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37 Cards in this Set
- Front
- Back
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What are the service delivery implications of a 504 plan?
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-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 |
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What are the service delivery implications of an IEP plan?
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-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) |
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What are the main differences between 504 and IEP?
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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 |
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What are 6 types of responses to client questions?
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-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 |
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What's a nice definition for clinical interviewing?
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a serious conversation with a specific purpose
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What are the 3 purposes of a clinical interview?
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-obtain info
-provide release and support, encouragement, and establish a working relationship -provide info |
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What are Shipley's 8 Fundamental characteristics of interviews
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-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 |
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What are some steps in clinical interviewing/case history taking?
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-preparation
-implementation -documentation |
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What are some traps to be aware of in clinical interviewing?
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-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 |
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What are Shipley's 6 basic suggestions for effective interviewing?
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-be prepared and organized
-arrange setting for comfort and communication -private, confidential setting -dress appropriately -punctual, use time well -keep records |
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What are some of Ivey & Ivey's additional aspects of interviewing?
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-attending and focus: visual, vocal, verbal, be authentic
-interviewing pyramid -5 stages of the interview |
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What are Yalom's 8 curative factors in groups?
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-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 |
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What are the basic goals for a group?
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-conveying content
-affect release -personal growth |
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What are 6 erroneous responses?
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-denying
-agreeing -minimizing -taking responsibility (we can fix this) -blaming (why'd you do that?) -avoiding response |
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What are Yalom's 4 leadership functions?
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-mod. emotional stim
-high caring -high meaning attribution -mod. executive functioning |
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What are some norms which are important for the moderator to establish?
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-procedural norms
-interactional norms -initiative norms -self disclosure -confrontation norm -here and now norm -respecting indiv. needs |
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What are 5 levels of change?
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-denial or "stuckness"
-partial examination -acceptance and recognition, no change yet -generation of a new solution -transcendence |
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What is Client-centered diagnosis?
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-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 |
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What is Institution-centered Dx?
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-pt not aware of problem until test comes back positive
-failing screening test --can shock parents and give unnecessary worry and stress post-partum |
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What's a nicer way to say an infant failed a screening test?
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-this is a 2 part test, you'll need to take the second part later
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What are some methods of counseling so that parents can hear, listen, and understand?
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-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 |
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Differentiate impairment, handicap, and disability
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I: body function/structure has signif. deviation or loss
H: restriction/problem with involvement D: activity/performance limitation |
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Who is the customer and client when you consult?
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customer-pays the bills. School system, for ex.
client-receives services, ie student |
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What are your responsibilities to client and customer?
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client: ethical
customer: fulfill contract requirements |
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What are some common issues with documentation?
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-accuracy
-promptness -chronology -succinctness -complete the referral cycle -follow up promptly |
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What are some additional stressors and demands of a caregiver?
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-prevent/manage medical crises
-controling symps -completed rx'd regimens -social isolation -response to disease changes -funding etc |
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what are some common causes of adult-onset hearing loss?
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-Noise
-Age -Ototoxicity -Head injury/trauma -Stroke/neurological impairment -Otologic disorders (e.g. otosclerosis, Meniere’s disease) |
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What are some characteristics of adult-onset hearing loss?
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-worse at higher frequencies (attenuation/distortion, hard time with speech)
-slow onset |
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What are some everyday difficulties associated with adults onset HL?
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-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 /\ |
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What are some tricks for a speaker to help a HL person understand you?
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-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 |
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What are some aspects of stages of cultural competence?
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-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 |
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What are the actual stages of cultural competency?
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-AWARENESS of own culture and biases
-APPLICATION of knowledge thru interviewing, assessment, tx, etc -ADVOCATION of change in practice and society |
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What are some sources of conflict in a differing cultural approach?
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-what is most important
-how to approach a problem -views about appropriate communication -views about what is normal or acceptable |
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What are the "3 C's" of counseling, important to multicultural counseling?
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communication
comprehension compassion |
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What are the 5 stages of interviewing, by the ivey and ivey model?
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-rapport/structuring
-defining the problem -defining a goal -exploration of alternatives and confronting incongruity -generalization to daily life |
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What is the basic listening sequence, by the ivey and ivey model?
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-open and closed q's
-client observation skills -encouraging, paraphrasing, summarizing -reflection of feeling |
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What are some attending behaviors, by the ivey and ivey model?
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-eye contact
-vocal qualities -verbal tracking stills -body lang |
