Lecture on Chapter 9: Consultation

Question 1

Is consultation a direct or indirect intervention?

Answer 1

Indirect

Question 2

What components make up the “triadic relationship” of consultation?

Answer 2

Consultant, consultee, & client

Question 3

What is “referent power”?

Answer 3

Holding expertise/power, so people look up to you and are likely to listen to you. Professional consultants have “referent power,” so they must be comfortable with owning this power and expertise.

Question 4

Which is ongoing: supervision, or consultation?

Answer 4

Supervision. Consultation is temporary because it’s focused on a specific problem; once the problem is solved, consultation ends.

Question 5

Name some different types of consultants.

Answer 5

Peer consultant
System consultant
Advocate
Consultant who conducts training sessions
Consultant who problem-solves for companies or schools

Question 6

What are the 4 steps for Dougherty’s Model of Consultation?

Answer 6

1. Entry (define needs, draw up contract)
2. Diagnosis (collect data: observe, analyze, goal setting, develop plan of action)
3. Intervention (consultant and consultee decide on plan of action)
4. Disengagement

Question 7

Expert, Prescriber, Mediator, and Collaborator are examples of potential roles of _______.

Answer 7

Consultants

Question 8

True/False: Consulting can be done with families?

Answer 8

True! Some examples:

• Teaching family early signs of relapse (prevention)
• Helping families deal with their own reaction (maybe grief/loss)
• Empower family, so they feel like they are in charge (we are just the consultant)

Question 9

What are the 4 steps for consulting in the community?

Answer 9

1. System definition (entry): gathering info on subsystems, policies, procedures; coming in as collaborator
2. System assessment
3. Intervention
4. Evaluation (Did it work?)

Question 10

What are the 3 “types” of care?

Answer 10

1. Primary care/primary prevention (doing something before problem happens)
2. Secondary care (intervene with group that is at risk for developing a problem)
3. Tertiary care (intervening when there is already a problem)

Question 11

Which is least efficient and least cost-effective: Primary care, Secondary care, or Tertiary care?

Answer 11

Tertiary care

Question 12

Counselors do mostly: (a) Primary care, (b) Secondary care, or (c) Tertiary care?

Answer 12

Tertiary care

Question 13

Regarding levels of care, is it typically most cost-effective to choose:

(a) the least restrictive setting?
(b) the most restrictive setting?

Answer 13

Least restrictive setting

Question 14

What are the three levels of care, in order from most restrictive to least restrictive?

Answer 14

Inpatient, partial hospitalization, and outpatient

Question 15

As client moves from more restrictive to less restrictive level of care, this is called: _______ care.

Answer 15

step-down care
(Typically, you will consult with a professional from wherever the patient came from before you receive a client experiencing a step-down in level of care.)

Question 16

True/False: If your values clash with a client, you should refer them to another counselor.

Answer 16

False. It is unethical to refer someone because your values clash (this is in our ACA Ethics Code)

Question 17

What is a downside to referring a client to another professional?

Answer 17

The client may feel “abandoned.” So, you need to find language to explain that the referral is for THEM, not you.