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LSW Exam > Assessment and Intervention Planning > Flashcards

Assessment and Intervention Planning Flashcards

1
Q

Biopsychosocial assessment

A

Bio - medical and physical health, developmental history, medication history, substance use history, family illness history

Pscyho - present psychiatric illness or sumptoms

Social - client systems and client context within those systems

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2
Q

Organic brain syndrome

A

physical disorders that impair mental function

Alcoholism, Alzheimer’s, Fetal Alcohol Spectrum Disorders, Parkinson’s and stroke

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3
Q

Traumatization

A

Results in neurological distress that does not go away/client is unable to return to equilibrium; can lead to mental, social, emotional and physical disability

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4
Q

Antipsychotics

A

Used for treatment of Schizophrenia and mania

Typical - Haldol, Thorazine
Atypical- Risperdal, Seroquel

**Tardive dyskinesia - abnormal, involuntary movements of the tongue, lips, jaw, and face as well as twitching

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5
Q

Mood stabilizers - antimanic agents

A

Treat BP disorders

Lithium

**Thyroid and kidney functions must be regularly checked

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6
Q

Antidepressants

A

Used to treat depressions

SSRIs - Lexapro, Paxil, Prozac, Zoloft
Tricyclics - Anafranil, Elavil
Monoamine Oxidase Inhibitors - Nardil, Parnate

**Dietary restrictions - limit foods that have high levels of tyramine (cheese, beer, wine, smoked fish)

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7
Q

Anti-anxiety drugs

A

Used to treat Anxiety Disorders

Benzodiazepines - primarily use is for anxiety, but they can treat several other conditions - Ativan, Klonopin, Valium, Xanax

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8
Q

Stimulants

A

Used to treat ADHD

Adderall, Concerta, Ritalin

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9
Q

Collateral sources

A

Family, friends, other agencies, doctors, etc

Used when the credibility and validity of information obtained from a client or others is questionable

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10
Q

Beck Depression Inquiry

A

21-item test, assesses presence and degree of depression in teens and adults

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11
Q

Minnesota Multiphasic Personality Inventory - MMPI

A

Objective verbal inventory designed as a personality test for the assessment of psychopathology consisting of 500 statements

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12
Q

Myers-Briggs Type Indicator - MBTI

A

Forced-choice, self-report inventory that attempts to classify individuals across 4 dimensions

  1. General attitude - Extravert vs. intravert
  2. Perception - Sensation vs. intuition
  3. Processing - Thinking vs. feeling
  4. Judging vs. perceiving
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13
Q

Stanford-Binet Intelligence Scale

A

Designed to test cognitive abilities for children and adults

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14
Q

Thematic Apperception Test - TAT

A

Widely used projective test; consists of series of pictures of ambiguous scenes and clients are asked to tell stories about the pictures

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15
Q

Inkblot test

A

Projective test

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16
Q

Wechsler Intelligence Scale - WISC

A

Measures child’s intellectual and cognitive ability

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17
Q

Risk assessment

A

Frequency and duration of violent thoughts
Access of methods
Ability to control violent or suicidal thoughts
Factors making the client feel better or worse
Deterrents
Use of drugs and alcohol

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18
Q

Suicide risks

A

Previous attempts, living alone, presence of psychiatric disorders, substance use, history of suicide in family, exposure to suicidal behavior, losses, presence of firearm or easy access to other lethal methods

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19
Q

Suicide protective factors

A

Clinical care for disorders, access to clinical support and interventions, family and community support, learned cooing skills, cultural and religious beliefs that discourage suicide

20
Q

Violence risk factors

A

Onset before the age of 13, child behavior disorders, associations with guns and drugs, involvement in delinquent peer groups

21
Q

Violence protective factors

A

Programs that focus on individual and environment, clinical care, access to interventions and support, family and community support, restricted access, learned coping skills

22
Q

Readiness to change

A
  1. Precontemplation
  2. Contemplation
  3. Preparation
  4. Action
  5. Maintenance
23
Q

Ego strengths

A

The ability of the ego to effectively deal with the demands of the id, the superego, and the reality

