Study Guide: Exam Flashcards
- Is the format for a social history the same for ALL
Agencies?
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Lecture 6: Social History
Ch 16
- What is a social history?
- Description and history of presenting problem
- Background information of client
- Case worker’s impressions and recommendations
- Baseline for decisions about services and for measuring client’s progress
- Length, format, and detail vary amongst agencies
- What is generally included in each of the subheadings of a social history?
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- What are 2 valid concerns case managers have regarding typing the client’s answers won a computer while taking a social history?
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Lecture 7 DSM & MSE
Ch 17 & Ch 18
- What are 2 valid concerns case managers have regarding typing the client’s answers on a computer while taking a social history?
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- What general guidelines are given regarding the client’s charts?
- Important to maintain your charts in the order specified by your agency
- Return each chart/file to the records section of your agency, and securely locked up
- All computer versions of the clients files are protected by a password
- Never remove a chart/file from the agency
- Review all the material in chapter 17 from beginning of the chapter up to the heading “Background Information.”
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- Why do case managers need to learn about the DSM-5?
- Provides a universal language for assessing and talking about mental disorders.
- The language of choice for most insurance providers.
- Comes from the medical model.
- Diagnoses made by physicians, psychiatrists, LMFTs, LCSWs, not bachelor level case managers.
- Familiarity with the language will facilitate communicate with professionals and clients.
- What does the case manager mean when he describes his client as being oriented x3?
The client is oriented as to:
- who he/she is
- what he/she is
- when it is.
- Behavior and Psychomotor Activity: mannerisms
These are unconscious repetitive action
5.Speech and Language:
pressured, monotonous, emotional, impoverished,neologisms, preservationists
Speech and Language: pressured
Often rapid but constantly talking; cannot be interrupted (often a sign of manic episode). Person appears to have racing thoughts.
Speech and Language: monotonous
No variation in tone.
Speech and Language: emotional
Very emotional
Speech and Language: impoverished
May say very little either because of depression or because he is being interviewed in language other than his native one; may also indicate a lack of facility with language.
Speech and Language: neologisms
makes up entirely new words with idiosyncratic meanings
Speech and Language: preservationists
Defined as the persistence “in repeating a verbal or motor response to a prior stimulus even when confronted with a new stimulus.
the client may give the same answers to different questions
- Mood:
euthymic, expansive, euphoric, anxious
Mood: euthymic
Normal mood
Mood: expansive
Feels very good and is getting better
Mood: euphoric
Out-of-sight happy
Mood: anxious
Worried and distressed
7.
broad, blunted, flat, labile, anhedonic
Affect: blunted
notes: restricted range of emotional expression
book: even more restricted
Affect: flat
no change of mood, unemotional
Affect: labile
rapid change in mood (crying, then laughing)
Affect: anhedonic
Incapable of any pleasurable response, depressed
Affect: broad
normal range of moods
- Neurovegetative Signs of Depression:
initial insomnia, middle insomnia, terminal insomnia, hypersomnia
Neurovegetative Signs of Depression: initial insomnia
trouble falling asleep
Neurovegetative Signs of Depression: middle insomnia
midnight-of-the night night wakening
Neurovegetative Signs of Depression: terminal insomnia
earlying morning awakening
Neurovegetative Signs of Depression: hypersomnia
sleeping a great deal
- Orientation: oriented x 3
The client is oriented as to:
- who he/she is
- what he/she is
- when it is.
- Disordered Perceptions:
hallucinations, depersonalization, derealization
Disordered Perceptions: hallucinations
an experience involving the apparent perception of something not present, such as hearing voices.
Disordered Perceptions: depersonalization
notes: a state in which one’s thoughts and feelings seem unreal or not to belong to oneself, or in which one loses all sense of themselves.
book: the person feels estranged or detached from her/ himself
Disordered Perceptions: derealization
notes: a feeling that one’s surroundings are not real.
book: the person feels detached from what is going on around her.
- Thought Processes: racing thoughts,
racing thoughts, perseverative, flight of ideas, neologism, tangentiality
Thought Processes: perseverative
notes: Repeating or prolonging an action, thoughts, or utterance after the stimulus that prompted it has ceased
book: the person goes over and over the same point of idea.
Thought Processes: flight of ideas
the person goes from one thought to another in logical sequence but is headed far from the original topic.
Thought Processes: neologism
The client makes up new words
Thought Processes:tangentiality
Means “veering off” on somewhat related, but irrelevant , topics
L8: Planning
(C19: Receiving & Releasing Information, C21: Service Plans)
- What are some of the common barriers that prevent case managers from fully understanding and helping their clients?
Circumstances that prevent case managers from understanding client’s situation, or prevent client from utilizing services ⦁ Language ⦁ Culture ⦁ Disability ⦁ Lack of resources ⦁ Mental illness ⦁ Mental retardation
- What is the difference of the goals and objectives between a service plan and a treatment plan?
- Service Plan
⦁ Developed by the Case Manager
⦁ Contains broad, GENERAL goals
⦁ Does not give the actual services identified in the plan - Treatment Plan
⦁ Provider agency gives the actual services
⦁ Takes the broad general goals from CM and creates very specific and measurable goals with objectives
- What is the target date and what influences it?
Used to indicate expected length of time for client to achieve goals
Influenced by
⦁ FUNDS (public funds, insurance caps)
⦁ GOALS (short- or long-term)
- What is a review date?
Set date to review client’s progress towards achieving goals
- What resources does a case manager look at to identify the client’s strengths?
Client’s may have strengths/resources that can help them ACHIEVE THEIR GOALS
⦁ Supports in community
⦁ Interpersonal skills and beliefs
⦁ Family members
⦁ Co-workers
⦁ hobbies, recreational activities, talents
⦁ Anyone showing interest in client
Whose Face Is in the Mirror? BOOK!!!!!!!!
? (Chapters 7-12)
Chapter 7
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- What did Dianne tell her psychologist as she was leaving her first appointment with him?
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- Whom/What did John think Dianne was going to talk about with her psychologist?
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- Who in Dianne’s family had committed suicide?
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Chapter 8
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- What will controlling types of people do when they feel that they are losing control over another person who has always submitted to their demands?
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- What pushed Dianne “over the edge” to leave John?
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Chapter 9
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- When Dianne moved out of John’s house, she talked with him while the movers were there. What did John want to do to help himself?
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- What did John think about Dianne taking care of her grandson?
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Chapter 10
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- Dianne found it interesting that the church she attended earlier in her life basically victimized its members. They were made to feel guilty or sinful if they didn’t feel like forgiving another for some cruel deed. She called this what?
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- How did the men in John’s batterer’s group see themselves, according to Dianne?
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Chapter 11
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- Why did Dianne still want contact with John?
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Chapter 12
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- How did Derek, her son, “save” her from being raped?
=
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- How did Dianne, Derek, Billie, and the dog escape the beach that they were stranded on by John?
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Short answer Questions
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Successful planning includes what specific elements that will make it more likely clients will succeed in making changes and recover?
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Why do people not change or recover?
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What are some symptoms commonly seen in discouraged people?
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How do case managers motivate and encourage their clients?
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6.4) What are the common errors when writing a social history?
-Clients don’t “admit” things, they “tell” us things or “give” us information.
-Don’t state things as a fact , if you don’t personally know them to be true.
Don’t recommend something without saying what it is for
-Don’t leave gaps in the history.
