Reflective practice is a skill that takes practice |
Tag Archives: Youth Ministry
Mental state exam for youth workers: Cognition
Attention and concentration are assessed by using structured tests such as series seven tests, or if you are in a pinch getting them to spell a five-letter word backwards), and by testing digit span. Here we are looking to see if the young person can keep their focus and concentration whilst completing given tasks. These tests are great for judging inebriation, attention deficits and anxiety.
Memory is assessed in terms of immediate registration (repeating a set of words), short-term memory (recalling the set of words after an interval, or recalling a short paragraph), and long-term memory (recollection of well known historical or geographical facts). If there is a severe issue with memory it may indicate dementia or neurological issues. Short term memory loss can be a symptom of anxiety.
Executive functioning can be screened for by asking the “similarities” questions (“what do x and y have in common?”) and by means of a verbal fluency task (e.g. “list as many words as you can starting with the letter F, in one minute”). The mini-mental state examination is a simple structured cognitive assessment which is in widespread use as a component of the MSE. These tests are looking at higher order brain functioning and a persons ability to stay on task. This is important for their ability to think in a critical way.
Note: The kind of brief cognitive testing discussed here are regarded as a screening process only, and any abnormalities should be more carefully assessed using formal neuropsychological testing.
Stay tuned for our final segment next week: Insight and Judgement.
If you haven’t yet, sign up for our newsletter to find out all the goings on at Ultimate Youth Worker. (Sign up here)
You can also leave us a comment below or post a comment on facebook and twitter.
Why do youth worker’s struggle to work together???
- Youth work has become a competitive industry and this permeates through to staff.
- Vicarious trauma which is not dealt with properly has to come out eventually, usually in burnout.
- When people work in close proximity in tough situations it can lead to some personality clashes.
- Managers provide minimal accountability and do not squash issues within the team quickly enough.
- Some people are just not cut out for youth work!!!
What gets youth worker’s through stressful times???
Youth work isn’t always fun! |
“A difficult time can be more readily endured if we retain the conviction that our existence holds a purpose – a cause to pursue, a person to love, a goal to achieve.”- John Maxwell
Mental state exam for youth workers: Perception
A hallucination is defined as a sensory perception in the absence of any external stimulus, and is experienced objectively by the young person eg. they see it and you don’t. Hallucinations occur in any of the five senses, although auditory (hearing) and visual (sight) hallucinations are the most frequently observed. Auditory hallucinations are typical of psychosis and symptoms such as ‘voices talking about the young person’ and ‘hearing one’s thoughts spoken aloud’ are indicative of schizophrenia, whereas second-person hallucinations such as ‘voices talking to the young person threatening or insulting or telling them to commit suicide’, may be symptomatic of psychotic depression or schizophrenia. Visual hallucinations are more likely suggestive of organic conditions such as epilepsy, drug intoxication or drug withdrawal.
An illusion is defined as a false sensory perception in the presence of an external stimulus, in other words a distortion of a sensory experience, and may be recognized as such by the subject. The best example I can think of is mime artist or the visual illusions of Giuseppe Arcimboldo. The old adage that your eyes play tricks on you is no more true than when we think of illusions. Illusions in themselves are not necessarily an indicator of mental illness but could mean a physical disorder or intoxication.
One of Giuseppe Arcimboldo’s illusions |
A pseudohallucination is experienced in an internal or subjective space such as ‘voices in my head’ and is regarded as akin to fantasy. Other sensory abnormalities include a distortion of the young persons sense of time, for example déjà vu, or a distortion of the sense of self (depersonalization) or sense of reality (derealization). These symptoms could be suggestive of dissociative disorders, epilepsy or brain damage.
I %^&*ing HATE school: I’m going to be a drug dealer!
Maslow’s hierarchy of needs |
Youth work organisations shirk their responsibility
Organisations must care for their staff
The average youth worker drowns in bureaucracy and its worse if they don’t look after their self care |
Many of the staff that we come across at Ultimate Youth Worker want to do their job to the best of their ability and they all say that they could use more support from their managers. Most managers we meet would love to support their staff but are drowning in paperwork and their own lack of support to be able to help anyone. Then when all hell breaks loose we crucify the staff and managers for not doing their job right. If there is not time to reflect and maintain self care what do we expect!!!
Mental state exam for youth workers: Thought process and content
A prime example of maladaptive thought content and process |
Thought process
Thought content
If you haven’t yet, sign up for our newsletter to find out all the goings on at Ultimate Youth Worker. (Sign up here)