When a client is unable to participate in their own assessment or planning due to temporary psychosis, intoxication or underage status.
What is: Lack of competence (or unable to consent)
Direction-statements on how Objectives will be achieved.
What are: Action Steps
A client who is alert and oriented X1 is aware of...
What is: Self only
A tool that allows social workers to elicit client responses, beyond the "yes" or "no" answers.
What is: An open-ended question
S.N.A.P.
What is: Strengths, Needs, Abilities, & Preferences
This is how a social worker can best correct an error on a client note or document that has already been signed and submitted to the client file.
What is: Write an amendment and submit it below the original note.
A tool used by the client to record daily progress of goals, objectives and action steps. Such as "how many times I experience urges to smoke".
What is: a journal or frequency log

What is: "Client presents as a 2yo Latino Male, of expected height and weight. He is relaxed and content while being held by his mother as evidenced by his facial expression, lack of crying and his eye contact with social worker."
** DAILY DOUBLE**
A client who states that are sad and depressed while displaying a high level of smiling and laughing is displaying this kind of relationship between affect and mood.
What is: Incongruent
DAP
The best way to ensure the client is in agreement with the goals and planning.
What is: Starting where the client is or mutually agreed upon goals.
The part of the Goal Plan that contains a "change statement", such as "Client will reduce angry outbursts from 3 per day, to 2 per week over the next 4 weeks."
What is: An objective
The client’s initial presenting problem, reflection of progress made towards goals, type of discharge, and post-discharge recommendations would be found in this type of note.
What is: A termination summary
During a session with a client, they express that they have a strong urge to harm themselves, they have thought it out and have access to guns in the home. They are not confident in promising you they won't follow through. What (4) facets of a suicide assessment is this client displaying?
What is: Ideation, intent, plan and means.
MSE
What is: Mental Status Exam
(3) things a social worker should do to ensure ethical standards when providing telehealth services.
What is: Choose a secluded place to ensure privacy, have an emergency plan in place, ensure understanding of the technology, ensure equal access to care, accurately represent the services offered and social worker's credentials.
Documenting clear goal plans and the success of reaching those goals has this benefit to the agency at large.
What is: They show agencies, supervisors, and funding sources the ways that services that will be delivered, interventions that will be used, means by which progress will be tracked, and time-frame for goal completion.
The parties in attendance and their relationships, each person's mood and presentation, the problem from everyone's point of view, and a summary of conversation are all documented in this type of progress note.
What is: A Family Progress Note (or a group progress note)
Intelligence, sense of humor and an "even" personality are examples of this kind of strength.
What is: Intrinsic Assets
A.C.E.
What is: Adverse Childhood Experience (Questionnaire)
**DAILY DOUBLE**
What do you do if a child discloses physical abuse.
What is: Follow agency policy and procedure in reporting to supervisors, call in your own DCF report, document as soon as possible.
A complete biopsychosocial assessment, a presenting problem and a list of strengths and barriers can assist the social worker in creating this...before goal planning can begin.
What is: a case formulation
Slow, tangential, coherent, word salad, pressured and expansive are all descriptors used to describe this aspect of a client's presentation to a social worker.
What is: Speech (speech patterns)
(3) methods a social worker can use to monitor personal bias during an interview with a client.
What is: Use of supervision, use of a lens of intersectionality, asking a client for clarification.
S.O.A.P.
What is: Subjective, Objective, Assessment, Plan,