Chapter 7 - Across system Intervention Techniques

Question 1

Universalism

Answer 1

The normalization of behavior

Question 2

Clarification

Answer 2

reformulate problem in client’s words to make sure that the social worker understands

Question 3

Confrontation

Answer 3

calling attention to something

Question 4

Interpretation

Answer 4

pulling together patterns of behavior to get a new understanding

Question 5

Reframing and Relabeling

Answer 5

stating problem in a different way

Question 6

Phases of Intervention

Answer 6

1. Engagement
2. Assessment
3. Planning
4. Intervention
5. Evaluation
6. Termination

Question 7

Role Play Technique 4 stages

Answer 7

1. Preparation/Explanation of activity
2. Preparation of the activity
3. Role Playing
4. Discussion/debriefing after

Question 8

Live Modeling

Answer 8

Watching a real person perform desired behavior

Question 9

Symbolic Modeling

Answer 9

Filmed models demonstrating desired behavior

Includes self-monitoring where client is filmed performing behavior

Question 10

Participant Modeling

Answer 10

Individual models anxiety-evoking behaviors and then prompts client to engage in behavior

Question 11

Covert Modeling

Answer 11

clients asked to visualize particular behavior as another person describes imaginary situation in detail

Question 12

Coping and Mastery Model

Answer 12

Coping model: fearful and incompetent then gradually becomes better
Mastery: no fear and is competent from the beginning

Question 13

Emotion Logs Include

Answer 13

a) disturbing emotional states
b) the exact behaviors engaged in
c) thoughts that occurred when the emotions emerged

Question 14

Steps of Conflict Management

Answer 14

1. Recognition of conflict
2. Assessment
3. Selection of appropriate strategy
4. Intervention
   If above doesn’t work you can use structuring techniques like:
   - decrease amount of contact between parties in early stages
   - limit scope of issues that can be discussed
   - decrease amount of time between problem-solving sessions

Question 15

Goals of crisis intervention

Answer 15

a) relieve impact of stress w/ emotional/social resources
b) return client to previous level of functioning
c) strengthen coping mechanisms
d) develop adaptive coping strategies

Question 16

Format of Crisis intervnetion

Answer 16

time limited (4-6 weeks)
direction
focuses on here and now
high levels of involvement from SW

Question 17

Trauma-Informed Care elements

Answer 17

Environment
Staff Appearance
Staff Behavior
Organizational understanding 
Treatment Considerations

Question 18

Anger Management Techniques

Answer 18

Relaxation Exercises
Cognitive Techniques
Communication Skills
Environmental Change

Question 19

Stress Management Steps

Answer 19

1. clients monitor stress levels and identify stress triggers
2. assist clients in identifying what aspects they can control

Question 20

Cognitive Restructuring Steps

Answer 20

1. Accepting that self-statements, assumptions, beliefs determine their emotional reaction to life’s events
2. Identify dysfunctional beliefs and patterns that underlie problems
3. Identify situations that evoke these dysfunction cognitions
4. Substitute functional self-statements in place of self-defeating thoughts
5. Reward self for successful coping efforts
   * * self-monitoring is key** and paying attention to subtle shifts

Question 21

How to facilitate empowerment

Answer 21

• relationship that meets client’s needs and gives access to support/resources
• educate client to increase skills/capacity to be able to help self
• help secure resources to meet needs
• unite client with others to enable social/political action

Question 22

Change Strategies (3)

Answer 22

Modify Systems
Modify Individual Thoughts
Modify Individual Actions

Question 23

Group Work - Problems + Contraindications

Answer 23

should be directed toward the group as it is the agent of change
Contraindications: client who is in crisis/suicidal, needy for attention, actively psychotic

Question 24

Strategic Family Therapy

Answer 24

• active, brief, directive, task-centered
• more interested in behavior change than understanding
• problem resolution by altering feedback cycle
• concepts: pretend technique, first-order changes, relabeling

Question 25

Structural Family Therapy

Answer 25

• aims to restructure family
• looks at boundaries within (enmeshment/disengagement) and outside of family
• observe/manipulate interactions within therapy sessions

Question 26

Bowenian Therapy

Answer 26

• improve intergenerational transmission process
• eight theoretical constructs:
  1. Differentiation
  2. Emotional Fusion
  3. Multigenerational transmission
  4. Emotional triangle
  5. Nuclear family
  6. Family projection process
  7. Sibling Position
  8. Societal regression

Question 27

Goals (what should they include?)

Answer 27

a) criteria - what behavior, how often, over what period, and under what conditions
b) method for evaluation - how will progress be measured?
c) schedule for evaluation - when, how often, and on what dates or intervals of time will progress be measured?

Question 28

Primary Prevention

Answer 28

Goal to protect people from developing disease, injury, or engaging in behavior in the first place
ex: immunizations, controlling hazards in home, regular exercise

Question 29

Secondary Prevention

Answer 29

Occurs after disease, illness, injury. Aims to slow the progression and limit long-term impacts
ex: screening those with risk factors, modifying work assignments for injured worker

Question 30

Tertiary Prevention

Answer 30

Focuses on managing complicated, long-term diseases, injuries
Goal is to prevent further deterioration and maximize quality of live
Ex: pain management, support groups

Question 31

Case Recording “Rules”

Answer 31

Clear, unbiased representation of facts, written record of all decisions, free of value judgments, timely, and include only info that is directly related to service delivery