Assessment Methods and Techniques Flashcards
What factors & processes are used in Problem Formulation?
- Problem identification concerns determining the problem targeted for intervention
○ Often difficult to isolate the issue that, when addressed, will result in a change in the symptomology of a client/client system- Have to determine the issue in exact, defineable terms, when it occurs, and its magnitude
- In macro practice, SW will often need to get consensus from the group around what the nature of the problem is
- Often useful to determine what the problem is not
- Should always be considered in PIE & with strengths
When should a SW gather collateral & what are the benefits?
- Collateral is often still necessary - family, friends, other agencies, physicians etc. as informants
○ Often used when credibility & validity of information obtained from the client/others is questionable
○ Credibility of informants must be assessed as well, data from neutral parties is more likely to be valid
○ Info from collateral informants that matches info from client increases validity of data
***** NEED INFORMED consent before contacting collateral sources
What does the Beck Depression Inventory (BDI) assess?
21-item test, MC, assesses presence and degree of depression in adolescents & adults
What does the Minnesota Multiphasic Personality Inventory (MMPI) assess?
Objective verbal inventory designed as a personality test for the assessment of psychopathology, consisting of 550 statements, 16 of which are repeated
What does the Myers-Briggs Type Indicator assess?
○ Forced-choice, self-report inventory that attempts to classify individuals along 4 theretically independent dimensions
§ General attitude towards the world: Extraverted or Introverted
§ Perception: Sensation or Intuition (N)
§ Processing: Thinking or Feeling
Judging or Perceiving
What does the Rorschach Inkblot Test assess?
Responses to inkblots to assess perceptual reactions and other psychological functioning (projective test)
What does the Stanford-Binet Intelligence Scale assess?
Tests cognitive abilities - verbal, performance, and full scare scores
What does the Thematic Apperception Test assess?
○ Projective
○ Series of pictures and ambiguous scenes - make up stories/fantasis around what has/will/going to happen in each scene & thoughts/feelings
» Understanding thoughts/feelings/emotions/conflicts both conscious and unconscious
What does the Wechsler Intelligence Scale assess?
Measures children’s intellectual & cognitive ability - 4 index scales & a full scale score
What can psychological tests bring to Assessments?
○ Measure mental abilities & characteristics - personality, achievement, intelligence, neurological functioning
○ Questionnaires, written, verbal, pictorial
- Can be scales, surveys, screens, checklists, assessments, measures, inventories etc.
What can educational tests bring to Assessments?
○ Measure cognitive abilities & academic achievement
○ Profile of strengths and weaknesses that accurately identify areas for academic remediation and insight into best learning strategies
○ Documentation for legal purposes of establishing disabilities
- Often comes after a period of struggle, distress, and different efforts
What other kinds of tests can be utilized in assessment?
○ Achievement/Aptitude Tests - education or ability to learn
○ IQ Tests
○ Job/Occupational Tests
○ Personality Tests
○ Neuropsychological tests - cognitive functioning
- Specialized clinical tests - areas of clinical interest - anxiety, depression, PTSD etc.
Which communication concepts/styles are ineffective?
○ Should/Ought can be judgemental/moralizing and can have opposite effect
○ Offering advice/solutions prematurely before thorough problem exploration can cause resistance
○ Using logical arguments, lecturing, or arguing may result in a power struggle
○ Judging, criticizing, blaming are detrimental to client & relationship
○ Using professional jargon and defining client in terms of their diagnosis can impact self-view
○ Providing premature reassurance without a genuine basis is often for the SW’s own benefit. Have to explore feelings no matter how painful they are
○ Ill-timed or frequent interruptions disrupt the process
○ Excessive social rather than therapeutic interactions is counterproductive
- Must provide structure and direction to the process instead of being passive or inactive
What are the 10 critical communication concepts?
- Acceptance
- Cognitive Dissonance
- Context
- Double Bind
- Echolalia
- Information
- Information Processing
- Information Processing Block
- Metacommunication
- Nonverbal Communication
Define Cognitive Dissonance
- Arises when someone has to pick between 2 contradictory beliefs
- Most often when 2 options are equally attractive
> 3 ways to reduce: reduce the importance of conflicting beliefs, acquire new beliefs that change the balance, remove conflicting attitude/behaviour
Define Double Bind
Offering two contradictory messages and prohibiting the recipient from noticing the contradiction
What are the 2 different types of communication content?
Manifest & Latent
What is Manifest communication?
concrete words or terms contained in a communication
- relying only on manifest content to understand client experiences/problems may not result in full understanding
What is Latent Communication?
not visible, underlying meaning of words/terms
Define Congruence (in communication)
matching of awareness and experience with communication
- Client needs to be able to express themselves and for their communication to be reflective of their feelings - Essential for the vitality of a relationship and to facilitate true helping in the problem solving process
What is a good tool for assessing & enhancing communication skills?
Role Playing - allows to see if there is congruence between nonverbal & verbal communication
What does a Risk Assessment achieve?
- Assessing risks of clients to themselves and others
- No indicators that definitively predict whether a client will act on their feelings to hurt themselves
- Must review ALL assessment data to determine appropriate level of care/plan
- No indicators that definitively predict whether a client will act on their feelings to hurt themselves
What does a Risk Assessment include?
> MUST include:
○ Risk & protective factors
○ Behavioural warning signs
> MAY include:
○ Frequency, intensity & duration of suicidal/violent thoughts
○ Access to/availability of method(s)
○ Ability/inability to control suicidal/violent thoughts
○ Ability not to act on thoughts
○ Factors making the client feel better or worse
○ Consequences of actions
○ Deterrents to acting on thoughts
○ Whether client has been using substances to cope
Measures a client requires to maintain safety
When must a SW notify others of risk?
- When a client is seen to be a danger to themselves or others, involuntary treatment may be sought
- If a client is deemed a danger to an identifiable 3rd party a SW should consider this a “duty to warn” (Tarasoff decision)
What are some client strengths that are often overlooked?
- Facing problems by seeking help rather than avoiding
- Taking risks by sharing problems with SW
- Perseverance
- Being resourceful
- Meeting family & financial obligations
- Seeking to understand actions of others
- Functioning in stressful situations
- Considering alternative courses of action
How can a SW identify strengths?
- Seeking exceptions - when the problem doesn’t exist/occur (locations, times, contexts)
- Scaling the problem - severity from 1-10
- Scaling motivation - estimating degree to which client feels hopeful about resolution etc
- Miracle Question - what would be different if the problem didn’t exist
What are some strengths often found in community?
- Organizations
- People
- Partnerships
- Facilities
- Funding
- Policies
- Regulations
- Culture
How can a SW identify community strengths?
- Can look at experiences of other communities that have experienced similar problems - their strengths to see if similar ones can be mobilized
- Must have an understanding of gaps/needs in the community
- Collaboration & community building are essential for addressing community challenges
- Must have an understanding of gaps/needs in the community
- Can look at experiences of other communities that have experienced similar problems - their strengths to see if similar ones can be mobilized
What are some forms of data collection used in community?
- Interviews
- Observation
- Surveys
- Observation
What are some indicators of Resistance?
○ Limiting amount of info communication to SW
○ Silence, minimal talking in sessions
○ Small talk about irrelevant topics
○ Intellectual talk - technical/abstract terms or asking questions not related to issues
○ Discounting, censoring, editing thoughts when asked about them by SW
○ False promising
○ Flatting a SW to attempt to “soften” them to not be pushed to act
○ Not keeping appointments
- Payment delays/refusals