ASWB LCSW- Development, Theories & Treatment Modalities Flashcards

Units I & II

1
Q

Salient

A

Powerful / not diluted

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2
Q

Evidence Based Social Work

A

Decision making based on the conscious, explicit and judicious use of research knowledge clinical expertise social work values and client wishes

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3
Q

Stages of Change

A

precontemplation, contemplation, preparation, action, maintenance, and relapse

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4
Q

Ethical Problem Solving Steps (6)

A
Identify what is compromised 
Determine the problem
weigh ethical issues
suggest modifications, 
implement modifications
monitor for new issues
All while not relying on supervisor
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5
Q

Delusion

A

false, fixed belief despite evidence to contrary (believing something that is not true)

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6
Q

Formative Study

A

Handing out surveys about service delivery to those participating in trx currently allowing for feedback

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7
Q

Summative Study

A

Handing out surveys about outcomes to those who have completed trx previously

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8
Q

Stratification

A

Structured inequility, entire categories of people in society with unequal access to social rewards

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9
Q

Danger to Self (Risks)

A

Hx of self harm/ SI, Lack of Support, Presence of Psychiatric Dis. Substance use, exposure to SI behaviors, access to lethal means

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10
Q

Danger to Self (Protective)

A

Clinical Care, access to clinical support, no access to lethal means, family/ friend support, coping skills, cultural / religious beliefs discouraging SI

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11
Q

Category of medications for Social Anxiety Disorder

A

SSRI’s are prescribed first used to treat depression medications like: Zoloft

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12
Q

Valuim

A

Benzodizapine: treat anxiety but are normally PRN as they are habit forming

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13
Q

Mellaril

A

Antipsychotic Medications for psychosis

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14
Q

Thorazine

A

Antipsychotic Medications for psychosis

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15
Q

Trust VS. Mistrust (Erickson)

A

1st Stage: children learn the ability to trust other based upon the consistency of their caregivers

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16
Q

Autonomy VS. Shame Doubt

A

2nd Stage: Toddlers assert independence, if supported they become confident. If they are critized, overly controlled they feel inadequate, dependent on others

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17
Q

Initative VS. Guilt

A

3rd Stage: Children start to play and initiate with others, if squeled through critism or control they develop guilt lack self initiative and feel like a nuisance

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18
Q

Industry VS. Inferiority

A

4th Stage: Children entering puberty, develop pride in accomplishments, confidence in taking initiative, if not they become followers, feel like they are inferior not reaching potential.

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19
Q

Identity VS. Role Confusion

A

5th Stage: Adolesence time for exploration on who they are creating identity and figuring out what their future may look like: School/ Career/ relationships etc.

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20
Q

Intimacy VS. Isolation

A

6th Stage: Early Adulthood creating and maintening longer more meaningful relationships outside family OR becoming mistrusting, fearing and isolated.

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21
Q

Generativity VS. Stagnation

A

7th Stage: Middle Adulthood, generating family, work and productivity in community OR feeling of unproductivity or stagnation

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22
Q

Ego Integrity VS. Despair

A

8th Final Stage: Elderly look upon their life with a sense of accomplishment and satisfaciton in their life’s productivity OR they are unsatisfied and feeling time wasted.

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23
Q

S.O.A.P

A

Subjective, Objective, Assessment and Plan

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24
Q

Aphasia

A

Difficulty using language to speak or write.

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25
Q

Cultural Changes DSM 5

A

there is recognition that every disorder is inherity culture-bound. DSM 5 now has cultural syndromes, cultural idioms, and cultural explanations to help diagnosis

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26
Q

In the event you must give court / legal client information you should

A

Attempt to contact the client about the disclosure of the information.

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27
Q

In the event you share information after using a client consent form you should also

A

Attempt to contact the client about the sharing of the information.

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28
Q

Paradoxical Intent or directive

A

Strategic Family Therapy: When Counselor prescribes or tells client to continue symptomatic behavior so they realize their control over it.

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29
Q

Differation

A

Bowenian Family Trx- Differentiation is theprocess of freeing yourself from your family’s processes to define yourself. This means being able to have different opinions and values than your family members, but being able to stay emotionally connected to them.

