Psychotherapy, Clinical Interventions, and Case Management

Question 1

during this stage, actively build rapport and determine why treatment was sought; informed consent is obtained, boundaries and expectations for treatment are set, and limits of confidentiality are discussed

Answer 1

Engagement

Question 2

during this stage, define the client’s presenting problem, identify collateral contacts to fill information gaps, outline the client’s strengths and weaknesses; address safety, medical, ethical, and self-determination needs

Answer 2

Assessment

Question 3

during this stage, client and social worker develop goals and objectives, setting a timeline for treatment

Answer 3

Planning

Question 4

most clinical work is done during this stage; treatment modalities are used to address treatment goals; client mobilizes their support network to make progress and change; treatment progress is tracked using client self-reporting and ongoing clinical assessment

Answer 4

Intervention

Question 5

during this stage, client’s progress is assessed; document subjective and objective indicators of progress and determine if goals have been met and if new goals should be made

Answer 5

Evaluation

Question 6

this stage signals the end of treatment; social worker and client agree that goals have been accomplished and that clinical service is no longer needed; client should be afforded the opportunity to reflect on the treatment process; address termination and provide resources

Answer 6

Termination

Question 7

the result of specific focus and purposeful effort; should specify what is to be accomplished during treatment and should directly relate to the presenting problem

Answer 7

Goals

Question 8

specific actions that lead to the completion of therapeutic goals; results in specific, measurable outcomes that directly contribute to the achievement of the overall goals

Answer 8

Objectives

Question 9

used for planning therapeutic goals, naming that goals should be Specific, Measurable, Achievable, Relevant, and Time-bound

Answer 9

SMART Goals

Question 10

tension in the relationship increases; victims claim that their partners are angrier and unable to handle stress; victim tries to appease abuser by being accommodating and nurturing, though they may be met with verbal attacks; victim often downplays or takes blame for their partner’s rage

Answer 10

Phase 1: Tension Building (Cycle of Violence Theory)

Question 11

violence is more likely when stress levels rise; which frequently precedes the explosion phase; a significant act of violence (physical or sexual assault, threat of harm, verbal abuse) happens in this phase

Answer 11

Phase 2: Violent Episode (Explosion Phase) (Cycle of Violence Theory)

Question 12

abuser expresses regret, makes a commitment to change, and downplays the abuse; this allows the cycle reoccur and often keeps the relationship going

Answer 12

Phase 3: Remorseful/Honeymoon (Cycle of Violence Theory)

Question 13

therapeutic process of consciously and carefully listening to a client; reflecting back their feelings in different words; fostering a sense of trust, understanding and deeper thinking

Answer 13

Active Listening

Question 14

therapeutic method of showing a client that their circumstances, responses and feelings are valued and understood; establishes rapport and sets the stage for a supportive relationship

Answer 14

Empathy

Question 15

drawing clients into the helping relationship by connecting oneself to them

Answer 15

Engagement

Question 16

therapeutic strategy of asking questions that force clients to elaborate, explain and steer the conversation; cannot be answered with yes or no questions

Answer 16

Open-Ended Questions

Question 17

therapeutic method used to address what they may not see in themselves or need to change; e.g. distorted thinking, negative behavior patterns, ineffective communication

Answer 17

Confrontation

Question 18

therapeutic strategy of assisting clients in finding significance in their actions and thinking; aids clients in gaining an understanding and pinpointing the impact of their decisions and experiences on their present circumstances

Answer 18

Interpretation

Question 19

therapeutic technique of using different words to re-phrase client statements

Answer 19

Paraphrasing

Question 20

process of extending on and echoing what clients share; helps clients to identify treatment-related problems, gain greater comprehension and connect their ongoing behavioral patterns

Answer 20

Reflection

Question 21

the process of acknowledging and confirming a clients’ feelings

Answer 21

Validating

Question 22

helping a patient change their perspective on a problem or behavior

Answer 22

Reframing

Question 23

therapeutic process of consolidating client progress, outlining indicators of improvement, and highlighting areas for future development

