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