Assessment and Intervention Planning

Question 1

Biopsychosocial assessment

Answer 1

Bio - medical and physical health, developmental history, medication history, substance use history, family illness history

Pscyho - present psychiatric illness or sumptoms

Social - client systems and client context within those systems

Question 2

Organic brain syndrome

Answer 2

physical disorders that impair mental function

Alcoholism, Alzheimer’s, Fetal Alcohol Spectrum Disorders, Parkinson’s and stroke

Question 3

Traumatization

Answer 3

Results in neurological distress that does not go away/client is unable to return to equilibrium; can lead to mental, social, emotional and physical disability

Question 4

Antipsychotics

Answer 4

Used for treatment of Schizophrenia and mania

Typical - Haldol, Thorazine
Atypical- Risperdal, Seroquel

**Tardive dyskinesia - abnormal, involuntary movements of the tongue, lips, jaw, and face as well as twitching

Question 5

Mood stabilizers - antimanic agents

Answer 5

Treat BP disorders

Lithium

**Thyroid and kidney functions must be regularly checked

Question 6

Antidepressants

Answer 6

Used to treat depressions

SSRIs - Lexapro, Paxil, Prozac, Zoloft
Tricyclics - Anafranil, Elavil
Monoamine Oxidase Inhibitors - Nardil, Parnate

**Dietary restrictions - limit foods that have high levels of tyramine (cheese, beer, wine, smoked fish)

Question 7

Anti-anxiety drugs

Answer 7

Used to treat Anxiety Disorders

Benzodiazepines - primarily use is for anxiety, but they can treat several other conditions - Ativan, Klonopin, Valium, Xanax

Question 8

Stimulants

Answer 8

Used to treat ADHD

Adderall, Concerta, Ritalin

Question 9

Collateral sources

Answer 9

Family, friends, other agencies, doctors, etc

Used when the credibility and validity of information obtained from a client or others is questionable

Question 10

Beck Depression Inquiry

Answer 10

21-item test, assesses presence and degree of depression in teens and adults

Question 11

Minnesota Multiphasic Personality Inventory - MMPI

Answer 11

Objective verbal inventory designed as a personality test for the assessment of psychopathology consisting of 500 statements

Question 12

Myers-Briggs Type Indicator - MBTI

Answer 12

Forced-choice, self-report inventory that attempts to classify individuals across 4 dimensions

1. General attitude - Extravert vs. intravert
2. Perception - Sensation vs. intuition
3. Processing - Thinking vs. feeling
4. Judging vs. perceiving

Question 13

Stanford-Binet Intelligence Scale

Answer 13

Designed to test cognitive abilities for children and adults

Question 14

Thematic Apperception Test - TAT

Answer 14

Widely used projective test; consists of series of pictures of ambiguous scenes and clients are asked to tell stories about the pictures

Question 15

Inkblot test

Answer 15

Projective test

Question 16

Wechsler Intelligence Scale - WISC

Answer 16

Measures child’s intellectual and cognitive ability

Question 17

Risk assessment

Answer 17

Frequency and duration of violent thoughts
Access of methods
Ability to control violent or suicidal thoughts
Factors making the client feel better or worse
Deterrents
Use of drugs and alcohol

Question 18

Suicide risks

Answer 18

Previous attempts, living alone, presence of psychiatric disorders, substance use, history of suicide in family, exposure to suicidal behavior, losses, presence of firearm or easy access to other lethal methods

Question 19

Suicide protective factors

Answer 19

Clinical care for disorders, access to clinical support and interventions, family and community support, learned cooing skills, cultural and religious beliefs that discourage suicide

Question 20

Violence risk factors

Answer 20

Onset before the age of 13, child behavior disorders, associations with guns and drugs, involvement in delinquent peer groups

Question 21

Violence protective factors

Answer 21

Programs that focus on individual and environment, clinical care, access to interventions and support, family and community support, restricted access, learned coping skills

Question 22

Readiness to change

Answer 22

1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance

Question 23

Ego strengths

Answer 23

The ability of the ego to effectively deal with the demands of the id, the superego, and the reality

