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Marriage And Family Theory > GEHART CHAPTER 12 - CLINICAL ASSESSMENT > Flashcards

GEHART CHAPTER 12 - CLINICAL ASSESSMENT Flashcards

1
Q

WHY DO A CLINICAL ASSESSMENT?

A
  1. TO COORDINATE CARE WITH OTHER PROFESSIONALS/PROVIDERS.
  2. TO DECIDE HOW TO KEEP CLIENTS AND THE PUBLIC SAFE.
  3. DETERMINE NEED FOR REFERRALS AND ADDITIONAL SERVICES.
  4. IDENTIFY POTENTIAL COURSES OF TREATMENT
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2
Q

WHAT IS MY LENS THROUGH WHICH I SEE A CLIENT?

A

MY PERSONAL CULTURE, VALUES, HISTORY, BELIEFS, AND NORMS = MY WORLDVIEW.

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3
Q

WHY BECOME AWARE OF MY LENS?

A

IN ORDER TO SEE MY CLIENT MORE CLEARLY AND WITH LESS BIAS.

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4
Q

DIAGNOSIS AND GENDER

A

WOMEN CAN EASILY BE OVERPATHOLOGIZED.

MEN MAY BE UNDERDIAGNOSED IF THEY ARE HESITANT TO DISCUSS EMOTIONS.

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5
Q

CULTURAL FORMULATION

A

ENCOURAGING CO TO STEP BACK TO LEARN HOW A CL PROBLEMS ARE VIEWED IN THE CONTEXT OF THEIR CULTURE. ALSO CONSIDER RELEVANT SOCIOPOLITICAL AND SOCIAL JUSTICE ISSUES

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6
Q

SYSTEMIC PERSPECTIVE ON DIAGNOSIS

A

A DX DESCRIBES THE BEHAVIORS THAT A PERSON HAS ADOPTED TO MAINTAIN BALANCE IN CURRENT THEIR SYSTEM/RELATIONSHIPS.

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7
Q

POSTMODERN PERSPECTIVE ON DIAGNOSIS

A

SKEPTICAL. CLIENTS MAY INTEGRATE DX INTO THEIR IDENTITY WHICH CAN CREATE A SELF FULFILLING PROPHECY.

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8
Q

GENERAL FAMILY THERAPY APPROACH TO DIAGNOSIS

A

DX IS CONSIDERED TO BE JUST ONE VOICE IN A CONVERSATION. SOME CLIENTS WILL SEE DX AS HELPFUL IN TREATMENT, OTHERS HURTFUL. THE SYMPTOMS, FEELINGS, AND BEHAVIORS THAT QUALIFY A PERSON FOR A DX ARE SUBJECT TO CHANGE BASED ON THE CHANGES MADE IN THEIR RELATIONSHIPS/SYSTEMS

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9
Q

RECOVERY MODEL

A

HELPING CLIENTS LEAD MEANINGFUL LIVES INSTEAD OF REDUCING THEIR SYMPTOMS OF A MH DX.
EMPHASIZES PSYCHOSOCIAL FUNCTIONING, DEEMPHASIZES DIAGNOSTIC LABELING

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10
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*SELF-DIRECTION

A

CL EXERCISE CHOICE OVER THEIR PATH TO RECOVERY/TREATMENT.

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11
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*INDIVIDUALIZED/PERSON-CENTERED

A

PATHS TO RECOVERY ARE BASED ON THE INDIVIDUAL’S UNIQUE STRENGTHS, RESILIENCIES, PREFERENCES, EXPERIENCES, AND CULTURAL BACKGROUND

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12
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*EMPOWERMENT

A

CL HAVE AUTHORITY TO CHOOSE FROM OPTIONS AND PARTICIPATE IN MAKING DECISIONS.

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13
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*HOLISTIC

A

ENCOMPASSING ALL ASPECTS OF LIFE: MIND, BODY, SPIRIT, COMMUNITY

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14
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*NONLINEAR

A

RECOVERY IS NOT A STEP BY STEP PROCESS BUT RATHER ONGOING PROCESS WITH GROWTH AND SETBACKS

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15
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*STRENGTHS BASED

A

FOCUSES ON VALUING AND BUILDING STRENGTHS, ABILITIES, AND RESILIENCE.

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16
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*PEER SUPPORT

A

CL ARE ENCOURAGED TO ENGAGE WITH OTHER CLIENTS IN PURSUING RECOVERY

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17
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*RESPECT

A

FOR RECOVERY TO OCCUR, CONSUMERS NEED TO EXPERIENCE RESPECT FROM PROFESSIONALS, COMMUNITY, AND OTHER SYSTEMS

18
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*RESPONSIBILITY

A

CL ARE PERSONALLY RESPONSIBLE FOR THEIR RECOVERY AND SELF-CARE

19
Q

MENTAL HEALTH RECOVERY-ORIENTED CARE

*HOPE

A

RECOVERY REQUIRES A BELIEF IN THE SELF AND A WILLINGNESS TO PERSEVERE THROUGH CHALLENGES.

20
Q

PARITY AND NONPARITY DX

A

PARITY - TYPICALLY INCLUDE SEVERE MH DISORDERS AND MUST BE PRIMARY DX. INSURANCE COMPANIES MUST PAY FOR IT.

