Risk Assessment
What are some potential risk factors for youth/adolescents?
Bullying, mental health needs, few available resources, lack of support, barriers to health or behavioral healthcare etc.
What is something you always consider when making a diagnosis for a child/adolescent?
If it is interfering with their functioning
What is the skill domain that helps build skills to improve relationships?
What is interpersonal effectiveness.
People's behavior does not originate from within the individual who displays that behavior but from.....?
within the interaction between that individual and other individuals
Do you review informed consent with very young clients?
Yes
1. Access to effective, culturally competent care
2. Restricted access to highly lethal means of suicide
3. Strong connections to family members
4. Academic, artistic, and athletic achievements
5. A feeling of safety, support, and connectivity at school through peer groups like Gay-Straight Alliance
6. Positive connections with friends who share similar interests
7. Family acceptance of sexual orientation and/or gender identity
8. Connectedness to safe schools
9. Coping, problem solving and conflict resolution skills
10. Nonviolent problem solving skills
What is ACEs
Adverse Childhood Experiences
Name a DBT assumption
Clients are doing the best they can
Clients want to improve
Clients need to do better, try harder, and be motivated to change
Clients may not have caused all of their problems but they have to solve them anyways
Clients must learn new behaviors in all important situations in their lives
Clients cannot fail at DBT
Name one reason why a kinetic drawing (of family, an activity, etc.) can be useful when working with kids
Many answers are correct. Ex: They can allow a visual representation of something a child is unable to verbally express.
In Oregon, how old do you have to be to be able to make decisions about your mental health care? (versus a guardian making the decisions)
14
Name one risk assessment you could utilize?
CSSRS, CAMS, QPR
Name a sensory intervention you could use with a child or teen.
Play dough, TIPP, sand,etc.
Who is the creator of DBT
Marsha M. Linehan
How might a genogram be helpful when working with a family?
Many answers. It can show generational patterns.
What constitutes making a mandatory report of child abuse?
What is having reasonable cause to believe the child you had contact with has suffered abuse or reasonable cause to believe a person has abused a child.
What is one aspect of a safety plan?
Warning signs, people to reach out to, internal coping strategies, activities for distraction
Name two of Bowlby's four types of attachment
1. Secure
2. Anxious-Ambivalent
3. Avoidant
4. Disorganized
What are the four skill domains of DBT?
What is Interpersonal Effectiveness, Mindfulness, Distress Tolerance and Radical Acceptance
What are the three roles identified in Karpman's Drama Triangle and give a brief description of each one.
1. Persecutor: It's your fault. Why did you do that? What is your problem?
2. Victim: Poor me! I am not responsible. Why is this happening to me?
3. Rescuer: Let me help you. I will do it. I feel bad for you.
When is it appropriate to break confidentiality when working with a minor?
When they pose a risk to themselves or others
You are in session with a teenage client who is talking about difficulties with friends and states "I think it would just be easier if I didn't wake up tomorrow."
Further assessment- ask directly.
What is the most important thing you have learned this semester about working with kids?
Kids are doing the best they can.
What is a worksheet that is meant to help someone understand the function of a particular behavior?
What is a BCA (Behavior Chain Analysis)
You are facilitating family therapy between a 16 year old and their single mother. The teen has been stating that the problem is that mom is always screaming at them and their mother is stating that the problem is that the teen is always screaming. What do you have the ability to learn about these two through family therapy?
Many responses may be correct. You have the opportunity to see their interactions in real time. You can give direct feedback based on examples happening in the moment. You may be able to help facilitate a non-screaming conversation, etc.
You are working with a child and the parents keep calling/emailing you asking about what you talked about in session. Do you respond to the parents?
It depends but you do your best to protect confidentiality unless there is a safety concern.