Psychotherapy, Clinical Interventions, and Case Management Flashcards
during this stage, actively build rapport and determine why treatment was sought; informed consent is obtained, boundaries and expectations for treatment are set, and limits of confidentiality are discussed
Engagement
during this stage, define the client’s presenting problem, identify collateral contacts to fill information gaps, outline the client’s strengths and weaknesses; address safety, medical, ethical, and self-determination needs
Assessment
during this stage, client and social worker develop goals and objectives, setting a timeline for treatment
Planning
most clinical work is done during this stage; treatment modalities are used to address treatment goals; client mobilizes their support network to make progress and change; treatment progress is tracked using client self-reporting and ongoing clinical assessment
Intervention
during this stage, client’s progress is assessed; document subjective and objective indicators of progress and determine if goals have been met and if new goals should be made
Evaluation
this stage signals the end of treatment; social worker and client agree that goals have been accomplished and that clinical service is no longer needed; client should be afforded the opportunity to reflect on the treatment process; address termination and provide resources
Termination
the result of specific focus and purposeful effort; should specify what is to be accomplished during treatment and should directly relate to the presenting problem
Goals
specific actions that lead to the completion of therapeutic goals; results in specific, measurable outcomes that directly contribute to the achievement of the overall goals
Objectives
used for planning therapeutic goals, naming that goals should be Specific, Measurable, Achievable, Relevant, and Time-bound
SMART Goals
tension in the relationship increases; victims claim that their partners are angrier and unable to handle stress; victim tries to appease abuser by being accommodating and nurturing, though they may be met with verbal attacks; victim often downplays or takes blame for their partner’s rage
Phase 1: Tension Building (Cycle of Violence Theory)
violence is more likely when stress levels rise; which frequently precedes the explosion phase; a significant act of violence (physical or sexual assault, threat of harm, verbal abuse) happens in this phase
Phase 2: Violent Episode (Explosion Phase) (Cycle of Violence Theory)
abuser expresses regret, makes a commitment to change, and downplays the abuse; this allows the cycle reoccur and often keeps the relationship going
Phase 3: Remorseful/Honeymoon (Cycle of Violence Theory)
therapeutic process of consciously and carefully listening to a client; reflecting back their feelings in different words; fostering a sense of trust, understanding and deeper thinking
Active Listening
therapeutic method of showing a client that their circumstances, responses and feelings are valued and understood; establishes rapport and sets the stage for a supportive relationship
Empathy
drawing clients into the helping relationship by connecting oneself to them
Engagement
therapeutic strategy of asking questions that force clients to elaborate, explain and steer the conversation; cannot be answered with yes or no questions
Open-Ended Questions
therapeutic method used to address what they may not see in themselves or need to change; e.g. distorted thinking, negative behavior patterns, ineffective communication
Confrontation
therapeutic strategy of assisting clients in finding significance in their actions and thinking; aids clients in gaining an understanding and pinpointing the impact of their decisions and experiences on their present circumstances
Interpretation
therapeutic technique of using different words to re-phrase client statements
Paraphrasing
process of extending on and echoing what clients share; helps clients to identify treatment-related problems, gain greater comprehension and connect their ongoing behavioral patterns
Reflection
the process of acknowledging and confirming a clients’ feelings
Validating
helping a patient change their perspective on a problem or behavior
Reframing
therapeutic process of consolidating client progress, outlining indicators of improvement, and highlighting areas for future development
Summarizing
role defined by working closely with individuals, families, and small groups by providing support as clients navigate their social systems
Micro Social Work Roles
ensures that others receive the same rights and benefits as the rest of society
Advocate (Micro)
connects clients with services to improve their capacity for social and emotional interaction
Broker (Micro)
locates, provides, and oversees services for a client
Case Manager (Micro)
treats clients with psychosocial issues by using psychotherapy methods
Counselor (Micro)
provides information and education as an intervention
Educator (Micro)
neutral party who assists individuals in resolving conflicts between people or within families
Mediator (Micro)
works to fortify or build connections between people or societal systems
Networker (Micro)
role defined by focusing on interventions with groups and organizations
Mezzo Social Work Roles
oversees and is accountable for an organization
Administrator (Mezzo)
promotes social change by uniting key players and fostering communication to meet shared objectives
Facilitator (Mezzo)
assists in settling conflicts both within and between groups or organizations
Mediator (Mezzo)
creates, develops and launches new programs or improves those already in place
Program Developer (Mezzo)
