Face2Face Youth Counselling Service Annual Report 2007-8 by luckboy

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Face2Face Youth Counselling Service Annual Report 2007-8

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									Face2Face Youth Counselling Service Annual Report 2007-8

Face2Face Youth Counselling Service Annual Report 2007-8

CONTENTS

1. Introduction 2. Staff Team 3. Case Studies 4. Counselling Outcomes 5. Statistical Information I. Referrals II. Sessions and Contacts III. Issues 6. Contact Details

Page 3 Page 4 Page 5 Page 10

Page 11 Page 13 Page 14 Page 15

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Introduction Face2Face Youth Counselling Service continues to deliver a free, confidential and peripatetic service across the county of Oxfordshire. As part of the Youth Support Services of Oxfordshire County Council, during 2007 to 2008 Face2Face received core funding, achieved DAAT funding, Impact funding from Connexions and a Children’s Fund grant. This allowed the Service to pay for 3,000 generic sessions during the year and run two short- term therapeutic groups. All paid and volunteer staff are qualified, supervised and participate in continuing professional development activities; working within the British Association for Counselling and Psychotherapy ethical guidance. Several Counsellors have achieved accredited status. All Counsellors will be expected to join a national register by 2012 demonstrating that they meet an accredited status. Counselling staff participate in a variety of training events both internally and externally including creative therapy, counselling assessment, safeguarding, substance awareness, national conferences, and supervision training. The Administration Staff give an excellent customer service to clients, referrers and staff whilst managing the general data collection and administration tasks that provide important information for our funders. During 2007 to 2008 the Face2Face City/Central Team has piloted a counselling assessment project that has been successful in managing the waiting list and providing a more immediate response to potential clients. This project will be rolled out across the county during 2008 to 2009 after all staff have received training. The Face2Face Advisory Group meets on a termly basis encouraging and supporting the ongoing development and fundraising of the service. A young persons group is being developed with the assistance of a young person who sits on the Advisory Group. The 2007 to 2008 Youth Support Services customer satisfaction survey showed an appreciation for the care and support provided to clients by Counsellors whilst criticising the appearance of several counselling venues. 2008 to 2009 will continue to provide further challenges to a small staff team who provide an excellent service to young people. Maria Grime Service Manager (Counselling Service)

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The Face2Face Team: Maria Christine Lucy Sue Pen Hannah Justine Irene Karina Stella Judith Annie Benn Jackie Jess Janet Sarah Kate Linda Dawn Service Manager City Team Leader South Team Leader North Team Leader Counsellor Counsellor Counsellor Counsellor Volunteer Counsellor Volunteer Counsellor Volunteer Counsellor Volunteer Counsellor Volunteer Counsellor Volunteer Counsellor Volunteer Counsellor Volunteer Counsellor Volunteer Counsellor Volunteer Counsellor Administrative Officer Administrative Officer

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CASE STUDIES
Rose The issues Rose was an unhappy 11 year old girl who over a period of time had become withdrawn and isolated and this was affecting both her friendships at school and her relationship with her parents. Despite her parents moving her to another school, she was angry at home and showing serious physical signs of distress (head banging and risk taking). Rose’s mother brought her to counselling where the counsellor was able to make her feel welcome and dispel some of her nervousness. The counsellor was careful to include Rose’s mother in the initial discussions, enabling Rose to feel less frightened and more at ease so that by the third session Rose felt relaxed enough to leave Mum to sit outside and be with the counsellor on her own What we did The counsellor used artwork and some play therapy to allow Rose to talk about herself indirectly. This enabled Rose to talk about painful feelings and admit her guilt at feeling anger towards her parents. Through gentle reflection the counsellor was able to determine that Rose’s grandfather had died two years previously; she had been very close to him and was still distressed when she talked about him. Mum had been extremely upset at the time of her Father’s death and Rose felt she had to be strong for Mum; she didn’t feel she could let Mum down by telling her how she really felt so she had buried her feelings and tried to pretend she was all right. The impact on the client Through drawing and role play, Rose was able to talk openly about her grandfather; what he was like; how much she loved him and how upset she was when he died. She worked through her feelings of anger towards her parents about not being told her grandfather was dying and about not being allowed to attend his funeral. The whole issue around death was distressing for Rose; she worried about dying herself and couldn’t tell anyone. By the counsellor validating her fears with empathic understanding Rose was able to open up about how she felt and this resulted in her being able to explore her feelings and learn to accept both her grandfather’s death and to some extent her own mortality. Moving Forward By freeing herself of this burden, Rose learned to smile once again; her confidence increased and she began to trust her parents again and restore a healthy relationship with them once more. We had 13 sessions over a four month period.

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Rose has now made some new friends and is looking forward to a family holiday with her brother. She has recently passed the entrance exam for her next school and is excited about her new challenge in September. She has managed her parents’ divorce in a pragmatic way and has maintained a reasonable relationship with her father.

