LICSW Flashcards by Lisa Collins

INTERVIEW
TECHNIQUES

Support
Clarify
Focus
Confront
Validate
Reflect
Redirect
Active listening

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IDD

~develops in children
~deficit in intellectual fx
~failure to meet developmental standards for independence and social responsibility

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ACT

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~THE STEPS OF THE
HELPING PROCESS (FIRST, NEXT, ETC.)
~ORDER OF HOW WE DO THINGS

E.A.P. In Every Terminal

FIRST:
ENGAGE (validate feelings etc.)
THEN:
ASSESS (more formal
PLAN (goal setting)
NEXT:
INTERVENE (ie: therapeutic, etc.)
EVALUATE (progress?)
TERMINATE

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REFER OUT WHEN…
*as long as the question does not specify you are working at a specific agency that handles ie: substance abuse, etc.

~there is abuse or suspected abuse
~all medical needs
~intellectual/developmental disabilities

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FAREAFI
*most useful in FIRST/NEXT questions

Feelings of client need to be acknowledged
Assess
Refer
Educate
Advocate
Facilitate
Intervene

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AASPIRINS
*questions asking for BEST/MOST reasonable plan

Acknowledge/build rapport
Assess
Start where the client is
Protect life (preventing danger)
If Intoxicated– DO NOT TREAT
Rule out medical
Informed consent needed
Non-judgemental stance
Support patient self-determination

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FAREAFI
(also for First/Next scenarios)

Feelings (rapport)
Assess
Refer
Educate
Advocate
Facilitate
Intervene

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ACT

Acceptance & Commitment Therapy

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DABDA

(stages of grief)
Denial
Anger
Bargaining
Depression
Acceptance

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ROPES

(strengths perspective)
Resources
Opportunities
Possibilities
Exceptions
Solutions

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ADL’s

(activities of daily living)
Bathing
Dressing
Grooming
Toileting
Eating
Transferring
Walking

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PEIIC

(stages of racial identity)
Pre encounter- values of dominant group
Encounter- realizing differences/impact onidentity
Immersion-display visual symbols of cultural hx
Internalization-comfort w race/less defensiveness
Commitment to advancing social justice

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Mental Status Exam
Are Snails More Agile Than Those Curious Orangatans

Appearance
Speech
Mood
Affect
Thought Process
Thought Content
Cognition
Orientation

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HALS (deck the)
limits to confidentiality

Harm
Abuse
Legal
Supervision

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Mood Stabilizers

Lithium, Lithoid, Eskalith

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Anti-Parkinson’s meds
(sometimes for schizophrenia)

Artane
Cogentan
Benadryl
Symmetral
Parlodel

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Benzodiazapines
(anti-anxiety)

Ativan
Buspar
Klonopin
Valium
Xanax
Librium

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Stimulant meds
(adhd)

Concerta
Adderall
Ritalin
Dexadrine

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Dystonia vs. Akathisia

drug induced movement (antipsychotic med)
Dystonia: abnormal muscle positioning
Akathisia: uncontrollable urges to fidget/move

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Independent Variable

what is being manipulated (med)

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Dependant Variable

what is being changed (mood)

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null hypothesis

nothing will change thought process

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type 1 error

you think there’s a difference when there’s not

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type 2 error

overlooked a difference that was actually there

Reliabilty vs Validity

Reliability: Consistency in measurement Validity: Accuracy in measurement

suicide risk

6 mos after loss of spouse weight loss no motivation no energy

sw of group taking extended leave...FIRST discuss w group:

arrange for continuity of thegroup

resident reports twisted finger by social worker in bath bc sw hurt her...how to address:

sw should FIRST mediate and meet w staff and resident to resolve

What to include in orientation for new staff at agency?

philosophy/values of agency

Depression inventory given before/during/after tx for:

guaging progress toward tx goals

DV client leaving shelter, decided to return home w her children to abuser..now?

inform client of impact of DV on children to help client understand possible impact of her decision on children

new client/dv victim/reports plan to return to abusive partner bc she has "changed" and asks SW thoughts..

discuss what changes client has seen--this dialogue will help client understand risks and benefits of reconciliation and HAS TO HAPPEN prior to further tx decisions being made

new client/sw spends significant time discussing/listening about past/personal problems bc?

sw is gathering diagnostic information

self-determination

ie: help client decide how she wants to respond to jealous partner

when a sw is running a group and looking collectively for improvements..

discuss observations w the group as a whole

chronic physcial illness is related to...

suicide risk

client seeks help with difficult child..as child interrupts during session what should sw do?

suggest client responds to child (empowers client)-not appropriate to review how it makes client feel with child present

client expresses desire to be more assertive but shares her culture frowns upon assertive women.sw should..

engage client in discussion regarding cultural conflict since she expressed this as her fear...sw should start where the client is

threat that is not at level of mandatory reporting..

no real plan

self-determintation

the client's desires and expectations

life cycle changes can cause...

stress

assess stage of change..

helps sw determine the client's resistance

refer for assessment: ie: fetal alchohol syndrome to...

inform/guide tx

discharge planning should begin...

on the first day of hospitalization

crisis clients require more...

in person contact for tx

peer consultation

group of sw's meeting to discuss cases

first step to helping a client live independantly

identify resources needed

client presents w many problems..sw should first

help client prioritizes the problems

client's who give written consent have the right to...

withdraw consent

what is the First step to understanding clients of other cultures?

understanding sw's own culture

during an initial interview a client states she terminated w two therapists recently..sw should

explore and understand what the client's reasoning for terminating was

Strengths Perspective

focuses on ability to solve own problems (ie: career choice and deciding whether to stay with partner)

BPD in men vs women

exhibit different patterns of impulsive behaviors

document tx sessions to..

measure progress toward goals

REFER OUT....

as long as your agency doesn't help the issue at hand...refer out for: medical, substance abuse, intellectual disabilities, interpersonal violence, suicidal ideation

Interview techniques

supporting, clarifying,focusing, confronting, validating, reflecting, redirecting, active listening

ACT acceptance/committment therapy

stop avoiding accept feelings make changes to achieve goals

Discharge Planning should occur.....

on the FIRST day of hospitalization

Reduced access to therapist (ie: communicate via email) is most appropriate for...

higher fx clients

Readiness for change...

suicide risk goes along w...

chronic illness

assessments guide..

treatment

stages of change..

safety first w suicidal clients...

complete inpatient paperwork to FIRST ensure client safety

Social Justice

ensuring all people who need services can access them

child neglect can lead to..

behavior problems

what is the primary goal of the first session a sw has w a new client?

develop a therapeutic relationship

a client invites her sw to son's wedding...sw should first..

determine the risks and benefits to attending a client event

make use of existing tools

rather than inventing the wheel

meet client where they are at

WHODAS

world health org- to dx mental issues in other countries