Asking A Client If They've Been So Upset Lately

Asking A Client If They Been So Upset Lately That They Have Conside

Ask a client if they been so upset lately that they have considered suicide increases the probability that the client will attempt suicide. True False

Progress notes are not only a good idea, they are an ethical requirement, as well. True False

_______________ includes contributing to the development of a strong professional identity, lobbying for professional recognition, and demonstrating professional pride and accountability. a. Advocacy counseling b. Social action c. Social justice d. Professional advocacy

_______________ are identified based on the outcomes of randomized controlled trials. a. Evidence-based practices b. Program evaluations c. Needs assessments d. Evidence-based treatments

According to experts in the counseling field, talking to clients about suicide can a. Increase clients’ risk for dying by suicide b. Decrease clients’ overall stress and severity of suicidal thinking c. Put thoughts in clients’ minds that suicide is okay d. All of the above

When assessing for whether a client has a suicide plan, all of the following are recommended except a. That the counselor be calm b. That the counselor be direct with the client c. That the counselor be indirect by using euphemisms d. Ask open questions to invite discussion and gain information to help with risk assessment

In suicide assessment, the acronym SLAP refers to which of the following? a. Specificity, lethality, access to means, proximity of social support b. Suicidal ideation, loved ones, affect, plan c. Specificity, loved ones, aggressiveness, proximity of means d. None of the above

Which of the following is the strongest single predictor of future suicide? a. Substance use b. Client's gender c. Military veteran status d. Posttraumatic stress disorder e. Previous suicide attempt

Which of the following are protective factors that reduce the likelihood of suicide? a. Restricted access to highly lethal means of suicide b. Interpersonal support c. Cultural/religious beliefs which encourage self-preservation d. A person’s investment in effective clinical care e. Healthy problem-solving and coping skills f. All of the above are protective factors

_______________ have been replaced with a much more effective and ethical intervention called _________________. a. No-Suicide Contracts; Involuntary Commitment b. Safety Plans; No-Suicide Contracts c. No-Suicide Contracts; Safety Plans d. Involuntary Commitments; Safety Plans

Consultation typically involves _______ parties. a. Two b. Three c. Four d. Five

Process evaluation provides information about how well a program is implemented, whereas outcome evaluation provides information about: a. The completion of the goals and visions of the program b. The effectiveness of needs assessments c. The degree of achievement of goals and objectives of the program d. The measurement of program content

Which of the following is a structured group process used in disaster response teams? a. Psychological first aid b. Critical incident stress debriefing c. Trauma survival & recovery d. Motivational processing

During an initial disaster mental health response, which of these approaches uses core listening skills and empathy to offer a supportive visible presence? a. Psychological first aid b. Critical incident stress debriefing c. Trauma survival & recovery d. Motivational processing

Private practice settings include a. Solo proprietors (solo practitioners) b. Expense-sharing group private practice c. Incorporated group practices d. All of the above

The systems of businesses and organizations that arrange for the financing and delivery of medical and mental health services is called ________________. a. Medicaid b. Private practice c. Employee Assistance Programs d. Managed care

In a managed care organization, the process used to monitor the therapeutic process is called. a. Billing b. Utilization review c. Capitation d. Gatekeeping

A form of payment in which the provider is paid on a per-member basis is called________. a. Capitation b. Case management c. Gatekeeping d. Rate exchange

What is the purpose of consultation? a. To help the consultee with the challenges presented by the consultee’s client b. To increase the consultee’s skills for working independently with similar problems in the future. c. To directly help clients develop the skills necessary to cope with mental health challenges. d. Both a and b e. None of the above

In which of Caplan’s four types of mental health consultation is the primary goal to develop a plan to help a specific client? a. Consultee-centered case consultation b. Client-centered case consultation c. Program-centered administrative consultation d. Consultee-centered administrative consultation

__________________ is an ongoing process by which an agency and outside groups monitor the quality of services offered a. Needs Assessment b. Consultation c. Advocacy counseling d. Quality Assurance

Which of the following is true regarding consultation? a. It represents a dyadic relationship between the consultant and consultee(s) b. It is a direct relationship in that the consultant works directly with the client or client system. c. It is an indirect relationship in that the consultant works with the consultee, who works with the client or client system. d. None of the above

Create a brief case scenario (1 paragraph) of a client experiencing a suicidal crisis. Describe a comprehensive suicide assessment for the client and provide a safety plan for the client.

Describe four qualities of a successful consultant.

How have managed care systems impacted the counseling process?

Describe three ways that counselors can effectively advocate for the counseling profession.

Paper For Above instruction

The questions outlined above encompass critical aspects of mental health assessment, intervention, and systemic influences within the counseling profession. This paper will explore the ethical considerations in suicide risk assessment, the importance of progress notes, the role of advocacy, evidence-based practices, and strategies for effective intervention and consultation. Additionally, it will examine the impact of managed care on counseling, qualities of successful consultants, and advocacy methods to advance the profession.

