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Welfare Policy > Final Exam 205 > Flashcards

Final Exam 205 Flashcards

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1
Q

Which piece of legislation became a law in 1990 and provides persons with disabilities legal safeguards and protection from discrimination?

A

ADA (Americans with Disabilities Act

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2
Q

According to the Open Society Foundation (2016) fact sheet, what kind of care is holistic management of physical, psychological, legal, and spirtual problems faced by patients with life-threatening illness and their families?

A

Palliative Care

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3
Q

The process of placing people with developmental disabilities and/or mental illness, formerly housed in large state-run institutions, into community based programs and living situations is called, what?

A

Deinstitutionalization

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4
Q

Anorexia Nervosa that develops after adolescence is referred to as what?

A

Tardive Anorexia

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5
Q

Which group of people are often credited for leading the charge to get people with developmental disabilities out of institutions and into community settings?
A. Parents
B. Social Workers
C. Self Advocates (People with disabilities)
D. Doctors

A

Parents

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6
Q

What is the most common type of child maltreatment?

A

Neglect

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7
Q

In school social work we frequently think of work in three tiers (1st, 2nd, 3rd). In which tier would you see universal practices that are children are expected to learn and follow? (ex. Walk in the hallways)

A

Tier 1

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8
Q

The primary goal during foster care placement is to resolve family problems and ______.

A

Reunify families (Reunification)

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9
Q

Which of these programs would NOT be considered part of Tier 3 in the Framework for School Social Work Services?

Referring a student to a mental health treatment program
Lunch group to talk about anger
A specific behavior intervention program for a student

A

B. Lunch group to talk about anger (that would be tier 2)

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10
Q

In child welfare, which term refers to the power given to the government, or any other authority, to intervene in the case of mistreatment of citizens unable to protect themselves?

A

Parens Patriae (Latin for parent of the nation)

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11
Q 
What has research shown is the most effective way to reduce the stigma around mental illness? 
A. Research statistics 
B. Self-reflection
C. Interpersonal contact 
D. Advocate for policy change
A

C. Interpersonal contact (with people who disconfirm prevailing stereotypes)

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12
Q

What are the two most common mental health diagnoses in the United States?

A

Depression and anxiety

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13
Q

True or False: According to Koschorke et al. (2017) we need a standard measure of stigma to use across cultures.

A

False

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14
Q

What are the four different types of stigma related to mental health? (name at least 2)

A

Public stigma: large social groups endorsing stereotypes and acting against a stigmatized group
Internalized stigma: loss of self-esteem as a result of internalized public stigma
Courtesy stigma: social disapproval of people associated with the stigmatized individual (family, friends)
Label avoidance: avoid seeking mental health services to avoid the related stigma

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15
Q

Which one of these can NOT be learned from a mental illness diagnosis?

A common language to communicate with other providers

The cause of the illness

A conceptualization of the nature of presenting problems

Some direction for intervention

A

The cause of the illness

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16
Q

According to Meg Berge, which treatment approach is most effective with sex offenders?

A

Mindfulness therapy
or
The risk, need, responsivity model

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17
Q

What is the correct order for Prochaska’s Stages of Change?

A. Preparation, Pre-contemplation, Contemplation, Action, Maintenance
B. Action, Preparation, Pre-Contemplation, Contemplation, Maintenance
C. Pre-Contemplation, Contemplation, Preparation, Action, Maintenance
D. Maintenance, Preparation, Pre-contemplation, Contemplation, Action

A

C. Pre-Contemplation, Contemplation, Preparation, Action, Maintenance

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18
Q

What are the three types of assessments completed by forensic social workers?

A. Risk, Need, Responsivity

B. Mental health, Family history, Treatment planning

C. Risk assessment, Treatment planning, Supervision planning

D. Family history, Crisis intervention, Needs assessment

A

C. Risk assessment, Treatment planning, Supervision planning

Risk assessment: For sexual re-­offense and any re-­offense; should client be able to return to work? Restrictions?
Treatment planning: Readiness, need, likely responsiveness to treatment?
Supervision planning: Likely compliance with supervision, victim access, living circumstances, interfering factors?

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19
Q

What is the most expensive substance overall in the United States? (Including health care, crime, lost productivity)

A

Tobacco

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20
Q

True or False: Of mental health services provided by an institution, the prison system is the predominant provider of services in the United States.

