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CIDS tentamen > Chapter 16: Assessment > Flashcards

Chapter 16: Assessment Flashcards

1
Q

aims of a recovery-focused assessment include:

A
  1. to promote and validate the development or personal meaning
  2. to amplify strengths rather than deficits
  3. to foster personal responsibility rather than passive compliance
  4. to support the development of a positive identity rather than an illness identity
  5. to develop hopefulness rather than hopelessness
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1
Q

exploring the importance of personal meaning in the recovery process, the focus is on…

A

avoiding the imposition of meaning on individuals fulfilling the role of a mental patient

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2
Q

Baumeisters conceptual framework: four needs for meaning

A

purpose
value
efficacy
self-worth

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3
Q

purpose: definition and implication

A

present events draw meaning from their connection with future events.

listen for personal meaning and meaning-making approaches in accounts of past and current events

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4
Q

two types of purpose

A
  • goals (an objective outcome: getting a job, a child)
  • fulfillments (a subjective anticipated state of future fulfilment -> being in love, going to heaven)
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5
Q

wat zijn de implications van goals & fulfillments

A

goals = identify personal goals, provide goal-setting and goal-striving support, facilitate access to mainstream opportunities (employment, education, leisure, social)

fulfullment = encourage optimism and hopefullness

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6
Q

hoe kan je optimism and hopefullness supporten

A
  • where would you like to be in 5 years?
  • how can i support you to work towards that dream?
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7
Q

values =

A

lends a sense of goodness or positivity to life, can justify certain courses of action

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8
Q

values implication

A

support spiritual development by facilitating access to groups etc.

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9
Q

efficacy=

A

a belief one can make a difference

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10
Q

efficacy implication=

A

identify and amplify times of wellbeing, when person showed mastery and coped with unanticipated difficulties.
plan ahead
identify personal and social resources
support the development of crisis plans

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11
Q

self-worth=

A

reasons for believing one is a good, worthy person

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12
Q

self-worth implications

A

actively encourage the person to take on giving back roles (voluntary, writing, becoming a mentor). foster affiliation with high status groups

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13
Q

cultural competence =

A

a means to facilitate individualized approaches, fostering recovery

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14
Q

3 approaches to understanding experiences of psychosis:

A
  1. finding specific and concrete meanings
  2. understanding metaphoric or thematic associations
  3. understanding the purpose and significane of a persons elaboration of their psychosis
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15
Q

3 levels of understanding

A
  1. understanding the meaning of madness
  2. understanding the meaning in madness
  3. understanding the meaning through madness
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16
Q

Lazarus cognitive appraisal model defines coping as…

A

constantly changing cognitive and behavioural efforts to manage demands.

coping strategies: problem-focused, emotion-focused, meaning-focused.
coping responses are further classified into avoidance (deny or seek escape) versus approach strategies (actively confront)

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17
Q

clinical assessment should focus on 4 dimensions:

A
  1. deficiencies and undermining characteristics of the person
  2. strenghts and assets of the person
  3. lacks and destructive factors in the environment
  4. resource and opportunities in the environment
18
Q

emotional avoidance: coping response, thoughts, feelings, behaviours, consequences/problems

A
  • emotionally withdrawal from a too painful reality
  • there is no problem
  • drained, dead inside, wrung out, heavy, anxious, depressed
  • drugs, alcohol, social isolation, day-dreaming, excessive sleep, giving up
  • disengaged, amotivational, affective blunting, passivity, lacking insight
19
Q

reframing: coping response, thoughts, feelings, behaviours

A
  • try to make sense of a situation in a way that fits with current beliefs
  • i can make sense of whats happened without changing myself
  • suspicious, anxious, afraid, alone, uncertain, angry
  • odd behaviour, increased religious activity
  • paranoid, delusional, reasoning bias, lacking insight
20
Q

active engagement: coping response, thoughts, feelings, behaviours

A
  • try to change the world to fit with beliefs
  • i can change the situation without changing myself
  • engaged, angry
  • challenging
  • non compliant, manipulative
21
Q