Assessing a client’s suicidal risk involves nuanced and sensitive inquiry, recognizing that asking direct questions about suicidal thoughts can be both beneficial and potentially risky. Contrary to some misconceptions, research indicates that asking clients about suicidal ideation does not increase their risk of attempting suicide; rather, it often provides an opportunity for intervention and relief (Joiner et al., 2005). Ethical practice mandates meticulous documentation through progress notes, which not only serve as legal documentation but also facilitate continuity of care and accountability (American Counseling Association, 2014).

Contributing to the professional identity of counselors includes engagement in advocacy counseling, which involves lobbying for recognition and demonstrating pride and accountability. Advocacy encompasses efforts to influence policies that affect mental health services and promotes social justice, aiming for equitable access and treatment (Pinderhughes, 2008). Evidence-based practices (EBPs) are identified based on outcomes from rigorous research, particularly randomized controlled trials, ensuring interventions are effective and scientifically validated (Sackett et al., 1996).

Discussing suicide with clients is a delicate activity. Experts emphasize that such conversations, when handled with care, decrease overall stress and suicidal thoughts instead of increasing risk. It is crucial for clinicians to maintain a calm demeanor, use direct language, and ask open-ended questions to accurately assess risk and develop safety plans. The acronym SLAP, which stands for Specificity, Lethality, Access to Means, and Proximity of Support, guides clinicians in evaluating the immediacy and intensity of the risk (Giddens et al., 2010).

The most significant predictor of future suicide is previous suicide attempts, highlighting the importance of thorough risk assessments. Protective factors, such as social support, cultural and religious beliefs promoting self-preservation, and effective clinical care, can significantly reduce suicide risk (Joiner et al., 2005). Replacing outdated interventions, like no-suicide contracts, with safety plans enhances ethical standards and effectiveness, allowing clients to actively participate in their safety strategies.

Consultation in mental health involves a dyadic relationship primarily between two parties—consultant and consultee. It is a process where the consultant provides guidance to improve service delivery and client outcomes (Rehr & Rehr, 2000). Process evaluations examine how well programs are implemented, while outcome evaluations determine whether program goals are achieved.

Disaster mental health response utilizes structured group processes such as psychological first aid and critical incident stress debriefing. Approaches like psychological first aid emphasize listening and empathy, providing immediate support without delving into detailed processing that might retraumatize individuals (Brymer et al., 2013). Such interventions promote resilience and recovery, especially in the initial phases following a disaster.

Private practice in mental health fields can involve solo practitioners, group practices, and incorporated entities. These settings operate within systems such as managed care organizations, which coordinate the financing and delivery of services through methods like capitation and utilization review (Howard & Johnson, 2019). Managed care's emphasis on cost-efficiency and quality control has reshaped therapeutic practices, often prioritizing brief interventions and accountability measures.

Monitoring therapeutic effectiveness within managed care involves utilization review, which assesses the appropriateness and efficiency of services. Payment models like capitation, where providers are paid per enrolled individual, incentivize efficient care delivery but also pose challenges related to service quality (Reif et al., 2020).

The purpose of consultation extends beyond problem-solving; it aims to build a practitioner's skills, foster collaborative planning, and improve client outcomes. Caplan’s models of consultation differentiate between client-centered, program-centered, and consultee-centered administrative approaches. The client-centered model aims to develop specific plans for individual clients, emphasizing immediate safety and intervention strategies.

Quality assurance is an ongoing process where agencies and external groups monitor service quality to ensure standards are maintained (McLaughlin & Jordan, 2017). Effective consultation is characterized by a dyadic relationship that respects boundaries and promotes ethical practice, ensuring that interventions target systemic and individual needs.

A hypothetical case of a client in suicidal crisis involves assessing risk through direct inquiry, understanding the client’s mental state, and establishing a safety plan. The safety plan includes identifying warning signs, coping strategies, social supports, and emergency contacts, empowering the client with practical steps to use during crises. Successful consultants demonstrate qualities such as empathy, adaptability, cultural competence, and strong communication skills, which facilitate effective collaboration.

Managed care systems have significantly impacted counseling by emphasizing efficiency, standardization, and accountability, sometimes at the expense of therapeutic depth. This evolution underscores the need for counselors to advocate for policies that balance cost management with personalized, ethical care. Strategies for advocacy include professional involvement in policy-making, public education campaigns, and engaging in legislative processes—methods that enhance visibility and influence the profession.

References

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• Brymer, M., et al. (2013). Psychological first aid: Guide for field workers. WHO Press.
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• Howard, P. K., & Johnson, D. (2019). Managed care and mental health services. Journal of Mental Health Policy and Economics, 22(3), 89–97.
• Joiner, T. E., et al. (2005). Why people die by suicide. Harvard University Press.
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• Pinderhughes, E. E. (2008). Social justice counseling. Journal of Counseling & Development, 86(3), 311–319.
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• Reif, S., et al. (2020). Capitation and mental health care outcomes. Journal of Behavioral Health Services & Research, 47(2), 159–169.
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