Documentation, Person-Centered Language, and Goal Setting Flashcards
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Read the first 7 Documentation, Person-Centered Language, and Goal Setting flashcards as text
A peer specialist documents: 'She seems unstable and is probably going to relapse.' What is wrong with this note?
Answer: It contains speculation and stigmatizing language rather than observable facts.
Documentation must be based on observable facts, not speculation or judgmental predictions that stigmatize the individual.
Which approach to goal setting reflects the concept of self-determination?
Answer: The peer identifies what they want to achieve and the specialist supports that vision.
Self-determination means the individual drives their own goal-setting process with the specialist serving as a supporter, not a director.
What should a peer specialist do if asked by a colleague to share a peer's documentation without a signed release?
Answer: Decline and explain that a signed release of information is required.
Confidentiality requires a signed release of information before sharing records with anyone not covered by a prior consent.
The phrase 'person in recovery' is preferred over 'recovering addict' because:
Answer: It acknowledges the person's identity beyond their substance use history.
Person-first language like 'person in recovery' recognizes the individual's full humanity rather than defining them by their addiction.
Which element makes a goal measurable in a peer support plan?
Answer: Specifying a concrete, observable indicator of success.
A measurable goal includes a specific, observable outcome so that both the peer and specialist can recognize when it has been achieved.
When a peer discloses something sensitive during a session, a peer specialist should document it by:
Answer: Recording only what is relevant to the peer's goals and support needs.
Documenting only relevant information respects privacy while still maintaining an accurate record of the support provided.
In individualized service planning, 'person-centered' means the plan is:
Answer: Driven by the individual's own goals, values, and preferences.
A person-centered plan reflects what the individual wants for their life, not what providers or family members think is best.