A client-centered approach (CCA) is a counseling technique emphasizing the client’s perspective in facilitating behavioral change. While CCA has been applied in various contexts, its use in addressing mistreatment of older adults, particularly within Asian cultures, has not been extensively studied. Older adults who experience abuse often face psychological distress, reduced self-efficacy, and increased vulnerability. Social workers play a crucial role by guiding interventions, providing support, and helping clients navigate complex challenges. This case study explores how CCA can assist older adults experiencing abuse, focusing on a clinical intervention with an older woman living with her abusive brother. The social worker aimed to encourage positive change through a structured, goal-oriented framework.

 

The primary objectives of this study were to evaluate the effectiveness of CCA in helping an abused older adult build motivation for behavioral change and improve self-efficacy through incremental goal-setting. Additionally, the study aimed to assess how the structured nature of CCA, supported by the social worker, enabled the client to address her abusive circumstances and achieve a greater sense of safety and well-being. A secondary objective was to examine the social worker’s role in creating a supportive environment that allowed the client to confront the abusive situation and develop the confidence needed for change.

 

This qualitative case study utilized a structured client-centered approach with an older adult client aged 60 or above, identified through community screening for abuse in Hong Kong. The participant, a Chinese speaker, was selected due to her involvement in an abusive situation. A social worker facilitated the CCA process, consisting of four sessions over two months. The initial session focused on intake, collaborative goal-setting, and rapport-building through dialogue. Follow-up sessions aimed to assess progress, address ambivalence, and reinforce motivation.

 

Results indicated that the client-centered approach effectively enhanced the client’s motivation and self-efficacy, as shown by measurable progress in personal safety and emotional resilience. The structured approach provided the stability necessary to build trust and commitment. Goal-setting encouraged the client to pursue manageable objectives, reinforcing her confidence. As she accomplished smaller goals, her confidence in tackling more complex issues, including her safety, increased.