Interventions Flashcards
SWs engaging in problem-solving
- Engaging
- Assessment
- Planning
- Intervening
- Evaluating
- Terminating
Motivation
State of readiness or eagerness to change, which can fluctuate with time and depending on situation
**Empathy increases motivation and decreases resistance
Complete participant
Living the experience as a participant
Participant as observer
Interacting with those who are participating
Observer as participant
Limited relationship with other participants - mainly observing
Complete observer
Observer only, removed from activity
Congruence
Matching of awareness and experience with communication
Essential to client-sw relationship
Live modeling
Watching a real person perform a desired behavior
Symbolic modeling
Watching videotapes of specific behaviors
**Self-modeling = symbolic modeling = clients are videotaped doing something
Covert modeling
Clients asked to use their imagination and envision specific behaviors
Conflict resolution
- Recognition that conflict exists
- Assessment of the situation
- Selection of a strategy
- Intervention
Structuring techniques
- Decreasing contact
- Decreasing amount of time between problem solving sessions
- decreasing the formality of problem solving sessions
- Limiting the scope of discussions
- Using 3rd party mediators
Crisis precipitant
A crisis does NOT need to be precipitated by a major life event
Goals of crisis intervention
- Relieve the impact of stress with emotional and social resources
- Return client to previous level of function - regain equilibrium
- Strengthen existing coping mechanisms
- Develop adaptive coping strategies
**focuses on here and now, directive, time limited, requires high levels of sw involvement
Stress Management
- Monitor stress levels and be able to identify triggers
2. Identify what parts of the situation the client has control over
CBT
Goal - change patterns of thinking and thus behavior and how the client feels
Combines psychotherapy and behavioral therapy approaches
Active, collaborative, structured, time limited, goal oriented and problem focused
Steps in cognitive restructuring
- Recognizing that thoughts and beliefs govern their emotional reactions
- Identifying dysfunctional beliefs and patterns of thoughts
- Identifying situations that elicit dysfunctional beliefs
- Substitute functional self statements in place of self defeating thoughts
- Reward positive coping efforts
Empowering clinets
- Establish a relationship
- Educate
- Help access resources
- Help client connect with others who are experiencing similar issues to enable political action
Partializing
Breaking big goals into smaller goals so they are easier achieved
Change strategies
- Modify systems
- Modify individual thoughts
- Modify individual actions
- Feedback from others
- Advocate for client
- Mediate
Task-centered approaches
Aim to quickly engage clients in problem-solving process and to maximize their responsibility for treatment outcomes
Time-limited, here and now focus
Psychoeducation methods
Education has a role in emotional and behavioral change
Group work
- Group is the vehicle for change
- When individual problems arise, they should be brought to the group
- Confidentiality cannot be guaranteed, but everyone in the group must try their best to attempt to maintain confidentiality
Contradictions for group work
- Suicide/crisis
- Compulsive need for attention
- Active psychosis
- Active paranoia
Family Therapy`
Goal - interrupt circular pattern of pathological communication and behavior and replace it with a new pattern that will sustain itself without the dysfunctional aspects of the original pattern
Strategic family therapy
SW initiates what happens and designs intervention plan
Active, brief, direct, task-oriented
Focus on problem resolution by altering the feedback cycle or loop that maintains the symptomatic behavior
1st order change
Superficial behavioral changes within a system that do NOT change the structure of the system
2nd order change
Changes of systemic interactions pattern so the system is reorganized and functions more effectively