A

True

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21
Q

What do we call the study of aging?

A

Gerontology

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22
Q

Which piece of child welfare legislation gave tribes exclusive jurisdiction over the removal of children from their families?

A

Indian Child Welfare Act of 1978

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23
Q

A physician giving a mentally competent, terminally ill patient a prescription for a lethal dosage of pills to end his or her own life is called _______.

A

Physician-Assisted Suicide (PAS)

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24
Q

In substance abuse, which theoretical model is most closely aligned with a “person-in-environment” social work perspective and explains alcohol and other drug addictions as a result of the interaction of multiple factors in the life of the individual addict including; biological, psychological, and social.

A

Bio-psycho-social model of addiction

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25
True or false: The rate of suicide is highest in federal prisons.
False, it is highest in jails.
26
When working as a social worker in public health who determines "the community"
Community Members
27
Theoretical models of causes of substance use disorders?
Disease model Sociocultural model Psychological model Bio-psycho-social model
28
How is substance use disorder treated?
Motivational interviewing
29
What are the roles of medical social worker?
Psychosocial assessment Psychosocial support Care transitions Resource referral
30
What is the opposite of addiction?
connection
31
Treatment needs to be _______ to be effective. Targeted towards the issue Individualized Culturally sensitive All of the above
Targeted towards the issue Individualized Culturally sensitive All of the above
32
In which setting is it most common for a medical social worker to work? A. Assisted Living B. Long-term care facility C. Outpatient clinic D. Hospital
D. Hospital
33
Advance care planning can be defined as conversations between health care providers who decide what medical care is most appropriate for their patients. True or False
False Advance care planning is defined as conversations between patients, family members, and health care providers to delineate values and preferences for medical care
34
This model is the most prevalent and views disability as a "sick role" and  emphasizes that disability is a biological or physiological malfunction within the person that has led to impaired functioning. Social Model Medical Model Materialist Model Postmodernist Model
B. Medical Model
35
Which group of people are often credited with leading the charge to get people with developmental disabilities out of institutions and into community settings? Parents Social Workers Self Advocates (People with disabilities) Doctors
Parents
36
What is Kinship Care?
– county taking custody of child Less stringent licensing than traditional foster care Rates not as high State differences (county by county in Wisconsin) AARP of New York – grant money for grandparents raising grandchildren County of origin - if child taken into custody in Dane County and grandparents live up north, then Dane County responsible for paying stipend
37
What is Child protective services (CPS)
Specialized supports and interventions for neglected, abused, or exploited children and their families Mission Assess safety, intervene to provide protection, strengthen families, or provide an alternate safe family for the child CPS has their own standards and values above and beyond the NASW Code of Ethics
38
What are CPS roles?
Evaluator: Study and analyze information Case Manager: Oversee the helping process Collaborator: Partner with families, caregivers, other community professionals, etc. Therapeutic treatment provider: Direct work with families Advocate: Child and parent/caregivers Administrator: Maintain records and document the work being done Supervisee: Maintain close contact with supervisor for assistance
39
According to Comstock & McDaniel (2004) which of these is not one of the functions of CPS? Report suspected abuse Determine if abuse or neglect has occurred Determine the need for services Coordinate community services
A. Report Suspected Abuse
40
Life problems and mental illness are on the same continuum.
True. The normal emotions, thoughts, behaviors we all experience exist on the same continuum as severe and more consistent alterations in thinking, intense mood swings, or dramatic behavior changes that indicate a diagnosable mental health disorder.
41
The definition of mental health is universally accepted.
False. Mental health looks different to different people and other cultures may have different ideas about what mental health is.
42
Which of these would include stigma toward social workers who work with people with mental illness? A. Public Stigma B. Courtesy Stigma C. Internalized stigma D. Professional Stigma
B. Courtesy Stigma
43
The 1990's were considered the "Decade of the Brain" because A. We increased our biological understanding of mental illness B. The introduction of the CT Scan allowed for more detailed images of the brain and better diagnosis of MI C. The development of new and better medication for treating MI D. Both A and C E. All of the above
