Planning & Implementing Change-Oriented Strategies Flashcards

1
Q

Elements of change-oriented approaches:
A person and environment focus that is informed by?
• An emphasis on establishing a positive helping relationship and empowerment as well as a holistic multilevel assessment, including a focus on?3

A

ecological theory

diversity, oppression, and strengths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Elements of change-oritened approaches:
• A problem-solving model that provides ?2 for work with clients
• Flexibility in the use of problem-solving methods that allows a choice among a range of theories and techniques based on their?

A
  • structure and guidelines

- compatibility with each client’s situation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

GENERAL PURPOSES OF CASE MANAGEMENT
• Improvement of ? to vulnerable populations (improvement of ? functioning).
• Controls the ?by providing a ? and? (adj) delivery of coordination.

A
  • service delivery / psychosocial
  • cost of care
  • rational and systematic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

PLANNING: CASE MANAGEMENT / Service plans :
• Client needs are?
• ?2 of service are established
• ? that will be involved are identified
• Eco-map commonly used as assessment tool

A
  1. prioritized
  2. Goals and objectives
  3. Resource systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

PLANNING: CASE MANAGEMENT / Service plans :
•? are identified within which services will be delivered and goals achieved
• ? are formulated that will be used to evaluate achievement of case plans
• ? are assigned to individuals and groups so that it’s clear who is responsible for what.

A

Time frames
Outcome measures
Specific tasks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

IMPLEMENTATION: CASE MANAGEMENT
• Direct service: May include ? intervention, supporting clients making ?, helping to modify clients’ ?, and helping clients overcome ? to their crisis situations

A

crisis
difficult decisions
environments
emotional reactions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Case Management / Motivating Techniques:
• Begin by asking about the ? a client has for her- or himself
• Contribute ? aimed at enhancing the client’s life & forestalling relapses
• Discuss points of ? between worker and client and work out ?
-Develop a contract with the client specifying?

A

plans
realistic suggestions
disagreement / realistic compromises
mutual goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Case Management / Motivating Techniques:
- Identify the ? that must be taken and the ? that can help the client to reach agreed goals
- Provide the client with data about?
-Discuss any of the ? the client can foresee in using the proposed services
• Review what the ? of each party will be in completing the linkage with a particular service provider

A

steps/service providers
service providers
obstacles
responsibilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
OVERVIEW OF THE TASK-CENTERED SYSTEM
Order:
1. ? are identified and prioritized
2. ? developed/ negotiated
3.  ? tasks
4. ? tasks
5. Monitoring ?

A

1. Target problems

  1. Goals
  2. General
  3. Specific
  4. progress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
TASK IMPLEMENTATION SEQUENCES (TIS)
• Enhancing ? to carry out tasks
• Planning ? of carrying out tasks
• Analyze and review?
• Rehearse/practice ? involved in tasks
• ? the task plan

A
(enhance )commitment
(plan) the details 
(analyze and review) obstacles
(rehearse/practice) behaviors
Summarize
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Reasons for tasks not completed:

  1. Related to specific task
    - Occurrence of?
    - Lack of ?
    - Task ?
    - Environmental factors
    - Reactions to practitioner?
A
  • emergency / crisis
  • commitment, skill/resources, support
  • inadequately specified
  • inadequate preparation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Reasons for tasks not completed:

  1. Related to target problem
    - Attributed not acknowledged
    - Conflicted?
    - Client unaware of
    - ? for change
A

wants and needs
consequences
Little hope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
OVERVIEW OF CRISIS INTERVENTION
• ? orientation
• Focuses on ? versus psychopathology.
• ? course (1-6 sessions)
• Therapist is more ? than other models.
• Uses ? as primary tactic for change
• Draws from  an eclectic framework of ? theories & interventions
A
Here & now
problems of living
Time-limited
active and directive
tasks
practice
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
PROCESS & PROCEDURES OF CRISIS INTERVENTION
• Step 1: Define?
• Step 2: Ensure?
• Step 3: Provide ?
• Step 4: Examine ?
• Step 5: Make ?
• Step 6: Obtain ?
A
  1. the problem
  2. client safety
  3. support
  4. alternatives
  5. plans
  6. commitment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

THE SIX-STEP MODEL OF CRISIS INTERVENTION

“Listening” phase includes what steps?

A

define problem, ensure client safety, provide support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

THE SIX-STEP MODEL OF CRISIS INTERVENTION

“Active” phase includes what steps?

