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57 Cards in this Set

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What are sustainment interventions?
Relationship-building activities.
2 Types of sustainment procedures are?
Empathic responding and reassurance.
Empathic responding entails what?
Perceiving a client's deeper feelings and then communicating your understanding in language that's consistent with what she's experiencing at that moment.
5 Levels of Empathic Responding are:
Level 1, low level
Level 2, moderately low level
Level 3, reciprocal level
Level 4, moderately high level
Level 5, high level
Level 1, low level of empathic responding includes:
This demonstrates very little awareness or understanding of a clt's expressed or underlying feelings.
Level 2, moderately low level of empathic responding includes:
Does demonstrate some effort on your part to understand a clt's feelings, but addresses only surface feelings.
Level 3, reciprocal level of empathic responding includes:
Demonstrates accurate understanding but doesn't add anything to the clt's expression of feelings, just bounces them back.
Level 4, moderately high level of empathic responding includes:
This response is somewhat additive--identifies implicit feelings or facts communicated in the clt's message.
Level 5, high level of empathic responding includes:
This is highly additive. Reflects the entire range of surface and underlying feelings and content expressed in and implied by clt's message.
7 purposes of empathic responding are:
1.Establishing a relationship.
2.Staying in tune with where the clt is.
3.Accurately assessing problems.
4.Responding to nonverbals.
5.Making a clt more receptive to confrontation.
6.Managing obstacles to change.
7.Helping a clt manage strong feelings.
Procedures used to provide reassurance to a clt include:
1.Educate about problem and pragmatic solutions.
2.Explore options with clt. this honors self-determination.
3.Express realistic confidence in her abilities.
4.Normalize.
5.Reframe.
6.Promote universalization.
7.Provide relevant feedback.
3 procedures for ventilation include:
1.Encourage verbalization.
2.Self-demonstration.
3.Letter writing.
Procedures used to encourage verbalization include:
1.Explaining its benefits.
2.Asking exploratory questions.
3.Using furthering responses.
4.Paying close attention to affect.
5.Listening empathically.
6.Explaining that feelings are understandable.
7.Facilitating clt's ability to ID and differentiate among feelings.
Types of furthering responses:
a.Verbal minimal prompts "I see."
b.Nonverbal minimal prompts (body language)
c.Accent responses (repeating a phrase or word they've said).
Direct influence interventions include:
1.Provide advice or suggestion.
2.Provide information and education.
3.Actively promote coping skills and self-efficacy.
4.Homework.
5.Behavioral techniques.
Types of behavioral interventions within sessions:
1.subtle or direct reinforcers and punishers
2.behavioral techniques
3.behavioral rehearsal
Cognitive Therapy techniques:
Identify, test the reality of , and correct cognitive distortions. Explore and alter her maladaptive schemas and teach the client to do the same.
Reflective discussion is used:
to help a clt gain or regain a sense of control through achieving a better cognitive grasp on reality.
Reflective discussion includes the following areas:
Person-situation complex
Response pattern dynamics
Development of response patterns
The Person-Situation Complex relates to what aspects of a clt?
situation, personality, effects of actions on self and others, and my role/agency's role.
Techniques used in reflective discussion include:
Exploratory interviewing
Paraphrasing
Types of questions in exploratory interviewing include:
1.Open-ended questions
2.Closed-ended questions
3.Leads (indirect or direct)
Three ineffective questioning styles are:
a.Excessively using closed-ended questions.
b.Stacking questions.
c.Asking questions that have hidden agendas.
Paraphrasing is:
A selective restatement of a clt's message and is used to convey that you have both heard and understood her.
Reflections are:
Restate or repeat something the clt has just said, with an emphasis on the part of the msg that is most helpful.
Purposes of reflection:
To show a clt you have understood her feelings. Can generate a deeper awareness of feelings by clt, and can help clt manage feelings.
Reflection errors include:
a.Timing error (reflecting everything, or doing it too often)
b.Stereotyping error (starting every response in the same way, like "you feel that")
c.Depth error(reading more or less into something that is there)
d.Language error(using culturally or educationally inappropriate language)
Brammer's guide to avoiding reflection error includes:
1.Read the total message (stated feelings, nonverbal feelings, and content).
2.Select the best mix of content and feelings that's appropriate to where the clt is.
3.Reflect the experience just perceived.
4.Wait for the clt's confirming or denying response as a cue of what to do next.
Explanation involves:
Presenting the clt with meanings, motives or reasons underlying something.
Suggestion involves:
Encouraging a clt to try looking at something in a new, specific way.
Clarification involves:
To get more understanding of a message.
Define confrontation.
To make a clt aware of inconsistencies within perceptions or attitudes, between those and the facts, or between verbal and nonverbal behaviors.
