Assessments Flashcards

1
Q

What is a culturally competent assessment?

A

a combination of evidence-based guidelines for assessment and a cultural competency framework

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2
Q

What are common diagnostic errors?

A

Confirmatory strategy

Attribution Error

Judgmental heuristics

Diagnostic overshadowing

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3
Q

What is confirmatory strategy?

A

Paying attention to data that supports their hypothesis and ignores data that refuses it

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4
Q

What is attribution error?

A

Undue emphasis on internal causes regarding the problem and neglecting environmental or sociocultural explanations.

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5
Q

What is judgmental heuristics ?

A

commonly used quick decision rules (example: assuming personality characteristics based off birth order)

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6
Q

What is diagnostic overshadowing?

A

Problem receives inadequate treatment because attention is diverted to a more salient characteristic.
ex. a gay client who is depressed. The depression may be caused by a number of things, but the clinician perceives the problem as being related to conflicts over sexual orientation.

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7
Q

List some dangers of stereotyping.

A

applying general cultural information without assessing individual difference.

cookbook approach

The goal is to understand group-specific differences

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8
Q

Cultural competence avoids this stereotyping. What is cultural competence?

A

Awareness

Knowledge

skills

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9
Q

Examples of awareness

A

What assumptions am I making about the client?

How is my privledge influencing how I am conceptualizing the client?

Dont ask am I biased here but How am I biased here?

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10
Q

Examples of knowledge

A

What do I know about the client’s group?

What are within group differences that I might see?

How doe their acculturation level, degree of ID and unique personal experience affect their presentation ?

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11
Q

Examples of skills?

A

Individualize relationship skills and evaluate the effectiveness of our verbal and non verbal interaction with the client.

Do I need to serve as an advisor, consultant, or advocate here?

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12
Q

How to have a collaborative approach?

A

Give the opportunity to share their beliefs, perspectives, and expectations

Work together to construct an accurate definition of the problem

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13
Q

What is the term that acknowledges that both the client and the counselor are embedded in systems such as family, work, and culture.

A

Contextual Viewpoint

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14
Q

Culturally sensitive intake interviews - Identifying information

A

Other than demographic information and inquiries about cultural groups to which the client feels connected, also ask about primary language used in the home.

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15
Q

Culturally sensitive intake interviews - Presenting problem

A

Obtain his/her perception of the problem and be sure to consider issues such as prejudice or oppression.

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16
Q

Culturally sensitive intake interviews - History of Presenting problem

A

Get a chronological account of the problem and understand how cultural issues might be related to the problem.

17
Q

Culturally sensitive intake interviews -Substance use history

A

What are the alcohol- and substance-use patterns of family members and close friends?

18
Q

Culturally sensitive intake interviews - Psychological history

A

Be sure to assess social background, values and belief

19
Q

Culturally sensitive intake interviews - Abuse history

A

Always ask questions around physical, sexual and emotional abuse history.

20
Q

Culturally sensitive intake interviews - Strengths

A

Identify culturally relevant strengths such as pride in one’s identity or culture.

21
Q

Culturally sensitive intake interviews - Medical History

A

Assess medical or physical conditions that may be related to psychological problems; inquire about indigenous healing practices.

22
Q

Examples on collaborating on intervention strategies

A

should be based off qualities possessed by counselors, client characteristics and techniques

should not be rigidly applied

23
Q

Results of collaborating intervention strategies?

A

Consensus between counselor and client allows the therapeutic relationship to strengthen

Client therefore develops confidence in the treatment as well as hope and optimisim

24
Q

Collaborative Conceptualization Model (first 3 steps)

A
  1. Use clinician skill and client perspective to understand the problem — understand the problem
  2. Collaborate and jointly define the problem—- define the problem
  3. Jointly formulate a hypothesis regarding the problem— form hypothesis
25
Q

Collaborative Conceptualization Model (steps 4-7)

A
  1. jointly develop ways to confirm or disconfirm the hypothesis — Confirm or disconfirm hypothesis
  2. Test out hypothesis using client and counselor as evaluators —- test out hypothesis
  3. if conceptualization appears valid, develop a treatment plan—– develop treatment plan
  4. if hypothesis is not borne out, we collect additional data and formulate new, testable hypothesis— if it doesn’t work, try a different not