Evidence Based Practices

Question 1

Specific treatments confirmed by quantitative research as effective for specific disorders (cbt for depression)

Answer 1

Empirically supported treatments (est)

Question 2

Variables that are characteristic of effective therapeutic relationships, supported by research (empathy, therapeutic alliance, management of counter transference)

Answer 2

Empirically supported relationship variables (esr)

Question 3

Includes both ebt and esr and is broader and more comprehensive — takes into account clients characteristics

Answer 3

Evidence based practices (ebp)

Question 4

Three pilars of ebt

Answer 4

• best research
• clinical expertise
• patient characteristics, culture and preferences

Question 5

How to deliver culturally competent ebt

Answer 5

• tailor the practice itself

- tailor context in which practice is delivered to the community

Question 6

Cultural adaption of cbt

Answer 6

• engagement strategies
• activity schedules
• assertiveness training
• cognitive restructuring
• acceptance based interventions
• be aware of different worldview values
• assertiveness vs subtle communication
• personal independence vs interdependence
• talking vs listening and observing
• behavior change vs. acceptance
• a more vs. less linear cognitive style

Question 7

Establish working alliance, engage in basic treatment activities, increase awareness of how substance use has impacted client and how treatment will benefit client

Answer 7

Precontemplation

Question 8

Build discrepancy between clients behaviors and values/goals, gain internal motivation

Answer 8

Contemplation

Question 9

Build self-efficacy, solidify recovery plan

Answer 9

Preparation

Question 10

Carry out change strategy, provide support and challenge to go further

Answer 10

Action

Question 11

Reinforce progress in the face of new challenges, relapse prevention

Answer 11

Maintenance

Question 12

Cultural adaptions of mi

Answer 12

• expand from individuals use to individuals broader cultural and social context and how this might afffect their drinking
• tailor behavior interventions to address risk (poverty, discrimination, and acculturation stress)
• address multiple sources of stress or disadvantage including poverty and discrimination that confront many minorities living in urban settings

Question 13

Cultural adaptions of tsf

Answer 13

• powerlessness
• religion
• safety at meetings
• separate character defects from adaptive responses
• culturally specific meditations

Question 14

___ without strong research risks becoming an empty political value.

___ without cultural sensitivity risks irrelevance

Answer 14

Multiculturalism

Ebt

Question 15

Best practice recommendation

Answer 15

• interventions that are research based and adapt it according to client
• informed curiosity
• discuss cultural factors in supervision