Aswb Clinical Exam, Volume 3: Intervention Techniques(Vol3:4).

Front 1

What are sustainment interventions?

Back 1

Relationship-building activities.

Front 2

2 Types of sustainment procedures are?

Back 2

Empathic responding and reassurance.

Front 3

Empathic responding entails what?

Back 3

Perceiving a client's deeper feelings and then communicating your understanding in language that's consistent with what she's experiencing at that moment.

Front 4

5 Levels of Empathic Responding are:

Back 4

Level 1, low level
Level 2, moderately low level
Level 3, reciprocal level
Level 4, moderately high level
Level 5, high level

Front 5

Level 1, low level of empathic responding includes:

Back 5

This demonstrates very little awareness or understanding of a clt's expressed or underlying feelings.

Front 6

Level 2, moderately low level of empathic responding includes:

Back 6

Does demonstrate some effort on your part to understand a clt's feelings, but addresses only surface feelings.

Front 7

Level 3, reciprocal level of empathic responding includes:

Back 7

Demonstrates accurate understanding but doesn't add anything to the clt's expression of feelings, just bounces them back.

Front 8

Level 4, moderately high level of empathic responding includes:

Back 8

This response is somewhat additive--identifies implicit feelings or facts communicated in the clt's message.

Front 9

Level 5, high level of empathic responding includes:

Back 9

This is highly additive. Reflects the entire range of surface and underlying feelings and content expressed in and implied by clt's message.

Front 10

7 purposes of empathic responding are:

Back 10

1.Establishing a relationship.
2.Staying in tune with where the clt is.
3.Accurately assessing problems.
4.Responding to nonverbals.
5.Making a clt more receptive to confrontation.
6.Managing obstacles to change.
7.Helping a clt manage strong feelings.

Front 11

Procedures used to provide reassurance to a clt include:

Back 11

1.Educate about problem and pragmatic solutions.
2.Explore options with clt. this honors self-determination.
3.Express realistic confidence in her abilities.
4.Normalize.
5.Reframe.
6.Promote universalization.
7.Provide relevant feedback.

Front 12

3 procedures for ventilation include:

Back 12

1.Encourage verbalization.
2.Self-demonstration.
3.Letter writing.

Front 13

Procedures used to encourage verbalization include:

Back 13

1.Explaining its benefits.
2.Asking exploratory questions.
3.Using furthering responses.
4.Paying close attention to affect.
5.Listening empathically.
6.Explaining that feelings are understandable.
7.Facilitating clt's ability to ID and differentiate among feelings.

Front 14

Types of furthering responses:

Back 14

a.Verbal minimal prompts "I see."
b.Nonverbal minimal prompts (body language)
c.Accent responses (repeating a phrase or word they've said).

Front 15

Direct influence interventions include:

Back 15

1.Provide advice or suggestion.
2.Provide information and education.
3.Actively promote coping skills and self-efficacy.
4.Homework.
5.Behavioral techniques.

Front 16

Types of behavioral interventions within sessions:

Back 16

1.subtle or direct reinforcers and punishers
2.behavioral techniques
3.behavioral rehearsal

Front 17

Cognitive Therapy techniques:

Back 17

Identify, test the reality of , and correct cognitive distortions. Explore and alter her maladaptive schemas and teach the client to do the same.

Front 18

Reflective discussion is used:

Back 18

to help a clt gain or regain a sense of control through achieving a better cognitive grasp on reality.

Front 19

Reflective discussion includes the following areas:

Back 19

Person-situation complex
Response pattern dynamics
Development of response patterns

Front 20

The Person-Situation Complex relates to what aspects of a clt?

Back 20

situation, personality, effects of actions on self and others, and my role/agency's role.

Front 21

Techniques used in reflective discussion include:

Back 21

Exploratory interviewing
Paraphrasing

Front 22

Types of questions in exploratory interviewing include:

Back 22

1.Open-ended questions
2.Closed-ended questions
3.Leads (indirect or direct)

Front 23

Three ineffective questioning styles are:

Back 23

a.Excessively using closed-ended questions.
b.Stacking questions.
c.Asking questions that have hidden agendas.

Front 24

Paraphrasing is:

Back 24

A selective restatement of a clt's message and is used to convey that you have both heard and understood her.

Front 25

Reflections are:

Back 25

Restate or repeat something the clt has just said, with an emphasis on the part of the msg that is most helpful.

Front 26

Purposes of reflection:

Back 26

To show a clt you have understood her feelings. Can generate a deeper awareness of feelings by clt, and can help clt manage feelings.

Front 27

Reflection errors include:

Back 27

a.Timing error (reflecting everything, or doing it too often)
b.Stereotyping error (starting every response in the same way, like "you feel that")
c.Depth error(reading more or less into something that is there)
d.Language error(using culturally or educationally inappropriate language)

Front 28

Brammer's guide to avoiding reflection error includes:

Back 28

1.Read the total message (stated feelings, nonverbal feelings, and content).
2.Select the best mix of content and feelings that's appropriate to where the clt is.
3.Reflect the experience just perceived.
4.Wait for the clt's confirming or denying response as a cue of what to do next.

Front 29

Explanation involves:

Back 29

Presenting the clt with meanings, motives or reasons underlying something.

Front 30

Suggestion involves:

Back 30

Encouraging a clt to try looking at something in a new, specific way.

Front 31

Clarification involves:

Back 31

To get more understanding of a message.

