Jennifer's situation isn't all bad, but I can't tell her this if I'm hoping to gain her trust. She wants me on HER side and I'm afraid she'll shuts down if I tell her what I would do if I were her. Now that I think of it, I can be a little more forthright when she complains about the Haldol. I can agree with her that it's an outdated med and the trembling it produces is unacceptable, but I can also slip in that the newer antipsychotics are terrible for weight gain, and I've heard they are harder to withdraw from. I don't want to "tell" her she's wrong about the Haldol, because she isn't, but, at the same time, I want to encourage her to adopt a more "radical acceptance" attitude. She's back in the hospital. Her attitude in future may keep her out of it.
Maybe if she also changed her attitude about her state appointed guardian, she'd might get some doors to open. According to Jennifer, he's an idiot out to get her, nothing he says can be trusted. Why should she play ball with him? etc. It's obvious to ME that he holds the get out of jail free card, but this doesn't seem obvious to Jennifer in her present state. I believe, and I may be wrong, that, in the past, by rebuffing all attempts by the state to encourage her to take sheltered training, the guardian decided she was a lost cause. She is no longer entitled to training. That's my understanding of the situation, anyway.
When I'm with Jennifer, I have to be on her side, while slipping in ideas for her to consider. I'm not sure how much, if at all, she's doing the Focused Listening. The only strategy I can think of is to appeal to what she tells me she wants -- that by doing the listening she may get to the point where she no longer needs drugs and is able to work.