Podcast
Questions and Answers
Which of the following best describes the role of social workers in relation to their client's environment?
Which of the following best describes the role of social workers in relation to their client's environment?
- Mediating the interactions between individuals and their environments. (correct)
- Focusing solely on the individual's internal experiences.
- Controlling the client's environment to ensure positive outcomes.
- Isolating individuals from negative environmental factors to promote healing.
A social worker is using knowledge gained from recent research to inform their practice. Which core value of Canadian social workers does this exemplify?
A social worker is using knowledge gained from recent research to inform their practice. Which core value of Canadian social workers does this exemplify?
- Pursuit of social justice
- Respect for the inherent dignity and worth of persons
- Competence in professional practice (correct)
- Confidentiality in professional practice
A social worker is advocating for policy changes to address systemic inequalities affecting access to mental health services. This action primarily reflects which level of social work intervention?
A social worker is advocating for policy changes to address systemic inequalities affecting access to mental health services. This action primarily reflects which level of social work intervention?
- Mezzo
- Macro (correct)
- Micro
- Meta
A social worker is assisting a client in finding suitable housing. What level of social work intervention is being demonstrated?
A social worker is assisting a client in finding suitable housing. What level of social work intervention is being demonstrated?
A social worker is implementing a new program within a community center to support families affected by domestic violence. Which level of intervention does this initiative represent?
A social worker is implementing a new program within a community center to support families affected by domestic violence. Which level of intervention does this initiative represent?
Which aspect is central to the Indigenous world view that a social worker should consider when assessing a client?
Which aspect is central to the Indigenous world view that a social worker should consider when assessing a client?
What impact might cultural factors have on a client's mental health assessment and help-seeking behavior?
What impact might cultural factors have on a client's mental health assessment and help-seeking behavior?
A social worker notices a client hesitates to share personal information due to a past negative experience with a healthcare provider. How should the social worker adjust their approach?
A social worker notices a client hesitates to share personal information due to a past negative experience with a healthcare provider. How should the social worker adjust their approach?
A social worker is conducting a mental health assessment. Which action demonstrates adherence to ethical guidelines?
A social worker is conducting a mental health assessment. Which action demonstrates adherence to ethical guidelines?
What is the primary distinction between 'screening' and 'assessment' in social work practice?
What is the primary distinction between 'screening' and 'assessment' in social work practice?
During a mental health assessment, a client reports feeling detached from their body and surroundings, they describe their sense of self as unreal. Which perceptual disturbance is the client experiencing?
During a mental health assessment, a client reports feeling detached from their body and surroundings, they describe their sense of self as unreal. Which perceptual disturbance is the client experiencing?
A client believes that the television is sending them personal messages providing instructions of what actions they should take, what type of delusion are they experiencing?
A client believes that the television is sending them personal messages providing instructions of what actions they should take, what type of delusion are they experiencing?
During an interview, a client abruptly changes topics, with no logical connection between them. This behavior is an example of which disturbance in thought form?
During an interview, a client abruptly changes topics, with no logical connection between them. This behavior is an example of which disturbance in thought form?
A social worker asks a client about their childhood, education, and significant life events. Which component of a social work assessment is being addressed?
A social worker asks a client about their childhood, education, and significant life events. Which component of a social work assessment is being addressed?
A social worker is assessing a client who is experiencing severe anxiety. Which question would be most relevant to understanding 'precipitating factors' in the 5 P's formulation?
A social worker is assessing a client who is experiencing severe anxiety. Which question would be most relevant to understanding 'precipitating factors' in the 5 P's formulation?
In the 5 P's formulation, what is the purpose of identifying 'protective factors'?
In the 5 P's formulation, what is the purpose of identifying 'protective factors'?
A client expresses that they created a new word and explains it's meaning to the social worker. This falls under which of the following disturbances in though form?
A client expresses that they created a new word and explains it's meaning to the social worker. This falls under which of the following disturbances in though form?