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30
Q

Emotional Fusion

SFT

A

Counter to Differentiation, when family members share a emotional response, result of poor interpersonal boundaries. No room for emotional autonomy.

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31
Q

Relabeling Paradigm

STF

A

Renaming the problem or person so situation can be viewed differently

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32
Q

First Order Changes

“Strategic Family Trx”

A

Strategic Family Trx- superficial behavior changes within system that do not change the structure

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33
Q

Second Order Changes

SFT

A

Strategic Family Trx - Changes to system pattern to reorganize and function more effectivily

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34
Q

Pretend Technique

SFT

A

Strategic Family Trx- encouraging family members to pretend, voluntery control over behavior

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35
Q

Strategic Family Therapy

A

Can be active, brief and direct. More interested in changing behavior not understanding. Alters the cycle that keeps symptomatic behavior

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36
Q
Advance Directives (Medicare & Medicaid) for health care facilities
(REDD)
A
Inform clients of & allow clients to
Rights
Educate
Decision making
Documentation
...all in regards to Advanced directives
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37
Q

Partializing Techniques

A

Assisting client to break down problem or goals into less complex issues into simpler ones.

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38
Q

Inhibit

A

Hinder or restrain

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39
Q

Universalism

A

Based on ONLY ONE acceptable norm or standard for everyone. Hinders Therapeutic relationship because it will not accept the many valid norms / standards of clients.

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40
Q

Psychoanalytic Theory

A

Client is seen as product of past, believe that personality/behavior derive from constant unique interactions between levels of awareness conscious, pre-conscious and unconscious AND that personalities are made from Id, Ego and Super Ego

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41
Q

Social Exchange

A

Based on totaling benefits and losses to determine behavior. (i.e battered client will leave abusive relationship when alt is seen better) Rewards outweigh costs.

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42
Q

Covert Modeling

A

Clients are asked to use imagination, visualize the desired behavior.

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43
Q

Self-modeling

A

when clients are videotaped demonstrating the behavior and this tape is watched and discussed

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44
Q

Live Modeling

A

Watching a live person performing the desired behavior

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45
Q

Symbolic Modeling

A

Watching others who have been video tapped perform the desired behavior.

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46
Q

DSM - “Other Specified”… used when

A

…When the social worker provides a reason why a condition does not qualify for a disorder.

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47
Q

Reintegration for SUD High Risk

A
  1. Regular assessment / service determination 2. Natural / Peer supports 3. F/U on success of discharge plan
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48
Q

Displacement

A

Directing feeling toward a person or situation that is not the source of the emotion. (man angry with boss kicks his dog)

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49
Q

Projection

A

Placing one’s own disowned attitudes, behaviors, wishes and feelings onto another external object or person

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50
Q

Reaction formation

A

When a person takes on affect, behaviors and attitudes which are not congruent of how they actual feel ( Mary is angry but speaks very sweetly to mask her anger)

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51
Q

Conversion

A

repressed urge transforming into physical distrubance (pain, blindness, paralysis)

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52
Q

Devaluation

A

When a person attributes exagerrated negative qualities onto self or another

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53
Q

Repression

A

Banishing or forgetting impluses which are thought to be unnacceptable from consciousness

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54
Q

Regression

A

resorting to previous behaviors learned in infancy

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55
Q

Splitting

A

When a client (Normally Boarderline) will percieve people and self as all bad or all good

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56
Q

Sublimation

A

Channeling maladaptive behaviors into sociall acceptable and adaptive activities ( angry person channels into atheltics)

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57
Q

Transference

A

The redirection of feelings for a significant person onto the social worker (manifests in attraction, rage, dependence, etc)

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58
Q

Counter Transference

A

When a social worker transfers their own feelings onto a client due to past connection or trigger (feeling familiar with client, or situation)

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59
Q

Freud’s Sexual Stages

A
  1. Oral (1yrs) 2. Anal (2yrs) 3. Phallic (3-5yrs) 4. Latency (5-puberty) 5. Genital (begins at puberty)
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60
Q

Projective Test

A

Psychoanalytical approach seeking unconscious thoughts, using scenes word and images

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61
Q

Dichotomous Thinker

A

Spirituality: Last stage where people come to a deeper understanding of good and evil and integrate their beliefs into their worldview and behavior

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62
Q

Consent Vs Assent

A

Consent is legal term means what client is willing to and has legal authority to consent to trx, Where As, Assent is the willingness to participate but is not a legal meaning because it can be granted with out legal authority (gaurdianship)

63
Q

Question: When Q asks (what is the BEST way to Assist the client) it is looking for

A

An intervention which helps with the target problem

64
Q

Ego Synotic beliefs

A

Psychoanalytical: Refers tothe behaviors, values, and feelings that are in harmony with or acceptable to the needs and goals of the ego, or consistent with one’s ideal self-image.

