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LCSW Quickstudy > Quick Study > Flashcards

Quick Study Flashcards

1
Q

Steps of Community Organizing

A
  1. Integrate in the community
  2. Identify the issue impacting community
  3. Set goals and objectives
  4. Identify and creat core group
  5. Create an action plan to meet goals
  6. Execute and monitor action plan
  7. Evaluate the effect of action plan
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2
Q

What is a coalition?

A

Group of people or organization who share common interest and work to achieve a goal.

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3
Q

What is lobbying?

A

Professional advocated hired to represent specific causes and interest groups - be the groups voice to legislators and members of congress.

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4
Q

Define Child Abuse

A

Infliction of physical or emotional injury on a minor.

Beatings, uncontrolled corporal punishment, ridicule, degradation, and/or sexual abuse.

Most commonly done by parents, guardians and caretakers.

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5
Q

Define Child Neglect

A

The failure to provide resources of health, physical, emotional and social development.

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6
Q

Physical indicators of abuse

A
  • presence of multiple injuries in DIFFERENT stages of healing
  • history doesn’t fit
    Bruises on soft body parts of typical protected body parts (buttocks, abdomen, genitals).
  • linear bruises
  • rope burns
  • bite marks
  • burns
  • head injuries/skull fractures
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7
Q

Indicators of Neglect

A
  • Self stimulatory behavior or attempts to comfort themselves rather than from adults.
  • developmental delay, failure to thrive, poor weight gain, thin extremities, protruding abdomen.
  • hoarding or stealing food.
  • chronic tiredness or drowsiness; falling asleep
  • dirty, unwashed, foul body odor, unchanged diapers
  • awkward peer relationships, half hearted attempts at play
  • behavioral problems due to lack of limits from caregivers
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8
Q

Behavioral/Emotional indicators of abuse

A
  • Child being remorse/withdrawn, compliant, detached, unresponsive to engagement
  • insecure attachment patterns
  • regressive behavior
  • Disassociation (checks out/zones out)
  • aggressive or hyperactive behavior
  • lying, stealing, fighting, anxiety, etc.

MARKED CHANGE IN BEHAVIOR - bed wetting, falling asleep, hygiene, expressed sexual behavior.

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9
Q

Define Medical Neglect

A

Refusing treatment due to religious/spiritual reasons

Inform, report, let CPS know and handle UNLESS = life threatening.

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10
Q

Define a crisis

A

Situation an individual experiences an overwhelming event what upsets their PSYCHOLOGICAL equilibrium or baseline level of functioning.

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11
Q

How long does a crisis state typically last?

A

2 days to 6 weeks

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12
Q

Name two types of Crisis

A

Maturational Crisis

Situational Crisis

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13
Q

What is Maturational Crisis?

A

Precipitated by NORMAL STRESS during life course.

marriage, birth, retirement

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14
Q

What is Situational Crisis

A

Precipitated by SUDDEN TRAUMATIC EVENT that is unexpected.

Death of loved one, loss of job, illness

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15
Q

What is Crisis Intervention?

A

BRIEF TREATMENT initiated at crisis to RESTORE one previous level of biopsychosocial functioning.

  • supportive, focused psychotherapy
  • 1-6 sessions
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16
Q

Steps of crisis intervention

A
  1. Listen - rapport, identify problem, explore emotions
  2. Assessment - determine severity, assess for safety (suicide/Homicide ideation); assess coping, understand meaning of event; clients perception of reality; determine support systems; focus on immediate problem NOT history.
  3. Treatment Plan - help understand, choose appropriate approach, modify/eliminate, create contract, identify resources; be non-directive, collaborate, be directive.
  4. Termination - review process, review resources, schedule follow-up

GOALS = focus on restoring equilibrium, assist with coping, develops problem solving skills, mobilize social supports/services.

17
Q

Risk Factor Levels for Danger to Self and Others

A

Low Risk - lifted thoughts of harm to self/others; no plan or intent; few risk factors present.

Moderate Risk - ideation with limited plan or no intent; some risk factors present.

High Risk - Specific plan with intent to harm; access to lethal means, many risk factors present; limited social supports; impaired self-control.

18
Q

Interventions for risk levels

A

Low Risk - identify social supports, coping skills; provide referral for clinical contacts; reassess frequently..