role defined by focusing on systemic causes of social injustice at the large-scale community, national, state, and international levels
Macro Social Work Roles
focuses on locating and enhancing community resources to improve social ties, foster self-determination, and develop self-governance
Community Developer (Macro)
concentrates on fostering social change within a community in response to a recognized need and objective
Community Organizer (Macro)
analyzes and assesses social policies with regard to their purpose, underlying values, and efficacy; support the creation of sensible social policies that address social issues and needs
Policy Analyst/Developer (Macro)
focuses on the systematic creation of institutions, programs, and policies that bring about the desired social change
Social Planner (Macro)
counseling theory originating from the work of Freud, and suggests that personality development is the result of unconscious forces and conflicts in the mind (Id, Ego, Superego)
Psychoanalytical and Psychodynamic Theory
insight-driven; explores the client’s transference; good for high functioning individuals; aims to bring unconscious feelings and thoughts to the conscious mind for further exploration
Psychoanalytical and Psychodynamic Theory
evidence-based treatment approach for children and youth, and their caregivers to overcome difficulties related to traumatic experiences
Trauma-Focused Cognitive Behavior Therapy (TF-CBT)
evidence-based for youth ages 3-18; incorporates trauma-sensitive interventions with cognitive-behavioral techniques; can be used for single trauma or multiple trauma events
Trauma-Focused Cognitive Behavior Therapy (TF-CBT)
identifies and changes maladaptive behaviors by reinforcing desirable behavior and thus eliminating unwanted behavior
Behavioral Therapy
stimuli is added to increase the likelihood of producing a desired response; e.g. praise, token system, rewards
Positive Reinforcement (Behavioral Method - increase behavior)
stimuli is removed to increase the likelihood of producing a desired behavior; e.g. nagging to do a chore, when the chore is done the nagging stops
Negative Reinforcement (Behavioral Method - increase behavior)
an undesirable stimulus is presented following a behavior for the purpose of decreasing or eliminating that behavior; e.g. spanking
Positive Punishment (Behavioral Method - decrease behavior)
a behavior is followed by the removal of a desirable stimulus for the purpose of eliminating that behavior; e.g. taking away a phone, candy etc.
Negative Punishment (Behavioral Method - decrease behavior)
aimed at reducing the appeal of a stimulus or behavior by pairing it with an undesirable stimulus; e.g. treating alcoholism with Antabuse
Aversion Therapy
teaches the individual to control certain functions (heart rate, muscle tension etc.) by using electrical sensors to track information about the bodies key functions
Biofeedback
when reinforcement for a problem behavior is discontinued to decrease or eliminate the occurrence of negative behavior
Extinction
prolonged and maximal exposure to a real or imagined fear-producing stimuli with the goal of reducing or eliminating an undesirable reaction to a feared situation or stimulus
Flooding (Implosion Therapy)
pairing and movement through a hierarchy of anxiety-provoking stimuli, from least to most anxiety-provoking; exposure is real and not imagined
In Vivo Desensitization
an individual demonstrates the behavior to be acquired by the client
Modeling
uses a series of successive reinforcing steps to get the subject progressively closer to the target behavior
Shaping
an individual is progressively exposed to a greater anxiety-producing stimulus, which is then paired with a relaxation-producing response
Systemic Desensitization
the removal of a desirable stimulus (negative punishment) to reduce the occurrence of an undesirable behavior
Time Out
an exchange system based on the principles of operant conditioning, in which a token is issued as a reward for desirable behavior; tokens can then be exchanged for desired prizes or rewards
Token Economy (Contingency Management)
a form of psychotherapy where the main goal is to modify dysfunctional behaviors, emotions and thoughts; shown to be effective in treating anxiety disorders, depression, substance abuse, PTSD, bipolar disorder and eating disorders
Cognitive Behavioral Therapy (CBT)
involves efforts to change thinking patterns; recognizes distortions in thought that are creating problems; apply problem-solving skills to cope; foster a greater sense of confidence
Cognitive Behavioral Therapy (CBT)
short-term, evidence based therapy that places the focus on a person’s future and present circumstances and goals rather than past experiences
Solution-Focused Brief Therapy (SFBT)
focuses on what client’s want to achieve instead of focusing on the problem; strengths-based; constructing solutions; helper maintains a positive and hopeful stance, and fosters collaboration
Solution-Focused Brief Therapy (SFBT)
a type of psychotherapy that is centered on increasing an individuals’ awareness and self-direction by focusing on the present moment instead of past experiences
Gestalt Therapy
increased awareness of the here and now; empty chair technique; improved self-confidence; helps one make peace with the past and improve their sense of acceptance
Gestalt Therapy
therapeutic approach that focuses on the future and the ability to endure hardship through a search for purpose
Logotherapy
focus is on a desire to find meaning in life; understanding for one’s purpose
Logotherapy
focuses on gender and the challenges and stressors that women face due to stereotyping, bias, discrimination, oppression etc.
