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37 Cards in this Set

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What are the service delivery implications of a 504 plan?
-From Americans with Disability act
-protects against disrimination
-accommodations for testings situations, programs, and building accessibility
-no specifications for special ed
-not automatically qualified for IEP
-gives access to education available to non-disabled kids
-required to find kids not getting a public education and fix it
What are the service delivery implications of an IEP plan?
-under IDEA
-provides individualized education for special needs
-may be mainstreamed or separately placed
-automatically protected under 504
-schools required to screen and search for kids who need this help
-challenging a suspension, child stays in school ("stay put" rule)
What are the main differences between 504 and IEP?
504: easier to get, fewer services, no guarantee for specialized education, school doesn't screen much,

IEP: harder to get, parents have more rights, kids get specialized ed., school finds them
What are 6 types of responses to client questions?
-content repsonse: give info
-counter question
-affect response: Rogers, empathic listening
-reframing: making lemonade, needs to be well timed
-sharing self: that happened to me too
-affirmation: that must be hard
What's a nice definition for clinical interviewing?
a serious conversation with a specific purpose
What are the 3 purposes of a clinical interview?
-obtain info
-provide release and support, encouragement, and establish a working relationship
-provide info
What are Shipley's 8 Fundamental characteristics of interviews
-serious convo. w/specific purpose
-needs plan of action
-2 parties, address objective and subjective info
-getting info, giving info, influencing, persuading, counseling
-can be apprehension of either party
-digression often occurs
-conduct only when necessary
-interviewer acts as conductor/manager
What are some steps in clinical interviewing/case history taking?
-preparation
-implementation
-documentation
What are some traps to be aware of in clinical interviewing?
-asking all y/n q's
-double-barrel q's: 2 q's in one
-talking too much
-over-focus on one aspect of problem
-providing info during info gathering
-"qualifying" q's
-indirect q's
-negative/moralistic responses (oh no!)
-abrupt transitions
What are Shipley's 6 basic suggestions for effective interviewing?
-be prepared and organized
-arrange setting for comfort and communication
-private, confidential setting
-dress appropriately
-punctual, use time well
-keep records
What are some of Ivey & Ivey's additional aspects of interviewing?
-attending and focus: visual, vocal, verbal, be authentic
-interviewing pyramid
-5 stages of the interview
What are Yalom's 8 curative factors in groups?
-instillation of hope: see how others improve
-universality: not alone
-imparting of info: giving/getting advice
-altruism: help each other
-interpersonal learning: safe place to enhance interpersonal skills
-group cohesiveness
-catharsis
existential issues: death/life enhancement, etc
What are the basic goals for a group?
-conveying content
-affect release
-personal growth
What are 6 erroneous responses?
-denying
-agreeing
-minimizing
-taking responsibility (we can fix this)
-blaming (why'd you do that?)
-avoiding response
What are Yalom's 4 leadership functions?
-mod. emotional stim
-high caring
-high meaning attribution
-mod. executive functioning
What are some norms which are important for the moderator to establish?
-procedural norms
-interactional norms
-initiative norms
-self disclosure
-confrontation norm
-here and now norm
-respecting indiv. needs
What are 5 levels of change?
-denial or "stuckness"
-partial examination
-acceptance and recognition, no change yet
-generation of a new solution
-transcendence
What is Client-centered diagnosis?
-client tells story
-enlist family in dx and testing
-empower by asking "what do you need to know?"
-listen and respond to affect
-set up another appt--don't cram
What is Institution-centered Dx?
-pt not aware of problem until test comes back positive
-failing screening test
--can shock parents and give unnecessary worry and stress post-partum
What's a nicer way to say an infant failed a screening test?
-this is a 2 part test, you'll need to take the second part later
What are some methods of counseling so that parents can hear, listen, and understand?
-create an eval folder: charts of normative behaviors/milestones
-use graphics as appropriate: simplify without overwhelming
-check for emotional state: work at that level
-provide release and emo support
-repeat, reiterate, summarize, review, recap
Differentiate impairment, handicap, and disability
I: body function/structure has signif. deviation or loss
H: restriction/problem with involvement
D: activity/performance limitation
Who is the customer and client when you consult?
customer-pays the bills. School system, for ex.

client-receives services, ie student
What are your responsibilities to client and customer?
client: ethical

customer: fulfill contract requirements
What are some common issues with documentation?
-accuracy
-promptness
-chronology
-succinctness
-complete the referral cycle
-follow up promptly
What are some additional stressors and demands of a caregiver?
-prevent/manage medical crises
-controling symps
-completed rx'd regimens
-social isolation
-response to disease changes
-funding
etc
what are some common causes of adult-onset hearing loss?
-Noise
-Age
-Ototoxicity
-Head injury/trauma
-Stroke/neurological impairment
-Otologic disorders (e.g. otosclerosis, Meniere’s disease)
What are some characteristics of adult-onset hearing loss?
-worse at higher frequencies (attenuation/distortion, hard time with speech)
-slow onset
What are some everyday difficulties associated with adults onset HL?
-excluded from convos
-phone issues
-avoidance and isolation
-less enjoyment from movies/public events
-not knowing how to tell someone you don't understand
-exhaustion from trying /\
What are some tricks for a speaker to help a HL person understand you?
-get attn before talking
-allow full view of your face
-talk slower
-use short, non-complex sentences
-rephrase rather than repeat
-write out hard to understand words
-alert listener of topic changes
What are some aspects of stages of cultural competence?
-KNOWLEDGE of what we need to know
-SKILLS of how to apply knowledge to our profession
-ATTITUDE of what kind of professional we want to become
What are the actual stages of cultural competency?
-AWARENESS of own culture and biases
-APPLICATION of knowledge thru interviewing, assessment, tx, etc
-ADVOCATION of change in practice and society
What are some sources of conflict in a differing cultural approach?
-what is most important
-how to approach a problem
-views about appropriate communication
-views about what is normal or acceptable
What are the "3 C's" of counseling, important to multicultural counseling?
communication

comprehension

compassion
What are the 5 stages of interviewing, by the ivey and ivey model?
-rapport/structuring
-defining the problem
-defining a goal
-exploration of alternatives and confronting incongruity
-generalization to daily life
What is the basic listening sequence, by the ivey and ivey model?
-open and closed q's
-client observation skills
-encouraging, paraphrasing, summarizing
-reflection of feeling
What are some attending behaviors, by the ivey and ivey model?
-eye contact
-vocal qualities
-verbal tracking stills
-body lang