Exam 12: Monitoring Client Progress

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Discuss the advantages and disadvantages of the various options for monitoring client progress regarding: (a) what to measure; (b) who should measure; (c) what measurement instrument to use; and (d) when and where to measure.

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When monitoring client progress, it is important to consider what to measure, who should measure, what measurement instrument to use, and when and where to measure. Each option comes with its own set of advantages and disadvantages.

(a) What to measure: The advantages of measuring specific, quantifiable goals such as behavior change, symptom reduction, or achievement of specific skills are that they provide clear, objective indicators of progress. However, the disadvantage is that they may not capture the full complexity of a client's progress, such as changes in attitudes, beliefs, or overall well-being.

(b) Who should measure: Having the client self-monitor their progress can empower them and increase their self-awareness. However, clients may lack the expertise to accurately measure their progress. Professionals, on the other hand, may provide more accurate assessments but may not capture the client's subjective experience.

(c) What measurement instrument to use: Using standardized measurement instruments, such as surveys or assessments, can provide consistent and reliable data. However, these instruments may not capture the unique aspects of a client's progress and may not be culturally sensitive. Qualitative methods, such as interviews or narrative assessments, may provide a more holistic understanding but can be more time-consuming and subjective.

(d) When and where to measure: Regularly scheduled measurements can provide a clear timeline of progress and allow for early intervention if needed. On the other hand, measuring progress too frequently may be burdensome for the client and may not capture meaningful changes. Measuring progress in various settings, such as in the therapy room or in the client's natural environment, can provide different perspectives on progress but may also be resource-intensive.

In conclusion, the advantages and disadvantages of monitoring client progress depend on the specific goals of the intervention, the client's needs and preferences, and the resources available. It is important to consider these factors when deciding on the best approach for monitoring client progress.

An advantage of your measuring your client's progress yourself is:

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B

The B+ design is more feasible for practitioners to implement than the AB design.

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Describe the components of the B+ design and discuss why it is more feasible for practitioners than the single-case AB design.

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Explain why step 5 of the EBP process does not require inferring causality.

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The B phase in a B+ design can be terminated at any point when you and the client agree that the desired level of progress has been achieved and sustained long enough so that continuing the intervention is no longer needed-in a manner no different than in usual practice.

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The main point of step 5 of the EBP process is make causal inferences about the effectiveness of an intervention.

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The B+ design:

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By monitoring client progress you'll be better equipped to determine whether you need to continue or alter the intervention in light of the degree of progress.

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An advantage of self-monitoring is its unobtrusiveness.

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An advantages of using significant others to observe client behavior is their lack of bias in the way they perceive those behaviors.

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Which of the following statements is/are correct about when and where to measure client progress?

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The choice of what to measure for the purpose of monitoring client progress requires that you translate the target problem or treatment goal into something that:

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As a general rule when monitoring client progress, measurement should occur as often as possible short of becoming an aversive burden to the people involved in the measuring.

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The key priority in selecting or developing an instrument for behavioral recording is to keep it simple and nonaversive for the person doing the recording.

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To ensure adequate sensitivity to meaningful changes, individualized rating scales should contain no more than two or three scale rating points per item.

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Which of the following is NOT a main aim of Step 5 in the EBP process?

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Which of the following statements is/are correct about using a available records to monitor client progress?

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One advantage of using available records is their unobtrusiveness.

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Which of the following statements is/are correct about using a significant other to observe and record client behavior?

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