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1) The Rickter Scale® board is a powerful tool. What if its use opens up a 'can of worms' that can't be dealt with?
- Part of the board's power lies in the way in which it can structure an interview.
- The design and sequence of the 10 headings empowers the client by giving choice about what & how much is disclosed.
- The design also gives practitioners opportunities to use their professional skills, judgements & knowledge to stay with an issue or to move on to another, as appropriate to the client's situation & the purpose of the interview.
- By using The Rickter Scale® to help the client identify desired positions on the board, the practitioner can support the client in achieving a positive emotional response to sensitive issues.
- This structure can result in: -
a focused & meaningful interview; avoidance of inappropriate probing of past trauma, which may be beyond the scope of the interview;
clients leaving the interview in a more positive or resourceful state than when they arrived.
These results can be very powerful, and therefore raise questions about the quality of supervision and the importance attached to ongoing professional
development. However, we also strongly believe that there is no such thing as a dangerous or unethical process or technique, only dangerous or unethical users of techniques. It is up to the practitioner to know the difference and act
accordingly.
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2) 'I know nothing about drugs' (or any other issue raised in the Frame of Reference)
- Using The Rickter Scale® with clients does not require any additional skills, knowledge or qualifications to those which a practitioner already uses in their face-to-face work with clients.
- The scale is flexible in its application to many different fields of work.
By offering a structural framework, it lends itself to a way of working that integrates the practitioners' own strengths, experience & professional expertise. For many clients, their substance use or drug dependency is seen as a negative or problematical issue affecting other areas of their lives. Raising the clients awareness in this way allows them to see, hear & feel the connections between the areas of their lives as represented on the board. This process of seeing the 'big picture' and making connections also applies to the other headings on the board.
- The recognition of these connections, which clients experience as they interact with the board, can have very positive outcomes by effecting shifts in perception & awareness.
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3) 'The boards' frames of reference/headings cover some very sensitive issues.'
- Any interview method, including the use of The
Rickter Scale®, can indeed bring up sensitive issues from time to time and if they are not addressed, practitioners may well be setting up their clients to fail.
- It is all too easy to deal with surface issues, but this does not necessarily help clients to achieve their potential.
- If clients are to be helped to overcome their barriers - to learning or employment, for instance - then we have to be prepared to help them address the underlying issues. These may well be perceived (by you?) as sensitive.
- Remember that clients should never be put under any pressure to answer questions.
- They must always have ownership of what happens on the board.
- The Rickter Scale® is designed to be non-threatening & can enable the practitioner & client to discuss any issue, whether considered 'sensitive' by client or practitioner or not, in a
non-judgemental, structured & therefore more relaxed way.
- One of the crucial issues to many organisations & their clients is the identification & prioritising of issues that will then allow the client to contribute to their own action plans, thereby taking ownership of those issues.
- Once this has been done, the use of The
Rickter Scale® at a second or subsequent interview can help to monitor the client's movement in relation to those goals. For example, the Careers Service is required to identify & address the barriers their clients experience in relation their progress in obtaining employment.
- The unique design of The Rickter Scale® offers a dynamic & helpful way of approaching such issues.
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4) 'How do you introduce the board to a client?'
- There is no definitive way to introduce the board & its structure to clients. As each client /practitioner relationship is unique, what works for some, may not work for others. We would want to encourage you to personalise your own way of introducing the board to suit the initial response of each client.
- The method you choose (to introduce the board to each client) will flow from such factors as your own level of motivation & ways of working, belief in your own ability to have an impact on your clients lives, your own positive expectations of your clients' ability to make progress.
- You may also wish to consider 'closures', i.e. what you do to help the client to summarise their experience, at the same time as reflecting on introductions.
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5) 'Surely you should have some relationship with the client before using the board & its scale?
- There are numerous methods of initial engagement that practitioners use with clients to establish rapport & relationships.
The Rickter Scale® & its way of working is one method. Its tactile nature, its visual impact & emphasis on empowering clients to consider & make their own judgements about their life issues allow the process to be non-threatening
- These user-friendly aspects of the scale assist the practitioner to establish quicker rapport & develop meaningful, helping & supportive relationships with clients much faster than many other methods.
- We suggest the starting point is always one of 'unconditional positive regard', (Carl Rogers - Person-centered
Counselling).