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Karla The issues Karla was a 16 year old young woman who decided that she needed counselling to turn her life around. She had very low self esteem and managed her disappointment of poor GCSE results by binge eating and self harming. She was a bright and articulate young woman who was predicted to attain straight As in her GCSEs but had been influenced by a wayward boyfriend at school who had persuaded her that smoking pot and drinking was a better alternative. Subsequently, when the results came out she was devastated and vowed to turn her life around but her inability to do it on her own resulted in her compensating for her disappointment in herself by binge eating. The disgust she felt could only be satiated by cutting herself. What we did The counsellor carefully listened in a non judgemental way as Karla told her story. She said that she felt for the first time someone was really caring about her. She described her difficult home life and her parents’ acrimonious relationship. As an only child she became the go-between for her Mum and Dad’s, acting as the adult whilst they were behaving like spoilt children. The only way she could deal with the pressure and responsibility when they had a row was to blank out the feelings with alcohol; this left her feeling physically sick and drained. After some months her father had left and she felt the full effect of his absence; her guilt and anger at the both of them. Consequently she hated herself and felt worthless. She found it difficult to sustain partner and friendship relationships leaving her feeling alone and hurting. She then met an older married man and then drifted into a relationship with him. The counsellor was concerned for her safety and was able to get Karla to identify what it was that she was getting out of this relationship and whether it was appropriate for her. Gradually, Karla began to realise that this man was using her for sex. The impact By working through the reasons for her low self esteem she learned to accept her past not as failures, but experiences to learn from. She gradually stopped self harming and began to appreciate herself so that her esteem increased and she did not feel the need to use weed or drinking as a way to hide her true feelings. She gradually drifted away from the damaging relationship and picked up with her friends again, now feeling more of an equal with them. Next steps She is now at sixth form studying very hard for four A levels and has been offered a place at University. Karla had 32 counselling sessions over eleven months 7

Ben The issues Ben is eighteen years old and he came for counselling because he realised that he felt low and depressed most of the time and although he had got three A levels he felt a lack of confidence about applying for university after his gap year. He was currently working as a receptionist for a large company.

What we did In his counselling sessions he said that his parents had split up when he was seven and he lived with his mother, seeing his father at infrequent intervals. Despite the fact that they lived apart his parents still had an emotional investment in arguing with each other and criticising each other in front of him. He had a small group of friends from school but they had all gone to university and he said he didn’t know who to trust among his fellow workers and felt ill at ease with customers. The counsellor realised that he was reluctant to talk about his innermost feelings because he thought his colleagues thought badly of him and thought that the counsellor might do so too. As he gradually began to reveal his feelings the counsellor realised that his parents’ criticism of each other had left him feeling that he had damaged parents internally and there was nothing strong or admirable about him. In the counselling sessions Ben and his counsellor explored how his parents’ behaviour had influenced his self-image and questioned whether other people actually felt critical of him or whether it was just his fear. The impact on the client As Ben came to trust his own feelings more he was able to talk for the first time about his fears of not being liked. Ben’s self esteem improved and he has now grown in confidence and has a firmer belief in his abilities. Moving Forward Ben feels happier and more contented with who he really is. He now feels ready to tackle the next stage of his life with renewed motivation and has accepted a place in university for the autumn to study History. Ben’s counselling consisted of 12 sessions over a period of four months

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Jenny The issues Jenny, a seventeen year old disabled client was referred by a health professional who had been supporting Jenny for some time. When Jenny disclosed she had been sexually abused when younger and was self harming, the health professional felt that Jenny needed specific help to deal with her anger and grief.

What we did Jenny was scared and fearful to talk to a stranger so the counsellor liaised with her carer to ensure that Jenny felt she could take her time and build trust with the counsellor until she felt comfortable to begin talking about her problems. Over many sessions Jenny painfully revealed the harsh treatment she received at home; her parents were ashamed of her and made no allowances for the fact that she needed a wheelchair. Her able bodied sisters were loved and cared for whilst she was ignored and left to fend for herself. Most nights she self harmed and ended up crying herself to sleep. When the counsellor tried to encourage Jenny to report the matter to social services, she spoke of them being involved when she was younger. Jenny reported that when they visited her home, her parents had lied and pretended to be nice to her and then she had received a beating after they had left. She felt distraught and was adamant that if her parents knew she was having counselling, they would make her life hell. The counsellor noted this potential risk and with Jenny’s permission her Teaching Assistant was informed and the three of them met to work out a strategy for Jenny’s future. Jenny eventually talked about being sexually abused some years ago by a so called friend. She felt ashamed and stupid. Her story was intricate and very painful and it took many hours of tears and anger before Jenny began to realise and accept that it was not her fault. The Impact on the client Jenny’s confidence and self esteem have grown and she has learned to stick up for herself at home; she doesn’t feel threatened any more. The counsellor and Jenny’s carer have supported Jenny through her decisions and she now feels more able to cope with everyday life. Moving forward Jenny has taken up singing as a hobby and is preparing to take her exams this summer with a view to being offered a place at college next term. She feels confident and is looking forward to a long awaited holiday. Her belief in herself has enabled her to get a job and she is ready to start driving lessons soon which will give her far more independence.

