LICSW Flashcards
INTERVIEW
TECHNIQUES
Support
Clarify
Focus
Confront
Validate
Reflect
Redirect
Active listening
IDD
~develops in children
~deficit in intellectual fx
~failure to meet developmental standards for independence and social responsibility
ACT
~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
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
FAREAFI
*most useful in FIRST/NEXT questions
Feelings of client need to be acknowledged
Assess
Refer
Educate
Advocate
Facilitate
Intervene
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
FAREAFI
(also for First/Next scenarios)
Feelings (rapport)
Assess
Refer
Educate
Advocate
Facilitate
Intervene
ACT
Acceptance & Commitment Therapy
DABDA
(stages of grief)
Denial
Anger
Bargaining
Depression
Acceptance
ROPES
(strengths perspective)
Resources
Opportunities
Possibilities
Exceptions
Solutions
ADL’s
(activities of daily living)
Bathing
Dressing
Grooming
Toileting
Eating
Transferring
Walking
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
Mental Status Exam
Are Snails More Agile Than Those Curious Orangatans
Appearance
Speech
Mood
Affect
Thought Process
Thought Content
Cognition
Orientation
HALS (deck the)
limits to confidentiality
Harm
Abuse
Legal
Supervision
Mood Stabilizers
Lithium, Lithoid, Eskalith
Anti-Parkinson’s meds
(sometimes for schizophrenia)
Artane
Cogentan
Benadryl
Symmetral
Parlodel
Benzodiazapines
(anti-anxiety)
Ativan
Buspar
Klonopin
Valium
Xanax
Librium
Stimulant meds
(adhd)
Concerta
Adderall
Ritalin
Dexadrine
Dystonia vs. Akathisia
drug induced movement (antipsychotic med)
Dystonia: abnormal muscle positioning
Akathisia: uncontrollable urges to fidget/move
Independent Variable
what is being manipulated (med)
Dependant Variable
what is being changed (mood)
null hypothesis
nothing will change thought process
type 1 error
you think there’s a difference when there’s not
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
