Study hints for the NCMHCE

Group Stages

1. initial becoming acquainted and how the group functions 2. transition members begin to recognize an address issues 3. Working members trust one another as well as the later focus on the here and now, and willingness to self disclose group cohesiveness 4. Final members figure out how to take what they've learned and apply it outside world

System of Multicultural Pluralistic Assessment (SOMPA)

A system developed by Jane Mercer that assumes that test results cannot be divorced from the culture and focuses on comparisons among individuals within a cultural group rather than between cultural groups

Which treatment modality is best for children?

Family therapy

Information gathering basics

Identify symptoms, problem recognition, level of functioning, assessment tools, treatment progress

time

Age, onset, duration and frequency

Stanford Binet intelligent test

Ages 2+; cognitive ability assessment used to measure intelligence, helpful in assessing neurological issues; test results can also be helpful in classroom placement

Leiter International Performance Scale, Revised (Leiter-3)

Ages 3 to 75, nonverbal measure of intelligence; game-like tasks assesses positive attentional and neuropsychological abilities

Vanderbilt diagnostic rating scales

Ages 6 to 12 years for parent and teacher

Child Depression Inventory

Assassins negative affect on behavioral symptoms of depression in children and adolescents

Unless directed which type of therapy is best used with children?

Behavior therapy

When working with adolescents, which theoretical orientation is best use if not directed otherwise?

Behavioral issues behavior therapy, non-behavior issues CBT

Things to consider when placing an individual in a group

Benefit to client, benefits to group members, level of motivation, level of insight, ability to receive or provide feedback

CHARM - core conditions of group leader

C harm H onesty A cceptable. S elf-disclosure E mpathy

Seven areas of internal group dynamics

Communication patterns, cohesiveness, social control, norms, role expectations, status, and group culture

Fundamental tasks of group leader

Create and maintain group, build culture of group, activate eliminate the here and now

what are the three Columbia diagnostic interview scheduled?

DISCfor is for children DISC-p is for parents 6 to 17 years and DISC-Yis for youth 9 to 17 years

T-Groups

Emphasizing feedback problem-solving and decision-making, groups aim to improve organizational relationship skills by focusing on the group process

Zung Self-Rating Depression Scale

Evaluate DEPRESSION in adults. Self-rating. Depression-screening tool.

Vineland Adaptive Behavior Scales (VABS)

Evaluates the social and personal functioning of handicapped and non-handicapped people from birth to adulthood. These four domains of behavior are: Communication, Daily Living Skills, Socialization and Motor Skills. The scales are used to assess people from birth to 18 and low functioning adults.

Bayley Skills of Infant Development

Examine all the facets of young child's development in order to identify developmental issues during early childhood such as receptive communication , fine motor development, memory

Minnesota multiphasic personality inventory 2 RF

For adults 18 and older the MMPI is one of the most frequently use assessments in the field of psychology

When treating an adolescent which modality is best to use?

For behavioral issues family therapy; non-behavioral issues is case by case but more times than not still family

The theoretical orientations that works best with adults unless specifically directed include

For substance related disorders Person centered therapy and motivational interviewing, in general CBT

Millon adolescence clinical inventory MACI

For teenagers 13 to 19 years of age intended specifically for clinical populations

Wessler intelligence scale for children

Generate a full-scale IQ that represents a child general intellectual ability; 6-16

When assessing the functioning we are looking for...

How are the current symptoms affecting the individual in each of these areas in the here and now.

Columbia Mental Maturity Scale (CMMS)

Instrument intended to screen the overall reasoning capacity of children ages 3 and 1/2 to 10. Does not require verbal response, consists of 92 pictures and figures arranged in a series of 8 levels geared to different age groups.

Wessler adult intelligence scale

Measures cognitive ability in adults; focus is on for domains of intelligence verbal comprehension perceptual reasoning working memory and processing speed; 16+

Detroit test of learning attitude

Measures of both general intelligence and discrete ability areas: also shows the effects of language, attension, and motor abilities on test performance ages, 6 to 17

Basic types of groups can be divided into

Natural groups that develop on their own; formed external factors give rise to these groups and formed for specific purpose,; treatment roles and these groups develop as group members into relate so communication is relatively casual and open ended; task with rolls often assigned task groups communicate tends to really affect the designed task, personal connection include psychotherapy therapy employee relief and mutual help groups; personal enchantment include Personal and team development life transition into groups

Group therapy issues

Need group feedback, interpersonal issues, problems with authority, specific behavior,, trauma

What treatment modalities do you use with adults?

Non-substance related disorders is individual therapy, adults with substance-abuse issue is group therapy, adults with relational problems is couple therapy

For children and adolescents with behavioral issues the five assessments that are virtually interchangeable with each having a parent version or teacher version except noted include..

One child behavior checklist, 2 Vanderbilt diagnostic rating scale, 3 conners rating scales revised, 4 BASC or the behavior assessment system for children, 5 DISC4 with a Columbia diagnostic interview scheduled for children DISC -P for parents DISC -Y for youth

Creation and maintenance of a group

Preparation is crucial, gatekeeping, stability, unification, deterring anti-cohesiveness, socialization scapegoating, affective management, physical survival of the group takes presidence

Slosson Intelligence Test

Provides quick evaluation of general verbal cognitive ability. INDEX OF VERBAL INTELLIGENCE.; 4-65

Interview questions for group therapy members

Question should focus on interpersonal functioning. Questions such as what is your earliest memory of your mother or father? Describe your best friends and what has become of them. Have you experienced any group involvement? What was it like? Tell about your memberships work and other involvements.

