503 exam flashcards
Limits of Confidentiality
- supervision/consultation
- signed waivers
- child/elder abuse
- danger to self/others
- subpoenas
Professional Boundaries of Competence
- level of licensure
- supervision
- peer consultation
Macro/Meso/Micro
- Macro: policies/greater society
- Meso: families and communities
- Micro: individuals
Maslow's Hierarchy of Needs
- Biological and Physiological needs - air, food, drink, shelter, warmth, sex, sleep, etc.
- Safety needs - protection from elements, security, order, law, limits, stability, etc.
- Belongingness and Love needs - work group, family, affection, relationships, etc.
- Esteem needs - self-esteem, achievement, mastery, independence, status, dominance, prestige, managerial responsibility, etc.
- Self-Actualization needs - realizing personal potential, self-fulfillment, seeking personal growth and peak experiences.
EPAS Competencies (10)
Include:
- Identity as SW
- Knowledge of HBSE
- Applying ethics
- Applying critical thinking
- Engaging in diverse practices
- Advance human rights
- Do process recordings
- Engaging in policy practice
- Responding to contexts to shape practice
- Advancing practice
Ecosystems Theory
- person:environment - fluid and interchangeable, evolutionary, goodness of fit
- transactions are reciprocal interactions - can be productive or inhibitive
- empowerment focused - both people and environments can change.
- All behaviors make sense when considered in context
- race, ethnicity, culture, socioeconomic status, gender can be stepping stones for power elite OR roadblacks for those who are oppressed
- removes blame from individual - no terms of dysfunctional/maladaptive, environment has impact on behavior
- nurturing environment can compensate for system’s limitations
- focus on strengths in systems
NASW Code of Ethics (7)
- Help those in need
- Challenge injustice
- Respect inherent worth
- Recognize importance of human relationships
- Be trustworthy
- Practice within areas of competence
- Maintain and build levels of licensure, supervision and peer consultation.
NASW Code of Ethics
(Overall)
- Established set of guidelines and principles that guide practice
- 155 Ethical standards
- violation = sanctions and/or revoked license.
Dual Relationships
Multiple roles of therapist/client.
- Not allowed
- must limit relationships with people close to clts.
- not all societal interactions are limited
- NO sexual relations with current/former clients.
Developing Cultural Knowledges Needs
- cultural empathy toward individual and traditions
- intercultural sensitivity - take into acct. clts's norms/values
- undersatnd values systems may differ.
- open-mindedeness - be open and unprejudiced attitude toward other groups
Stages of Cultural Sensitivity
- Denial - only know own culture, avoidant.
- Defense - limited engagement w/other cultures, own culture is "right"
- Minimization - "we're all the same", refuse to see differences.
- Acceptance - acknowledge that cultural differences are real.
- Adaptation - use cross cultural knowledge in interactions with other cultural grousp
- Integration - high degree of fluency and adoption of multiple worrld news.
Informed Consent
- inform client of student status
- mandated reporting
- breaking confidentiality - exceptions
- expectations for the process
Health Insurance Portability and Accountability Act
- protects privacy of clients receiving mental health services
- requires clients to receive disclosures on privacy practice.
Intentional Use of Self as Therapist
- authentic & genuine in reactions
- purposeful and intentional (questions/focus)
- paying attn to self - reactions & impact on clt., recognize countertransference or unresolved issues
- aware of values and belief systems and impact on view of clt.
Middle Phase of Tx (4 principles)
Key aspects:
- Tx planning
- intervention
- evaluation of process
- continued assessment
Beginning Phase of Tx (5 principles)
Key aspects:
- engagement
- building trust/confidentiality
- information gathering
- developmental assessments
- concept of termination
Strengths Perspective
- positive psychology
- concerned w/individual well-being
- aim: broaden perspective beyond suffering
- shift from what is NOT working to what IS working
- validating strengths for clt.
Characteristics of Clinical Interviewing
- intentional/structures
- warm & empathetic
- respectful
- strengths-based
- relational
- focused on goals
- reciprocal influence - how impacts clt.
- person-in-environment
- informed by theory
Benefits of services
- support
- learn to manage/cope
- normalize feelings
- education
- process feelings
- build trusting relationship
- broaden perspectives
- develop insight and awareness
- provides explanation for behavior
- offers objective viewpoint
- provides framework and structure
Barriers to service (7)
- cost
- stigma
- time limit (insurance)
- transportation
- motivation
- fear of being Dx
- risk of feeling worse
6 Types of silence
- thinking
- confusion
- painful feelings
- issues of trust
- quiet nature
- closure on topic
Open-ended questions
- 5 W's (who, what, where, when, why, how)
- magic wand question
- what happened next
- short, focused and non-directive
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Self Awareness in therapy
- Review notes
- Own triggers
- State of mind in moment
- Counter transference
- Discuss safety issues with supervisor
- Understand safety policies of agency
Expanded Maslow Hierarchy of Needs
- Biological and Physiological needs - air, food, drink, shelter, warmth, sex, sleep, etc.