Basis for resilience

Tolerance of pain associated with loss, disappointment, shame and guilt; forgiveness; persistence and perseverance; openness, flexibility and creativity in learning to adapt

24
Q

DSM 5 Changes

A

Published in 2013

  • deleted the section Disorders Usually 1st Diagnosed in Infancy, Childhood and Adolescence
  • NOS replaced with Other Specified (explains why the criteria for a specific disorder is not met) and Unspecified (no explanation left)
  • got rid of the multi-axial system of diagnosis
  • WHODAS added
  • Substance abuse and dependence combined into 1 category
  • Greater cultural sensitivity
25
Q

Schizoid PD

A

Introverted, withdrawn, solitary, emotionally cold, distant

26
Q

Schizotypal

A

Peculiar, odd or eccentric manners; magical thinking; some paranoia

27
Q

Crisis

A

disruption of psychological homeostasis in which usual coping mechanisms fail

28
Q

Crisis Planning and Assessment

A
  1. Conduct a biopsychosocial assessment, assessing for imminent danger
  2. Make contract and rapidly establish a working relationship
  3. Identify major problems, including the crisis precipitants
  4. Encourage to explore feeling and emotions
  5. Explore alternatives and new coping strategies
  6. Restore functioning through an action plan
  7. Plan a follow-up
29
Q

SOAP format

A

S - subjective - client’s report on how they are doing
O-objevtive - health data, documentation, hard evidence
A-assessment - using subjective and objective findings to form an assessment
P-plan - what will be done next

30
Q

Types of research

A
  1. Experimental - control and experimental groups present
  2. Quasi-experimental - experimental group present but there is no random assignment
  3. Pre-experimental - no control group present
31
Q

Single subject research

A

Aims to determine whether an intervention has the intended impact on a client or group of clients

Ex: pre and post test, single study

single case study - AB
reversal - ABA
multiple baseline - ABAB

Ideal for showing cause and effect and for studying behavioral change

32
Q

Internal validity

A

Extent to which causal inferences can be made about the treatment and the targeted behavior, did a cause b?

33
Q

External validity

A

How generalizable are the findings to a general population

34
Q

Interrater reliability

A

Would different raters give consistent estimates of the same phenomenon

35
Q

Test-retest reliability

A

Subjects can take the test more than once and have a consistent score

36
Q

Internal consistency reliabillity

A

Assesses consistency of results across items within a test

37
Q

Parallel forms reliability

A

Assesses consistency of the results of 2 tests constructed in the same way and from the same content domain

38
Q

Reliability

A

Consistency, reducing random errors

39
Q

Validity

A

Degree to which the test measures what it’s actually supposed to measure, aims to minimize systemic errors

40
Q

Face validity

A

Does the assessment actually measure the constructs

41
Q

Content validity

A

Are all of the relevant content domains covered

42
Q

Criterion related validity

A

Predictive, concurrent, convergent, and discriminant

43
Q

Involving clients/client systems in intervention planning

A
  1. Engagement
  2. Assessment
  3. Planning
  4. Intervention - should be revisited and reviewed
  5. Evaluation
  6. Termination
44
Q

Reasons for d/c and termination

A
  • client met goals, no longer needs services
  • client decides not to continue
  • client requires different care
  • sw leaves the agency and client must transition to work with someone else

**Code of ethics: terminate when services are no longer needed/services are no longer serving the needs of the client; termination has to be planned and sw should assist in making appropriate arrangements for service continuation when necessary (sw should make reasonable arrangements to ensure continuity of services if sw is terminating due to personal reasons), clients must be notified promptly

**It is unethical to continue treatment if services are NO longer needed

45
Q

$ and services

A

You can terminate if a client is not paying for the services if the financial contract has been made clear to the client AND if the client does not pose an imminent threat to themselves and others AND if clinical and other consequences of nonpayment have been clearly discussed

46
Q

Social relationships and services

A

NOT allowed = social, financial, sexual

47
Q

High risk clients and termination

A

Continue receiving regular assessments after discharge to determine whether services are needed or if d/c plans should be put forward as planned

LSW Exam (5 decks)

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