LMSW EXAM CONT.

Questions to ask about a policy

What is the history? How do clients feel about the policy? Does it benefit or create barriers? Does the policy align with the COE? Any barriers? When was it last evaluated? Is it outdated?

Cognitive Behavioral Therapy

Focuses on automatic thoughts, negative schemas, assumptions and beliefs; good for clients with low self esteem, depression, and bipolar disorder; clients begin to change their thinking patterns which lead to better coping and more positive thoughts 

Example of Cognitive Behavioral Therapy in SW

Working with a client to identify negative thought patterns like “I am a failure because I have struggled with debt,” and helping them reframe that thought process

Cognitive Restructuring

A CBT technique to change unhelpful thinking patterns 

Dialectical Behavioral Therapy

Based off of principles of CBT and shares many of the same treatment interventions; used for intense mood swings, impulsiveness, dysfunctional thinking, BPD, self-destructive thoughts; allows clients to accept the emotional pain they feel and to cope with emotional swings

What is an example of dialectical behavioral therapy in SW

A social worker might use mindfulness to help a client stay present, while distress tolerance skills like the STOP acronym (Stop, Take a step back, Observe, Proceed mindfully)

Motivational Interviewing

Strength-based, client led process used to solve ambivalent to make lasting changes; used to meet the client where they are and building a helping relationship; used for clients who are resistant and hard to engage, clients with substance abuse, and court mandated clients

Task-Centered Therapy/Problem Solving Therapy

Short-term approach used to help clients work through self-defined problems; specific, measureable, and achievable goals are used to help the client solve the intended problem; specific, measureble, and achievable goals are used to help the client solve the intended problem; for frail ederly patients, clients with mental illness, children in schools with academic and behavioral problems

Example of motivational interviewing 

A client who is struggling with alcohol use by exploring their reasons for change, such as a desire to be a better partner and father. The social worker would ask questions that elicit the client’s own motivation like “If I were to see you in a year, what would you like to be telling me about your drinking?”

Example of Task-Centered Therapy

Assisting a client with financial difficulties by collaborativlely creating a budget, identifying local resources for financial assistance, and developing a job search plan

Attatchment Therapy

Used to determine how attatchment with early caregivers affects our long-term functioning; success in realtionships or lack of success can be explained by how you learned to relate to other throughout your childhood 

Example of attatchment therapy in SW

A session where a therapist helps a parent and child with activities like playing with puppets or drawing to express emotions and the social worker guides the parent to use specific “emotion coaching” strategies to improve their communication and attunement with their child

Structural Family Therpy

Cahange is made through remodeling or rethinking the family’s structure; addresses relationship dynamics with the whole family and sees dynamics may be changed and how they can form new patterns of interactions; good for families with substance abuse issues or where enabling is pattern behavior

Example of structural family therapy

Helping a family with a child who has rebellious behavior by first mapping the family’s structure, identifying a lack of parental unity and a dysfunctional hierarchy 

Bowen Family Therapy

Change is made through understanding multi-generational dynamics; family members cannot be seen in isolation; differentiation of self is the ability to be able to seperate thoughts and feelings respond to anxiety and cope with the variables of life while pursuing personal goals; 

Example of Bowen Family Therapy

A social worker helping a couple with a child who is acting out by helping the parents see that their conflic is being triangulated through the child

Strategic Family Therapy

Brief and directive; driven by the therapist; used for adolescnece with behavior problem and family members in high risk behaviors 

An example of strategic family therapy in SW

Addressing a family’s conflic over a teenager’s poor grades by having the parents agree on a unified, clear consequence (specific phone restrictions) that they both present to the teen together

Pre-group

BEfore the group begins

FOrming

Coming together and feeling each other out

Storming

Conflict and group’s personality forms

Norming

Group cohesion

Performing

peak stage/work production

Adjourning

Group coming to an end

Mascot

Deflects tension and conflict with humor and distraction (EX: a child telling a joke or make a silly face during a session

Hero

“Golden member” of the family and may be used to mask the problems with conflict going on in the family (EX: the child who excels in school and maintains a perfect image to deflect from a parent’s alcoholism, preventing the family from acknowledging the problem 

Lost child

Does not rock the boat and isolates themselves away from the family (EX: a child in achaotic household spends most of their time alone in their room, excells academically to avoid negative attention and avoids family gatherings to escape the tension)

Scapegoat

“fall guy” and sometimes acts out to gain attention even if it is negative (EX: a child who is unfairly blamed for the family’s problems, such as marital conflict, parental shortcomings, or sibling issues)

Enabler

Supporting the dysfunction and might be the enforcer (EX: a parent who gives their adult child money for rent, even though the child is unemployed due to substance abuse problems)

Authoritaian Parenting

Parent driven; sets strict rules and punishment; one-way communication, with little consideration of child’s social, emotional and behavioral needs (EX: a parent who demands obedience using phrases like “because I said so,” a parent who takes away priviledges for a minor infraction, or a parent who makes all decisions for their child without input)

Neglectful Parenting

Uninvolved or absent; provides little nurturance or guidance, indifferent to child’s social-emotional and behavioral needs (EX: a parents who does not meet a child’s needs like food, shelter, and clothing; providing little to no supervision and neglecting their emotional and medical needs) 

Authoritative Parenting

Setting clear rules and enforcing them with warmth, explaining the reasons behind rules and encouraging independence within those boundaries (EX: a parent tells their teen to be home by 9pm and explains that the rule is for their safety and to ensure they get enough rest) 

Permissive Parenting

Allowing a child to set their own bedtime, never saying “no,” not enforcing consequences for misbehavior, and giving in to tantrums to avoid conflict (EX: letting a child stay up as late as they want, even on school nights) 

Positive Reinforcment 

Involves adding a reward to increase likelihood of a behavior (EX: giving a child praise or a treate for cleaning their room) 

Negative Reinforcement

INvolves removing something unpleasant to increase the likelihood of a behavior (EX: a student gets an extension on a deadline after completeing all of their work for aweek) 

Positive Punishment 

INvolves adding a stimulus to decrease behavior (EX: giving a child extra chores after they wer disrespectful)

NEgatvie Punishment

A desirable stimuls is removed to decrease an undesirable behavior (EX: taking away a teen’s phone for misbehaving or cutting a child’s screen time short to stop a tratrum)