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37 Cards in this Set
- Front
- Back
Five Ethical considerations in screening and assessment |
1. Limits of competence: only using tools after sufficient training. 2. Informed consent: explaining purpose, process and how results are used/shared. 3. Confidentiality: releasing assessment results only with client consent. 4. Cultural sensitivity: recognizing social, cultural and economic factors influences worldview and definition of problems. 5. Appropriateness of instrument: acceptable levels of validity and reliability. |
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MHSF-III (Mental Health Screening Form) |
Screens for mental health issues, including anxiety, depression, mania, psychosis, eating disorder, and gambling. |
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Mental Status Exam (MSE) |
Screening for cognitive, emotional and behavioral function. Involves clinical observations (appearance, behavior, mood, speech, attitude and orientation). |
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Michigan Alcoholism Screening Test (MAST) |
Screens for problems with alcohol |
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Drug Abuse Screening Test (DAST) |
Screening for drug related problems |
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"Gold standard" for assessment of mental health or substance use disorder. |
Structured Clinical Interview for DSM Disorders. |
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What is the risk of clinical bias in assessment? |
Clinician may be more likely to label behavior of someone from another culture as pathological. |
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Confirmatory Strategy |
Clinical cultural error where the clinician tries to confirm what they think is true and deny data that doesn't fit the hypothesis. |
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Attribution errors |
Attributing 'paranoia' or anxiety to personality rather than sociocultural factors. |
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Four ways to guard against clinical cultural errors in assessment |
1. Develop awareness of personal bias and power differences in ourselves that may compromise clinician objectivity. 2. Learn about the culture of the client. 3. Identify evidence based practices relevant to client culture. 4. Collaboration with client on understanding and defining the problem, the cause and development of the treatment plan. |
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Explain the "F" of the FICA model |
F: Faith or beliefs. "What are your spiritual beliefs? Do you consider yourself spiritual? What things do you believe in that give meaning to your life?". |
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What model helps to identify spiritual beliefs? |
FICA: Faith/beliefs; Importance/influence; Community; Addresd |
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Explain the "I" in the FICA model |
Importance and influence : "is faith/spirituality important to you? How has your illness/ hospitalization affected your personal practice/beliefs?". |
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Explain the "C" in FICA. |
Community: "Are you connected with a faith center in your community? Does it provide support for you during times of stress? Is there a leader who assists you spiritually?". |
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Describe the "A" in FICA |
Address: "What can I do for you? What support/guidance can (treatment center) offer to support your spiritual beliefs and practice?" |
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What is SOCRATES stand for, and what does it measure?
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Stages of Change Readiness and Treatment Eagerness Scale. It helps determine current stage of change based on the Transtheoretical Model of behavioral change.
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To perform culturally-sensitive assessments, clinicians need to:
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- Be open-minded about diversity and how context affects an individual's health - Ask about cultural groups to which the individual feels connected, and the primary language used in the home - Ask the client's perception of the problem and be sure to consider issues such as prejudice or oppression - Get a chronological account of the problem and understand how cultural issues and belief systems might be related to the problem - Always ask about physical, sexual, and emotional abuse history - Identify personal strengths as well as culturally-relevant strengths such as pride in one's identity or culture - Assess medical/physical conditions that may be related to psychological or substance use problems, and inquire about indigenous healing practices |
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Name an assessment to help determine stage of change
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Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) |
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Name two assessments for relational functioning
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(FFS) Family Functioning Scale (MAT) Marital Adjustment Test |
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What is a standardized tool that is often used in the process of determining severity of substance use? |
Addiction Severity Index (ASI) |
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The 11 criteria for SUDs include: |
Two "physiological" symptoms: tolerance (#10) and withdrawal (#11); Three "loss of control" symptoms: using more/longer than intended (#1), persistent desire or efforts to cut down or quit (#2), and craving (#4); Six "loss of time, activities, and health" symptoms: spending excessive time obtaining or using the substance (#3), failure to fulfill role obligations (#5), social/interpersonal problems (#6), important activities given up or reduced (#7), using in physically hazardous situations (#8), and using despite physical or psychological illness that is made worse by using (#9). |
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What is described in ASAM Dimension 1
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Acute Intoxication and/or withdrawal potential
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What is described in ASAM Dimension 2
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Biomedical Conditions and Complications
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What is described in ASAM Dimension 3
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Emotional, Behavioral, or Cognitive Conditions or complications
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What is described in ASAM Dimension 4
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Readiness to Change
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What is described in ASAM Dimension 5 |
Relapse, Continued Use, or Continued Problem Potential
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What is described in ASAM Dimension 6
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Recovery/Living Environment
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What is SBIRT |
Screening, Brief Intervention and Referral to Treatment |
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What is the screening tool for Schizophrenia Spectrum and other Psychotic Disorders?
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Positive and Negative Syndrome Scale and the Brief Psychiatric Rating Scale (BPRS)
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What is a screening tool that can measure symptoms of bipolar disorder? |
Mood Disorder Questionnaire (MDQ) |
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What is the HAM-D and does the HAM-D screen for?
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Hamilton Rating Scale for Depression
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List three screening tools for Anxiety
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Beck Anxiety Inventory Hamilton Anxiety Scale (HAM-A) Symptom Checklist |
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List a screening tool for OCD
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Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
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Name a screening tool for symptoms of PTSD
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PTSD Civillian Version (Checklist)
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Assessment tool for personality disorders
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Ten-Item Personality Inventory
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What does the assessment SAFE-T stand for, and what does its purpose? |
Suicide Assessment Five-step Evaluation and Triage. Purpose is to assess risk from self-harm and suicide. |
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List five things measured by the SAFE-T
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1. Identifies risk factors - including history of suicidality, psychiatric disorders, hopelessness, command hallucinations, family history, precipitants, medical illness, access to firearms 2. Identifies protective factors – internal (religious beliefs, coping skills) and external (children, pets, social supports) 3. Includes a suicide inquiry, i.e. questions about suicidal ideation, plan, behaviors, and intent 4. Determines risk level and interventions based on clinical judgment after completing steps 1-3 5. Documents risk level and rationale, as well as recommendations for the treatment plan. |