Following a detailed assessment, a social worker refers to the DSM-5 TR. What is the most appropriate way for a social worker to use diagnostic manuals like the DSM-5 TR in practice?
Following a detailed assessment, a social worker refers to the DSM-5 TR. What is the most appropriate way for a social worker to use diagnostic manuals like the DSM-5 TR in practice?
What is a primary goal of trauma-informed care in social work practice?
What is a primary goal of trauma-informed care in social work practice?
How does healing-centered engagement differ from trauma-informed care?
How does healing-centered engagement differ from trauma-informed care?
When developing a treatment plan, what is the MOST critical first step a social worker should take?
When developing a treatment plan, what is the MOST critical first step a social worker should take?
Which should a therapist do if there is a mismatch between the clients and therapist's sense of progress?
Which should a therapist do if there is a mismatch between the clients and therapist's sense of progress?
Which of the following best represents the 'pursuit of social justice' as a core value for Canadian social workers?
Which of the following best represents the 'pursuit of social justice' as a core value for Canadian social workers?
What would be a practical example of 'service to humanity' in social work?
What would be a practical example of 'service to humanity' in social work?
Why is recognizing the complexity of interactions between individuals and their environment important for social workers?
Why is recognizing the complexity of interactions between individuals and their environment important for social workers?
A social worker is developing a community-based program for at-risk youth. Which of the following actions BEST reflects a macro-level intervention?
A social worker is developing a community-based program for at-risk youth. Which of the following actions BEST reflects a macro-level intervention?
A social worker is facilitating a support group for individuals with similar mental health challenges. Which intervention level does this scenario represent?
A social worker is facilitating a support group for individuals with similar mental health challenges. Which intervention level does this scenario represent?
Which of the following beliefs aligns with an Indigenous world view?
Which of the following beliefs aligns with an Indigenous world view?
If someone is experiencing shared traumas or a lack of resources and dislocation, which influence on mental health is being explored?
If someone is experiencing shared traumas or a lack of resources and dislocation, which influence on mental health is being explored?
Which of the following biological differences is a gender difference in mental health?
Which of the following biological differences is a gender difference in mental health?
What is the first component of a social work assessment?
What is the first component of a social work assessment?
What is the most important factor for successful completion of a social work assessment?
What is the most important factor for successful completion of a social work assessment?
If someone thought they were the Queen of England, what would this be considered?
If someone thought they were the Queen of England, what would this be considered?
What is the purpose of knowing the advantages and disadvantages of the DSM-5 TR for social workers?
What is the purpose of knowing the advantages and disadvantages of the DSM-5 TR for social workers?
When should a social worker be using traum informed care?
When should a social worker be using traum informed care?
What does healing centered engagements support for adult providers?
What does healing centered engagements support for adult providers?
What is the practitioners expertise when selecting an intervention?
What is the practitioners expertise when selecting an intervention?
When helping a client with assessement and planning how can extent and nature of life be useful?
When helping a client with assessement and planning how can extent and nature of life be useful?
Flashcards
What is a social worker?
What is a social worker?
A professional who aims to promote social change, solve problems in human relationships, empower people, and liberate them.
How do social workers intervene?
How do social workers intervene?
Social workers intervene where people interact with their environments, using research-based methods and recognizing the complexity of human interactions.
Core values of Canadian social workers?
Core values of Canadian social workers?
Respect, social justice, service, integrity, confidentiality, and competence guide Canadian social workers.
Multiple levels of influence
Multiple levels of influence
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What is Micro social work?
What is Micro social work?
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What is Mezzo social work?
What is Mezzo social work?
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What is Macro social work?
What is Macro social work?
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Indigenous world view
Indigenous world view
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Cultural influences on mental health?
Cultural influences on mental health?
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Gender differences in mental health?
Gender differences in mental health?
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What is a social work assessment?
What is a social work assessment?
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What is Screening?
What is Screening?
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What is Assessment?
What is Assessment?
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Key areas of social work assessment?
Key areas of social work assessment?