Answer 23

Summarizing

Question 24

role defined by working closely with individuals, families, and small groups by providing support as clients navigate their social systems

Answer 24

Micro Social Work Roles

Question 25

ensures that others receive the same rights and benefits as the rest of society

Answer 25

Advocate (Micro)

Question 26

connects clients with services to improve their capacity for social and emotional interaction

Answer 26

Broker (Micro)

Question 27

locates, provides, and oversees services for a client

Answer 27

Case Manager (Micro)

Question 28

treats clients with psychosocial issues by using psychotherapy methods

Answer 28

Counselor (Micro)

Question 29

provides information and education as an intervention

Answer 29

Educator (Micro)

Question 30

neutral party who assists individuals in resolving conflicts between people or within families

Answer 30

Mediator (Micro)

Question 31

works to fortify or build connections between people or societal systems

Answer 31

Networker (Micro)

Question 32

role defined by focusing on interventions with groups and organizations

Answer 32

Mezzo Social Work Roles

Question 33

oversees and is accountable for an organization

Answer 33

Administrator (Mezzo)

Question 34

promotes social change by uniting key players and fostering communication to meet shared objectives

Answer 34

Facilitator (Mezzo)

Question 35

assists in settling conflicts both within and between groups or organizations

Answer 35

Mediator (Mezzo)

Question 36

creates, develops and launches new programs or improves those already in place

Answer 36

Program Developer (Mezzo)

Question 37

role defined by focusing on systemic causes of social injustice at the large-scale community, national, state, and international levels

Answer 37

Macro Social Work Roles

Question 38

focuses on locating and enhancing community resources to improve social ties, foster self-determination, and develop self-governance

Answer 38

Community Developer (Macro)

Question 39

concentrates on fostering social change within a community in response to a recognized need and objective

Answer 39

Community Organizer (Macro)

Question 40

analyzes and assesses social policies with regard to their purpose, underlying values, and efficacy; support the creation of sensible social policies that address social issues and needs

Answer 40

Policy Analyst/Developer (Macro)

Question 41

focuses on the systematic creation of institutions, programs, and policies that bring about the desired social change

Answer 41

Social Planner (Macro)

Question 42

counseling theory originating from the work of Freud, and suggests that personality development is the result of unconscious forces and conflicts in the mind (Id, Ego, Superego)

Answer 42

Psychoanalytical and Psychodynamic Theory

Question 43

insight-driven; explores the client's transference; good for high functioning individuals; aims to bring unconscious feelings and thoughts to the conscious mind for further exploration

Answer 43

Psychoanalytical and Psychodynamic Theory

Question 44

evidence-based treatment approach for children and youth, and their caregivers to overcome difficulties related to traumatic experiences

Answer 44

Trauma-Focused Cognitive Behavior Therapy (TF-CBT)

Question 45

evidence-based for youth ages 3-18; incorporates trauma-sensitive interventions with cognitive-behavioral techniques; can be used for single trauma or multiple trauma events

Answer 45

Trauma-Focused Cognitive Behavior Therapy (TF-CBT)

Question 46

identifies and changes maladaptive behaviors by reinforcing desirable behavior and thus eliminating unwanted behavior

Answer 46

Behavioral Therapy

Question 47

stimuli is added to increase the likelihood of producing a desired response; e.g. praise, token system, rewards

Answer 47

Positive Reinforcement (Behavioral Method - increase behavior)

Question 48

stimuli is removed to increase the likelihood of producing a desired behavior; e.g. nagging to do a chore, when the chore is done the nagging stops

Answer 48

Negative Reinforcement (Behavioral Method - increase behavior)

Question 49

an undesirable stimulus is presented following a behavior for the purpose of decreasing or eliminating that behavior; e.g. spanking

Answer 49

Positive Punishment (Behavioral Method - decrease behavior)

Question 50

a behavior is followed by the removal of a desirable stimulus for the purpose of eliminating that behavior; e.g. taking away a phone, candy etc.

