Social Work · ASWB LCSW

ASWB: Assessment and Intervention Planning

Diagnostic assessment tools and evidence-based intervention planning concepts tested on the ASWB clinical licensing exam.

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What is a comprehensive biopsychosocial assessment?
An evaluation examining biological, psychological, and social factors affecting a client to understand the full context of their presenting problems.
Define differential diagnosis in clinical assessment.
The systematic process of comparing and contrasting symptoms to rule out alternative diagnoses and identify the most likely diagnosis.
What is the purpose of a risk and protective factors assessment?
To identify factors that increase likelihood of negative outcomes (risk factors) and factors that promote resilience and positive outcomes (protective factors).
How did DSM-5 change the diagnostic structure from DSM-IV?
DSM-5 eliminated the multi-axial system and integrated all disorders into a single diagnostic list with dimensional specifiers.
Define the biopsychosocial model in social work assessment.
A holistic framework that views client problems as resulting from interactions of biological, psychological, and social factors rather than single causes.
Why is cultural competence essential in diagnostic assessment?
To ensure assessments are conducted with understanding of clients' cultural backgrounds, values, and beliefs to avoid misdiagnosis and inappropriate treatment recommendations.
Name three evidence-based assessment instruments for depression.
PHQ-9 (Patient Health Questionnaire-9), BDI-II (Beck Depression Inventory), or HDRS (Hamilton Depression Rating Scale).
What does a standardized assessment instrument provide?
Established reliability, validity, and normative data that allow consistent measurement and comparison across clients.
Define crisis assessment in clinical social work.
A rapid evaluation of a client's immediate safety, suicidality, homicidality, and ability to function to determine urgency of intervention and appropriate level of care.
What must be communicated to a client before assessment begins?
Information about the assessment procedures, potential risks, benefits, how information will be used, and obtaining their voluntary informed consent.
Name the core components of a comprehensive trauma assessment.
History of trauma exposure, current PTSD symptoms, dissociative symptoms, functional impairment, substance use, suicidal ideation, and personal resources or strengths.
What is motivational interviewing and its role in assessment?
A collaborative approach using specific techniques to explore ambivalence and increase intrinsic motivation for change while gathering assessment information.
Define the strengths perspective in assessment.
An approach emphasizing identification of client capacities, talents, resources, and social supports as the foundation for building a treatment plan.
What is a substance use disorder assessment?
A comprehensive evaluation of patterns of use, consequences of use, withdrawal symptoms, risk factors, treatment readiness, and co-occurring mental health conditions.
What does cultural formulation mean in DSM-5 assessment?
A systematic review of cultural factors relevant to diagnosis, including cultural identity, explanations for illness, cultural features affecting self-concept, and clinical relationship issues.

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