Week 2 Flashcards Preview

DSM > Week 2 > Flashcards

Flashcards in Week 2 Deck (100)
Loading flashcards...


  • Education around psychology
  • Learning key features Principles of recovery/treatment

Trends Today: Prevention

Life Management

  • Coaches to help ppl manage transitions New responsibilities etc Helping people live happy and fulfilling lives.

Trends Today: Prevention

 Preventing needless self-disturbance

  • The worried well Ppl who are concerned for their health and safety because they worry

Trends Today: Prevention


  • Becoming prominent
  • Spirituality is increasing

Trends Today: Prevention

  • What will happen with the titles of Counseling and Psychotherapy?

  • There will be a distinction without a difference No difference today

Trends Today: Prevention

What therapy will dominate and become more culturally sensitive And why?

  • Cognitive Behavioral Therapy
  • Goals will be cognitive/behavioral because it provides measurable objectives

Trends Today

What type of therapy will grow?

  • Brief therapy with an average of 8-12 sessions
  • (Average affected by skew of the people who only go once)

Trends Today

Trends Who will treatment be available to?

  • The treatable won’t be for those unlikely to respond to treatment

Trends Today

What types of assessments will become more common?

  • Computer driven assessment with lifestyle assessments
  • People are diagnosing themselves

Trends Today

Which fields of research will empathize the field profoundly and why will this help?

  • Molecular biology
  • Genetics
  • Counselors are marginalized for lack of medical knowledge

Trends Today

What type of Speciality services will increase?

  • Specific topics such as violence in the work place
  • Employee Assistance Programs
  • Wellness programs
  • Stress management

Trends Today

What is an Employee Assistance Program? (EAP)

  • Personnel who help employees with their problems
  • Assess them quickly and refer them

Trends Today

Why does the “solo act” have a limited future?

  • Systems of care
  • Need partnerships for referrals
  • Need to demonstrate quality
  • what we do is effective and works.
  • That we have the best knowledge of today and know that there are just some things we cannot solve today and communicate that)
  • Demonstrate that what we do is effective.
  • Communicate outcome data

Trends Today

What type of professional will focus be placed on?

  • Impaired professionals

Trends Today

  1998 Impaired Professional Act 

  • Very serious law; designed to protect the public
  • The inability or imminent inability for a health professional to practice the profession with reasonable skill or safety due to the use of mood altering drugs, chemical dependency or mental illness; must go to treatment or lose license.
  • **Has to impair performance**.

Trends Today

What might happen if you work with a colleague who is impaired and you ignore it?

  • You could lose your license You’d be protected if you were wrong

Trends Today

Counselor Choices

  • “Take the cash” – no insurance
  • “Make change” – adapt to insurance parameters on managed care
  • “Sell Shoes”
  • still must meet standards of profession


Clinical Director’s Point of View

(person in charge of the staff where clinicians work. Hires people, that person is a therapist) 

  •  Simple Philosophy 
  • Provide quality of service- are paid to make a difference and if you cannot do that then step aside; the better the clinician, the better the client
  • Hire clinicians who have: you have to be able to fix whatever it is wrong.
    • Excellent clinical skills (people can do the job)
    •  An understanding of modern health care
    • Excellent communication skills (be able to have an effective language ability)- written and oral.

Clinical Skills

Biopsychosocial History

  • from data to information- two different notions. Not really interested much in data, are interested in information
  •  By translating data to information, he means that pieces of data may be things that end up pertaining to your client’s case -
    • Example: John Doe grows up in Tennessee in a rural community vs his wife, who grew up in Ann Arbor, MI


Clinical Skills

  • Biopsychosocial History
  • Integrated Summary
  • Treatment Planning
  • Intervening Effectively


Understanding Modern Health Care

  •  Finances are part of the plan
  • ***Covered benefit vs. pre-authorization:
  • Referral Ethical issues

Understanding Modern Health Care

Covered Benefit

  • what insurance company say you have available to you
  • versus Pre-authorization (does not mean client can get all of what is covered

Understanding Modern Healthcare


  • determines how much
  • does not mean client can get all of what is covered
  • You will receive the amount out of the number that the pre-authorization/managed care folks will allow
  • not necessarily the max.

Understanding Modern Healthcare


  • (do not just tell person, all is controlled)
  • (you have to transfer clients that you cannot treat).
  • Refer people to clinicians or clinics to the places where they are best served
  • cannot just keep them because you need the business, etc.
  • Make sure whomever you refer your client to, that the client would still be covered under their insurance

Understanding Modern Healthcare

 Ethical issues

  • (do not use up sessions in beginning, only so many are covered)

Communication Skills: The Clinical Record (the client’s “chart”)

Documents the findings

  • documentation of how client is on day one,
  • then what we did,
  • how things unfolded,
  • whether we made a positive impact today.
  • Must be written legibly

Communication Skills: The Clinical Record (the client’s “chart”)

Is a legal document

  • (if you must change an error on a document, you must draw a line through it so it can still be read, make the correction, initial and date the change; no white out!)
  •  Write in a way that you would feel confident defending in court

Communication Skills

What does the clinical record need to reflect?

  • Clinical Intelligence and Therapeutic Skills
  • (JCAHO Standards– Joint Commission for Accreditation of Health Care Organizations)
  • *set all standards across health care, and accredits them. BCBS will only pay for accredited services.

Communication Skills

Clinical records need to be....

  • Coherent, logical, functional serves a helpful purpose and meaning of recording the clinical progress of the client while under my care.

Communication Skills

Represent the clinical case to payor

  • Use the correct/acceptable (clinical) language
  • Whatever you tell BCBS on the phone to get auths for treatment, you need to have the same thing demonstrated in that client’s case notes, or it’s FRAUD
  • Have a crisp treatment plan (There is a correct & acceptable language in our field that we must use.)