Quote:
Originally Posted by itisnt
Not okay in my book for a T to short change a client on time because they're doing well. It's an entirely different thing if a client (adult) says, "I'm feeling okay today. I think I'll leave fifteen minutes early." Adults have that kind of autonomy in making decisions about how their session time is going to be used. But kids need a bit more direction and structure. She doesn't have to sit there grilling them, just spending time with them and listening to whatever they want to talk about is valuable.
Also, if she's receiving insurance payments for a 50 or 60 minute session and she's consistently cutting it short, she's actually committing insurance fraud. I'd check your insurance forms and see if she's charging for full sessions. If she feels that the children have reached their maximum use of the session before it's fully up, why doesn't she suggest that she call you in and she can do a family session? I often think that just seeing the child for play therapy is a poor use of professional intervention. Parents often need to be included in the treatment plan. I get that a lot of 15 year olds aren't interested in "mom" being a part of their session but it isn't usually the same for a 11 year old. She sounds like she's a bit of a slacker or at least not using the time effectively.
|
I agree. I wasn't sure if there was a difference golf how long sessions should be in children. She hasn't included me in sessions recently. I send her a text before each session to give her a little direction as to things that have occurred or issues that they're facing. I remember the one session she called me in 10 min into the session telling me that she has nothing to address with my 15 year old. I guided her then. At least she asked for Help then. I was thinking that 10 min into the session is nothing. I remember telling my T that I needed a warm up before I would start talking almost like an ice breaker. I think addressing children is much different than addressing adults. I'm thinking that at times they don't know how to verbalize. I see it as a parent and then when we come across things they see that it wasn't as difficult or complicated as they expected. I was thinking that being that it's her profession that she would have the finesse to do so more effectively than I can. The norm has become 40 min for one and thirty for the other and in never sure of which one will stay later. I know my 15 year old loves to talk about his friends and his daily life. If you give him the time you can start understanding issues and seeing the insecurities. Mind you these are boys who just went through a tough and long divorce/custody case where they testified against their father. That's besides everything that went along with that. I'm not sure how she says they're great and that there's nothing to address.