65
Q

Isolation of Affect

A

Defense mechanism: in whichthe individual screens out painful feelingsby recalling a traumatic or painful event without experiencing the emotion associated with it.

66
Q

Three Types of Research Deisgn

A

Experimental, quasi-experimental, pre-experimental

67
Q

Experimental Designs

A

Research Method: Randomized experiments most rigorous and sometimes not available.

68
Q

Quasi- Experimental Design

A

Research Method: Uses intervention and controlled comparision groups, but assignment to groups is not randomized

69
Q

Pre- Experimental Design

A

Research Method: Contain only intervention groups and no comparision groups making their validity the weakness of all study methods

70
Q

Single- Subject Research

A

Research Design: Aimed to see if intervention has the intedend impact on client/group. Most commonly seen in pre/post testing or single case study (AB) (ABA) or (ABAB)

71
Q

Internal Validity

A

Is the study actually measuring the causation between target behavior and intervention. Any other reasons for outcome within study.

72
Q

External Validity

A

Asks if the study can be generalizable to society. (if the study sees behavior control amongst teens but only studies male teens, it is not generalizable to all teens as females where not studied)

73
Q

Descriptive Vs Inferential Statistics

A

Descriptive Stats describe the collected data pool (age, race, how many, where, when, who) Inferential Stats is the describe the probablity of the present or lacking causation in the study or the findings.

74
Q

A double Blind

A

Research Study: Where neither the researcher or the participants know which control group they are a part of.

75
Q

A Single Blind

A

Research Study: Where the researcher knows which participants are in which study control groups, but the participants do not know

76
Q

Cognitive Dissoance

A

A state of conflict in the mind, where there are two opposing views and the brain trys to justify attitudes or behavior. (I.E Girl admits to being in great financial debt, but justifies buying things at target)

77
Q

Tarasoff Decision

A

Must include: A threat of danger, identifiable third party, personal harm must be imminent

78
Q

Research Design Definitions: (A) & (B)

A

(A) is the presentation or behavior before intervention (B) is the behavior or presentation after the intervention

79
Q

Reporting Abuse

A

Client does not: need to given consent or assent, Report SHOULD be

80
Q

Token Economy

A

Reward is given consistently when behavior is exhibited, should be seen by the client and the reward must be something of value for the client

81
Q

Fee Splitting

A

Fee splitting isthe practice of sharing fees with professional colleagues, such as physicians or lawyers, in return for being sent referrals.

82
Q

Object Relations (Malher Stages)

A

Normal autism, Normal Symbiotic, Separation Individuation/ Hatching / Practicing / Rapprochement, Object constancy

83
Q

Rapprochement (Object Relations)

A

After gaining the ability for physical distance through abililty to mobilize, children often retreat back to parents or attempt to keep them in physical view at all times for a sense of safety.

84
Q

Delirium

A

Medical condition resulting in confusion, disruptions in thinking and behavior, changes in perceptions, attention and mood.

85
Q

Dementia

A

Changes in memory and intellect are slowly dimished over months/ years.

86
Q

Delirium VS Dementia

A

They are very similar in presentation, and Dementia patients are very suspitable to Delirium however Dementia is a slow decline (months/years), Where Delirium would be a completel change flucuating within a day.

87
Q

Munchausen Syndrome by Proxy

A

When a caregiver makes up or causes illness or injury in a person under his / her care to create evidence that their victim is ill or injured. The victims normally children or eldery must be removed from the home immediately.

88
Q

HypochondriasisDisorder

A

Or hypochondriac, become unduly alarmed about any physical or psychological symptoms they detect, no matter how minor the symptom may be, and are convinced that they have, or are about to be diagnosed with, a serious illness.