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Presenting Issue(s)
Presenting Issue(s)
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Predisposing factors
Predisposing factors
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Precipitating factors
Precipitating factors
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Perpetuating factors
Perpetuating factors
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Protective factors
Protective factors
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Circumstantial thinking
Circumstantial thinking
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Tangential thinking
Tangential thinking
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What is the DSM 5 TR?
What is the DSM 5 TR?
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How do SSWs use DSM-5 TR?
How do SSWs use DSM-5 TR?
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What is Trauma-Informed Care?
What is Trauma-Informed Care?
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Explicitly political
Explicitly political
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Culturally grounded healing views as the restoration of identity
Culturally grounded healing views as the restoration of identity
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Asset driven and focuses on wellbeing rather than suppresion
Asset driven and focuses on wellbeing rather than suppresion
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Support adult providers with their own healing.
Support adult providers with their own healing.
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Assessment for treatment planning includes...
Assessment for treatment planning includes...
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Study Notes
- Social work promotes social change, problem-solving in relationships, empowerment, and liberation
- Social workers intervene where people interact with their environments, using research-based methodology and consulting with groups as necessary
- Social workers recognize the complexities of human-environment interactions, and the effect of multiple influences
Core Values of Canadian Social Workers
- Respect for inherent dignity and worth of persons
- Pursuit of social justice
- Service to humanity
- Integrity in professional practice
- Confidentiality in professional practice
- Competence in professional practice
Multiple Levels of Influence
- Consider all the environments one interacts with or is affected by
- Think about all the groups one interacts with
Levels of Influence Details
- Societal: Policies and practices that influence choice
- Community: Resources, cohesion, and exclusion
- Family: Individual members, family structure, and relationships
- Individual: Biological, psychological, and interpersonal strengths and challenges
Social Work: Macro Level
- Focuses on creating systematic changes
- Affects entire communities, provinces, or countries through advocacy and interventions
Social Work: Mezzo Level
- Works with clients to solve problems in small communities or organizations
- Examples include businesses, neighborhoods, nursing homes, prisons, or schools
Social Work: Micro Level
- Involves direct interaction with clients to address individual problems
- Examples: finding housing or connecting with healthcare and social services
Person-in-Environment (PIE) Theory
- Framework for understanding a person within their environment
Indigenous World View
- Sees the individual (physical, emotional, spiritual, cognitive) as interconnected to land and others
- Emphasizes a Holistic/Wholistic view
Cultural Influences on Mental Health
- Prevalence, etiology, and course of illness are influenced by factors like shared traumas and resource availability
- Diagnosis and assessment: biases, lack of understanding, and regional influences
- Help-seeking: acceptability, trust & mistrust of professionals
Gender Differences in Mental Health
- Biological difference impact mental health
- Exposure to violence can influence mental health outcomes
- Financial resources and access to education/opportunities play a role
- Symptom expression and coping methods vary by gender
- Males are more likely to have neurodevelopmental disorders
- Females are more likely to have depressive and anxiety disorders
- Transgender individuals attempt suicide at a higher rate (48% vs. 1.6%)
Social Work Assessment
- Consists of two components: data collection & analysis
- Analysis uses various sources, working alliance, explanation of process, confidentiality, use to the client, and opportunity for questions/feedback
Screening vs. Assessment
- Screening: Evaluates the possible presence of a problem, usually yes/no
- Assessment: Defines the problem, determines diagnosis, and creates treatment recommendations
Social Work Assessment Components
- Identifying data
- Presenting problems
- Brief personal history
- Mental health history
- Cultural/spiritual/social context
- Current situation
- Mental status
- Suicide risk
- Formulation
Formulation (5 P's)
- Presenting Issue(s): Why the person is seeking support, what they hope to change
- Predisposing factors: Factors influencing the individual's susceptibility to the problem include vulnerabilities, history, stressors, genetics, personality, or substance abuse
- Precipitating factors: Triggers that made the problem present now, prompting intervention now.