integration: coping response, thoughts, feelings, behaviours

A
  • change beliefs, values, and goals to better fit reality
  • this is how things are: what now?
  • acceptance, combined happiness & sadness
  • ventilation of feelings, use of social support
22
Q

the tendency to emphasize deficits is reinforced by…

A
  • the structured approach of clinicians, who often overlook individuals coping abilities and positive aspects.
  • the lack of a shared language for dimensions beyond deficits contributes to this imbalance
  • the expectation that indiviudals are to be treated: individual and problem centered focus.
  • questions clinicians ask structure the dialogue: perpetuating a deficits focused discourse
23
Q

Mental Health Assessment onderdelen

A
  • current strengths and resources
  • learning from the past
  • personal goals
  • past coping history
  • inherited resources
  • family environment
  • developmental history
  • valued social roles
  • social support
  • personal gifts (forensic history, drugs and alcohol)
  • personal recovery (premorbid personality)
24
Q

twee soorten cycles, een is recovery en een niet

A
  • problem focused cycle
  • appreciative listening cycles
25
Q

appreciative listening cycle=

A

listening together for passions, interests, dreams - a small/big life goal -> discover opportunities -> access resources -> face challenges -> listening…

= Discover, Dream, Design, Destiny

more consumer-led, acknowledges that these individuals hold valuable insights about their own life. it shifts responsibility to the individual, and views setbacks as opportunities for growth

26
Q

welke assessment kun je nog meer gebruiken in personal recovery voor aandacht naar strenghts

A

the character strenghts assessment

27
Q

wat is een bekend proces tijdens personal recovery

A

identity transformation

28
Q

welke twee processen gaan ten werking tijdens identity tranformation

A
  1. redefinition (redefining existing elements)
  2. growth (developing new aspects)
29
Q

direct meaning of mental illness: redefinition

A
  • my mental illness means i cannot function some of the time, rather than all the time
  • i have more control than anyone else over my mental illness
30
Q

direct meaning of mental illness: growth

A
  • my mental illness has led me to understand myself in new ways
  • other people have been like me and recovered
31
Q

indirect meaning; redefinition

A
  • my mental illness has happened because of my childhood
  • my mental illnes means i am in touch with my creativity
32
Q

indirect meaning: growth

A
  • i am more compassionate to others now
  • my mental illness has given me a job, teaching about mental health issues
33
Q

organizing model of hope (russinova): omschrijving

A

Key values, attitutes and behaviours that foster hope including: trusting the authenticity of the person, valuing the clients interpretations, maintaining cognitive flexibility.

34
Q

values: using interpersonal resources

A
  • valuing the person as a unique human being
  • trust in their authenticity
35
Q

values: activating internal resources

A
  • failure is a positive sing of engagement and contributes to self-knowledge
  • to be human is to have limitations - the challenge is to exceed or accept them
36
Q

attitudes: using intepersonal resources

A
  • believing the persons potential and strength
  • accept the person for who they are
  • view set backs and relapse as a part of therapy
37
Q

attituted: activating internal resources

A
  • losses need to be grieved for
  • the person needs to find meaning in mental illness & life
38
Q

attitutes: accessing external resources

A
  • housing, employment, education are key external resources
  • employ recovered consumers in services as role models
39
Q

behaviours: using interpersonal resources

A
  • listen non judgementally
  • tolerate the uncertainty about the persons future
  • show genuine concern for their wellbeing
  • use humour appropriately
40
Q

behaviours: activating internal resources

A
  • support the person to reach goals
  • support better coping strategies
  • help recall previous achievements and positive experiences
  • support spirituality
41
Q

behaviours: accessing internal resources

A
  • help contact with peer role models and self help groups
  • be available in crisis
  • support access to treatment and info
  • support relationships
42
Q

messages to communicate through assessment voorbeelden

A
  • some ppl with similar experiences find it helpful to…
  • whatever sense you make of it, you wil over time increasingly fit this experience in the bigger picture

CIDS tentamen (13 decks)

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