Troubleshooting internship problems: #3 “I’m having trouble getting sufficient observations recorded."

In our previous discussions, we've explored common hurdles faced by interns, particularly with regards to meeting internship requirements. We understand that these challenges can sometimes pose a significant amount of stress. However, with some proactive planning and effective communication, these obstacles can be tackled head on. 

For instance, if your employer poses restrictions on recordings, try engaging them in a conversation about the importance of these observations for your internship process. Reassure them about the privacy measures, such as the recordings being deleted post-review. 

When it comes to clients, clear communication about the purpose, confidentiality, and respect for their privacy can often alleviate their concerns. Remember, you also have the option of seeking permission for audio-only observations, if obtaining consent for visual recordings becomes difficult. Maybe prepare a statement in advance, and practise saying it before seeing the client, and have preprinted a permission sheet, that you are well versed at presenting. This will assist you to get better success for obtaining permission when talking.  You will be able to help your client  understand that this is standard practice for your internship. 

An assessment observation is generally more difficult to obtain permission, as it is usually at the beginning of your relationship with the client, and you are still building rapport. However, assessment observation can occur at any time. For example, after a few sessions you may need to do a reassessment or even a new assessment as it may become apparent the client has a different presentation than you were treating (e.g, depressive symptoms are now being reported). You can then do an observation of an assessment for their depression a few sessions into the therapy.

Finally, for those working in environments like homes, schools, or prisons and are encountering difficulties getting observations, creativity is key. Brainstorm with your supervisors or peers on how you can navigate industry-specific challenges.