Front 32

Define confrontation.

Back 32

To make a clt aware of inconsistencies within perceptions or attitudes, between those and the facts, or between verbal and nonverbal behaviors.

Front 33

Confrontation can be used to:

Back 33

a.To point out patterns in behavior.
b.To help clt see her role in a problem.
c.To model honesty and show yourself as genuine.

Front 34

Effective confrontation includes:

Back 34

a.Expression of concern for clt.
b.Reference to goal/beliefs/commitment to recovery.
c.Description of the behavior or lack thereof.
d.Statement of probable negative consequence of discrepant behavior.

Front 35

Guidelines for using confrontation:

Back 35

a. Not until you have a good working relationship.
b.Use it sparingly.
c.In an atmosphere of warmth, caring and concern.
d.Encourage self-confrontation.
e.Avoid it when a clt is emotionally upset.
f.Follow it with empathic responsiveness.
g.Don't expect immediate change afterward.

Front 36

The goal of "interpretation"?

Back 36

To change a client's viewpoint so she can try out new options for attacking her problem.

Front 37

Interpretation can involve:

Back 37

Presenting a hypothesis about a cause-effect relationship or other significant meanings in the client's actions, thoughts, or feelings.

Front 38

Guidelines for using interpretation are:

Back 38

a.Use it sparingly until you and the clt have a good working relationship.
b.Only when clt is engaged in self-exploration or is ready to do so.
c.Avoid making several of these statements in a row (to give them time to assimilate what you've said).
d.Phrase it in hypothetical terms.
e.Note the clt's reaction to determine accuracy of your response and be empathetic if it's negative.

Front 39

Define "Facilitate Connections" as a technique.

Back 39

Ask questions, make comments, and help them make connections.

Front 40

Define "Summarization" as a technique.

Back 40

To summarize a lengthy clt statement and bring focus when a clt is rambling or transition between topics.

Front 41

Define "Social Interventions".

Back 41

Fam therapy, comm skills, providing peer confrontation or support. Working with a clt's significant others.

Front 42

Define "Environmental Interventions".

Back 42

Social resource provision (making referrals, developing resources, and advocacy).

Front 43

Causes of Client-Environment Mismatches are?

Back 43

1.Clt has uncommon needs because of an illness or disability, cultural stuff, etc.
2.Environment lacks a resoruces the client needs to successully negotiate a developmental stage.

Front 44

7 ways to improve the client's environment?

Back 44

1.Increase resources in clt's home.
2.Dev and increase clt's support systems.
3.Move clt to a new environment.
4.Improve responsiveness of organizations to the clt's needs.
5.Improve interactions between organizations and institutions.
6.Develop a new resource if a needed one is unavailable.
7.Use advocacy and social action.

Front 45

Why do social workers make referrals?

Back 45

1.Medical/safety emergency.
2.Clt asks for one.
3.SW determines that clt would benefit from additional adjunctive treatment or services.
4.SW recognizes the need for psychological testing, meds, or a service sw cannot provide.
5.SW anticipates a conflict of interest.
6.SW feels uncomfortable with a clt and recognizes that the discomfort will interfere with his/her objectivity or objectiveness.
7.SW isn't qualified to work with a client.
8.At termination, continuing services somewhere else is appropriate.

Front 46

Types of emergency/necessary referrals are:

Back 46

a.Crisis
b.Medical
c.Chemical Dependency
d.Scope of practice/competence
e.Conflict of interest
f.Therapist discomfort

Front 47

Considerations when making a referral are?

Back 47

a.Clt's readiness
b.Reason
c.Information needed
d.process of making it
e.releases

Front 48

Connection techniques to use when referring clts?

Back 48

1.Write out all information for clt.
2.Give clt a name to contact.
3.Give them a written statement discussing their needs to bring.
4.Call referral from office with clt for appt.
5.Have a friend or family member accompany them to the appt.

Front 49

Follow-up tasks include:

Back 49

1.Processing feelings with clt.
2.Talking to provider with a release.
3.Acting as a treatment coordinator between svcs.

Front 50

Selecting an appropriate referral should be based upon:

Back 50

1.Who's most qualified to help?
2.Any constraints on clt?
3.What's clt's reaction to this referral?
4.Any legal/ethical issues?
5.How will this affect their ISP?

Front 51

Define advocacy.

Back 51

The act of directly representing, defending, intervening, supporting, or recommending a course of action on behalf of one or more individuals, groups, or communities, with the goal of securing or retaining social justice.

Front 52

The two types of advocacy are:

Back 52

Class advocacy(macro)
and
Case advocacy(micro)

Front 53

Define empowerment.

Back 53

An important component of advocacy. It entails increasing an individual's ability to improve his/her situation. Its ultimate goal is to secure social justice.

Front 54

4 types of consultation are:

Back 54

1.Organizational
2.Mental health
3.Behavioral
4.Advocacy

Front 55

4 types of mental health consultation are:

Back 55

1.Client-centered case consultation.
2.Consultee-centered consultation.
3.Program-centered administrative consultation.
4.Consultee-centered administrative consultation.

Front 56

4 stages of consultation are:

Back 56

1.Entry
2.Diagnosis
3.Implementation
4.Disengagement

Front 57

Discuss Consultation vs. Related interventions.

Back 57

1.Supervision-supervisor and supervisee in same profession and has administrative responsibility for and power over the supervisee.
2.Collaboration-two or more professionals work together for the benefit of a client.