Moderate Risk - low risk interventions PLUS - explore alternative to violence, remove lethal means, decrease isolation, explore medication.

High Risk - client should not be alone, hospitalization if can not make contract for safety, involuntary hospitalization, duty to warn victim and police.

19
Q

What is Tarasoff?

A

If client reports intent/plan/threat to harm others YOU MUST WARN THE PERSON AND NOTIFY AUTHORITIES.

20
Q

List Danger to Self Factors

A

Males more likely than females
White, American Indians, Alaskan Native are at highest risk
Older adults (men over 85)
History of mental illness/substance abuse, prior suicide attempt
Family history of all the above
Access to firearms/lethal means
Hopelessness

21
Q

List Danger to Other Risk Factors

A

Prior history of violence
Identified victim or plan
History of mental illness, substance abuse
Psychotic symptoms (hallucinations/paranoid delusions)
History of involuntary hospitalizations
Social isolation/limited support system
Access to firearms/lethal means

22
Q

Steps to Risk Assessment

A
  1. Conduct a biopsychosocial assessment (supports/stressors, medial needs, medications, current drug/alcohol use, coping abilities/resources)
  2. Assess Lethality and imminence of danger to self/others
  3. Establish Rapport
  4. Identify major problems/preceded the crisis
  5. Encourage exploration of emotions/feelings (active listening, paraphrasing, reflecting)
  6. Explore possible alternatives/positive coping skills
  7. Formulate Action Plan
23
Q

Types of Defense Mechanisms

A 
Rationalization, 
repression, 
displacement, 
identification, 
intellectualization, 
asceticism, 
reaction formation, 
introduction and internalization, 
denial, 
sublimation, 
undoing
24
Q

What is Rationalization?

A

A defense process by which plausible reasons justify an action or opinion.

Example - A person is using rationalization when, after getting turned down for a date, she says, “That person is really snobby.”

25
Q

What is Repression?

A

Repression refuses to let into awareness unacceptable impulses but remains unconsciously operative in behavior.

Example - A young boy exhibits repression when he has a phobia of dogs but cannot remember the first time he was afraid of them.

26
Q

What is Displacement?

A

Displacement is a defense mechanism in which affect is transferred from one object to another.

Example - A man is using displacement when he yells at his spouse because he is unable to express anger toward his boss.

27
Q

What is Identification?

A

Identification is a process by which qualities of an external object are absorbed into one’s personality.

Example - A young person is using identification when deciding to follow in her father’s footsteps and become a lawyer.

28
Q

What is Intellectualization?

A

Intellectualization is a process by which content is separated from repressed affect.

Example - A person uses intellectualization when speaking of his traumatic childhood as if reading a scripted story.

29
Q

What is Asceticism?

A

Asceticism is characterized by rigor and self-denial.

Example - An adult uses asceticism when she refuses to eat or sleep until a major work project is complete.

30
Q

What is Reaction Formation?

A

Reaction formation is a process by which unacceptable impulses are expressed as their opposites.

Example - An angry supervisee uses reaction formation when being overly nice to his supervisor.

31
Q

What is Introjection and Internalization?

A

Introjection is the internalization of outside events or characteristics of other people.

Example - A victim may use introjection to identify with the aggressor’s behaviors to help protect himself.

32
Q

What is Projection?

A

Projection places unacceptable feelings from the person feeling them onto another person.

Example - A person is using projection when he complains that no one likes him but in reality he does not like himself or others.

33
Q

What is Denial?

A

Denial distorts reality and does not acknowledge emotion.

Example - A person is using denial when he continues to eat unhealthy foods despite his doctor’s orders to eat healthier.

34
Q

What is Sublimation?

A

A person using sublimation will displace unacceptable instincts for constructive and socially acceptable behaviors.

Example - A person with aggressive impulses may use sublimation by becoming a kickboxing instructor.

35
Q

What is Undoing?

A

Undoing is a process by which we avoid being punished for undesirable thoughts or actions.

Example - A spouse unconsciously undoes his many adulterous acts by buying his partner lavish gifts.

36
Q

What is the Cycle of Violence?

A

Tension Building
Explosion/Crisis Phase
Honeymoon Phase

LCSW Quickstudy (1 decks)

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