- Perpetuating factors: What maintains the problem, preventing improvement e.g., factors/health/substance use/personality/lack of coping skills
- Protective factors: What strengths have prevented the problem from worsening e.g., supports/success/abilities
Mental Status Exam (MSE)
- Psychiatrists' version of a physical exam
- Adolf Meyer developed a method to evaluate mental status in 1918.
- It combines interview observation with direct questioning, determining the mental status at that moment
- Identifies, diagnoses, and monitors mental illness signs and symptoms, capturing objective/subjective aspects
Areas Covered in Mental Status Exam
- Appearance, attitude, and behavior
- Mood and affect
- Speech and thought form
- Speech and thought content
- Perception
- Cognition
- Insight and judgment
Disturbances in Thought Form
- Neologism: Creating a new word
- Word salad: Incoherent words
- Circumstantial thinking: Reaching final point
- Tangential thinking: Never reaching final point
- Perseveration: Inability to move from a point/phrase
- Echolalia - Repeating words
- Loosening of associations: Ideas shift with no connection
Examples of Speech Content
- Somatic delusions involve body functioning
- Persecutory delusions: One is being harassed
- Delusions of grandeur: Exaggerated importance ideas.
- Ideas of references: Beliefs that events refer to oneself
- Thought withdrawal: Someone/something is stealing thoughts.
- Thought insertion: Someone is putting thoughts in their head.
Perceptual Disturbances
- Hallucinations: Auditory, visual, olfactory, tactile, somatic
- Hysterical anesthesia: Loss of feeling in part of body, no medical cause
- Depersonalization: Sense that self is unreal
- Derealization: Sense that the environment is strange
DSM Overview
- The Diagnostic and Statistical Manual of Mental Disorders is a reference book for mental health and brain-related conditions
- Accurately diagnosing is the first step to treating any health condition, mental or physical
- The DSM encompasses clear definitions, examples of signs/symptoms, and organises conditions into groups
Social Service Workers (SSW) Use of DSM
- SSWs educate themselves on mental health issues, become familiar with Mental Health diagnoses and symptoms
- SSWs increase competency around and provide psychoeducation around diagnosis
- Note: It should not be used to make or provide a diagnosis
DSM Advantages/Disadvantages
- Advantages: Enhances interprofessional communication, organizes thinking, directs research efforts, links treatment to challenges, and enhances evidence-based practice
- Disadvantages: Counters strengths-based perspectives of social work
- Individualizing issues, ignoring social contributors like oppression or poverty
- Promotes stigmatizing/labeling, and reflects socially constructed views of mental illness
Trauma-Informed Care
- Shifts focus from "What's wrong?" to "What happened?"
- Health organizations must understand a patient's life situation (past and present) to provide effective care with healing
- Can improve engagement, adherence, and outcomes and reduce avoidable costs for both the health and social service sectors
Shifting to Healing-Centered Engagement
- Explicitly political, seeks healing through awareness and actions addressing trauma's root conditions
- Healing and wellbeing is viewed as a function of environment
- Culturally grounded, healing as identity restoration
- It focuses on young people of color
- It is asset-driven & focuses on wellbeing rather than suppressing symptoms, highlighting strategies for possibilities
- It also supports adult providers' own healing for practitioners' effectiveness
Selecting an Intervention
- Involves best evidence/no harm, client wishes, practitioner's expertise, agency mandate, ecological context
Treatment Planning
- Understanding a person's identified issues in the context of other life areas is essential for successful outcomes
- This ensures careful diagnosis, appropriate case management, and treatment outcomes
Treatment Plan Collaboration
- Collaboratively create a comprehensive problems/barriers list
- Logically order problems (one at a time) collaboratively
- Anticipate and plan to overcome barriers to treatment compliance
Treatment Plan Goals
- Treatment Plan Goals involve the client's metric to judge whether therapy is progressing.
- Therapists use measures & adherence to protocol to measure progress, while addressing therapist/client progress mismatches
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