Both A and C A. We increased our biological understanding of mental illness Prior to that it was primarily an ecological understanding C. The development of new and better medication for treating MI This was when we developed second-generation antidepressants and anti-psychotics that are still frequently used (Prozac, Zoloft, Effexor, etc)
44
There is a clear connection between gun violence and mental illness.
False
45
What is the most effective way to reduce the stigma around mental illness? Research statistics Self-reflection Interpersonal contact Advocate for policy change
Interpersonal contact
46
What are Potential Consequences of Untreated MI
``` Premature death Substance use Lower educational attainment Victimization Lost/lower earnings Public financial cost ``` ``` Pain and suffering (individual and family/friends) Medical illness Suicide Institutionalization Homelessness Lost productivity ```
47
Which one of these can NOT be learned from a mental illness diagnosis? A common language to communicate with other providers The cause of the illness A conceptualization of the nature of presenting problems Some direction for intervention
B. The cause of the illness
48
Which of these would include stigma toward social workers who work with people with mental illness? A. Public Stigma B. Courtesy Stigma C. Internalized stigma D. Professional Stigma
B. Courtesy Stigma
49
Social workers reported feeling disgusted at times and they may have difficulty disengaging after work.
Intrapersonal consequences
50
Many social workers felt that their work impacted the way they parented their children and experienced intimate relationships of their own. Several also reported that their career choice was satisfying and rewarding.
Interpersonal consequences
51
There were a range of coping methods that social workers used: emotion-oriented, problem-oriented, and meaningful-oriented strategies.
Coping strategies
52
What is MAP?
Adults who experience feelings of preferential sexual attraction to children or adolescents under the age of consent.
53
What are implications about child abuse practitioners?
General education and training in this area Clarification about mandatory child abuse reporting laws (what has to be reported what does not) Therapeutic skills: listening with a nonjudgmental stance while offering hope and viewing the person holistically
54
Barriers to seeking help for child abuse?
``` Reduce stigma (e.g., PSAs and increased education in the community) Clarifying and rebuking stigmatizing labels (“deviant,” “monster,” and “pervert”) ```
55
The “Risk- Need- _______” model addresses important considerations when thinking about treatment for clients within the criminal justice system.
Responsivity R-N-R Risk: What is the risk? Need: What need is being met? Responsivity: What is a healthy way to meet that need? How do we need to adapt resources?
56
What is the primary mode of SOT (sexual offender treatment)? A. EMDR (eye movement) B. CBT (Cognitive behavioral therapy) C. Good Lives Model D. Behavioral Therapy
B. CBT (Cognitive behavioral therapy)
57
What is the Fourteenth Amendment- Due Process Clause
•Parents have the fundamental right to make decisions about the care, custody and management of their children
58
How did institutionalization arise for people with developmental disabilities?
Parents were told to drop their children off and forget about them■Growth was unsustainable to meet the needs of residents■Many suffered severe neglect, emotional, and physical abuse■Different medical testing was used to treat disability without patient consent (teeth/tonsil extraction, electroshock therapy, lobotomies)
59
What was involved in the Parents’ Movement?
1950-1970’s Parent’s Movement■Frustrated and angry over poor living conditions and the lack of community services, parents began to organize and demand services for their sons and daughters.■Parent organizations filed lawsuits to force states to recognize the civil and legal rights of their children. ■Services were established and delivery systems were required to provide appropriate services to children and adults with disabilities.
60
How did deinstitutionalization come about?
1970’s – 1990’s Deinstitutionalization ■Funds were directed toward institutions to come create more community integrated facilities and improve existing structures.■1983 Medicaid HCBS (Home and Community-based Services) will pay for care in the community as long as its more affordable than an institution
61
Name and discuss the five social and practice issues that Vicky Knoke discussed.
Employment, Health and Wellness, Sexual health, Access to justice, Aging
62
What are the core concepts of patient- and family- centered care?
Dignity and Respect. Health care practitioners listen to and honor patient and family perspectives and choices. Patient and family knowledge, values, beliefs and cultural backgrounds are incorporated into the planning and delivery of care. * Information Sharing. Health care practitioners communicate and share complete and unbiased information with patients and families in ways that are affirming and useful. Patients and families receive timely, complete and accurate information in order to effectively participate in care and decision-making. * Participation.Patients and families are encouraged and supported in participating in care and decision-making at the level they choose. * Collaboration. Patients, families, health care practitioners, and health care leaders collaborate in policy and program development, implementation and evaluation; in research; in facility design; and in professional education, as well as in the delivery of care.