- Feedback from practitioners who have used The
Rickter Scale® for initial engagement as well as ongoing work, supports these views.
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6) 'I'm waiting for the right client to come along'
- You, the practitioner, need to use your professional expertise to make judgements about which helping methods are appropriate to which clients.
- The Rickter Scale® is designed to be used with a wide variety of clients in many different settings & situations & with very different needs. It would therefore be difficult to identify which client was 'right' or otherwise, for using the scale.
- Judging a client to be 'wrong' for use with the scale could also be interpreted as discriminatory.
- Experience has shown that the very client, who has been pre-judged to be unresponsive to the scale, has often benefited the most from working with it.
- If you feel strongly that there may be 'right' or 'wrong' clients with whom you could use the scale, ask yourself the following
questions -
- "What criteria am I using to determine which of my clients may be 'right' or 'wrong' for using the board?"
- "Am I being judgemental in excluding clients from experiencing this way of working?"
- "How will I know when the 'right' client is sitting in front of me? What will I see, hear & feel?"
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7) 'How will I remember all the information elicited, when I have used The
Rickter Scale® several times a day?'
- It is absolutely fascinating to see the amount of information a practitioner can remember by using
The Rickter Scale® in order to document the responses that each client has made on the headings.
- By placing the board in front of you & moving the sliders to repeat the scaling the client made in the session, you provide yourself with a trigger, which will not only help you to recall what the client said about the headings, but also remember the connections that they made between headings.
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8) 'I find it awkward, asking the client to keep their fingers on the board'
- Most clients will find it easy to stay connected with the board. However, do not labour the point if you feel they are becoming anxious about your reminders to keep their fingers in position.
- If a client questions why it is necessary to keep contact, perhaps you could say that it will help them to think about what those scaling represent-especially in setting themselves realistic & achievable goals for the future.
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9) 'What if using the scale raises issues that I cannot resolve?'
- Raising clients' awareness of issues can, in itself, start to bring about change & resolution. However, good practice requires that practioners know their own limitations and the limitations of the organisation in terms of resources.
- One of the wider implications of using The
Rickter Scale® is that the organisation is already operating within a network of referral agencies, or at least that such inter-agency working is being developed.
- It is recommended that organisations/projects have resource packs at their disposal, which can be used to refer a client on for specialist support if needed.
- Good quality supervision - as a means of off-loading, sharing good practice & professional & personal development, is imperative within any organisation offering one to one work with clients.
- There is a Rickter Scale® Helpline (Tel:+44
(0)131 451 5777) to assist you in any way that we can from both our own years of experience in using the board and also from the feedback we have collected from the practioners we have trained so far.
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10) 'How long should it take to complete a Rickter Scale® interview?'
- There is no set time to complete The Rickter
Scale® interview.
- Please bear in mind that the process is more important than content and the Exploration Questions are designed specifically to move the client through this process. Having time in itself is an important feature for any face-to-face work with clients.
- The baseline profile can be completed in 2-3 minutes because the ten initial questions do not require any verbal response.
- A full interview typically lasts between 30
minutes to 1 hour.
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11) 'Some of the clients I deal with will only be seen once. Is it worth using the scale with them?
- As mentioned in question 5, use of the scale for initial engagement can help to establish rapport between client & practitioner.
- According to feedback from practitioners experienced in the use of the board, clients can definitely benefit from using the board in a single session only.
- The first interview - and also those that follow - allows the client to become more aware of their current circumstances, to see the 'big picture' of what is going on in their lives & to make connections.
- If they are ready, they may also begin to set goals and to contribute to their own action plan at the first session.
- The significant benefit of having the client repeat the process at a subsequent interview is in offering them the opportunity to reflect on any movement that has taken place, and as a result to quantify 'distance
travelled'.
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12) At what point in the process should I make a note of the scaling?
- After the client has completed the Baseline Profile, ask them to tell you the scaling they have given for each heading as you make a note of the numbers.
- Following this stage, put down pen & paper & begin to explore the board with the client. For e.g. "If you would like to go back to the board now. Please place your fingers back on the top slider again. I see you have this one on a '5'. What is going through you mind here?"
- Remember, giving your client your full
attention is also acknowledging him/her at the level of his/her identity and
is obviously going to enhance the rapport/relationship you have together.
