Intervention Methods Flashcards

1
Q

Problem-Solving Model

A

Based on belief that an inability to cope with a problem is due to some lack of motivation, capacity, or opportunity to solve problems in an appropriate way

Goal is to enhance client mental, emotional, and action capacities for coping with problems

Making accessible the opportunities and resources necessary to generate solutions

Includes SOLUTIONS FOCUSED, SHORT-TERM interventions

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2
Q

Role Play

A

Teaching strategy

Client takes on role of another, learning and acting as that individual would in the specified setting

Teaches empathy and perspective

Provides clarity and information that may be abstract or difficult to understand

Emphasizes personal concerns, problems, behaviors, and active participation

Improves interpersonal and communication skills

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3
Q

4 stages of Role Play

A
  1. Preparation and explanation of activity
  2. Preparation of activity
  3. Role Playing
  4. Discussion or debriefing after activity
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4
Q

Role Modeling Techniques

A

Emphasizes importance of learning from observing and imitating

Coping model is shown incompetent at first then gradually more competent

Works well when combined with reinforcement to produce lasting change

Live Modeling - watching a real person perform a desired behavior

Symbolic Modeling - filmed or videotaped model demonstrates desired behavior

Participant Modeling - individual models anxiety-evoking behaviors for a client and then prompts client to engage in behavior

Covert Modeling - clients are asked to use their imagination, visualizing a particular behavior as another describes imaginary situation in detail

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5
Q

Harm Reduction Approach

A

Reduce or minimize the adverse health and social consequences associated with and illness, condition, and/or behavior without requiring a client to abstain from or completely extinguish behavior

Recognizes clients may be unable or unwilling

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6
Q

Self-Monitoring Technique

A

Clients encouraged to pay attention to any subtle shift in feelings

A. Disturbing emotional states
B. Exact behaviors engaged in at time of emotional states
C. Thoughts that occurred when the emotions emerged

Cognitive Behavioral approach of connecting emotions, behaviors, and thoughts

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7
Q

Conflict Management

A
  1. Recognition of an existing or potential conflict
  2. An assessment of the conflict situation
  3. Selection of appropriate strategy
  4. Intervention
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8
Q

Structuring Techniques

A

Decreasing amount of contact between parties in early stages of conflict resolution

Decreasing amount of time between problem-solving sessions

Decreasing formality of problem-solving sessions

Limiting the scope of the issues that can be discussed

Using third party mediator

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9
Q

Crisis Intervention

A

Brief intervention during crisis; directive, high level of involvement from worker

Process of actively influencing psychosocial functioning during a period disequilibrium

A. Relieve impact of stress with emotional and social resources

B. Return client to previous level of functioning (regain equilibrium)

C. Help strengthen coping mechanisms during the crisis period

D. Develop adaptive coping strategies

Duration anywhere from “here & now” to 4/6 weeks

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10
Q

Anger Management Techniques

A

assist client in exploring and practicing techniques regularly for use in tense situations

Relaxation Exercises - deep breathing, meditation, yoga, guided imagery, physical exercise

Cognitive Techniques - replacing destructive thoughts, using logic, not all or nothing, perspective

Communication Skills - slowing speech, listening, thinking before speaking, avoid defense, humor

Environmental Change - walking away, avoid triggers, disengage when tired or rushed

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11
Q

Ethics Audit

A

Goal is to minimize risk through evaluation

  1. Appoint committee
  2. Gather information re: client rights, confidentiality and privacy, informed consent, service delivery, boundary issues, conflicts of interest, staff development and training, consultation, documentation, client records, supervision, client referral, frauds, termination of services, professional impairment, misconduct, incompetence, credentials
  3. Review above information
  4. Determine whether there is no risk, minimal risk, moderate risk, or high risk in each area
  5. Prepare action plans to address each risk; need for creating future policies which prevent risks and steps needed to mitigate existing risk
  6. Monitor policy implementation and progress made toward reduction of risks
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12
Q

Dialectical Behavioral Therapy

A

A form of CBT developed by Marsha Linehan

Treats people with suicidal thoughts and actions as well as Borderline Personality Disorder

Assures feelings are valid and understandable

Coaches client to understand that feelings and behaviors are unhealthy and disruptive

Seek balance

Client understands and adopts personal responsibility to change the situation

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13
Q

Case Management

A

optimize client functioning and well-being by providing and coordinating high quality services

assistance in accessing services in complex systems

service coordination improves outcomes

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14
Q

5 Case Management Activities

A
  1. assessment
  2. planning
  3. linking
  4. monitoring
  5. advocacy
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15
Q

Integration of Services

A

services are combined and provided simultaneously

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16
Q

Wrap-Around Services

A

multiple providers and services may overlap in some ways but are not combined to the same degree as integrated services

17
Q

Cognitive Behavioral Therapy (CBT)

A

Goal is to change patterns of thinking or behavior that are responsible for clients difficulties, thus changing the way a client feels

Active hands on, structured, goal-oriented, practical approach to problem solving

Focuses on thoughts, images, attitudes and beliefs (Cognitive Processes) as they relate to behavior in a way of dealing with emotional problems

Combines:

- Psychotherapy (personal meaning and patterns in childhood)
- Behavioral therapy (relationship between problems, behaviors, and thoughts)
18
Q

Steps in Cognitive Restructuring

A

Assist clients in:

  1. ACCEPTING their self-statements, assumptions, and beliefs determine or govern their emotional reaction to life’s events
  2. IDENTIFYING DYSFUNCTIONAL beliefs and patterns of thoughts
  3. Identifying SITUATIONS that evoke dysfunctional cognitions
  4. SUBSTITUTING functional self-statements in place of self-defeating thoughts
  5. REWARDING themselves for successful coping efforts
19
Q

Empowerment

A

Aims to ensure a sense of control over wellbeing and that change is possible

Educate client to improve skills to increase ability for self-help

Connect with others who are experiencing the same issues

20
Q

Change Strategies

A

Modify Systems

Modify Individual Thoughts

Modify Individual Actions - modeling and role-modeling can be effective

Feedback, advocacy, mediation

21
Q

Partialization

A

Process of breaking down problems or goals into less overwhelming and more manageable components

22
Q

Behavioral Objectives

A

Smaller, observable, and measurable intermediate steps that lead to longer term goals

Goal Partialization

Client oriented; contains clear verb describing action/behavior

Identifies behavior targeted for change, performance conditions, and criteria for determining when acceptable performance of behavior occurs

23
Q

Task-Oriented Approaches

A

Aims to quickly engage clients in the problem solving process

Duration is usually limited to setting conditions, limitations in insurance, etc

Use of interventions from learning theory and behavior modification

Focus on here and now

Problem is partialized

Termination begins almost immediately