Notes
When are notes due by in order to be in compliance?
24 hours.
Name 5 cognitive distortions
black & white thinking, minimizing, catastrophizing, jumping to conclusions, mind reading, filtering, personalizing, generalizing, shoulds/musts/oughts, labeling
What member of tx team does IOP not provide?
Psychiatrist
"I can understand why you would feel ________
Because______ and Because___ and Because____."
This is a page in Rolling that provides information on pt individual incentives and consequences
What is Green List?
What does DAP stand for?
Data, Assessment, Plan
What are 4 components of DBT crisis scale?
When does discharge planning begin?
At first family session
Name 3 interventions to address body image concerns
-Mirror exposures
-Clothing exposures
-Negative to neutral body image
-Body image timeline
-Societal factors/HAES
-Social media exposures
-Diet culture exposures
-Identify cognitive distortions/thought-reframing
Where are TPAs found?
Under Progress Notes
Name 3 things that need to be included in every note.
-Direct quotes
-Barriers to step-down
-Mood and affect
-Engagement in behaviors
-Safety concerns
-Interventions used
-Response to interventions
-Plan
Name 6 core processes of ACT
Values, defusion, self as context, present moment, committed actions, acceptance
What document must you update whenever there new information or changed information regarding care for your patient
C&A Assignments doc.
This is a way to identify which vulnerabilities, thoughts, or feelings led to a behavior, as well as outcomes of that behavior and alternative skills
What is a Behavior Chain?
Steps for if RES patient scores high on suicide risk assessment and will safety plan
-Complete safety plan
-Notify MD
-Make 3 copies
-Post safety plan in BHC office/work room AND in file to scan into chart AND give to patient
(daily double if can apply to PHP)
Name 3 barriers to step-down.
-Nutritional rehabilitation
-Low motivation
-Lack insight into severity of ED
-Engaging in compensatory ED bxs
-Lacks coping skills
-Reliant on NGT
-Preoccupied with intrusive, ego syntonic, ED thoughts
-Need to mobilize family support
-Has not been on pass or challenge day
-Not completing meal plan
-High risk of relapse d/t tx hx
What is one thing the pt must value in order for RO to be effective
Connection
The time a discharge plan and date should be confirmed by...
The ideal time to tell parents the ELOS....
The ideal time to tell pt the ELOS...
7 days in advance
At first family session and throughout the process
Within the last week.
Name three ways you can practice thought-defusion with a patient in session
-Awareness continuum: "I notice that I am aware of the thought that...."
-Name the ED; label what Ed is telling you.
-Practice saying the thought in a silly voice
-Thank your brain
-Write negative labels on a flash card and decorate
-Ask, "How is this thought serving me?"
-Leaves on a stream
-Assessing eligibility
-Plan clinically indicated activities
-Obtain necessary signatures
-Communicate to necessary parties
-Give document to nurse
-Update green list
Steps to doing a pass
Correct at least 5 mistakes in this P note.
"T/w met with Jennifer Lopez for an individual session. Pt was really mad when she came into session and explained that MOP was super mean to her on the phone last night. T/w tried to calm pt down by offering to throw ice, but pt kept crying and complaining about her mom. Pt seemed depressed and cried for a lot of the session, but was able to regulate her mood. T/w is going to try to meet with Jennifer later in this week."
-Used a pt's full name
-Use of excessive superlatives (ie- "really mad" "super mean")
-"Seemed depressed" with no observable data (would need aeb- flat affect, tearfulness, closed off body language)
-No interventions/explanation of how pt was able to regulate
-No specific scheduled next session
-Judgement words (ie- complaining)
Explain the EFFT stance in 3 basic caregiver assumptions
1. All CGs love their kids no matter what
2. All kids love CGs no matter what
3. All CGs are motivated to help their loved one
4. CGs can become blocked from effectively helping their loved one
5. an ED is no one's fault
Give examples of a SMART goal with objective and interventions
EX: Goal "I want to like my body more"
Objective: Pt will decrease body image distress from 9/10
Interventions: attend body image group weekly, complete negative to neutral body image wkst, complete mirror exposures
-Patient has been in RES for 14 weeks
-Patient has had NGT for 13 weeks
-Patient has had 12 treatment contracts
-Patient is pending admin discharge
Reasons to have a whiteboard