Answer 50

Negative Punishment (Behavioral Method - decrease behavior)

Question 51

aimed at reducing the appeal of a stimulus or behavior by pairing it with an undesirable stimulus; e.g. treating alcoholism with Antabuse

Answer 51

Aversion Therapy

Question 52

teaches the individual to control certain functions (heart rate, muscle tension etc.) by using electrical sensors to track information about the bodies key functions

Answer 52

Biofeedback

Question 53

when reinforcement for a problem behavior is discontinued to decrease or eliminate the occurrence of negative behavior

Answer 53

Extinction

Question 54

prolonged and maximal exposure to a real or imagined fear-producing stimuli with the goal of reducing or eliminating an undesirable reaction to a feared situation or stimulus

Answer 54

Flooding (Implosion Therapy)

Question 55

pairing and movement through a hierarchy of anxiety-provoking stimuli, from least to most anxiety-provoking; exposure is real and not imagined

Answer 55

In Vivo Desensitization

Question 56

an individual demonstrates the behavior to be acquired by the client

Answer 56

Modeling

Question 57

uses a series of successive reinforcing steps to get the subject progressively closer to the target behavior

Answer 57

Shaping

Question 58

an individual is progressively exposed to a greater anxiety-producing stimulus, which is then paired with a relaxation-producing response

Answer 58

Systemic Desensitization

Question 59

the removal of a desirable stimulus (negative punishment) to reduce the occurrence of an undesirable behavior

Answer 59

Time Out

Question 60

an exchange system based on the principles of operant conditioning, in which a token is issued as a reward for desirable behavior; tokens can then be exchanged for desired prizes or rewards

Answer 60

Token Economy (Contingency Management)

Question 61

a form of psychotherapy where the main goal is to modify dysfunctional behaviors, emotions and thoughts; shown to be effective in treating anxiety disorders, depression, substance abuse, PTSD, bipolar disorder and eating disorders

Answer 61

Cognitive Behavioral Therapy (CBT)

Question 62

involves efforts to change thinking patterns; recognizes distortions in thought that are creating problems; apply problem-solving skills to cope; foster a greater sense of confidence

Answer 62

Cognitive Behavioral Therapy (CBT)

Question 63

short-term, evidence based therapy that places the focus on a person's future and present circumstances and goals rather than past experiences

Answer 63

Solution-Focused Brief Therapy (SFBT)

Question 64

focuses on what client's want to achieve instead of focusing on the problem; strengths-based; constructing solutions; helper maintains a positive and hopeful stance, and fosters collaboration

Answer 64

Solution-Focused Brief Therapy (SFBT)

Question 65

a type of psychotherapy that is centered on increasing an individuals' awareness and self-direction by focusing on the present moment instead of past experiences

Answer 65

Gestalt Therapy

Question 66

increased awareness of the here and now; empty chair technique; improved self-confidence; helps one make peace with the past and improve their sense of acceptance

Answer 66

Gestalt Therapy

Question 67

therapeutic approach that focuses on the future and the ability to endure hardship through a search for purpose

Answer 67

Logotherapy

Question 68

focus is on a desire to find meaning in life; understanding for one's purpose

Answer 68

Logotherapy

Question 69

focuses on gender and the challenges and stressors that women face due to stereotyping, bias, discrimination, oppression etc.

Answer 69

Feminist Therapy

Question 70

change occurs by recognizing and disempowering social forces while empowering the client; examine how unequal power impacts ones ability to grow and succeed; encouragement to engage in social activism; with every symptom there is a strength; promotes equality and helps to recognize the client is their own rescuer

Answer 70

Feminist Therapy

Question 71

short-term therapy used to help clients achieve their goals and alleviate immediate problems like employment, relationships, resources etc.