Basis for resilience

Tolerance of pain associated with loss, disappointment, shame and guilt; forgiveness; persistence and perseverance; openness, flexibility and creativity in learning to adapt

Question 24

DSM 5 Changes

Answer 24

Published in 2013

• deleted the section Disorders Usually 1st Diagnosed in Infancy, Childhood and Adolescence
• NOS replaced with Other Specified (explains why the criteria for a specific disorder is not met) and Unspecified (no explanation left)
• got rid of the multi-axial system of diagnosis
• WHODAS added
• Substance abuse and dependence combined into 1 category
• Greater cultural sensitivity

Question 25

Schizoid PD

Answer 25

Introverted, withdrawn, solitary, emotionally cold, distant

Question 26

Schizotypal

Answer 26

Peculiar, odd or eccentric manners; magical thinking; some paranoia

Question 27

Crisis

Answer 27

disruption of psychological homeostasis in which usual coping mechanisms fail

Question 28

Crisis Planning and Assessment

Answer 28

1. Conduct a biopsychosocial assessment, assessing for imminent danger 2. Make contract and rapidly establish a working relationship 3. Identify major problems, including the crisis precipitants 4. Encourage to explore feeling and emotions 5. Explore alternatives and new coping strategies 6. Restore functioning through an action plan 7. Plan a follow-up

Question 29

SOAP format

Answer 29

S - subjective - client's report on how they are doing O-objevtive - health data, documentation, hard evidence A-assessment - using subjective and objective findings to form an assessment P-plan - what will be done next

Question 30

Types of research

Answer 30

1. Experimental - control and experimental groups present 2. Quasi-experimental - experimental group present but there is no random assignment 3. Pre-experimental - no control group present

Question 31

Single subject research

Answer 31

Aims to determine whether an intervention has the intended impact on a client or group of clients Ex: pre and post test, single study single case study - AB reversal - ABA multiple baseline - ABAB Ideal for showing cause and effect and for studying behavioral change

Question 32

Internal validity

Answer 32

Extent to which causal inferences can be made about the treatment and the targeted behavior, did a cause b?

Question 33

External validity

Answer 33

How generalizable are the findings to a general population

Question 34

Interrater reliability

Answer 34

Would different raters give consistent estimates of the same phenomenon

Question 35

Test-retest reliability

Answer 35

Subjects can take the test more than once and have a consistent score

Question 36

Internal consistency reliabillity

Answer 36

Assesses consistency of results across items within a test

Question 37

Parallel forms reliability

Answer 37

Assesses consistency of the results of 2 tests constructed in the same way and from the same content domain

Question 38

Reliability

Answer 38

Consistency, reducing random errors

Question 39

Validity

Answer 39

Degree to which the test measures what it's actually supposed to measure, aims to minimize systemic errors

Question 40

Face validity

Answer 40

Does the assessment actually measure the constructs

Question 41

Content validity

Answer 41

Are all of the relevant content domains covered

Question 42

Criterion related validity

Answer 42

Predictive, concurrent, convergent, and discriminant

Question 43

Involving clients/client systems in intervention planning

Answer 43

1. Engagement 2. Assessment 3. Planning 4. Intervention - should be revisited and reviewed 5. Evaluation 6. Termination

Question 44

Reasons for d/c and termination

Answer 44

- client met goals, no longer needs services - client decides not to continue - client requires different care - sw leaves the agency and client must transition to work with someone else **Code of ethics: terminate when services are no longer needed/services are no longer serving the needs of the client; termination has to be planned and sw should assist in making appropriate arrangements for service continuation when necessary (sw should make reasonable arrangements to ensure continuity of services if sw is terminating due to personal reasons), clients must be notified promptly **It is unethical to continue treatment if services are NO longer needed

Question 45

$ and services

Answer 45

You can terminate if a client is not paying for the services if the financial contract has been made clear to the client AND if the client does not pose an imminent threat to themselves and others AND if clinical and other consequences of nonpayment have been clearly discussed

Question 46

Social relationships and services

Answer 46

NOT allowed = social, financial, sexual

Question 47

High risk clients and termination

Answer 47

Continue receiving regular assessments after discharge to determine whether services are needed or if d/c plans should be put forward as planned