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Examples of Face 2 Face Client Outcomes 2007-8
Referred by: Self Presenting issues included: Anxiety/stress and family relationships Client was unable to face going to school when they first came to counselling. Have now nearly completed a degree and have a much greater understanding of family dynamics and how they connect to their phobias.

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Referred by: G.P Presenting issues included: Self harm Client built up self esteem to a healthy level and felt more confident and secure. Discontinued use of all drugs and is now able to resist pressure and encourage others in peer group to do the same.

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Referred by: Parent Presenting issues included: Bereavement, family relationships and school difficulties. Worked through anger issues re grandfather’s death and was gradually able to mourn. Now happier and able to prepare for exams and move to new school.

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Referred by: School Health Nurse Presenting issues included: Anxiety/Stress, depression, health issues and school difficulties Now able to integrate at school and coping well. Learned a support strategy to help in the future. Feels happier and better able to cope.

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Referred by: Self Presenting issues included: Physical abuse, housing, family relationships and school difficulties Client now able to attend college. Worked through anger issues towards abusing step father and mother’s collusion.

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Statistical Information

REFERRAL AGENCIES 2007- 8
160 142 140 120 100 80 60 40 24 20 7 0 23 21 13 13 9 9

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TOP 10 REFERRERS 2007-8 NHS including parent/carer or Self via NHS Education PCAMHS Parent/carer Self Connexions Social & Health Care Youth Support Services Housing Agencies Youth Offending Team

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142 70 70 52 42 24 21 13 13 9

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REFERRALS BY AGE 2007- 8
60 55 55 51 50 47

40 35 32 30 26 24 21 20 15 13 11 10 2 0 9 10 11 12 13 14 15 16 17 18 19 19+ 2 3 9 7 4 8 13 14 13 13 22

AGE
FEMALE MALE

ETHNICITY 2007-8
300

250

240

200

150 130

FEMALE MALE

100 64 50 27 16 5 0 ASIAN BLACK MIXED RACE OTHER UNKNOWN WHITE 1 1 3 4 3 1

CLIENTS BY EDUCATIONAL STATUS 2007-8

UNEMPLOYED 11% EMPLOYED 9%

UNKNOWN 9%

FURTHER EDUCATION 7% EXCLUDED 0%

AT SCHOOL 64%

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POSTAL AREAS 2007-8
100 92 90

80 73 70

60

50 44 41 40 38 44

30 24 20 19 16 13 10 12 12 22 18 14 13

0 OX4 OX3 OX28 OX10 OX18 OX2 OX14 OX11 SN7 OX16 OX1 OX26 OX29 OX5 OX7 OTHER

LIVING CIRCUMSTANCES 2007-8 Other 3%

Unknown 34%

In care 1%

With family 58%

SESSIONS & CONTACTS 2007-8
3000

2500 2139 2000

2384

1500

1000 591 500 291

0

ATTENDED

CANCELLED

MISSED

ADDITIONAL CONTACTS

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TOP 25 FEMALE ISSUES 2007-8
250

200

150

100

50

0

2007-8 ISSUES RECORDED
ABUSE ADOPTION ALCOHOL ALCOHOL FAMILY MEMBER ANGER ANXIETY/STRESS BEHAVIOUR PROBLEMS BEREAVEMENT BULLYING CARER CRIME OFFENDER OR VICTIM DEBT/MONEY DEPRESSION DEPRESSION WITH MEDICATION DISABILITY DISABILITY PHYSICAL DISCRIMINATION/PREJUDICE DOMESTIC VIOLENCE DRUGS DRUGS (FAMILY MEMBERS) EATING DISORDER FAMILY BREAKDOWN FAMILY RELATIONSHIPS GENDER ISSUES HEALTH ISSUES HOMELESSNESS HOUSING SITUATION IDENTITY ILLNESS (SERIOUS) INAPPROPRIATE RELATIONSHIP LOW SELF ESTEEM PANIC ATTACKS PARTNER RELATIONSHIP POST TRAUMATIC STRESS POVERTY PREGNANCY RACIAL ISSUES RAPE SCHOOL DIFFICULTIES SCHOOL REFUSER SELF HARM SEXUAL HEALTH SEXUAL ISSUES SEXUAL ORIENTATION SPIRITUALITY SUICIDAL FEELINGS SUICIDE ATTEMPT TERMINATION UNEMPLOYMENT WORK PROBLEMS

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TOP 25 MALE ISSUES 2007-8
120

100

80

60

40

20

0

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Face2Face Youth Counselling Service 42a Church Green Witney Oxon OX28 4AW

Telephone General Enquiries: 01993 702060 Referral Line: Website: Email: 01993 892424 www.spired.com face2face@oxfordshire.gov.uk


								
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