Ch 6 (127-148) Flashcards
What are the key purposes of assessment?
Screening Diagnosing Case conceptualizing Treatment planning Goal identification Evaluating client progress
Define Screening
First stage in the counseling process
GOAL: 1. Identify individual’s problem
2. Determine Reason for being assessed
Allows counselors to develop a quick and cost-effective snapshot of a person
Helps determine the next step
*PAY ATTENTION TO NONVerBALs
What are some nonverbal cues to observe during screening?
Appearance
Client movement
Motivation
Who is with the,?
Volition
What does the intake interview accomplish?
– provides information about clients’ past functioning and how it relates to their current situation and problems they are facing
Areas to assess in intake interview
Demographic information Referral reasons Current situation Previous counseling experience Birth and developmental history Family history Medical history Educational and/or vocational background
Define Diagnosis
Refers to the process of learning more about the client and his or her problem
Goal depends on the purpose and setting of the counseling relationship
Define Case Conceptualization
a method and clinical strategy for obtaining and organizing information about a client, understanding and explaining the client’s situation and maladaptive patterns, guiding and focusing treatment, anticipating challenges, and roadblocks, and preparing for successful termination
What are the four phases of case conceptualization?
- Diagnostic - get info
- Clinical Formualtion: organiza info (pick a theorectical orientation)
3> Cultural formation (what role does client’s culture play>)
4> Treatment fomulation (set goals, interventions, monitor progress, assess outcomes
What helps to create a HIGH efficacy case conceptualization?
- Use multiple methods of gathering data
- Altnerative sources?
3> Dsm used? - Ruled out competing diagnosis?
- What is my theorectical understanding of the case?
- Do I have SMRT goals?
7> Evidence based interventions? - Good strategies for evaluating treatment?
Define the client treatment plan
Provides roadmap that will be followed throughout the counseling process
must flow logically from assessment results, fit the given environmental context of the client, and be individualized to mesh with the client’s strengths and weaknesses
What are the four basic components of a treatment plan?
- Operationally define the problem
- Establish treatment goals (SMART)
- Select intervention
- Evaluate progress
Difference between formative evaluation and summarive evluation
Formative evaluation – real time assessments during counseling process to determine efficacy of treatment
Summative evaluation – occurs at the end of the counseling process. Assesses outcomes