out the pieces. Tomorrow I will iron the bits onto the fabric and then start ironing the pieces onto the background fabric.

 

Torrance Fabric Sale

Momen+

In Old Town Torrance, CA

Starting July 6, 2017:
60% OFF from marked price for cut cloth in various length.
$1 each for Fat Quarter
$5 each for Half Yard cut fabric

30% OFF Japanese fabrics
50% OFF American, European and select Japanese fabrics, fabrics on a roll, notions, patterns and books and other merchandise in stock.

What to say

Thursdays are my busiest days. It doesn’t change whether it was 7 years ago working in senior day facilities, running substance abuse groups for teens, or the past 6 years in school based services. Now, working in an office with scheduled clients, a hair-breadth away from private practice, it’s the same deal.

Clients cancel 1-24 hours in advance, don’t show up at all, or reschedule early in the week. Mondays are notorious for being empty. In the therapeutic line of work, empty is boring. I plan sessions for my clients, questions to push them towards progress. I create home practice to be completed between sessions and built upon the following session.

On the internet you can go to any search engine of choice an type in “therapy client no show” and get advice. Many of the results present advice for ffs clients (fee for service). What about medi-medi clients who have no co-pay?

I make a phone call about 15 minutes into the missed session. I offer them an opportunity to reschedule the following week. I ask about problems arranging transportation and make recommendations. If I end up leaving a message, it’s “Hi XYZ, it’s Megan from [insert employer here]. You missed your scheduled session with me today at 9 A.M.. You can call me back at 123-456-7890 to schedule a different time.”

At my previous employer we worked with Medi-Cal clients alone. This enabled us to discuss the 3 consecutive no-show policy held by Medi-Cal which resulted in termination of services if they did not respond to a mailed letter reviewing the policy and their endangered client status. At my current employer I review the policy at the initial session, and the policies are posted at the receptionist.

What about Medi-Medi clients who do not have a co-pay?