Psychotherapy, Clinical Interventions, and Case mgmt Flashcards
Operant Behavior
________ is controlled by consequences of that behavior.
Respondent behavior
_________ is behavior which is brought out by a specific stimulus
What are the 7 key concepts in clinical practice?
- Direct Influence
- Exploration
- Confrontation
- Clarification
- Universalization
- Ventilation
- Catharsis
Name the 4 P’s that are basic elements in treatment planning?
a PERSON has a PROBLEM and comes to a PLACE for help given through a PROCESS:
1. Clearly ID problem and clients response to it
2. Select a part of the problems that has possibility for resolution, ID solutions, and assess their achievability.
3. Engage client ego capacity.
4. Determine steps and actions.
5. Help client carry out problem solving
6. Termination
What are Gerald Caplan’s 3 types of preventative measures for his Model of Prevention?
- Primary
- Secondary
- Tertiary
What’s the Primary preventative measure?
Focus’ on helping people to cope with stress and decreasing stressors in the environment, specifically targeting at risk groups.
What is the Secondary preventative measure?
Focus is on ID problems early and beginning tx in order to shorten the duration of the disorder. (ex: follow up appointments, providing suicide hotlines.)
What is the Tertiary preventative measure?
Gerald Caplan’s third measure that focuses on preventing complicatios and promoting rehabilitation through managing daily living skills, monitoring aftercare appointments, and referring to support services.
What is Flooding?
an extreme form of desensitization by exposure. jumps directly to the final period of time, sometimes several hours.
What are the four issues that impede communication in family therapy according to Satir?
- Placating
- Blaming
- Irrelevance
- Being overly reasonable.
The psychosocial approach focuses on…
intrapsychic and interpersonal change.
The problem solving approach in clinical SW seeks…
to solve distinct problems, based on psychosocial and functional approaches.
The Behavior Modification approach in clinical SW seeks…
symptoms reduction of problems behaviors and learning alternative positive behaviors.
The crisis intervention approach in clinical social work is…
the brief treatment of reactions to crisis in order to restore clients equilibrium.
Family therapy in clinical social work treats…
the entire family system and sees the individual symptom bearer at indicative of a problem in the family as a whole.
Group therapy in clinical social work, is…
a model in which group members help and are helped by others with similar problems, receive validation of their own experiences, and test new social identities and roles.
Narrative therapy approach, in clinical social work, looks at…
the stories clients tell about their lives reveal how they construct perceptions of their experiences. The worker helps the client to construct alternative and more affirming stories.
The ecological or life model, in clinical social work, focuses on…
life transitions, environmental pressures, and maladaptation between the individual and the family or environment. It also focuses on interactions and interdependence of people and environments.
What does V.E.R.E.L.A.T. stand for?
V: Validate
E: Explore
R: Refer
E: Educate
L: Lay groundwork for empowerment
A: Advocate
T: Treat
What does A.A.S.P.I.R.I.N.S stand for? and what questions on the test are they for?
A: Acknowledge pt/client concerns
A: Assess
S: Start where the patient is at (For BEST/MOST type of questions)
P: Protect life
I: Intoxicated? do not treat, refer
R: Rule out medical issues
I: Informed consent
N: Non-judgemental stance
S: Support Pt self-determination
What does S.F.A.R.E.A.F.I. stand for and what questions do they help with?
S: Safety (helps with FIRST/NEXT questions)
F: Feelings of pt acknowledged
A: assess
R: Refer
E: Educate
A: Advocate
F: Facilitate
I: Intervention
What does V.E.R.E.L.A.T stand for?
V: Validate
E: Explore
R: Refer
E: Educate
L: Lay groundwork for empowerment
A: Advocate
T: Treat
What is supporting and sustaining in clinical social work ?
The worker conveys confidence in, interest in, and acceptance of the client in order to decrease the clients feelings of anxiety, poor self-esteem, and low self-confidence. The worker uses interest, sympathetic listening, and acceptance of the client to reassure and empower.
What is Partialization in clinical social work?