Areas of functioning we look at during intake

ROSE- relational occupational social educational

Couple therapy issues

Relationship problems, communication problems, conflict, emotional distance, loneliness in a relationship, trust, and affairs

Conner's Rating Scales- Revised

Scales used to evaluate problem behavior in youth ages 3 through 17. Includes scales completed by parents and teachers and an adolescent self-report scale for clients ages 12 through 17.

Group member interview accomplishes three things

Screens out hostile, egocentric, domineering, or suspicious individuals and those who possess in adequate equal strength for group dynamics, 2. Allows potential members to get to know the group leader, 3. Lets the group leader explain members rights and the groups goals and format

Individual therapy issues

Seeking independence for individualization, intrapsychic conflict, very intimate concerns, long lasting conditions, crisis

Carol depression scale

Self reading instrument in the presence of severity and depression Age 18+

group norms

Shared guidelines or rules for behavior that most group members follow

Factors that affect group dynamics and function

Size, format, duration and frequency, voluntary or required participation, developmental stages, setting

SPLAT

Symptom identification, problem recognition, level of functioning, assessment tools, treatment progress

Types of therapeutic groups

T groups, personal growth and Kat are groups, leaderless groups

Million Clinical Multiaxial Inventory (MCMI)

The Million Clinical Multiaxial Inventory (MCMI) is a psychological assessment tool intended to provide information on psychopathology, including specific DSM disorders. It is intended for adults with at least an 8th grade reading level. The MCMI was developed and standardized specifically on clinical populations (i.e. patients in psychiatric hospitals or people with existing mental health problems), and the authors are very specific that it should not be used with the general population or adolescents. (25-30 min).

Relational Functioning

The degree one symptoms are affecting their interpersonal relationships as well as in relationships with oneself such as involvement with law-enforcement homelessness etc.

Educational functioning

The degree one symptoms are affecting their overall academic functioning generally N/A for adults

occupational functioning

The degree one symptoms are affecting their performance at work generally not applicable to children and adolescents

Social Functioning

The degree one symptoms are affecting their social life and social relationships and interactions with others

Under certain conditions which areas should be assessed during intake?

The medical history including hospitalizations,last physical, substance or medication use, suicidality if appropriate, & the history of mental illness in the family

Sims mapping

Time -Age,onset,duration frequency Functioning- what impact are the symptoms having on relationships, occupation, social, education Symptoms- feelings (internal) and behaviors (external) Roles - Who is the client? Who are you a therapist?

Beck Hopelessness Scale (BHS)

To assess likelihood of suicide in adult and adolescent patients of 17 years if age or older., measures feelings about the future of loss of motivation and expectations

Denver Developmental Screening Test (DDST)

To chart normal progress between the ages of 1 mo. to 6 yrs. To identify children who are NOT developing normally

BASC - Behavior Assessment System for Children

To understand behaviors & emotions of children & adolescents 2yrs-College teacher & parent rating scales 6yrs-College self-report

Child Behavior Checklist (CBCL)

Tool used for minors 4-18. Investigates behavior problems among childhood to address the issues of social competency and behavior. 138 items.

Decision making toasted

Treatment techniques, objectives and goals, adjunct, services, services during treatment, termination and referrals, ethics,diagnosis

Personal growth and encounter groups

Typically meeting for a set time, these groups encourage risk taking for personal growth and development.

IPAT Depression Scale

Used to measure the cognitive, emotional, and other symptomatic issues associated with depression. Based on 7 depression factors including somantic complaints.

Couple therapy support

When one partner has illness impact the relationship couple therapy for support

Individual therapy client traits

Withdrawn or isolated, low self-esteem, highly anxious, introverted, suspicious antisocial hostile destructive, uncomfortable in groups resistant to treatment

Back Depression Inventory (BDI)

a questionnaire useful for determining the level of depressive symptoms that a person is reporting, ages 13-80

Mental Status Exam (MSE)

a set of interview questions and observations designed to reveal the degree and nature of a client's abnormal functioning

Raven's Progressive Matrices

an intelligence test that emphasizes problems that are intended not to be bound to a particular language or culture; person asked to identify the missing element that completes a pattern

Kaufman Assessment Battery for Children (KABC-II)

an intelligence test that measures children's ability to integrate different stimuli simultaneously and step-by-step thinking

Hamilton Rating Scale for Depression

clinician administered measures level of depression in previous week good for measuring progress and effectiveness of treatment

Short mood and feelings qustionaire

for 6+, screwing tools-for depression in children, HELPFUL for measuring syptom severity & treatment progress

Treatment modalities

individual, group, and family counseling, support groups, lifestyle changes, education and aftercare

Group Member Roles

roles that help establish and maintain positive, cooperative relationships and group-centered interaction

Structured Clinical Interview for DSM (SCID)

series of questions to assess presence of symptoms based on DSM criteria

family therapy

therapy that treats the family as a system. Views an individual's unwanted behaviors as influenced by, or directed at, other family members Recommended for: family conflict, communication problems in the family, children or adolescents acting out, multiple family members need help, family member has a chronic mental disorder

Minnesota Multiphasic Personality Inventory (MMPI)

widely used structured personality test designed to assess symptoms of mental disorders, Measurement of personality, behavioral issues,and psychopathology