Test 2 Flashcards
Components of an interdisciplinary assessment
Know all 6
- Medical assessment
- Psychological testing
- Rapid assessment devices
- Functional assessment
- Bio psychosocial history/assessment
- Psychiatric evaluation, mental status examination and diagnosis
Types of Psychological tests
Identify 1 Test for Each Type
- Personality test – MMPI,
- IQ Test - WAIS
- Projective test – TAT, SCT, Ink Blot
Advantages of using psychological testing
- Findings are empirically based
- Many of the instruments used are reliable and valid
- Provides measured scores on specific dimensions, sensitive to multidimensional personality dimensions
Rapid assessment devices
EX: Beck Depression Inventory
- Quick, 20 questions
- Used to assess a variety of individual, family, marital, or child related problems.
- Provides information that clinicians can use to support a particular diagnosis.
- Justify treatment and assess intervention progress.
Functional assessment
- Assess the extent of the client’s ability to conduct their life independently in the community.
- 15 areas are assessed
- Contributes to identifying the client’s strengths and the resources of the client, agency, and the community are used to address the client’s needs.
Involuntary Civil commitment
Legal procedure in which a person is required to be confined to an inpatient psychiatric facility or to conditional community outpatient treatment (required commitment to a psychiatric hospital)
- Must be a danger to self or others
- Mental Illness that is present & diagnosable
- Unable to take care of basic needs
Legal examples of cases related to involuntary commitment
- Lessard v. Schmidt – commitment is justified only if a person would do “immediate harm to himself or others”.
- O’Conner v. Donaldson – man was wrongfully institutionalized because he was not dangerous.
- Addington v. Texas – Criteria based on clear and convincing evidence, requiring dangerousness to be documented.
-Olmstead v. LC - two women who were mentally retarded were isolated when they were able to live more independently (LEAST RESTRICTIVE ENVIRONMENT)
least restrictive environment
-Olmstead v. LC - two women who were mentally retarded were isolated when they were able to live more independently
Discharging or not hospitalizing clients with mental illness who can function in a less intrusive environment and for selecting an appropriate level of care in a community.
Clients right to refuse treatment – guidelines
Individual must be competent & be a non-emergency
-Able to communicate a choice
-Understands relevant information
-Appreciates the problem or situation and its consequences
-Able to reason about treatment options
(Not addressed by court because there are too many grey areas)
Advanced directives
Legal documents written while an individual is competent: How decisions about treatment should be made if the person becomes incompetent
Confidentiality – issues
- Core social work value and ethical principle, but it isn’t absolute.
- Social workers are bound to maintain the privacy of communication shared by clients.
- Does not apply when there is a serious, foreseeable, and imminent danger to client or others.
Tarasoff rulings
- Lay out the obligations of psychotherapists to protect others from possible harm
- Duty to Protect
- Duty to Warn – third parties of violent acts
Postmodernism
-Idea of going beyond science to other ways of knowing. Going back to religion or philosophy to other forms of knowing. Science does not cover everything
Women’s mental health issues – illness
anxiety, depression
Herman (1992) model of psychological trauma
Three Themes with Psychological Trauma
1. Terror: overwhelming fear of danger, harm, death
2. Disconnection: rupture in the relationship between victim and others
3. Captivity: over time the perpetrator has control over the victim
(see page 152 in the text)
(just know the 3 categories)