Confrontation can be used to:
a.To point out patterns in behavior.
b.To help clt see her role in a problem.
c.To model honesty and show yourself as genuine.
Effective confrontation includes:
a.Expression of concern for clt.
b.Reference to goal/beliefs/commitment to recovery.
c.Description of the behavior or lack thereof.
d.Statement of probable negative consequence of discrepant behavior.
Guidelines for using confrontation:
a. Not until you have a good working relationship.
b.Use it sparingly.
c.In an atmosphere of warmth, caring and concern.
d.Encourage self-confrontation.
e.Avoid it when a clt is emotionally upset.
f.Follow it with empathic responsiveness.
g.Don't expect immediate change afterward.
The goal of "interpretation"?
To change a client's viewpoint so she can try out new options for attacking her problem.
Interpretation can involve:
Presenting a hypothesis about a cause-effect relationship or other significant meanings in the client's actions, thoughts, or feelings.
Guidelines for using interpretation are:
a.Use it sparingly until you and the clt have a good working relationship.
b.Only when clt is engaged in self-exploration or is ready to do so.
c.Avoid making several of these statements in a row (to give them time to assimilate what you've said).
d.Phrase it in hypothetical terms.
e.Note the clt's reaction to determine accuracy of your response and be empathetic if it's negative.
Define "Facilitate Connections" as a technique.
Ask questions, make comments, and help them make connections.
Define "Summarization" as a technique.
To summarize a lengthy clt statement and bring focus when a clt is rambling or transition between topics.
Define "Social Interventions".
Fam therapy, comm skills, providing peer confrontation or support. Working with a clt's significant others.
Define "Environmental Interventions".
Social resource provision (making referrals, developing resources, and advocacy).
Causes of Client-Environment Mismatches are?
1.Clt has uncommon needs because of an illness or disability, cultural stuff, etc.
2.Environment lacks a resoruces the client needs to successully negotiate a developmental stage.
7 ways to improve the client's environment?
1.Increase resources in clt's home.
2.Dev and increase clt's support systems.
3.Move clt to a new environment.
4.Improve responsiveness of organizations to the clt's needs.
5.Improve interactions between organizations and institutions.
6.Develop a new resource if a needed one is unavailable.
7.Use advocacy and social action.
Why do social workers make referrals?
1.Medical/safety emergency.
2.Clt asks for one.
3.SW determines that clt would benefit from additional adjunctive treatment or services.
4.SW recognizes the need for psychological testing, meds, or a service sw cannot provide.
5.SW anticipates a conflict of interest.
6.SW feels uncomfortable with a clt and recognizes that the discomfort will interfere with his/her objectivity or objectiveness.
7.SW isn't qualified to work with a client.
8.At termination, continuing services somewhere else is appropriate.
Types of emergency/necessary referrals are:
a.Crisis
b.Medical
c.Chemical Dependency
d.Scope of practice/competence
e.Conflict of interest
f.Therapist discomfort
Considerations when making a referral are?
a.Clt's readiness
b.Reason
c.Information needed
d.process of making it
e.releases
Connection techniques to use when referring clts?
1.Write out all information for clt.
2.Give clt a name to contact.
3.Give them a written statement discussing their needs to bring.
4.Call referral from office with clt for appt.
5.Have a friend or family member accompany them to the appt.
Follow-up tasks include:
1.Processing feelings with clt.
2.Talking to provider with a release.
3.Acting as a treatment coordinator between svcs.
Selecting an appropriate referral should be based upon:
1.Who's most qualified to help?
2.Any constraints on clt?
3.What's clt's reaction to this referral?
4.Any legal/ethical issues?
5.How will this affect their ISP?
Define advocacy.
The act of directly representing, defending, intervening, supporting, or recommending a course of action on behalf of one or more individuals, groups, or communities, with the goal of securing or retaining social justice.
The two types of advocacy are:
Class advocacy(macro)
and
Case advocacy(micro)
Define empowerment.
An important component of advocacy. It entails increasing an individual's ability to improve his/her situation. Its ultimate goal is to secure social justice.
4 types of consultation are:
1.Organizational
2.Mental health
3.Behavioral
4.Advocacy
4 types of mental health consultation are:
1.Client-centered case consultation.
2.Consultee-centered consultation.
3.Program-centered administrative consultation.
4.Consultee-centered administrative consultation.
4 stages of consultation are:
1.Entry
2.Diagnosis
3.Implementation
4.Disengagement
Discuss Consultation vs. Related interventions.
1.Supervision-supervisor and supervisee in same profession and has administrative responsibility for and power over the supervisee.
2.Collaboration-two or more professionals work together for the benefit of a client.