Study Guide Test #2 Flashcards
Identify the need for strong ethical practices in Crisis Intervention
By definition, clients in crisis are in a vulnerable state
It would be easy to take advantage of someone – even if inadvertently.
Especially if they see you as a hero or rescuer.
Ethical guidelines protect you both
Nature and Importance of ethical issues like paraprofessionals:
Some think crisis intervention should be provided only by licensed professionals.
However, crisis intervention began with, and continues to be done by non-professionals / paraprofessionals.
They can be effective if properly trained and supervised.
And they are cost-effective.
Nature and Importance of ethical issues like self-awareness and countertransference:
You need to be aware of your own values, emotions, opinions, assumptions, motivations, and hangups.
(Be familiar with the turmoil surrounding death.)
Work through your own crises
They can be of great benefit to you if you do.
They will be of great hindrance if you don’t.
They can interfere with your ability to remain calm, objective, and client-focused.
Don’t assume too much
Nature and Importance of ethical issues like Dual Relationships:
Defined as having more than one kind of relationship with the client. Social, financial, sexual, etc. Avoid them if at all possible. Account for them when not. It is awkward at best. There is a dangerous power differential.
Nature and Importance of ethical issues like Confidentiality:
As a rule, clients are to be protected against any unauthorized disclosures of information made in the therapeutic relationship.
Deliberately or accidentally.
This right can be waived by the client
Continuity of care, supervision, coordinating with insurance, etc.
This right must be overruled in some cases
Danger to self/others, child abuse, etc.
Nature and Importance of ethical issues like Informed Consent:
Definition – permission for treatment by a client after he/she has been thoroughly informed about all aspects of treatment.
Anyone entering treatment has the right to know…
The nature of treatment
That it is voluntary
And what the limits of confidentiality are.
No rules for how much information to give.
Three elements
Clients must be able to make rational decisions
If not, a guardian must give informed consent
Clinicians must give information in a clear way and check clients’ understanding of risks, benefits, and alternatives
Clients must consent freely.
Exceptions to these requirements when clients are dangerous or gravely disabled
Medications, not ECT or surgery.
Nature and Importance of ethical issues like Supervision:
Don’t handle crises alone if you don’t have to.
Consult with supervisors and colleagues.
Let your clients know you will be doing so.
Professionals and paraprofessionals should receive continuous education.
Be familiar with the DSM.
Describe the elements of a good condolence letter.
Acknowledge the loss Express your sympathy Note a special quality of the deceased Recount a memory of the deceased Note a special quality of the bereaved Offer assistance Close with a thoughtful word, phrase, quotation, or Scripture passage
Describe the needs people have in grief that make the Psalms of Lament particularly valuable.
People need a way to make the unspeakable stuff speakable.
“The deeper the sorrow, the less tongue it has.”
People need to know they aren’t alone
People need to know it is OK
To complain / lament to God
To feel like they do, including anger at God
To ask God hard questions
People need to know there is hope.
List the 5 elements of a personal psalm of lament.
Invocation of God
Complaint / description of pain
Recalling of past salvation experiences
Petition / cry for help
Praise
Believing the prayer has been heard
For deliverance (thanking Him in advance)
Describe each step of the ABC model (be familiar with Kanel Ch 4)
-Core of this model is a cognitive process
Stage A: Developing & Maintaining Rapport
Use good attending behaviors
Use good listening skills (questioning, paraphrasing, reflecting, & summarizing)
Stage B: Identifying the Problem
Explore cognitions and emotional distress
Identify precrisis level of functioning
Identify ethical issues
Stage C: Coping
Identify current coping attempts
Present alternatives (emphasis on past successes)
Describe each step of the LAPC model:
Listen: What is the victim saying? Not saying?
Assess: What is the victim thinking and feeling? How is he/she acting?
Plan: What can the victim do right now? Is it reasonable?
Commit: Has the victim agreed? What resources are needed?
Describe the three core elements of empathy, genuineness, and unconditional positive regard
As you go, practice good attending, listening, and questioning skills.
List the primary attending skills.
Making & keeping eye contact Squaring & Leaning your body Nodding your head Keeping open posture Don’t force them too much. Match or pace your clients.
Distinguish between restating, paraphrasing, reflecting, and summarizing.
Clarifying – gather more information on previous statements
Restating & Paraphrasing
Reflecting – rephrasing the emotional content
Summarizing – in 1 or 2 meaningful statements
Identify the competing needs between counselors and clients
Counselor's needs: To be active To model helpfulness To help with the problem To express universality of the problem To use short-term interventions
Clients needs: To be autonomous To grieve first To retain ownership of the problem To express individuality of the experience To continue work long-term
List and describe the signs of effective and ineffective coping.
look up
Describe the reasons why some people do not complete the grieving process.
Misunderstanding of grief process Pain is too much to bear Fatigue in face of hard work Busyness in face of time needed Isolated from others Resistance from others