A

examine alternatives, make plans, obtain commitment

17
Q

STAGES OF CRISIS INTERVENTION: MULTIPLE SESSION MODEL

• What do you do in session one ?

A

Objectives Formulation (session 1)

18
Q

Session 1 of crisis intervention
• Objectives:
1. relieve emotional distress (use existing ?),
2. complete assessment, plan strategy of intervention (goal is to restore ?)
3. Identify ? that clients must perform

A

social support systems
equilibrium
tasks

19
Q

Session 1-4 of crisis intervention
• Task Implementation (session 1-4)
-use ? guidance to let client know what the next step is.
• Termination (sessions 5-6) when ? is restored.

A

anticipatory

equilibrium

20
Q

GENERALIST STRATEGIES FOR PROMOTING EFFECTIVE PROBLEM SOLVING Therapy
● ? the process of problems arising.
● Acknowledge ? of direct communication.
● Validate the ? of client(s) to share true feelings, needs and wants, to others.
● Educate on effective ?.
• Empower clients to try and test new ? for resolving conflict.
• Remain ? when clients confront you.

A
  1. Normalize
  2. social taboo
  3. courage
  4. problem solving
  5. strategies
  6. non-defensive
21
Q

PREPARING CLIENTS TO LEARN PROBLEM SOLVING
• Lay ? during Beginning Stage
• Use ?2 to help family to focus on needs and wants.
• Demonstrate the need to learn ? problem solving process.
• Intervene to produce ?
- Redefine ? statements into expressions of ?
- Model effective communication strategies: use “?” when expressing feelings, active listening without prejudging, and give positive feedback
• Define problem as belonging to ?

A
  1. groundwork (homework/role playing)
  2. reflection & rephrasing
  3. collaborative
  4. collaborative interactions
    negative / needs & wants
    “I statements”
  5. the system
22
Q

task-cetered therapy/intervention is used in?

A

brief treatment

23
Q

NORMS FOR PROBLEM SOLVING Therapy IN THERAPEUTIC SETTING
● Be ? in relating concerns.
● Focus on ? versus past difficulties
● Focus on ? at a time.
● Listen attentively to others who are sharing concerns/problems.
● Share problems in a ? manner.

A

specific (e.g. walk me through your typical day)
present problem
one problem
positive & constructive

24
Q

PROBLEM SOLVING STEPS
●Acknowledge ?
●Analyze problem & identify the ? of participants.
●Employ brainstorming to generate ?.
●Evaluate ?, considering the needs of each participant.
●Evaluate ? of problem solving efforts.

A

problem
needs
possible solutions (solutions do NOT come from therapist)
each option (have client practice during session)
outcome

25
Q
ANTICIPATORY GUIDNCE (Crisis intervention)
assisting clients to anticipate ? and to plan ? that will prepare them to face future ?.
A

future crisis situations
coping strategies
stressors

26
Q

COGNITIVE RESTRUCTURING

• Tenets of cognitive therapy

A

“how is my cognitive thought working for me or getting in my way?”

27
Q

STEPS IN COGNITIVE RESTRUCTURING
• Assist client in accepting that ? determine his or her emotional reactions to events
• Assist clients in identifying ? beliefs and thought patterns
• Assist clients in identifying ? involving dysfunctional cognitions
• Assist clients in replacing dysfunctional cognitions with ?
• Assist clients in identifying ? for successful coping efforts.

A
self-statements 
dysfunctional
situations
functional self-statements
rewards and incentives
28
Q

PREMISES OF SOLUTION-FOCUSED THERAPY

●Emphasizes the ?people possess & how these can be applied to ? process.

A

strengths / change

29
Q

Premises of Solution-focused therapy:

● ? Philosophy

A

Constructivist or Post-Modern

30
Q

Premises of Solution-focused therapy:
●Clients are able to resolve own problems through ? found by the social worker, helping the client realize times when the problem does not exert ? and when client has coped successfully.

A

resources

negative influence

31
Q

Solution-Focused therapy:

Therapists start off with ?

A

compliments

32
Q

Solution-Focused therapy:

Miracle question

A

Help people imagine what their life look like if the problems are no longer there to instill hope.

33
Q

Solution-Focused therapy:

Symmetry

A

Treat family as a system, don’t reinforce the identified patient as the “problem”

34
Q

Solution-Focused therapy:

Exception

A

when was the problem less visible ?