Chapter 8 Flashcards
T: means gathering information about a client and his or her problems.
assessment
how do helpers gather info
formal assessments observations questioning
how often does informal assessment occur
throughout session
5 steps in the helping process
relationship devel assessment goal setting intervention and action evaluation and reflection
how long on each stage
always Dif but usually full session to relationship building and some assessment
how do you get info without them feeling analyzed
focus on inviting them to tell story during session and have data collected before or after in own time
the DSM recognized that misdiagnoses happen because…
recognizes that misdiagnosis can occur when the helper is not familiar with a client’s cultural background and interprets symptoms within his or her own cultural context
why asses? 9
decide if they are a good candidate for the help you do
2 gives info to plan goals
3. helps client discoed events related to the problem
4. helps understand impact of enviro
5. recognize uniqueness of individual
6. uncovers potential for violence
7. help client become aware of important problems
8. helps helper choose which techniques
9. highlight strengths
why do many treatment facilities use standard intake forms
to make sure breath is covered
what issues should be covered in depth in assessment
suicide, the existence of mental disorders, and the “presenting problem” or specific issue that acted as a catalyst for the client’s decision to seek help.
how can assessment aid stereotyping
systematic info not biased off of our cultural lens
Acronym for assessing suicidal ideation?
IS PATH WARM
what does IS PATH WARM stand for
Ideation Substance abuse Purposlessness Anger Trapped Hopelessness Withdrawl Anxiety Recklessness Mood
what is time line assessment device
sequential order of key interpersonal events
is assessment only used to highlight weaknesses
f also strengths
how do you know which techniques to use?
information about your client and information about the client’s problems
2 informal methods of assessment
Observation and Questioning
list things you can observe
speech clothing grooming posture, built facial expressions body movements general appearance
T means the person’s manner of walking
gait
T: we instinctively respond in a negative way to individuals who are combative or aloof
interpersonal reflexes
are qs inherently bad
no just used too often by beginners
how are assessment questions different from regular questions
They serve an “orienting” function in that they tell the client what is important
give an e.g of an assessment question
where would you like to begin
benefits of forms in the assessment process?
assures you have not missed the big problems
3 things the forum is assessing?
(A) affective or emotional issues and status; (B) behavior deficits, excesses, and strengths; and (C) thinking or cognitions.
(1) developmental level, (2) family history, (3) cultural and religious/spiritual background, and (4) physical challenges and strengths should these be noted?
yes recorded
3 things within affective you are noting about the emotions?
intensity frequency and duration of negative and positive emotions
T: In this section of the intake form, the helper records intellectual deficits and strengths, any specific learning problems, delusions or hallucinations, or head injuries.
cognitions
what do 1234 stand for
- developmental level
- family history
- cultural religious and spiritual background
- physical changes and strengths
The visual nature of a … makes it an efficient way to understand a client’s family history.
genogram
For our purposes, physical challenges include …3`
medical diagnoses, physical abilities and disabilities, and drug and alcohol use and abuse
other than formal testing what are the 6 other source of info
observations info from family and friends what the client supplies medical history other agencies legal system
T: is the simplifying process we use to organize the results of our examination
diagnosing
diagnosing is only for mental disorders
f summarize all problems
T This is a simple list of the client’s problems in priority order.
treatment planning list
4 steps to setting goals
gather info
indentify major issues
place in order
match with treatments
why is achieving small goals still good
discouragement diminished, makes manageable, get us to make a commitment, know when sessions should end
why have a time limit on how many sessions can be had
threat of termination focuses the mind
problem with time approach
ends regardless of success or failure
2 skills to arrive at useable goals
using q to identify goal and boiling down the problem
what 3 things happen during relationship building
invitational, reflecting and challenging skills
5 qualities of constructive goals
realistic framed positively specific and simple important to client developed collaboratively
The…you choose are the techniques selected to achieve the objectives
interventions
… have advantages in that they specify exactly what must be achieved in the helping process.
Behavioral objectives (simple and specific)
4 resources that help clients and helpers choose clear positive goals
books
personal project analysis
identifying and measuring positive life goals
measures that help monitoring goals
e.g of q that makes the goal more specific
How often would you like to engage in stress reducing activities
e..g of q that helps turn a problem into a goal
if the problem were solved how wo¨ld you be feeling thinking and behaving differently now
e.g. of q that determines a goals importance
“If we accomplished this goal, what difference would it make in your life?”
e.g. of q to enhance collaboration of goal setting
I think we both agree on the goals now, do you think so?
questions that help confirm the goal is realistic
will moving to Texas provide you with the direction you are looking for?
5 steps to boiling down the problem
- summarize all the issues
- client identify most crucial problems
- select focal problem
- changing problem to a goal
- make sure client and helper are in agreement
how do you choose the focal problem
evaluate which goal is simple and specific, important to them, mutually agreed upon and realistic
