DSM
What is the time frame for filing an APS and CPS report?
APS: 2 business days (48 hrs)
CPS: 36 hrs
Topographical vs. Structural Model- who's the theorist?
Freud.
Topographical: preconscious, conscious, unconscious
Structural: id, ego, superego
What is prolonged exposure therapy and what is it used to treat?
Promote processing of the trauma memory and reduce distress/avoidance evoked by the trauma reminders/triggers.
Teaches indivs to gradually approach trauma-related memories, feelings, and situations; face stimuli and situations that evoke fear and remind them of the trauma to increase their comfort and reduce their fear (rather than avoid); sometimes called flooding.
Commonly used to treat PTSD.
Formative vs. Summative
Formative: should we keep this intervention, status quo, etc.; information to form/stabilize the program.
Summative: looking at the impact of a program that's already been implemented.
O1 X O2 is what kind of design?
one group pretest-posttest design
What is cultural syndrome?
Cluster or group of co-occurring, relatively invariant symptoms found in a specific cultural group, community, or context (ex: Attaque de nervios [attack of nerves])
What was Mahler's contribution to object relations theory?
separation v. individuation
Separation: infant develops an understanding of boundaries of the self, and thus the mother is increasingly viewed as an individual.
Individuation: marks the development of a sense of self (development of own ego, identity, etc.)
What is Exposure Therapy/Exposure and Response Prevention Therapy (ERPT)?
Expose the individual to situations that would normally provoke an obsession while helping them prevent their compulsive responses.
Ex: person who fears germ contamination might be instructed to touch the therapist’s doorknob → office doorknob → dept store doorknob → public bathroom doorknob. At each of these instances, the compulsion might be to immediately wash their hands; in this type of therapy, the client would slowly be advised to not wash their hands, which eliminates the compulsive hand washing.
Commonly used to treat OCD / phobias.
1. Needs assessment.
2. Formative evaluation.
3. Process evaluation.
4. Outcome evaluation.
O1 X O2
O1 __ O2
This is an example of what kind of design?
Nonequivalent control (comparison) group design
What does C.L.I.E.N.T.S. stand for?
Cause (what does the client think caused the problem?)
Length (how long has this been a problem?)
Impairment (what areas have been impacted?)
Emotional impact
Noticed (who noticed?)
Tried (has the client tried anything to alleviate the problem?)
(Successful: have these attempts been successful?)
What are the 4 types of attachment? Who is the main theorist?
Bowlby.
Secure
Avoidant
Resistant/ambivalent
Disorganized attachment
What questions should you ask when working with a DV client / assessing the dynamic of relationship?
The first, most recent, and worst incident of DV.
What is the EBP 5 step model?
1. Convert the need for info into an answerable Q.
2. Track down the best evidence to answer the Q.
3. Critically appraise the evidence.
4. Integrate critical appraisal w/ clinical expertise and with pt's unique values.
5. Evaluate effectiveness / efficiency.
This is an example of what kind of design?
Time series design
What does F.I.D.O. stand for?
Frequency
Intensity
Duration
Onset (outcomes??)
What is the holding environment?
A caring and nurturing environment that supports “good enough” development.
When is a survivor of DV most at-risk of being killed?
When the survivor has decided to leave the relationship and separates from the abuser
What's included in a Logic Model?
Activities
Outputs
Short-term Outcomes
Impact (Long-term)
What does the Posttest only control group design look like?
RXO
R O
What's included in a MSE?
Cognitive functioning: consciousness, orientation, attention/concentration, speech, memory, intelligence, insight, judgment
Cultural identity Q’s
Appearance: look/act, stated age, dress, clothing, psychomotor movements, tics, facial expressions
Reality testing: judgment, dangerous/impulsive bx’s, insight
Speech: rate, volume, amount (any poverty of speech)
Emotions: mood (how client feels most of the time), affect (how client appears to be feeling at this time, variability, and intensity)
Thought: content (what client thinks about); delusions, obsessions, compulsions, phobias, HI/SI
Sensory perceptions: delusions/hallucinations
Mental capacities: A/Ox4- orientation (time, person, place, situation), general intellect, memory, concentration, attitude toward interview
Kohut- Tripolar self v. Self types
Tripolar self: grandiose-exhibitionistic needs, idealizing, alter ego
Self types: the virtual self, nuclear self, cohesive self, and grandiose self.
What are the types of needs in a needs assessment?
1. Normative need: condition or situation defined by an expert.
2. Felt need: perceptions of need as reported by actual clients (expressed by clients)
3. Expressed need: demand for service; based on what you observed through the use of a service.
4. Comparative need: an interred measure of need determined by examining the characteristics of those receiving services and then locating those characteristics in the population; comparing 2 things/groups.
What is effective vs. efficacy?
Effective: can be noticed through evaluation in the real world.
Efficacy: can only be assessed through experiment.
What is the gold standard for experimental designs and what does it look like?
Randomized control trial.
R O1 X O2
R O1 O2