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The placement report details Kabuku Wamuneo's six-week practical experience in mental health counseling at Chainama Hospital, focusing on children and adolescents. Activities included individual and group counseling, with case studies highlighting interventions for anxiety, trauma, and behavioral issues. The report concludes with reflections on skills acquired, challenges faced, and personal growth achieved during the placement.

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9 views9 pages

New Edited

The placement report details Kabuku Wamuneo's six-week practical experience in mental health counseling at Chainama Hospital, focusing on children and adolescents. Activities included individual and group counseling, with case studies highlighting interventions for anxiety, trauma, and behavioral issues. The report concludes with reflections on skills acquired, challenges faced, and personal growth achieved during the placement.

Uploaded by

john kanyembamusic
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Title: Placement Report

Student Name: Kabuku Wamuneo

Institution Name: Chainama Health College

Placement Supervisor Name: Gina Chileshe

Date: 13 May to 28 June,2024.

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Table of Contents
1. Introduction

2. Description of Activities

3. Case Studies

4. Supervision and Feedback

5. Challenges and Solutions

6. Learning Outcomes

7. Conclusion

8. References

9. Appendices

2
INTRODUCTION

The purpose of this placement was to gain practical experience in mental health counseling with
children and adolescents at Chainama Hospital in Lusaka, Zambia. Chainama Hospital is a
leading psychiatric hospital providing mental health services to children, adolescents, and adults.
The placement lasted for 6 weeks, from 13 May to 28 June,2024.

Over of the institution

They offer:

Mental health counseling

Psychosocial counseling

Drug abuse therapies

Difference types of mental disorders;

Depression disorder, anxiety disorder, psychosis disorder.

Family therapy

Mental patients are being put on medication by clinicians and doctors

3
Description of Activities

During the placement, I conducted:

- Individual counseling sessions with 15 clients

- Group counseling sessions with 20 clients

- Family therapy sessions with 5 families

Client demographics:

- Age range: 10-18 years

- Gender: 55% male, 45% female

- Presenting issues: anxiety, depression, trauma, behavioral problems

Assessment tools used:

- Psychological tests (e.g., Beck Depression Inventory, Child Behavior Checklist)

- Interviews (client, family, teacher)

- Observation (client behavior, family dynamics)

Interventions used:

- Cognitive-behavioral therapy (CBT)

- Play therapy

- Family therapy

Case Studies

4
Case Study 1: Anxiety Disorder

Background Information

- Client: 12-year-old female (pseudonym: Sarah)

- Presenting issue: Excessive worry, fear, and avoidance behaviors

- Family dynamics: Supportive parents, no siblings

Assessment

- Beck Anxiety Inventory (BAI): Score of 25 (indicating moderate anxiety)

- Clinical interview: Revealed excessive worry about school performance and social
relationships

Interventions:

Cognitive-behavioral therapy (CBT): 6 sessions, focusing on cognitive restructuring and


exposure techniques

Relaxation techniques: Deep breathing, progressive muscle relaxation

Progress and Outcomes

- BAI score decreased to 10 (indicating mild anxiety) after 6 sessions

- Client reported reduced worry and avoidance behaviors

- Parents reported improved mood and increased participation in school activities

Case Study 2: Trauma

Background Information

- Client: 15-year-old male (pseudonym: John)

- Presenting issue: Flashbacks, nightmares, and avoidance behaviors following a car accident

- Family dynamics: Supportive parents, one sibling

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Assessment

Child PTSD Symptom Scale (CPSS): Score of 30 (indicating moderate PTSD symptoms)

Clinical interview: Revealed flashbacks and nightmares related to the car accident

Interventions

Trauma-focused CBT (TF-CBT): 8 sessions, focusing on processing and integration of traumatic


memories

- Parent-child sessions: 2 sessions, focusing on communication and support

Progress and Outcomes

- CPSS score decreased to 10 (indicating mild PTSD symptoms) after 8 sessions

- Client reported reduced flashbacks and nightmares

- Parents reported improved mood and increased sense of safety

Case Study 3: Behavioral Issues

Background Information

- Client: 10-year-old male (pseudonym: Michael)

- Presenting issue: Disruptive behavior, defiance, and aggression at home and school

- Family dynamics: Single mother, two siblings

Assessment

- Child Behavior Checklist (CBCL): Score of 40 (indicating significant behavioral problems)

- Clinical interview: Revealed frustration and anger related to academic struggles

Interventions

- Behavioral therapy: 6 sessions, focusing on positive reinforcement and problem-solving skills

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- Parent training: 2 sessions, focusing on consistent discipline and positive reinforcement

Progress and Outcomes

- CBCL score decreased to 20 (indicating mild behavioral problems) after 6 sessions

- Client reported reduced disruptive behavior and improved relationships with family members

- Mother reported improved behavior and increased sense of control

Supervision and Feedback

I received weekly supervision from Gina Chileshe, focusing on:

- Improving assessment skills

- Enhancing intervention strategies

- Developing self-reflection and self-awareness

Challenges and Solutions

Challenges faced:

- Difficulty engaging some clients

- Limited resources (e.g., materials, staff)

Strategies for overcoming challenges:

- Adapted interventions to suit client needs

- Sought additional resources (e.g., consulted with colleagues, sought guidance from supervisor)

Learning Outcomes

Skills acquired:

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- Assessment and intervention skills

- Counseling skills

- Cultural competence

Knowledge gained:

- Insight into child and adolescent mental health issues

- Understanding of CBT, play therapy, and family therapy interventions

Personal growth:

- Developed self-awareness and empathy

- Improved communication skills

Conclusion

This placement provided valuable practical experience in mental health counseling with children
and adolescents. I developed assessment, intervention, and counseling skills, gained insight into
child and adolescent mental health issues, and developed self-awareness, empathy, and cultural
competence. I am confident that this experience will enhance my professional development and
future practice.

8
References

Gina Chileshe :097763552

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