21
Q

ETIOLOGY

A

THE CAUSE OR ORIGIN OF A DISEASE

22
Q

INTERNALIZING DISORDERS

A

MOSTLY EMOTIONAL AND COGNITIVE SYMPTOMS THAT OCCUR WITHIN THE PERSON

23
Q

EXTERNALIZING DISORDERS

A

MORE BEHAVIORAL AND EXTERNAL SYMPTOMS

24
Q

ICD

A

INTERNATIONAL CLASSIFICATION OF DISEASES

25
Q

AXIS I

A

CLINICAL DISORDERS THAT ARE THE FOCUS OF TREATMENT, PRIMARY REASON FOR VISIT LISTED FIRST, INCLUDING DEVELOPMENTAL AND LEARNING DISORDERS

26
Q

AXIS II

A

UNDERLYING OR PERVASIVE CONDITIONS, INCLUDING PERSONALITY DISORDERS, DEFENSIVE MECHANISMS, AND MENTAL RETARDATION

27
Q

AXIS III

A

MEDICAL CONDITIONS AND DISORDERS

28
Q

AXIS IV

A

PSYCHOSOCIAL STRESSORS AND ENVIRONMENTAL CONDITIONS THAT MAY BE CONTRIBUTING TO A CONDITION AND/OR TREATMENT. E.G., ECONOMIC OR HOUSING PROBLEMS, PROBLEMS WITH PRIMARY SUPPORT SYSTEM (FAMILY, PARTNER, ETC.)

29
Q

AXIS V

A

GLOBAL ASSESSMENT OF FUNCTIONIN (GAF)

  • 70 AND ABOVE - SHOWS ADAPTIVE COPING AND GREATER MH
  • 60-69 - MILD SYMPTOMS (INSURANCE TYPICALLY REQUIRES 69 OR BELOW)
  • 50-59 - MODERATE SYMPTOMS
  • 40-49 - SEVERE SYSTEMS
  • 39 AND BELOW - SIGNIFICANT IMPAIRMENT THAT GENERALLY REQUIRES HOSPITALIZATION AND INTENSIVE TREATMENT.
30
Q

SUBTYPES

A

MUTUALLY EXCLUSIVE SUBGROUPS WITHIN THE DIAGNOSTIC CATEGORY

31
Q

SPECIFIER

A

USED TO NOTE INFORMATION ABOUT A CL’S CONDITION THAT MAY BE USEFUL FOR TX DECISIONS, WRITTEN AFTER THE NAME OF THE DIAGNOSIS ON THE DX LINE.

32
Q

DIMENSIONAL APPROACH

A

VARIATION OF INTENSITY ON A GIVEN SYMPTOM OR DIMENSION

33
Q

NOS

A

NOT OTHERWISE SPECIFIED - NO LONGER BEING USED

34
Q

NEC

A

NOT-ELSEWHERE-CLASSIFIED WHICH MAY BE AN “OTHER SPECIFIED DISORDER” OR “UNSPECIFIED DISORDER.”

35
Q

OTHER SPECIFIED DISORDER

A

ALLOWS CO TO DOCUMENT THE SPECIFIC REASON A CL DOES NOT MEET THE CRITERIA FOR A SPECIFIC DX.

36
Q

UNSPECIFIED DISORDERS

A

USED WHEN A CL EXPERIENCES SIGNIFICANT CLINICAL DISTRESS BUT DOES NOT MEET THE CRITERIA FOR THE DISORDER. E.G., IN THE ER.

37
Q

WHODAS 2.0

A

WORLD HEALTH ORGANIZATION DISABILITY ASSESSMENT SCHEDULE 2.0
-USED TO ASSESS DISABILITY IN THE DOMAINS OF COMMUNICATION, GETTING AROUND, SELF-CARE, GETTING ALONG WITH PEOPLE, LIFE ACTIVITIES, AND PARTICIPATION IN SOCIETY.

38
Q

SYSTEMIC APPROACH TO THE MSE

A

USING THE SYSTEMIC PROBLEM ASSESSMENT INVOLVES TRACING INTERACTIONS FROM INITIAL HOMEOSTASIS TO ESCALATION OF SYMPTOMS (POSITIVE FEEDBACK LOOP) UNTIL THE SYSTEM RETURNS TO NORMAL OR HOMEOSTASIS.

39
Q

POSTMODERN APPROACH TO THE MSE

A

HONORING A CL’S DESCRIPTION AND PERCEPTION OF A PROBLEM

MAPPING THE INFLUENCE OF A PROBLEM

40
Q

CROSS-CUTTING SYMPTOM MEASURES

A

MEASURES THAT ALLOW CO TO QUICKLY IDENTIFY KEY SYMPTOMS THAT MAY OCCUR ACROSS VARIOUS DX. TWO TIER SYSTEM.
LEVEL 1 - BROAD ASSESSMENT FOR IDENTIFYING POTENTIAL AREAS OF CONCERN
LEVEL 2 - ASSESS IN GREATER DETAIL AREAS IDENTIFIED IN LEVEL 1.

41
Q

MAKING A DIAGNOSIS

A

RULE OUT SUBSTANCE USE
RULE OUT MEDICATIONS AND MEDICAL CONDITIONS
TRAUMA

CO CONSIDERS ALL FORMS OF INFORMATION - CL REPORT, CO OBSERVATION, FAMILY DYNAMICS, GENDER AND CULTURAL FORCES, ETHICAL ISSUES, (LABELING) AND USE THEIR BEST JUDGEMENT.

Marriage And Family Theory (10 decks)

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