Feminist Therapy
change occurs by recognizing and disempowering social forces while empowering the client; examine how unequal power impacts ones ability to grow and succeed; encouragement to engage in social activism; with every symptom there is a strength; promotes equality and helps to recognize the client is their own rescuer
Feminist Therapy
short-term therapy used to help clients achieve their goals and alleviate immediate problems like employment, relationships, resources etc.
Task-Centered/Problem-Solving Therapy
client expresses a desire to address the problem and is charged with defining problems and goals
Task-Centered/Problem-Solving Therapy
a modified version of CBT that is used to teach emotional, behavioral and thought patterns that are commonly associated with dysfunction
Dialectical Behavior Therapy (DBT)
frequently used to treat individuals with a borderline personality disorder; main goal is to teach clients how to live in the moment, improve relationships, develop healthy coping, and regulate emotions; treats emotional swings, impulsiveness etc.
Dialectical Behavior Therapy (DBT)
psychological approach where therapist and client adjust the stories one tells about their life to bring about positive change and improve mental health
Narrative Therapy
change occurs by externalizing the problem and creating a new story that emphasizes strengths; focuses on the relationship between client experience and interpretation revealed; focuses on how the story is told rather than its accuracy
Narrative Therapy
incorporates a thorough knowledge of the impact of trauma in all aspects of treatment, including understanding psychological, neurological, biological and interpersonal effects of trauma
Trauma Informed Therapy
assumes the client has a trauma history, and takes steps to avoid triggers or re-traumatization during treatment; includes client’s view of being hurt; security is established prior to treatment; and focuses on empowering the client to gain control
Trauma Informed Therapy
interactive psychotherapy used to reduce psychological stress
Eye Movement Desensitization and Reprocessing (EMDR)
aims to reduce trauma symptoms by changing how memories are stored in the brain; lead the client through a series of bilateral (side-to-side) eye movements as they recall traumatic or triggering events in small segments until those memories no longer cause distress
Eye Movement Desensitization and Reprocessing (EMDR)
a technique used to help client’s overcome anxieties and fears by breaking the pattern of fear and avoidance; exposes clients to a stimulus that causes fear while the patient is in a safe environment
Exposure Therapy
used to manage anxiety disorders, or phobias using systematic desensitization
Exposure Therapy
focuses on helping individuals deal with irrational beliefs by learning to manage thoughts, emotions, and behaviors in a healthier more realistic way
Rational Emotive Behavior Therapy (REBT)
teaches individuals to approach their trauma-related memories, feelings and situations gradually; and understand those cues and memories are not dangerous
Prolonged Exposure Therapy
evidence-based treatment for PTSD; uses imagined (retelling of a memory) and in vivo (in person) exposure
Prolonged Exposure Therapy
family treatment approach which focuses on generational behavior patterns and lasting conflicts
Bowen Family Therapy
change occurs through understanding multigenerational dynamics; includes several family members working together to address conflict; focuses on the balancing of togetherness and individuality
Bowen Family Therapy
family therapy approach that investigates the structure of a family unit to improve the interactions among family members
Structural Family Therapy (SFT)
uses family mapping to uncover and understand patterns of behavior; goal is to improve communication; problems arise due to maladaptive boundaries and subsystems; therapist takes an authoritative and directive role
Structural Family Therapy (SFT)
family therapy approach where the social worker takes the lead and designs a specific approach for each presenting problem
Strategic Family Therapy
brief, short-term therapy; frequently used for families with children or adolescents dealing with behavioral problems; goal is to assist in managing current problems
Strategic Family Therapy
programs for health promotion and disease prevention focus on reducing health risks and health threats
Preventative Interventions
seeks to prevent disease or injury before it occurs
Primary Preventions
attempts to reduce the impact of a disease or injury that has already occurred
Secondary Prevention
involves preventing complications in people who have already developed a disease or injury that has lasting effects
Tertiary Prevention
