Planning & Implementing Change-Oriented Strategies Flashcards
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
ecological theory
diversity, oppression, and strengths
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?
- structure and guidelines
- compatibility with each client’s situation
GENERAL PURPOSES OF CASE MANAGEMENT
• Improvement of ? to vulnerable populations (improvement of ? functioning).
• Controls the ?by providing a ? and? (adj) delivery of coordination.
- service delivery / psychosocial
- cost of care
- rational and systematic
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
- prioritized
- Goals and objectives
- Resource systems
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.
Time frames
Outcome measures
Specific tasks
IMPLEMENTATION: CASE MANAGEMENT
• Direct service: May include ? intervention, supporting clients making ?, helping to modify clients’ ?, and helping clients overcome ? to their crisis situations
crisis
difficult decisions
environments
emotional reactions
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?
plans
realistic suggestions
disagreement / realistic compromises
mutual goals
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
steps/service providers
service providers
obstacles
responsibilities
OVERVIEW OF THE TASK-CENTERED SYSTEM Order: 1. ? are identified and prioritized 2. ? developed/ negotiated 3.  ? tasks 4. ? tasks 5. Monitoring ? 
1. Target problems
- Goals
- General
- Specific
- progress
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 
(enhance )commitment (plan) the details (analyze and review) obstacles (rehearse/practice) behaviors Summarize
Reasons for tasks not completed:
- Related to specific task
- Occurrence of?
- Lack of ?
- Task ?
- Environmental factors
- Reactions to practitioner?
- emergency / crisis
- commitment, skill/resources, support
- inadequately specified
- inadequate preparation
Reasons for tasks not completed:
- Related to target problem
- Attributed not acknowledged
- Conflicted?
- Client unaware of
- ? for change
wants and needs
consequences
Little hope
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
Here & now problems of living Time-limited active and directive tasks practice
PROCESS & PROCEDURES OF CRISIS INTERVENTION • Step 1: Define? • Step 2: Ensure? • Step 3: Provide ? • Step 4: Examine ? • Step 5: Make ? • Step 6: Obtain ?
- the problem
- client safety
- support
- alternatives
- plans
- commitment
THE SIX-STEP MODEL OF CRISIS INTERVENTION
“Listening” phase includes what steps?
define problem, ensure client safety, provide support
THE SIX-STEP MODEL OF CRISIS INTERVENTION
“Active” phase includes what steps?
examine alternatives, make plans, obtain commitment
STAGES OF CRISIS INTERVENTION: MULTIPLE SESSION MODEL
• What do you do in session one ?
Objectives Formulation (session 1)
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
social support systems
equilibrium
tasks
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.
anticipatory
equilibrium
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.
- Normalize
- social taboo
- courage
- problem solving
- strategies
- non-defensive
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 ?
- groundwork (homework/role playing)
- reflection & rephrasing
- collaborative
- collaborative interactions
negative / needs & wants
“I statements” - the system
task-cetered therapy/intervention is used in?
brief treatment
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.
specific (e.g. walk me through your typical day)
present problem
one problem
positive & constructive
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.
problem
needs
possible solutions (solutions do NOT come from therapist)
each option (have client practice during session)
outcome