- Safety needs - protection from elements, security, order, law, limits, stability, etc.
- Belongingness and Love needs - work group, family, affection, relationships, etc.
- Esteem needs - self-esteem, achievement, mastery, independence, status, dominance, prestige, managerial responsibility, etc.
- Cognitive needs - knowledge, meaning, etc.
- Aesthetic needs - appreciation and search for beauty, balance, form, etc.
- Self-Actualization needs - realizing personal potential, self-fulfillment, seeking personal growth and peak experiences.
- Transcendence needs - helping others to achieve self actualization.
Characteristics of Self-Actualizers
- They perceive reality efficiently and can tolerate uncertainty;
- Accept themselves and others for what they are;
- Spontaneous in thought and action;
- Problem-centered (not self-centered);
- Unusual sense of humor;
- Able to look at life objectively;
- Highly creative;
- Resistant to enculturation, but not purposely unconventional;
- Concerned for the welfare of humanity;
- Capable of deep appreciation of basic life-experience;
- Establish deep satisfying interpersonal relationships with a few people;
- Peak experiences;
- Need for privacy;
- Democratic attitudes;
- Strong moral/ethical standards.
Behaviors leading to Self-Actualization
(a) child: Experiencing life like a child, with full absorption and concentration;
(b) New things: Trying new things instead of sticking to safe paths;
(c) Listening to your own feelings: evaluating experiences instead of the voice of tradition, authority or the majority;
(d) Avoiding pretense and being honest;
(e) Being prepared to be unpopular if your views do not coincide with those of the majority;
(f) Taking responsibility and working hard;
(g) Trying to identify your defenses and having the courage to give them up.
Confrontation in Therapy
- used to highlight discrepancies
- use sparingly
- don’t use when clt. is emotional
- be realistic and allow time for change
- note clt. reaction and releases
Social Constructionism Theory
- meaning/knowledge is constructed through social interactions.
- cultural identity and social position influence who you are and how you see the world.
- Our perceptions “construct” our view of the world
Constructivism Theory
- Questions assumption of fixed/objective reality
- People can interpret same event differently because each experience is personalize, idiosyncratic view on what happened.
- Idea of individual’s creation of reality
Feminist Perspective Theory
- gender organizes power for all levels of society
- the personal is political
- promotes collaboration, networking and relationship building
- egalitarianism
- extending focus beyond gender and white middle class perspectives to eliminate all forms of oppression
- understanding transformational nature of change for all who experience oppression & discrimination.
- oppressed position of women results from patriarchal construction of reality
Life Course Theory
- view of sociological influences on human development across life span
- history shapes life choices, relationships, social relationships and resilience
- bridges micro/macro - helps to view context of how those influence personal trajectories
Historical Context
opportunities and restraints that expand/limit life choice
Linked Lives Theme
networks of social relationships and intergenerational connections influence human development
Human Agency
Our personal decisions are influenced by boundaries of contextual opportunities and restraints
Critical Theory
- relationship between human actions and social structures is fluid, both influence each other
- repetitive actions stabilize structural arrangements
- patterns of culture and power are products of interactions
- access to privilege and resources influenced by social location –> marginalization, oppression and scarcity of opportunities/resources
- sociopolitical and economic arrangements impact defining human identity, beliefs, and interactions
Critical Race Theory
- social structures and everyday patterns of action –> racism
- racism is everyday experience of most people of color because of social structures
- race is socially-constructed, not biologically determined
- dominant groups racialize members of minority groups due to self-interest/economics
- no one has single unitary identity
Critical Multicultural Social Work
uses principles of critical race theory to understand power, privilege, oppression, diversity and inform a multicultural education
Resilience
ability to manage positively, even in the face of adversity.
System (general def.)
an organized whole made up of components that interact in a way distinct from their interaction with other entities and which endures over a period of time
Holon
- social system
- each system part of a larger system and at the same time, composed of smaller systems
Subsystems
smaller systems within every system
environment
the larger system that encompasses a social system
Structure of a system
the organization of the system at a point in time
Interaction of System
putting an organization in motion to show how system operates
Biopsychosocial dimension
biological, cognitive and affective characteristics of person
Cultural View
influence of ethnicity and culture on human functioning
Closeness of System
closed or open nature of system boundaries
Boundaries of system
- distinguish the interior of the system from its environment
- vary in permeability
- differentiate people within given system
Hierarchy of System
which individuals and subsystems in a particular system have status, privileges and power
Interactional view of systems
the way in which people relate within system and with environments