63
What are the tips for future professionals that Sandra Tierney discussed in her guest lecture?
Know that you will work with someone with a disability in some capacity Don’t succumb to the Danger of the Single Story Get to know the entire person Understand your own biases and assumptions Understand that You Are Only One Piece of the Puzzle Build and nurture a strong relationship Support Self-Direction Engage with Self-Advocates
64
What are the four theoretical models that seek to explain the cause of substance addictions?
•Disease Primary illness vs. symptom of other condition •Addiction progresses through irreversible stages •Chronic and incurable, but manageable •Strong genetic component •Sociocultural Origins in social and cultural factors •Psychological Secondary to primary psychological problem-Childhood abuse -Economic stressors-Depression -Domestic violence•“Self-medication”•“Addictive personality” (multiple addictions) •Bio-psycho-social Most closely aligned with “person-in-environment” social work perspective•Integrates aspects of all other models•Application varies across individuals
65
What is happening in Wisconsin regarding opioid crisis?
400% increase in heroin-related deaths from 2010-2016 Highest in SE counties:
66
What is integrated health?
combines primary health with mental health
67
What is an advance directive? What are the two documents that usually comprise an advance directive?
Advance Directives Legal document that serves as a guide Durable Power of Attorney for Healthcare Living Will for Healthcare
68
According to Studer’s guest lecture, what is mental illness?
A state of successful adaptation and performance of mental functions.
69
Who delivers professional mental health care in the United States?
Mental health specialty providers Generalist health care providers Social Service Providers
70
What does the Chapter 971 accomplish?
Allows felons a facility that provides mental health
71
What is prisonization?
The socialization process through which a new inmate learns the accepted norms and values of the prison population;
72
What is the difference between habituate versus rehabilitate?
Habituate – Prison tends to make good inmates, but not good citizens Discourage self­thought (considered resistant) Discourage self­direction (routines established)
73
Of all types of institutions, which one is the number mental health provider?
prisons
74
What does the 2010 Fair Sentencing Act accomplish?
One significant piece of legislation related to the crack v. powder cocaine issue100:1 severity ratio90% of crack convictions involved minoritiesThis disparity was reduced in 2010 with the Fair Sentencing Act (S. 17
75
What is countertransference?
the emotional reaction of the analyst to the subject's contribution
76
What is the role of civil commitment?
process of hospitalizing a mentally ill person against his or her own willrole
77
What does Chapter 980 accomplish?
established civil commitment for people that will most likely reoffend to be hold them past time served
78
What are the goals of sex offender treatment (SOT)?
establish or maintain motivation for treatment identify risk reinforce protective factors
79
What are the three tiers of the Framework for School Social Work Services?
Tier 3 - specialized support for individual students Tier 2 - Systemic interventions Tier 1 - Universal practices for all students.
80
What did our guest lecturer say is meant by host setting?
Arenas in which social workers practice that are defined and dominated by people who are not social workers
81
Define gerontology
study of aging Gerontologists define age: 35-64 or 40-64 middle adulthood 65-74 old 75-84 middle old 85+ old-old
82
What is the age group with highest suicide rate in the United States?
Elders account for 18% of all suicides Highest suicide rate (19.72%) 45 - 54
83
What is the age group with second highest suicide rate in the United States?
Second highest rate (18.98%) 85+
84
What are differences between elders dying by suicide and younger people doing so?
Elders tend to die on first attempt More planful & determined Frailty leads them to be less likely to survive Isolation leads them to be less likely to be rescued
85
What are the definitions for physician-assisted euthanasia, physician-assisted suicide, an advance directive (living will, Durable Power of Attorney for Health Care) and palliative care?
Physician-Assisted Euthanasia (PAE)Physician gives a mentally competent, terminally ill patient a lethal injection at the request of the patientPhysician-Assisted Suicide (PAS):Physician provides mentally competent, terminally ill patient with a prescription for a lethal dosage of pills to end his or her own life
86
Where is physician-assisted suicide legal in the United States?
Mandated by State LawOregon (1997)Washington (2009)Vermont (2013)Mandated by Court RulingMontana (2009)In Effect & In LitigationCalifornia Law took effect 6/9/16; overturned on 5/25/18; in effect and in litigation 6/15/18
87
What is the newer term being used in place of physician-assisted suicide?
Legalized aid in dying
88
What is the definition of social death?
Social Death (treated as if no longer a person) Loss of identity Loss of social relationships Loss of participating in daily activities

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