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Flashcards in Volume 4 Deck (35)
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1
Q

What type of patients may genuinely not be able to readily identify any positive aspect of his or her life?

A

substance-abusing, substance-dependent, depressed or demoralized patient

2
Q

A patient who has poor insight might not see their destructive behavior as a weakness but rather _____.

A

rather he or she is a victim of environmental circumstances

3
Q

As a minimum how many strengths and weaknesses should you have?

A

3 for each

4
Q

What are the 5 basic levels of Maslow’s hierarchy of needs?

A
physiological needs
security needs
affiliation
self-esteem and love
self-actalization
5
Q

What does security for most adults mean?

A

mainly focus on establishing stability and consistency in a chaotic world.

6
Q

What need is the most difficult for patients suffering from substance abuse/dependence diagnoses or sever mental disorders?

A

affiliation, as they are often either isolated or involved with parasitic social groups.

7
Q

What do short and long term goals provide?

A

Short term goals provide acute relief or feelings of accomplishment.
Long term goals suggest the patient is invested over a period of time.

8
Q

What is the mnemonic to help remember environmental determinants of relapse?

A

HALT (Hungry, Angry, Lonely, or Tired)

9
Q

What are the determinate of relapse?

A

environmental
behavioral
cognitive
relational

10
Q

What is the leading cause of relapse?

A

boredom

11
Q

The degree of difficulty it will require for a patient to create a plan is often based on what factors?

A
  1. The severity and length of the patient’s substance use.
  2. The patient’s perception of the problem
  3. The patient’ motivation to remedy or change
  4. The patient’ current support system
  5. The extent the substance has affected each aspect of the patient’s life.
12
Q

What are treatment plans?

A

The treatment plan is the overall management strategy for treating people. Treatment plans are considered the written contract between the patient and counselor providing a road map for progress.

13
Q

What are the 5 dimensions of health according to the World Health Organization (WHO)

A
physical
social
mental
spiritual
intellectual
14
Q

What is the difference between rehabilitation and habilitation?

A

Rehabilitation emphasizes the return to a way of life previously known and forgotten or rejected.
Habilitation is the patient’s initial socialization into a productive and responsible way of life.

15
Q

What is the purpose of assessment during the treatment process?

A
  1. to determine how effective the treatment has been up to the assessment point
  2. what kind of progress the patient is making
  3. the appropriateness of the present treatment
  4. what the next level of treatment should be
16
Q

What are the 4 specific areas that should be addressed in the therapeutic relationship?

A
  1. behavior
  2. personal barriers (poor self image, self-defeating attitudes)
  3. ability to cope with adversity, both personal and environmental
  4. clear and informed decision-making knowledge and skill.
17
Q

What is the purpose of defining behavior?

A

The purpose of defining behavior clarifies which behavior is determinate aberrant, counterproductive and inconsequential.

18
Q

What are the stages in counseling?

A

initial disclosure
in-depth exploration
commitment to action

19
Q

What are the 3 basic approaches you will use in psychotherapy?

A

cognitive
behavioral
dynamic or psychodynamic

20
Q

What is cognitive therapy?

A

focuses on psychological disturbances that frequently originate from habitual errors of thinking

21
Q

What are the 3 core irrational beliefs of RET/REBT?

A
  1. I must be liked/loved by everyone I consider significant in my life.
  2. I must not make mistakes
  3. Life must be fair
22
Q

What makes reality therapy different than most other therapies?

A

This therapy forces the therapist to take a stand and often disclose his or her feelings regarding morality, responsibility, and accountability.

23
Q

What is the basic assumption in Gestalt therapy?

A

the patient has the capacity to “self-regulate” in his or her current environment, and adjust his or her behavior and reaction to what is happening around him or her.

24
Q

One facilitator can effectively manage a group of how many?

A

8-10

25
Q

What kind of groups would fall under the education category?

A

substance abuse, eating disorder, and medical subspecialty groups

26
Q

What happens during the working and cohesion stage of a group?

A

the “birthing process of merging personalities has subsided and the group will be working together and supporting one another.

27
Q

Explain the role each of the following problem patients play in a group setting.
monopolist
the silent patient
the schizoid, obsessional or overly ration patient
the help-rejecting complainer

A

monopolist- will chatter endlessly about anything and everything. He or she has “been there and done that”
silent patient- fearful of making a fool of themselves, fears of other perception of them, or they are better than the group
the schizoid- appear aloof, matter of fact, isolated or distant from the group. can easily become the target of an aggressive narcissist
complainer- the “yes but” patient, consistently posses insurmountable problems for the group.

28
Q

What is the difference between a consultation and a referral?

A

consultation- relating with in house staff or outside professionals to assure comprehensive quality care for the client
referral- identifying the needs of the client that cannot be met by the counselor or agency and assisting the client to use the support systems and community resources available.

29
Q

How often does the Integrated Delivery System meet?

A

monthly

30
Q

How many days after the treatment team meeting does the ADAPTPM have to make a treatment decision?

A

15 duty days

31
Q

How many hours of continuing education do you need to maintain your CADAC certification?

A

60 hours

32
Q

What are the 12 core functions a counselor must be competent in to be considered a quality counselor?

A
  1. screening
  2. intake
  3. orientation
  4. assessment
  5. treatment planning
  6. counseling
  7. case management
  8. crisis intervention
  9. client education
  10. referral
  11. reports and record keeping
  12. consultation
33
Q

Population health concepts address 3 of the Air Force medical service (AFMS) greatest challenges, what are those challenges?

A
  1. providing a healthy, fit, and ready force
  2. improving the health status of our enrolled population
  3. managing an effective and efficient health care delivery system
34
Q

Nearly ____ of all formal mental health care and ___ percent of all psychotropic drugs are provided by primary care managers.

A

half & 75%

35
Q

What is the purpose of BHOP?

A

BHOP model strives to increase access to behavioral health by integrating behavior health consultants into the primary care clinic.