Search

Patient-centered care is extending the sphere of health care beyond the patient, focusing attention upon the family caregiver(s). In this context, patient-family relationships are at the center of consistent, well-developed interprofessional interventions that encompass caregiver education, training, and wellness. Cohort models of intervention include groups of patients who start and stop a program or intervention simultaneously. One such cohort-based service delivery model is an intensive comprehensive aphasia program (ICAP), which provides an ideal context in which to address holistic care for the person with aphasia and his or her family caregivers. The interprofessional family caregiver intervention program of the ICAP at the University of Montana is twofold: (1) speech-language pathologists and graduate student clinicians in speech-language pathology provide family caregiver education and resources, communication training, and psychosocial support and (2) a licensed professional counselor and counselor-in-training provide group counseling for family caregivers focusing on personal wellness, caregiving strategies, emotional health, and adaptation to significant life changes. The fusion of equitable interprofessional collaboration, along with the cohort model of the ICAP, allows for acquisition of knowledge, communication strategies, and coping skills along with the development of close, meaningful relationships with other caregivers and persons with aphasia.

The following qualitative study examined the impact of counselor training on the experience and process of four counseling students' couple relationships. Students were selected from a Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited program to take part in three rounds of interviews and member-check procedures. Data were analyzed using a grounded theory methodology informed by Strauss and Corbin (1998) and Clarke (2005). Findings indicated that couple relationships transform as counselors-in-training expose themselves to the discovery of new awareness. This newfound awareness fostered both personal and relationship changes for the counseling students. The relationship changes described by participants were further influenced by experiences of support and gratitude within their couple relationships. (Contains 1 figure.)