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C00004 00003 .HEDDING(EDUCATIONAL BACKGROUND:)
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C00012 00005 January, 1977 - present: I am currently a psychiatric social worker
C00018 00006 .HEDDING(PROFESSIONAL SOCIETY MEMBERSHIPS:)
C00019 00007 .HEDDING(REFERENCES:)
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%b↓_CURRICULUM_↓ ↓_VITAE_↓
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%bMerle Ellyn Lenat
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142 Anita Ave.
Pittsburgh, Pa. 15217
Telephone: 521-4617
March, 1978
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.HEDDING(EDUCATIONAL BACKGROUND:);
.INDENT 0,6,0
High School: Philadelphia High School for Girls; June, 1968.
B.A. in Psychology: Temple University, Philadelphia, Pa.; May, 1972.
M.A. in Psychology: San Francisco State University, S.F., Ca.; December,
1974.
"Transactional Analysis 101" course; May, 1975.
(Entitled me to join the ITAA)
M.A. in Family and Marriage Counseling: U. of Santa Clara, Santa
Clara, Ca.; March, 1976.
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.hedding(WORK EXPERIENCE:);
1971: Worked with mentally retarded and emotionally disturbed
children and adults, teaching them such living skills as
socialization and educational skills. I counselled several of these
people on a one-to-one basis and found it very rewarding. The
relationships I formed with them were intense, and I will always
remember the experience.
1972: Worked as an employment counselor at an employment agency. I
interviewed clients, found out what they wanted and what skills they
had, and I then tried to match them up with interested employers. I
did not enjoy this, due to pressures to place the client with
%banyone%*, just
so the agency could get its fee. Therefore, I left.
1973-1974: Worked as a research assistant with two psychiatrists, Dr.
Ken Colby and Dr. Frank Hilf, at Stanford University. Part of my
duties involved working with psychiatric inpatients at the Palo Alto
Veterans Administration Hospital, on ward 4B3. I attended community
meetings run by the patients, staff meetings, intakes done by the
staff, and small group therapy meetings. Through one way mirrors, I
observed family groups and some individual therapy. I interviewed
the patients on a one-to-one basis about their feelings and
"illness", and worked with them on the interviewing via the computer.
.ONCE INDENT 6
During the summer of 1974 I also became an observer in the hospital's
Family Study Unit. I gave feedback to the therapists doing couple
and sex therapy and family therapy. These experiences inspired me to
become a marriage and family counselor myself.
1974 - July, 1976: Working as a volunteer therapist and student intern at
Central Mental Health Agency of Santa Clara County. My experience
has been broad there, including seeing individuals, couples, and
families as clients. On the immediate treatment service (ITS), I
diagnosed and referred patients to appropriate counselors or
settings, as well as doing actual crisis counseling. I have done
both conjoint therapy (with a male therapist) and
therapy I conduct myself. Groups are also a part of my experience at
the clinic. During this past year I co-led a "parent" group once a
week. The group consisted of parents of hard to control children
(age 4-7) who needed support and help for themselves. We dealt with
many individual problems such as low self esteem, guilt feelings,
relationship problems, and of course "parental" problems. This year
I co-led a "family" group consisting of parents of adolescents
and, once a month, the children as well. In this group we
dealt with couple problems, so a great deal of time was spent on
working out hassles with the spouses. I also observed a T.A. group in
which I sat among the clients. After the group there would be a seminar
where the observers give feedback to the therapists and discuss T.A.
concepts. As part of my service to the clinic I received
supervision
from a Licensed Clinical Social Worker, Mr. James O'keefe. We
would
discuss therapeutic stratagies as well as my personal feelings about
the people involved (e.g., how to keep my own hang-ups and values
from getting in the way of therapy). Also, I attended a weekly student
seminar where staff and students present cases they are working on,
for suggestions and self-clarification. Last year I presented two
case studies to my colleagues and their suggestions helped me a great
deal.
March, 1975 - June, 1975: Co-led a sensitivity group at University of
Santa Clara. The members of the group were students and teachers in
the counselling department. My co-leader and I used many techniques
to gain group cohesiveness: using "I" messages, talking in the "here
and now", group hugs, and no gossiping about group members. We also
promoted individual growth by using techniques such as confrontation,
assertiveness training, doubling, and giving loads of support. I
found this experience very challenging, for I led the group
completely on my own a few times when my co-leader was sick. I
learned much about myself those times, and found the experience
invaluable.
January, 1977 - present: I am currently a psychiatric social worker
at the inpatient unit at St. John's Hospital in Pittsburgh, Pa.
