Consideration for Termination of Clinical Relationship with Children

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Majority of children experiencing trauma often demonstrate it through what is called PTP (Posttraumatic Play (PTP). It is a repetitive enactment of trauma situations observed in a child’s play. Often, when children go through PTP, there arises the need for the introduction of clinical services like therapy and counseling treatment. The termination of the clinical services depends on the Parent-Child Interaction Therapy (PCIT. The process of termination and ‘graduation’ depends entirely on the state of the child’s mental and physiological tolerance to the traumatic situations and events. The PCIT is a process that the clinical workers (social workers) examine and give health directions and advice to the parents just before the termination process (Accursor, & Garland, 2015).

Secondly, the improvements on the PTP, the general behavior of the child and the preparedness of the caregivers to take up the role are an essential consideration for termination process (Goodyear-Brown, 2009). Children who encounter discrimination because of their health conditions undergo traumatic experiences. Trauma has a negative influence on child’s mental and physical development, thus the need for welfare mechanisms to combat unseen effects of abuse or neglect that reflect in negative emotions (Dagan, Ben-Porat, &Itzhaky, 2016). One way of responding to traumas is through the use of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT). Therapists can employ this TF-CBT intervention strategy to respond to children with traumatic experiences. After a child successfully goes through the therapeutic process, they graduate when they show signs of recovery. This essay explains conditions when a child should graduate from a therapy process.

Graduation and Welfare of a Child
The whole process of terminating and graduating, upon agreement between the clinical facility, the child, and the parents should be viding and geared towards the well-being of the child (Goodyear-Brown, 2009). Recommendations should be availed and provided to both the parents and the child on how to continue with the process of healing. Importance of parental consultation is because a parent plays an out-of-the-hospital role, and will monitor the child through the process of recovery (Moler et al., 2015). Goodyear-Brown (2009, p. 319) states that before terminating treatment, a child should demonstrate increased emotional literacy, a coherent narrative of the traumatic situation, perceived sense of safety, and reduced psychological reactivity.

    References
  • Accurso, E. C., & Garland, A. F. (2015).Child, caregiver, and therapist perspectives on therapeutic alliance in usual care child psychotherapy.Psychological assessment, 27(1), 347.
  • Dagan, S. W., Ben-Porat, A., &Itzhaky, H. (2016). Child protection workers dealing with child abuse: The contribution of personal, social and organizational resources to secondary traumatization. Child abuse & neglect, 51, 203-211.
  • Goodyear-Brown, P. (2009). Play therapy with traumatized children.John Wiley & Sons.
  • Moler, F. W., Silverstein, F. S., Holubkov, R., Slomine, B. S., Christensen, J. R., Nadkarni, V. M., … & Page, K. (2015). Therapeutic hypothermia after out-of-hospital cardiac arrest in children.New England Journal of Medicine, 372(20), 1898-1908.