Helping the client to break down problems or goals into smaller, more manageable elements in order to decrease the clients sense of overwhelm and increase the client’s empowerment.
What is resistance in clinical social work?
An unconscious defense against painful or repressed material. Resistance can be conveyed through silence, evasiveness, baling at worker’s suggestions, orby wanting to end treatment prematurely. The SW should view this as a chance to learn more about the client and work more deeply to help him/her face resistance and use it effectively.
What is, Behavior modeling, in family therapy?
The manner in which a child bases his/her own behavior on the behaviors of his or her parents and other people. A child will usually learn the ID acceptable behaviors by mimicking the behavior of others.
What is, Boundaries, in family therapy?
The means of organization through which system parts can be differentiated both from their environment and from each other. They protect and improve the differentiation and integrity of the family, subsystems, and individual family members.
How is, collaborative therapy, used in family therapy?
Therapy in which a different worker sees each spouse or member of the family.
What is, complementary family interaction, in family therapy?
A type of family relationship in which members present opposite behaviors that supply needs or lacks in the other family member.
What is, complimentarity of needs, in family therapy?
Circular support system of a family, in which reciprocity is found in meeting needs. It can be adaptive or maladaptive.
What is, double-bind communication, in family therapy?
Communication in which twi contradictory messages are conveyed concurrently, leading to a no-win situation.
What is, scapegoating, in family therapy?
Unconscious, irrational election of one family member for the negative, demeaned, or outsider role.
What is system linkages?
Two or more elements combine to act as one in social system concepts.
What is Steady state?
The tendency of an open system to remain constant but in continuous exchange in general system concepts for group work.
What is equifinality in small group work?
The final state of a system that c an be reached from different initial conditions. Is used in general system concepts for group work.
What is entropy in group work?
The tendency of a system to wear down and move toward disorder. Used in general systems concepts.
What are Tuckman’s 5 stages of group development?
- Form
- Storm
- Norm
- Perform
- Adjourn
What is stage is Form in group practice and what is it?
It’s the 1st stage. Group comes together, rules are est and agreed upon, and members are relatively subdued and hesitant.
What number stage is Storm in group practice and what is it?
The 2nd stage., Expression of feelings begins by the members who still feel individual versus members of the group; there may be resistance to cues by the social worker or signs of the cynicism.
What stage is Norm in group practice and what is it?
The 3rd stage. A sense of unity and teamwork prevails. Members begin to interact with and encourage one another.
What stage is Perform in group practice and what is it?
The 4th stage. A sense of hierarchy dissipates as the member take control of the group process and feel empowered in an open and trusting team environment.
What stage is Adjourn in group practice and what is it?
It’s the 5th/last stage. The team recognizes time for closure, some members may mourn the loss of the group and need guidance and support for the next steps and reflection on progress and celebration of accomplishments occur.
What is Preaffiliation stage for group development?
Consists of regulation by the worker, expressions of concern or anxiety, heavy dependence von the worker, hesitant disclosure and personal goals, clarification of purpose, timeline and roles.
What is the Power and Control stage in group development?
Consists of limit setting, clarification, and the use of the program.
What is the intimacy stage in group developement?
Consists of handling transference, rivalries, and a degree of uncovering.
What is Differentiation stages in group development?
Consist of clarification of differential and cohesive processes and group autonomy.
What is Seperation in group development?
Consists of a focus on evaluation, handling ambivalence, and incorporating new resources.
What are the 4 vital processes in community practice according to Weil (1994)?
- Development
- Organization
- Planning
- Action for progressive social change
What are the 4 methods to strategic planning?
- Alignment of strategies and outcomes (fine tune whats working and change whats not).
- Issues-based planning (used when resources are low, looks at most important issues.)
- Organic planning (real time uses dialogue model to strategize for change)
- Vision and goals-based planning (uses the vision, mission, and goals to create an action plan)
What’s cost-benefit analysis?
uses average cost of an event and the cost of intervention to demonstrate savings.
What is cost-effective analysis?
measures the effectiveness of an intervention rather than the monetary savings.