89
Q

Termination Process includes

A

Acknowledgement of loss SW and Client, Identification of resources to meet future needs, Review of client accomplishments

90
Q

Institutional Discrimination can Include

A

Not providing translation services, Only offering services on Saturday (religion), Not hiring persons born outside the US

91
Q

(Ethical or Not) - Referring client to another SW based on his/her cultural background?

A

Ethical - Unless pattern arises, if client and social worker conclude together that there may be a better fit this action is non discrimatory

92
Q

Entropy (systems Th)

A

Closed, disorganized, stagnant, choatic

93
Q

Negative Entropy (systems Th)

A

exchange energy and resources between systems which generates growth and transformation

94
Q

Differentiation (systems Th)

A

Becoming Specialized in structure and function

95
Q

Equifinality (systems Th)

A

Arriving at the same end from different beginnings

96
Q

Closed Systems (systems Th)

A

Used up all its energy and dies out

97
Q

Suprasystems (systems Th)

A

An entity that is served by a number of component systems organized in interacting relationships

98
Q

Subsystem (systems Th)

A

When two or more major components of one large systems interact to attain their own purposes and the purposes of the large system of which they belong

99
Q

Physical Symptoms of Trauma

A

Muscle tension, Insomnia, Aches & Pains

100
Q

Emotional/ Psychological Symptoms of Trauma

A

Feeling Disconnected,

101
Q

Group Think

A

When the group makes faulty decisions due to group pressures, they ignore alternatives & dehumanize other groups. Group are vunerable to this when its members are too closely linked/similar

102
Q

Group Polarization

A

When discussion strengthens a dominate point of view and the group adopts a extreme position which they would not have gotten to on their own

103
Q

IEP (school plans) are reviewed…?

A

Monthly

104
Q

Negative Reinforcement

A

The removal of something negative to strengthen a behavior; such as wife stops nagging husband to take trash out, husband then takes trash out

105
Q

Positive Reinforcement

A

When a behavior is encouraged by rewards

106
Q

Intermittent Reinforcement

A

When a behavior has a positive or nagtive response which only sometimes occurs; Boy comes home late, only sometimes does his father become very angry ( is some how the most effective change to behavior)

107
Q

Aversion Treatment

A

Common example Antibuse: curing the repeated behavior by making the behavior less desireable: Putting pepper on your nails so you don’t bit them

108
Q

Extinction

A

Stopping a repeating behavior by not engaging at all: Boy is beat up on play ground, extinction, boy does not go to play ground

109
Q

Receptive Communication

A

Develops in early childhood: Understanding what others say to you

110
Q

Expressive Communication

A

Develops later in adolscents: using words and gestures to communicate with others

111
Q

General Systems Theory

A

The examination of Homeostasis and the mechanisms that affect it

112
Q

Male and Female Roles (Aging Parents)

A

Males: Do it out of social norms, obligation and self interest…… Females: Dot it out of Intimacy, affection for parents, Altruism

113
Q

Beck’s Depression Inventory

A

Assesses the degree of depression in adolscents and adults

114
Q

Minnesota Multiphasic Personality Inventory (MMPI)

A

Objective verbal inventory designed as a personality test through psychopathology lens

115
Q

Myer’s Briggs

A

Forced-choice, self report which clsasifies people into 4 different dimensions

116
Q

Rorschach Ink Blot Test

A

Projective Test: Based on perceptual reactions & psychological functioning. Is the most widely used projective test

117
Q

Stanford-Binet Intelligence Scale

A

Scores children and adults for intelligence and cognitive ability

118
Q

Thematic Apperception Test ( TAT)

A

Projective test, which uses story building by the client, who is asked to fill in information and story lines by client thoughts

119
Q

Weschler Intelligence Test

A

The Score and measure of childrens intellectual and cogntive ability

120
Q

Multi-Attitude Suicide Tendency Scale

A

Assesses childhood suicidality

121
Q

Effects of Corporal Punishment in Adolescents

A

Relatively frequent corporal punishment in adolscents can significantly increases risk of suicidal ths/behaviors at any point in clients lives

122
Q

Anna was in a car accident in early childhood and can no longer use her legs, anna is 16 now how should parents best support Anna?

