Exam 13: Planning and Implementing Change-Oriented Strategies
Which of the following is true of case management?
A
Explain a practitioner's role in task planning in the task implementation sequence.
Answers may vary. The details of a task may involve certain actions for which a social worker assumes responsibility. In planning the details of tasks, a social worker's tasks can be developed when he or she has ready access to resources or information that will facilitate client work. When it is advantageous for a client to complete a task on his or her own, a review of the actions involved would be helpful.
During the performance of tasks, there may be occasions on which it will be useful for you to accompany the client or make use of his or her support system. For example, if the task involved applying for financial assistance, which for some people can be intimidating, supporting task performance can involve assisting the client in completing the application or having a support person to talk to while they are waiting to be interviewed.
Discuss the potential considerations for working with minors in a crisis situation.
Answers may vary. Minors are more vulnerable and at greater risk when a crisis or traumatic event occurs (Halpern & Tramontin, 2007; James, 2008). Understanding the nature of the crisis and the minor's response to it is the first intervention step (Terr, 1991). Two distinct crisis categories can be used to distinguish the minor's reaction to a crisis (James, 2008, p. 163): Type I involves a single, distinct crisis experience in which symptoms and signs are manifested; for example, the minor can display fully detailed etched-in memories, misperceptions, cognitive reappraisals, and reasons for the crisis event (James, 2008). Type II, in contrast, is the result of longstanding, repeated trauma whose cumulative effects result in the minor's psyche developing defensive coping strategies, anxiety, depression, or acting-out behavior (James, 2008; Lindsey et al., 2006; Maschi, 2006; Voisin, 2007).
For minors, a crisis event has the potential to disrupt biological, social, and cognitive development, and age can make a significant difference in how minors respond. The Type I category seems to fit best with the basic equilibrium crisis intervention approach, in which the focus is on restoring the precrisis state of their caregivers in order to help minors. The stages of crisis and the reaction may differ with minors. They may, for example, need additional help in understanding their reaction to the crisis and in developing problem-solving skills. The triage system assessment can be especially important in determining the minor's cognitions and behaviors as a result of the crisis. Cognitively, a crisis event can increase minors' sense of vulnerability and their perceived lack of power. Behavioral interventions to a crisis event may involve the minor's coping by role-playing, for example, an all-powerful action figure of their choosing (Knox &
Roberts, 2008). Korol, Green, and Grace (1999) developed the Interactive Trauma/Grief-Focused Model (IT-GFT), which emphasizes a developmental ecological framework as another approach to crisis work with minors. The premise of this framework is that the developmental stage and the environment within which the minor operates are interrelated.
In the context of cognitive restructuring, _____ expands self-awareness and paves the way for later change efforts.
Which of the following is a facilitative factor in the task-centered model that can help clients in carrying out identified tasks?
Identify a true statement about the crisis intervention approach.
As a problem-solving method, case management is theoretically open.
Which of the following is an essential organizational and professional characteristic that is integral to a trauma-informed approach?
The basic tenets of _____ are thinking, reasoning, and behavioral change.
The solution-focused question "How will you know when your problem is solved?" is an example of a _____.
Which of the following is the first phase of case management?
Briefly discuss any ten reasons for cognitive distortions and negative thinking patterns.
Which of the following can become a barrier to task completion?
The first procedural step in cognitive restructuring is to assist clients in:
In the context of solution-focused brief treatment, which of the following is a stage of solution building?
John is looking for a job. He engages with a social worker to achieve his goal. In the process, John and the social worker agree that John would submit one job application to a potential employer prior to the next session. The agreement between John and the social worker:
Behavioral rehearsal used in an actual session is intended to:
In situations where a minor's parents have consented to an intervention strategy, the social worker should:
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