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16 Cards in this Set

  • Front
  • Back
What are guidelines for establishing goals?
1.Clt must participate.
2.Goals must match formulated problem.
2.Goals=explicit and measurable.
3.Goals should specify overt and covert changes.
4.Goals should be prioritized.
5.Goals must be realistic.
6.A time frame for achieving them must be specified.
What is the social work process of "partialization"?
Developing priorities and distinguishing problems that need immediate attention from those that can be dealt with at a later time.
Goals are broken into what?
Objectives.
Social work approach that involves using interventions from different practice theories?
Systematic eclecticism.
Principles to follow when selecting interventions are..
1.Interventions must be based on accurate and complete assessments.
2.Clt's views must be included.
3.Client should assist in selecting interventions.
4.Interventions must follow ethical standards.
5.You must have the knowledge and skill to apply this intervention.
Client factors that impact your choice of interventions are..
1.Clt's psych and medical history.
2.Clt's ideas about problem and how to solve it.
3.Clt's personal characteristics.
4.Environmental variables affecting client.
5.Who's the client?
6.Human diversity issues.
7.Practical issues (can they pay, what's their schedule like).
Clinical factors that impact choice of interventions are..
1.Current research.
2.When there's a choice of interventions, use the most efficient one.
3.Pick a well-defined approach.
4.Apply interventions prescriptively (most relevant to goals).
5.An intervention should have major, not minor, effects.
6.An intervention should have lasting effects.
Indicators for group therapy?
1.Primary problem involves interpersonal issues.
2.Clt motivated to change.
3.Clt is verbally and psychologically sophisticated.
4.Clt finds peer support beneficial.
5.Clt has positive view of group therapy.
Contraindications for group therapy?
1.Incompatibility with group norms.
2.Inability to tolerate group setting.
3.Certain symptoms or diagnoses.
4.Low motivation to change.
5.Unrealistic/unfavorable opinions about group therapy.
Indicators for family/couple therapy?
Problem is:
1.Marital discord.
2.A desire for marital reconciliation.
3.Acute family crisis.
4.Child or adolescent is identified patient.
5.Sexual problem.
6.Family member has sx commonly treated as a family (alcohol, eating disorders).
Family therapy preferred over individual therapy when..
1.Individual therapy hasn't worked.
2.Improvement in one family member has caused sx in another.
3.Entire family unit is disturbed.
4.Family making one member a scapegoat.
5.Clt is returning home from institutionalization.
Contraindications for family therapy are?
1.Key family members are unavailable or unwilling to participate.
2.One family member is so disturbed that her behavior makes it impossible.
3.One family member's issues result from things outside the home.
4.An adolescent is trying to separate psychologically from her family.
Conditional contraindications for family therapy are?
1.Both spouses are committed to dissolving the marriage, except for specific goals (dealing with a kid).
2.Only with mania or psychosis if sx have been controlled.
3.Domestic violence, unless violence is under control.
4.Problem involves significant secret (infidelity, homosexuality, criminal behavior, sexual abuse).
How often should sessions be held?
Once or twice a week. Norm is once, but twice is okay (especially initially).
Characteristics of a contract?
1.Goals, prioritized.
2.Definition of my and clt's expectations.
3.Interventions.
4.Time frame, frequency, length.
5.How is progress being monitored?
6.Conditions for renegotiating.
7.Management and office policy items.
If a client doesn't attain their goals within the agreed-upon period of treatment, you can..
1.Refer to a different person or agency.
2.Refer for long-term inpatient treatment.
3.Recontract for additional sessions.