A

Set normal rules and limits in the home, only help Anna when she asks, allow normal friendships and relationships

123
Q

Cyber Bullying (Gender Differences)

A

Girls are more likely to be victims and perps, and is typically the behavior of individuals in social/school peers.

124
Q

Examples of Summative Practice Evaluations

A

Cost benefit analysis, Impact evaluation, Effectiviness Survey

125
Q

Examples of Formative Practice Evaluations

A

Needs Assessment,

126
Q

Why is it important to discuss the cause of traumatic event (working with Crisis)

A

To help client navigate future Crises

127
Q

What is the most common defense mechanism used for Adult Survivors of childhood sexual abuse

A

Denial

128
Q

Vicarious Liability

A

Vicarious liability is created by an action (or lack of required action) by one party working on behalf of another (i.e a worker is acting in unethical manner and it effects the agency/supervisor)

129
Q

Rational-Emotive Therapy (RET) does not believe in …?

A

The importance or power of Self-Esteem (believing it causes unrealistic & unproductive attitudes) and rather believes that unconditional acceptance of self and others is healthier mind set

130
Q

The Concept of Ego Strength (Freud)

A

It is the way in which self negotiates with demands of the world, helps maintain internal stability, and is linked to fewer Psychiatric crises

131
Q

Consequential Thinking (best described)

A

is a concept often used in treating conditions that involve impulsive behavior; where individuals acnticipate probable outcomes of their behavior allowing for logic to govern how they choose to act

132
Q

Interpretation

A

is when a social worker offers an explanation to a client in order to enhance the understanding, make connections, and facilitate the development of insight.

133
Q

Reality Testing

A

Reality testing is when a social worker evaluates a client’s ability to judge the external world objectively and to distinguish between it and the ideas that are in the client’s mind.

134
Q

What are the three categories of Social Work Service Programs?

A

Exceptional Eligibility Programs, Universal Programs, and Selective Eligibility Programs

135
Q

Classical Conditioning

A

used to train autonomic responses and to associate a stimulus that normally wouldn’t have any effect with a stimulus

136
Q

Operant Conditioning

A

creates an association between a behavior and a consequence . (also called response-stimulus)

137
Q

False Imputation

A

is the attribution of symptoms to another source for gain.

138
Q

Pure Malingering

A

is the expression of a disorder the client does not have, presume a secondary gain motivation

139
Q

Partial Malingering

A

is the exaggeration of real symptoms for a secondary gain

140
Q

Universal Residual Program

A

is an emergency based program that provides benefits to all members of society

141
Q

Selective Residual Program

A

Short term, provided to a restricted group that demonstrates needs

142
Q

Universal Institutional Program

A

provides benefits to all members of society

143
Q

Social Work Broker

A

research assessment and linkage for those in need

144
Q

Social Work Change Agents

A

Address needs of a larger group/population

145
Q

Social Work Advocates

A

Speak up for the rights of clients

146
Q

“Only” Children are most likely seen in adulthood with…

A

high achievement, motivation and well developed verbal skills. Are readily adaptable, and often have feelings about themselves concerning their status as “only children”

147
Q

Kinesics

A

Communication behaviors based on range of variables related to body movement

148
Q

What is known about short term treamtent interventions?

A

Clients perfer them over long term trx, they are often driven by managed care, there is a high variable in their duration

149
Q

C.A.G.E Assessment

A

Use for Substance use: Cut down on consumption, Annoyed by criticizing friends, Guilty feelings about your drinking, Eye opener or having a drink in the morning to satisfy hangover?

150
Q

Hearing Loss Young VS. Elderly

A

Those in the younger age group are likely to adapt much more easily,

151
Q

Steps to Crisis Intervention (SRMEGP)

A

Safety, Rapport, Major Problems, Explorations feelings,Generation of alternative/coping, Plan

152
Q

Five Requirements of Law

A

Constitutional, Statutory, Regulated, Common Laws, & Excutive Orders

153
Q

Substance Use Models

A

Biopsychosocial Model, Medical Model, Self Medication Model, Family/Environmental Model, Social Model

154
Q

The Stages of Group Dynamics

A

Forming, Storming, Norming, Preforming, Adjourning OR Preaffiliation, Power & Control, Intimacy, Differentiation, Termination