Psychotherapy, Clinical Interventions, & Case Management Flashcards
(32 cards)
Describe the best concept and use of therapeutic contracts
They may be implicit or explicit and their applications vary widely depending on the setting and specific case
A client whose child was recently placed in foster care is beginning to work with a social worker at a family service agency. During the initial session with this client, the social worker encourages her to discuss her feelings about the placement of her child. The client begins talking in great detail instead about her multiple physical health problems. In this situation, what is the best thing for the social worker to do?
Engage in a discussion of the clients health problems and concerns in order to begin forming a relationship and acquire information to contribute to an assessment of her self-perception
What would a structuralist social worker be most interested in?
The harm that social forces can have on a client’s life
Focus of Psychoanalytics
Individuals conscious and unconscious motivations
Focus of Behavioral Orientation
Behaviors that manifest during particular situations
Interest of Bowenian Theory
Micro and Macro systems in an individuals life such as the family system
Describe the current findings from evaluations of the methods “Crisis debriefing” and “Critical Incident Stress Debriefing”
Participants evaluate these sessions as helpful in post-intervention surveys; however, longer-term outcome measures indicate that debriefing models may not promote significantly better mental health and/or prevent serious sequelae such as depression and posttraumatic stress disorder.
There is some empirical support for benefits of social support and psychoeducational components of the model. The steps of the model that review graphic details of a critical event may induce/increase symptoms through a process of vicarious traumatization.
A social worker is responsible for supervising several foster homes that serve children who have been neglected or abused by their biological families. The social worker’s primary concerns in this situation are:
Ensuring that foster parents are well qualified and that the children in their care are receiving appropriate services
Name an essential characteristic necessary in order for couples therapy to occur
A common goal for therapy.
Examples of a goal might be as simple as remaining together, improving communication, or agreeing on financial management.
A social worker has a client who was recently diagnosed with schizophrenia but is now on a stable medication regimen and seems to be doing well overall. The client expresses some anxiety about the future, however, as he is afraid that he may have another psychotic break at some point. The social worker’s best suggestion to this client is:
To continue meeting with the social worker for supportive therapy
Describe the most useful technique to apply with a client who frequently lashes out in anger and engages in verbal outbursts toward others after becoming startled/anxious in commonly occurring conditions over which he has no direct/effective control (e.g., dining in a restaurant with an adjacent sports bar that generates sporadic noise from cheering of customers watching an event)
Teach him breathing and/or other relaxation methods that he can use to gain some sense of internally-generated control and potentially circumvent escalation of his reaction/behavior.
The best choice of techniques would be those which have the highest potential to provide the client with simple, easy-to-implement methods that he could readily use across a variety of settings.
Describe the best purpose(s) of process recording for purposes of supervision
It is used as a tool to enhance practitioner awareness of worker-client interactions and promote retention of large amounts of content for later synthesis to aid in developing effective intervention approaches.
Describe Sculpting in family therapy
Sculpting is a technique used in group or family therapy in which a member depicts his/her understanding of the relationship with others by moving people into certain positions and asking them to stay frozen in that position
Describe Choreographing in family therapy
Choreographing is a technique used in group therapy in which a member dramatically reenacts the life of another group member in order to clarify conflicts
Describe Doubling in family therapy
Doubling is a technique used in group therapy in which a member acts an alter-ego of the protagonist
Describe Mirroring in family therapy
Mirroring is a technique used in group therapy in which a member reenacts the protagonist’s behavior by mimicking his/her gestures, expressions, and vocalization for objective scrutiny
Explain Permissive Parenting
Permissive parents are indulgent, have few demands, and hardly ever discipline their children
Explain Uninvolved Parenting
Uninvolved parents have few demands and little communication with their children
Explain Authoritative Parenting
Authoritative parents communicate and establish rules for their children and nurture and forgive their children when the rules are broken
Explain Authoritarian Parenting
Authoritarian parents establish strict rules with no reasoning behind said rules and their children are punished if they break the rules
A blind client calls a social worker to set up an appointment to discuss her anxiety issues. The social worker informs the client that the initial session consists of filling out paperwork and completing the initial assessment. The client asks the social worker to email her the paperwork that needs filled out so that the individual who cares for her can help her complete it. What is the most appropriate response?
Agree to email the paperwork to the client in order to accommodate her
The blind client is asking for a reasonable accommodation; therefore, the social worker should agree to the client’s request.
A social worker is meeting with a client for the first time. What is the most important thing to consider regarding a successful clinical outcome?
The therapeutic alliance between social worker and client is always the most important aspect of therapy to consider, no matter the client’s presenting problem. If mutual respect and trust exist between the social worker and client, there is a greater likelihood of the client making progress in therapy and maintaining lasting changes
The effectiveness of social work treatment in an agency is primarily evaluated for what purpose?
To analyze how treatment decisions affect the outcomes
Clients in a crisis are in a greater state of ____ and therefore more _________
Clients in crisis are in a vulnerable state due to the nature of their circumstances. In most crisis situations, it is typical for clients to be receptive to interventions and improvements in symptoms are usually made rapidly.
