week 2 chapters 1 & 2 Flashcards
(32 cards)
What are your goals for interview?
- establish rapport, build alliance, gather info, instill hope, maintain nonjudgmental attitude, develop case, and possibly provide intervention
What are structured interviews?
standardized gather reliable assessment data
Unstructured interviews
subjective spontaneous, relational, conversational, focused on strengths and potential
What can the clinical interview be known as?
a. intake interview b. initial interview, c. psychiatric interview, d. diagnostic int. e. first contact/meeting
How do therapist describe client motivation?
- visitors to treatment: coerced and no interest in change
- complainants-urged mild interest in change
- customers for change-want to alleviate symptoms or personal growth very motivated
What are the skills/attitudes for good clinical interviewing?
- listen well 2. nonjudgmental attitude 3. develop working relationship 4. obtain valid reliable and culturally appropriate assmt info. 5. cultural sensitivity 6. outcome assessments will client fit with your methods
suggestions on how to maintain a nonjudgmental attitude from carl rogers
- no revulsion to what client says 2. feel neither approval or disapproval 3. feel warmly to client 4. not inclined to pass judgement 5. like the client
must meet what conditions first before beginning to use interventions
- empathetic listening 2. nonjudgmental attitude 3. positive therapeutic relationship 4. collaborative, respectful assessments to identify clients needs and goals
What is culture
membership, values, beliefs, locations and patterns of behavior within a specific community
multicultural competency
clinical cultural self-awareness, multicultural knowledge, culture-specific expertise, cultural sensitive advocacy
dynamic sizing
concept of when and when not to make generalizations
3 things of multicultural humility
other orientation and not self orientation, respect for others and their values, attitude that lacks superiority
what is scientific mindedness
forming and testing hypotheses about client culture rather than coming to premature conclusions
What are some things to do if an interview is interrupted?
model calmness and problem solving skills, apologize, compensate client for lost time, make note of interruption in notes
What is the recommended angle for client and clinician
between 90 and 150 degrees
What are some rules for note taking?
Don’t allow notes to interfere with interview flow, explain purpose of note taking, do not hide notes, stick to facts, offer to let client read notes if they want
What should your introductory statement include?
full name and clear and honest representation of your status
What situations are okay to break confidentiality
- client’s permission, 2. client is danger to self, 3. danger to others, 4. evidence of abuse or neglect, 5. client is abusing minor, 6. evidence that elder abuse is occurring 7. court order
Confidentiality ethical mandate
must define and discuss with every new client and sometimes discuss it on a continuing basis
How to use consultations
review confidentiality standards and laws, discuss ethical standards with supervisors, seek professional relationships with colleagues, consult professional associations
What is informed consent
ethical and legal mandate to inform clients about the nature of treatment
What should informed consent consist of?
your background and theoretical orientation, rational for techniques, limits of confidentiality us of diagnosis and potential inclusion of family and also policies and how to contact in an emergency
SOAP notes stands for
S: subjective descriptions of distress O: objective observations by therapist A: assessment of progress P: plan for next contact
What are some practical, professional,, and ethical factors to consider before meeting with clients?
room, seating arrangement, office clutter and decor, note taking, video recording, self presentation and social behavior, time boundaries, confidentiality, informed consent, documentation procedures