Answer 71

Task-Centered/Problem-Solving Therapy

Question 72

client expresses a desire to address the problem and is charged with defining problems and goals

Answer 72

Task-Centered/Problem-Solving Therapy

Question 73

a modified version of CBT that is used to teach emotional, behavioral and thought patterns that are commonly associated with dysfunction

Answer 73

Dialectical Behavior Therapy (DBT)

Question 74

frequently used to treat individuals with a borderline personality disorder; main goal is to teach clients how to live in the moment, improve relationships, develop healthy coping, and regulate emotions; treats emotional swings, impulsiveness etc.

Answer 74

Dialectical Behavior Therapy (DBT)

Question 75

psychological approach where therapist and client adjust the stories one tells about their life to bring about positive change and improve mental health

Answer 75

Narrative Therapy

Question 76

change occurs by externalizing the problem and creating a new story that emphasizes strengths; focuses on the relationship between client experience and interpretation revealed; focuses on how the story is told rather than its accuracy

Answer 76

Narrative Therapy

Question 77

incorporates a thorough knowledge of the impact of trauma in all aspects of treatment, including understanding psychological, neurological, biological and interpersonal effects of trauma

Answer 77

Trauma Informed Therapy

Question 78

assumes the client has a trauma history, and takes steps to avoid triggers or re-traumatization during treatment; includes client's view of being hurt; security is established prior to treatment; and focuses on empowering the client to gain control

Answer 78

Trauma Informed Therapy

Question 79

interactive psychotherapy used to reduce psychological stress

Answer 79

Eye Movement Desensitization and Reprocessing (EMDR)

Question 80

aims to reduce trauma symptoms by changing how memories are stored in the brain; lead the client through a series of bilateral (side-to-side) eye movements as they recall traumatic or triggering events in small segments until those memories no longer cause distress

Answer 80

Eye Movement Desensitization and Reprocessing (EMDR)

Question 81

a technique used to help client's overcome anxieties and fears by breaking the pattern of fear and avoidance; exposes clients to a stimulus that causes fear while the patient is in a safe environment

Answer 81

Exposure Therapy

Question 82

used to manage anxiety disorders, or phobias using systematic desensitization

Answer 82

Exposure Therapy

Question 83

focuses on helping individuals deal with irrational beliefs by learning to manage thoughts, emotions, and behaviors in a healthier more realistic way

Answer 83

Rational Emotive Behavior Therapy (REBT)

Question 84

teaches individuals to approach their trauma-related memories, feelings and situations gradually; and understand those cues and memories are not dangerous

Answer 84

Prolonged Exposure Therapy

Question 85

evidence-based treatment for PTSD; uses imagined (retelling of a memory) and in vivo (in person) exposure

Answer 85

Prolonged Exposure Therapy

Question 86

family treatment approach which focuses on generational behavior patterns and lasting conflicts

Answer 86

Bowen Family Therapy

Question 87

change occurs through understanding multigenerational dynamics; includes several family members working together to address conflict; focuses on the balancing of togetherness and individuality

Answer 87

Bowen Family Therapy

Question 88

family therapy approach that investigates the structure of a family unit to improve the interactions among family members

Answer 88

Structural Family Therapy (SFT)

Question 89

uses family mapping to uncover and understand patterns of behavior; goal is to improve communication; problems arise due to maladaptive boundaries and subsystems; therapist takes an authoritative and directive role

Answer 89

Structural Family Therapy (SFT)

Question 90

family therapy approach where the social worker takes the lead and designs a specific approach for each presenting problem

Answer 90

Strategic Family Therapy

Question 91

brief, short-term therapy; frequently used for families with children or adolescents dealing with behavioral problems; goal is to assist in managing current problems

Answer 91

Strategic Family Therapy

Question 92

programs for health promotion and disease prevention focus on reducing health risks and health threats

Answer 92

Preventative Interventions

Question 93

seeks to prevent disease or injury before it occurs

Answer 93

Primary Preventions

Question 94

attempts to reduce the impact of a disease or injury that has already occurred

Answer 94

Secondary Prevention

Question 95

involves preventing complications in people who have already developed a disease or injury that has lasting effects

Answer 95

Tertiary Prevention