CRUSH
Tx plan/goals
Identify problems and strenghts SMART goals Ct involvement Ct expert on self YOU pick path
WATER
Flow method
- Read question only.
- Read question w/answer. Identify ct, stage of tx, presenting problem, what is ask.
- Eliminate three answers, why? Clinical, ethical
SQUIRT
SW intervention plans
IVC, crisis intervention Couples counseling/group counseling/family therapy Case management Biopsychosocial Task centered Motivation Cognitive Active listening Teach problem solving process Role play/role model Assertiveness training
BRUCE
Risk assessment
SI/HI
May limit self-determination,
May seek IVC
Duty to warn
MR RAY
Stages of Tx
ALWAYS Assess for…
- safety concerns
- needed referrals
- basic needs
- Engage, rapport, info
- ID/DX the problem
- Tx planning/Int/Work
- Evaluate progress/terminate
GILL
Termination
Client report Objective reports New goals or no? What supports in place for ct? Assess for termination
JELLYFISH
FARM GRITS ROAD
Focus on underneath
Advice/judgement
Recommend group
Make appointment
Give literature Recommend later session Inform parents Terminate tx. Speak to supervisor (bias, conflict, transference, countertransference)
Respect self-determination
Offer contract
Allow client to lead
Do nothing, say noothing
JELLYFISH
FARM
Focus on underneath
Advice/judgement
Recommend group
Make appointment
JELLYFISH
GRITS
Give literature Recommend later session Inform parents Terminate tx. Speak to supervisor (bias, conflict, transference, countertransference)
JELLYFISH
ROAD
Respect self-determination
Offer contract
Allow client to lead
Do nothing, say noothing
Consult supervision when?
PEARL, octopus
If there might be
- bias
- conflict
- transference
- countertransference
NEMO
Refer out when?
Not your area
Conflict/dual relationship
Medical/physical concern
Psychiatrist/medication concern
JACQUES
Ethics
- Service
- Social Justice
- Worth/dignity of a person
- Importance of human relationships
- Integrity
- Competence
DARLA
Safety red flags
SAULS HARM
Suspects abuse Abuse Unexplained marks/bruises Life threatening situations Suicide references
Homicide references
Alcohol/drug recent increase
Real intent/plan
Multiple recent losses
DARLA
Safety red flags
Suspects abuse Abuse Unexplained marks/bruises Life threatening situations Suidicde references
Homicide references
Alcohol/drug recent increase
Real intent/plan
Multiple recent losses
DARLA
Safety red flags
SAULS
Suspects abuse Abuse Unexplained marks/bruises Life threatening situations Suidicde references
DARLA
Safety red flags
HARM
Homicide references
Alcohol/drug recent increase
Real intent/plan
Multiple recent losses
FIRST/NEXT
DORY
[RUS, don’t treat!]
Rule out medical–> physical complaints, doctor territory
Under the influence/delusional/hallucinating–>NO
Safety issues–>crisis, warn, report
Assess before action –> ask
Feelings/concern –> Acknowledge feelings
Empower–> respect decision
