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61 Cards in this Set

  • Front
  • Back
4 methods of evaluating clinical significance
comparison method, no longer meeting diagnostic criteria, subjective evaluation, social impact measures (Kazdin, 2001)
4 general principles of MI
Express empathy, develop discrepancy, roll with resistance, support self-efficacy (Miller & Rollnick, 2002)
Systems of care
A philosophy that provides guidance for establishing a continuum of services and supports for youth and families and procedures for integrating them in an individualized and family driven manner (Suter & Bruns, 2009)
Wraparound
A specific method for selecting and implementing evidence-based treatments and other services and supports using a process engaging of families and consistent with system of care principles (Suter & Bruns, 2009)
4 levels of collaborative capacity
Member, relational, organizational, programmatic (Foster-Fishman et al., 2001)
Systems change
An intentional process designed to alter the status quo by shifting and realigning the form and function of a targeted system (Foster-Fishman et al., 2007)
3 cultural competence ingredients
Scientific mindedness (forming hypotheses), dynamic sizing (generalizing vs. individualizing), culture-specific expertise (Sue, 1998)
3 goals of CBT
Deactivate distroted modes of thinking, modify their content and structure, construct more adaptive modes (Hollon & Beck, 2004)
3 interventions in CBT
Collaborative empiricism, socratic dialogue, guided discovery (Hollon & Beck, 2004)
Collaborative empiricism
treating the patient’s beliefs like testable hypotheses (Hollon & Beck, 2004)
Socratic dialogue
the therapist asks specific questions that help the patient see the underlying dysfunction in their beliefs (Hollon & Beck, 2004)
Guided discovery
therapist helps the patient begin to modify their maladaptive assumptions, and replace them with healthy beliefs (Hollon & Beck, 2004)
5 behavioral techniques in CBT
Scheduling activities, cognitive rehearsal, self-reliance training, role-playing, diversion techniques (Hollon & Beck, 2004)
6 cognitive techniques in CBT
Cognitive restructuring, reattribution, alternative perspectives, point-counterpoint, questioning, homework (Hollon & Beck, 2004)
Point-Counterpoint
help client practice rational responses to automatic thoughts (Hollon & Beck, 2004)
Cognitive rehearsal
have client picture or imagine each step involved in a task (Hollon & Beck, 2004)
Reattribution
use to assist client in rejecting self blaming thoughts (Hollon & Beck, 2004)
10 wraparound principles
Family voice and choice, team based, natural supports, collaboration, community based, culturally competent, individualized, strengths based, unconditional, outcome based (Suter & Bruns, 2009)
4 phases of wrap
Engagement and team prep, initial plan development, implementation, transition (Walker et al., 2004)
Wrap youth...
Missed school less, were suspended less, ran away from home less, less assaultive, less likely to be picked up by police (Carney & Buttell, 2003)
Three aspects of ethnicity that account for psychological importance
Culture, identity, minority status (Phinney, 1996)
Psychological services should not be administered to the public until they have satisfied four minimal criteria:
Exact nature of services described clearly, claimed benefit stated explicitly claimed benefits validated scientifically, possible negative side effects ruled out empirically (McFall, 1991)
DBT and specific forms of psychodynamic psychotherapy seem to be superior to treatment as usual in some clinically relevant problems of borderline personality disorder (e.g., self-harm, suicidal ideation)
Leichensering, 2011
Part of CBT important for depression
Homework (Hollon & Beck, 2004)
Part of CBT important for GAD
Cog + beh (Hollon & Beck, 2004)
Part of CBT important for PTSD
Behavioral (exposure) (Hollon & Beck, 2004)
Part of CBT important for anxiety
Cog + beh (Hollon & Beck, 2004)
The most effective treatments for OCD seem to be behavioral treatments plus pharmacotherapy (SRIs)
(Kozak & Foa, 1996)
ESTs limit flexibility and innovation (cite)
Chambless & Ollendick, 2001
ESTs may not be so important, because psychotherapy generally is effective for clients generally
Chambless & Ollendick, 2001
General prevention cite
Rudkin, 2003
Empowerment is a masculine, competitive concept
Riger, 1993
Systems change
An intentional process designed to alter the status quo by shifting and realigning the form and function of a targeted system (Foster-Fishman et al., 2007)
Coalition’s ability to affect change is
Dynamic, adjustable, transferable (Foster-Fishman et al., 2001)
4 levels of collaborative capacity
Member, relational, organizational, programmatic (Foster-Fishman et al., 2001)
26% of the difference in the rate of therapeutic success was accounted for by the quality of the alliance cite
Lambert & Barley, 2002
3 types of nonspecific factors
Facilitative conditions, therapeutic relationship, therapist variables (Lambert & Barley, 2002)
3 types of facilitative conditions for therapy
Empathy, warmth, congruence (Lambert & Barley, 2002)
2 types of therapist variables
Interpersonal style, therapist attributes (Lambert & Barley, 2002)
3 components of trauma-focused CBT with kids
Exposure/direct discussion of event, cognitive interventions, parental treatment (Cohen et al, 2000)
3 core SOC values
Community based, child centered/family focused, culturally competent (Stroul, 2002)
6 guiding SOC principles
Comprehensive, individualized, least restrictive, coordinated, involve family/youth, early identification and intervention (Stroul, 2002)
How you define a problem affects how you will treat the problem cite
Ryan, 1972
unintended functions of blame research cite
Caplan & Nelson, 1973
victim-blaming results from the inner conflict between feeling a social responsibility to help victims and a desire to maintain the status quo for one's own sake cite
Ryan, 1972
Efficacy studies omit 4 things
Not fixed duration, self-correcting, patients shop around, interested in improvement in general functioning (Seligman, 1995)
pharmacotherapy and psychotherapy can produce remarkably similar effects on functional brain activity cite
Friedman, 2002
comorbid cases outnumbered single-disorder cases. Comorbid cases were also more severely disordered than single-disorder cases cite
Newman et al., 1998
4 skills in humanistic
Genuineness, acknowledge tension, unconditional positive regard, empathetic understanding (Rogers, 2001)
primary prevention have significant positive effects—it reduced problem behaviors (e.g., internalizing & externalizing problems) and increased competencies cite
Durlak & Wells, 1997
Clinical competencies (4)
Ability to assess, conceptualize, diagnose, and revise; flexibility; interpersonal competence; use of scientific research (APA Task Force, 2006)
SOC related to better mental health outcomes
Mears et al., 2009
SOC led to decreased reliance on federal funding, despite an overall increase in spending on community services
Fisher et al., 2001
System change efforts exist along a continuum of
top-down (“community betterment”) and bottom-up (“community empowerment”) (Himmelmann, 2001)
Trauma-informed system cite
Harris & Fallot, 2001
Logic model
A series of statements linking social/client conditions with the service strategies that will be used to address them and the anticipated outcomes (Hernandez, 2000)
Essential components of transformative systems change
Bounding the system, understanding fundamental system parts as potential root causes, assessing system interacctions, identifying levers for change (Foster Fishman et al., 2007))
Parts of bounding the system
Problem definition, identification of parts relevent to problem (Foster Fishman et al, 2007)
4 fundamental system parts as potential root causes
Norms, resources, regulations, operations (Foster-Fishman et al., 2007)
Parts of assessing system interactions
Reinforcing and balancing interdependencies, system feedback and self-regulation, interaction delays (Foster Fishman et al., 2007)
2 parts of identifying levers for change
Identifying parts to leverage, identifying interactions and patterns to leverage (Foster Fishman et al., 2007)