Life has been pretty low-key lately with the Baughers. Matt has still been recovering from sickness, so we've been laying low the last couple of weeks. Since there hasn't been much exciting going on, I thought I'd take some time to share a little about what I do all day during the week. I really love my job. Sure, there are some drawbacks. I miss working with younger kids and couples, but other than that, I think this job is perfect for me. I was thinking about walking through a typical day for me at work, but really every single day is different, which is definitely a reason I like it so much. I never get bored. So instead of sharing about a typical day, I thought I'd share about my typical responsibilities in a week.

One of my biggest responsibilities includes providing counseling services to kids on my caseload. I usually see between 2-4 kids per day for individual counseling. Currently, I have 9 on my caseload, and I see a few of them twice per week. I meet with them for one class period which is 50 minutes. I have a lot of variety on my caseload but typically, my clients' goals usually focus on coping skills, decision making, social skills, and anger management. I have a few kids with some pretty serious past trauma. Then I have some kids with limited supervision at home and no consequences for behavior. For some kids, I feel like their parent as far as being an adult that they can talk to about current issues and decisions they need to make about dating, sex, high school, and future goals. Working with low-income families in a poor area of Tulsa, I find myself with an overarching goal of instilling hope in these kids. So many of them have absolutely no plans for the future, no direction, no hope of ever escaping North Tulsa. I try and encourage them, expand their options and believe in them. How blessed am I that I get paid to do that! Middle schoolers are also very relationship focused. If you want them to absorb anything you tell them, they have to know you, trust you, and have a relationship with you, so a big part of the therapeutic process with these kids is establishing a relationship with them which could include listening to their stories, playing cards, working puzzles, and spending time being invested in learning about their lives, what they do for fun, who their friends are, etc. So, about half my days are usually spent working one on one providing counseling services to students. I also try and establish relationships with their parents through phone calls and family sessions either at school or after school at their homes.

My other major responsibility is identifying other kids who could benefit from our services, and getting them signed up for services and assigned to a counselor at the school. Currently there are three Youth Services workers at my school including myself. In order to find kids who need services, I spend time attending meetings at the school with teachers and talking with school counselors, and support staff. They're normally great at giving me names when I ask, and now that I've been there awhile and they know me better, they're also great about calling me when a student is in their office needing some help, or even when they're meeting with parents. There have been a few times lately when I have been meeting with a student, and I'll get a call saying "There's a parent who wants to sign their child up for counseling, can you come up right now?" That's where the need for flexiblity comes in. I also try and spend time in the halls and the cafeteria to observe the kids and get to know some of them. That way, they know me, and I've had several students come in my office asking for a counselor.
Here's what happens once I get a name from a teacher or student.
Once I get names for a referral from teachers or students, then I spend time calling parents, sharing about the services we offer and answering any questions they have and asking if they would like to have their child in our services.
If a parent agrees to have their child in our services, then I set up an intake appointment with them. Usually they will come up to the school, but there are a lot of times when I travel to their home to complete the intake assessment. Sometimes I meet with the parent and student together for the appointment, and sometimes depending on schedules, I'll meet with them separately. During the intake appointment, I interview the student and parent and complete an intensive background assessment that asks pretty much everything you would ever need to know. Okay, not really but it is like a 20 page assessment. We also discuss goals for treatment and I go over all the consent forms and obtain signatures and explain the counseling procedures. I usually do 1-2 intakes per week. At the beginning of the year, I would do 5-6 a week, but it's slowed down a lot.
After the intake appointment, then the paperwork for me starts which includes entering all the information from the assessment into the computer, and writing the treatment plan. The treatment plan includes treatment goals and objectives, diagnosis and CARS scores where I score the client on a variety of domains (role performance, mood/affect, thinking/mental process, etc.). Once all that paperwork is completed and turned in at Youth Services, then the student is officially ready to begin counseling sessions with either myself or usually another counselor at the school.

Other than those two main responsibilities which take up most of my time, there are several other things that fill up my week. I have monthly all agency staff meetings and monthly department staff meetings. I also have weekly supervision with my LMFT supervisor and my on-site supervisor at Youth Services. Also, I spend time each week visiting with the other two counselors at my school. They update me with how their clients are doing and I share with them any information I've learned from teachers. Sometimes we process challenging cases together. Occasionally, crisis situations arise, and students will come in my office whether we see them on our caseload or not, needing immediate help. I also spend time updating treatment plans and writing progress notes for each counseling session and traveling to Youth Services to turn in paperwork.
One of the things I like most about my job are the influence I get to have at the school and the students. It makes my day when students just pop in my office to say hi. I absolutely love the influence I get to have on these kids. Even when it seems like they aren't listening, I know they aren't ignoring having a positive adult who cares about them and wants them to succeed. Another thing I love about my job is the variety. Last year, I had about 25 kids on my caseload and all I did all day was meet one on one for counseling sessions. I enjoyed that, but I definitely prefer some variety and not doing the same thing every day. I'm truly blessed with such a great job, and I might be biased, but Ibelieve Youth Services is at the top of the list of social service agencies in the Tulsa area.