As such, I coordinate overall patient care.
When a patient is admitted, I first do an initial assessment.
This consists of collecting clinical and social
data from the patient, his family, staff members, and other agencies
having knowledge of the patient or his situation. Examples of the
clinical information I seek include checking the patient's affect
to see whether it is flat, suspicious, manic, etc., as well
as his mental status. I also check the patient for data concerning
his physical condition including whether there has been weight loss,
sleep disturbance, or any somatic complaints.
.once indent 6;
I then provide individual, family, and group therapy for each patient
around crisis areas that exist that might have precipitated the
psychotic break. For individual therapy, my therapeutic techniques
include both the verbal reality therapy and the nonverbal approach
which sometimes include just sitting there and being with the person.
In the groups that I have led, especially with the more psychotic
patients, there has been an emphasis on art therapy techniques: group
paintings, individual clay work, painting what one feels at the moment.
When the art phase is over, each member of the group shares what he
created and what the creation means to him. Other therapeutic
approaches I have tried individually and in our groups include
listening to songs and reading the words to the songs that might
have meaning to their lives. [E.G. "I've Got A Friend", "Sitting
Alone In Your Room", "I Am A Rock".] In some of my more verbal
sessions with the group we deal with important topics such as
"what is depression and how can we prevent it from taking control",
"assertiveness or how to get what you want and need effectively",
"the stigma of mental illness and how to deal with that", "the
importance of following through with after-care medications and
outpatient therapy", and "how to deal with your anger without
getting into trouble". In family counseling sessions which I
emphasize in therapy, I work with them on their feelings about
the "patient", the acceptance of the situation, expectations
about the hospitalization that are real and point out those
that are not attainable. I support them as well as being the patient
advocate. I try to answer any questions they might have about the
patient and the process of recovery. As well as this, I am
modeling for them appropriate handling of the patient, and at the
same time, I am trying to deal with the crisis areas in the family.
Communication skills are stressed here.
Since this is a very short term hospitalization experience of
two to three weeks I can not do intense family psychotherapy.
However, I do stress the continuation of family, as well as
individual, therapy after discharge from the hospital.
.once indent 6;
As this is a team approach, I go to frequent staff meetings (three
times a week) where we discuss patient treatment goals, and patient
status. Upon imminent discharge of the patient I do discharge planning.
This includes setting up living arrangements, setting up outpatient
follow-up appointments, as well as giving treatment reccomendations
for follow-up. Along with each patient I write up and send with the
chart a social history. This includes all relevant information
regarding patient's life course and recent problem areas. Also in
this social history is included what was accomplished by the present
hospitalization and how the patient related to his family, staff,
friends and other patients while he was in the hospital.
Finally, I put down reccomendations for further treatment.
.skip 2;
.HEDDING(PROFESSIONAL SOCIETY MEMBERSHIPS:);
Psi Chi (Psychology Honorary Organization)
I.T.A.A. (International Transactional Analysis Association)
C.A.M.F.C. (California Association of Marriage and Family Counselors)
A.A.M.F.C. (American Association of Marriage and Family Counselors)
W.P.G.P. (Western Pennsylvania Group Psychotherapy Association)
.apart; group;
.HEDDING(REFERENCES:);
1. Mr. Rod Coffman, MH/MR Emergency and Inpatient
Service Coordinator, St. John's Hospital,
Pittsburgh, Pa., 412-766-8300 x388.
.<< After July 5, 1977,Ms. Garland will assume the position of Butler CountyMH/MR Coordinator.>>;
2. Dr. Harry J. Ross, Psychiatrist on MH/MR inpatient unit,
St. John's hospital, Pittsburgh, Pa., 412-766-8300 x208.
3. Mr. James O'keefe, L.C.S.W. Central Mental Health Agency of Santa
Clara Valley, Bascom and Moorpark Aves., San Jose, Ca. 408-286-5442.
4. Professor Charles Swenson, University of Santa Clara, Department
of Graduate Humanities, Santa Clara, Ca. 408-984-4434
5. Eileen Bobrow, M.A. San Andreas Health Council, Palo Alto, Ca.
415-326-8655
6. Dr. Franklin D. Hilf, M.D. 20 W. 64th Street, Apt. #41K, New
York, New York 10023. 212-352-1619.
7. Professor Mary Ann Smith, University of Santa Clara, Department of
Graduate Humanities, Santa Clara, Ca. 408-984-4434
8. Professor Kenneth Blaker, University of Santa Clara, Department of
Graduate Humanities, Santa Clara, Ca. 408-984-4434