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13) 'How long after the first Rickter Scale® interview should I wait to do a follow up?
- It really depends on the length of your involvement with the client and the intensity of that involvement.
- Some organizations only see clients once, so there is no opportunity for a follow-up session.
- Where practitioners see clients over a period of time, there will be scope for review or follow-up sessions. How soon this takes place after the initial interview is a matter for professional judgement & the needs of both client & the organisation.
- For example, if you have a client with you for 2 months, it would make sense to conduct Rickter Scale® interviews at the beginning and the end. This would enable you to measure the movement the client has made & to capture the soft outcomes - both in qualitative & quantitative terms.
- You may also wish to use the Rickter Scale®
to monitor the clients movement during your input/intervention/support,
especially if you feel the client might benefit from 'seeing' for
himself/herself the progress already made, or having the opportunity to
reflect on specific issues.
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14) 'Can I use the board with existing clients, who might have been with us for a long time'
- Absolutely. It could highlight how effective your intervention has been. It may
identify areas that require more intensive intervention. It would also allow the
client to benefit from a positive experience & to become more aware of their
own progress.
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15) 'Is the order in which the headings/questions on the board appear of any significance?
- Generally speaking, yes, the specific order of the headings has come about as the result of feedback from practitioners in relation to their preferred way of working.
- For example, placing the question relating to 'happiness' at the end of the scale, allows clients to consider other issues that they might feel are relevant to their lives that have not been covered by the other headings on the board.
- If you think that a different order of headings would be more appropriate to the clients you work with, please contact
The Rickter Scale® team via the help-line (Tel:0131 451 5777), so that we can discuss this with you & perhaps develop a further Frame of Reference to use as an overlay to the original headings.
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16) 'Where would be the best place to conduct a Rickter Scale® interview?'
- As the board is fully portable, it can be used in a variety of settings, from a formal office situation, on a home visit or in a car.
- The crucial factor when considering the setting is to create the best environment that will allow a productive, confidential and uninterrupted interview to take place.
- In order to achieve this, the clients' needs, preferences & associations with that place all need to be taken into consideration.
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17) 'What if the client discloses a 'bomb-shell', e.g. a child-protection issue that will need further action or a suspension of confidentiality?
- A disclosure of this nature can come at any time during face to face work with clients, whether you use
The Rickter Scale® or not.
- Act in accordance with whatever systems, procedures & policies you have currently in place within you
oganisation.
- Following good practice guidelines, you may feel it necessary to explain the purpose & process of the interview, the boundaries of the work & the organizations confidentiality policy before the interview begins.
- Only you can determine how much detail is necessary at this point, both for your comfort and that of your client.
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18) 'Can I show others how to use
The Rickter Scale®?'
- It is a condition of purchase that all practitioners who use
The Rickter Scale® must attend a full day's training session delivered by The
Rickter Scale® Team, and receive a Certificate of Competence. It is by this means that practitioners are licensed to use the Scale within their own organisation.
- This ensures that those practitioners have a full knowledge of the use of the Scale & an understanding of the underpinning theory.
- This also allows for effective quality control in the Scale's use, both within the organization and at a national level.
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19) 'Is there ever a time or situation when you would not use
The Rickter Scale®?'
- Your professional judgement is of paramount importance in deciding when to use the Scale, with whom & how frequently.
- Introduce the Scale in a positive way & you are likely to get positive results.
- There may be situations when the use of the scale is not appropriate - when a client is in a distressed state, under the influence of drugs or alcohol, or if there are too many distractions to allow for adequate concentration or privacy.
- See also question 16.
- The Rickter Scale® can be used
effectively with individuals with learning difficulties - but each client is
unique and while generally we know from practitioners feedback that those with
mild to moderate learning difficulties can cope with the scaling questions as
can some people on the autism spectrum i.e. those with Aspergers Syndrome -
you must once again make a professional judgement about appropriacy.
Indeed you may want to consider a new frame of reference as long as the client
can manage the concept of scaling.
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20) 'Some of my clients may have difficulty in seeing or moving the sliders'
- There is a Braille version of the board for those with visual impairment, also an A3 size board with large sliders for use with those who
have difficulty with fine motor skills.
- Please let us know if your clients have any other requirements that may need adaptations to
The Rickter Scale®.
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