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Psychiatry > 2: General Approach to Psychiatric Care > Flashcards

2: General Approach to Psychiatric Care Flashcards

1
Q

What is the role of the community mental health team

A

Look after those with serious or complex mental health needs in the community

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2
Q

What are three types of community mental health teams

A
  • CRISIS team
  • Assertive outreach teams
  • Early Intervention Teams
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3
Q

What is crisis team

A

Individuals experiencing acute mental health crisis

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4
Q

What are assertive outreach teams

A

Those with complex mental health needs

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5
Q

What are early intervention teams

A

First-episode of psychosis

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6
Q

What are CAMHS

A

Look after under 18 year-olds

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7
Q

How can someone be referred to CMHT

A

CMHT is a secondary care service - can be referred from primary care, liaison psych, social services, police, IAPT

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8
Q

What is the care program approach

A

Package of care used by secondary mental health services

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9
Q

What are aspects of CPA

A
  • Goals
  • Strengths
  • Support needs
  • Difficulties
  • Crisis plan
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10
Q

When are care programme approaches implemented

A

Implemented by secondary health services for individuals at high-risk of with a wide array of needs (suicide, self-harm, abuse, recent MHA detainment, crisis referral)

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11
Q

Who produces care programme approach

A

CMHT

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12
Q

Explain legal rights governing care program approach

A

All individuals detained under mental health act or with a community treatment order have a right to free aftercare under section 117

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13
Q

What is psychotherapy

A

Tasing therapy delivered by trained professional based on particular model

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14
Q

What are 4 favourable traits of psychotherapy

A
  • Motivated
  • Owns difficulties
  • psychologically minded
  • capacity for self-containment
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15
Q

What are 5 unfavourable traits for psychotherapy

A
  • poor impulse control
  • low tolerance for frustration
  • impaired cognitive function
  • substance-dependence
  • active psychosis
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16
Q

Who can primary care refer to

A

IAPT (Primary-Care Service) or CMHT (Secondary-Care)

17
Q

What is counselling

A

Focuses on the present - based around behaviour patterns

18
Q

What is psychodynamic therapy

A

Derived from psychoanalysis. Focuses on development from childhood. It states that unconscious conflicts between feelings, wishes and what is acceptable when repressed cause problems. Focuses on content of dreams

19
Q

What is CBT based on

A

Beck’s triad: cognitions influence feelings and behaviour

20
Q

Who created attachment theory and what year

A

John Bowlby (1990)

21
Q

What does attachment theory state

A

Children from attachments with their primary care giver in order to survive

22
Q

Who described types of attachment

A

Mary Ainsworth - using stranger situation test

23
Q

What is the main type of attachment

A

Secure attachment (65%)

24
Q

Describe secure attachment

A
  • Child is free to explore
  • Parent is attentive to child’s needs
  • Child knows there needs will be met
25
Q

What adult personality does secure attachment lead to

A

Autonomous

26
Q

What is insecure-avoidant attachment

A
  • Child is not explorative
  • Mum is disengaged
  • Child does not feel needs will be met
27
Q

What does avoidant attachment lead to in adult life

A
  • Dismissing
28
Q

What is insecure-ambivalent attachment

A
  • Child is anxious and insecure
  • Parents response is inconsistent
  • Child does not feel needs will be met
29
Q

What adult personality does ambivalent attachment result in

A

Preoccupied

30
Q

What is disorganised attachment

A
  • Child is depressed or angry
  • Parent response is intrusive, erratic or frightening
  • Child is severely confused and needs not met
31
Q

What does disorganised attachment lead to

A

Fearful

32
Q

What are the 3 parts of the therapeutic relationship

A
  • Therapeutic alliance
  • Transference
  • Countertransferance
33
Q

What is therapeutic alliance

A

Relationship formed between doctor and patient

34
Q

What is simple therapeutic alliance

A

Mutual co-operation

35
Q

What is complicated therapeutic alliance

A

Where patient has covert agenda which manifests in subconscious means

36
Q

What is transferance

A

Patient projects parts of early relationships onto the practitioner - only parts of the relationship is projected. The other person is expected to play a complementary role

37
Q

What is countertransference

A

Emotions and fantasies evoked in the other person (doctor) by the patients transferance. Easier to identify if not congruent with doctors personality

38
Q

What is ECT used for

A

Treatment-resistant depression or psychosis

Psychiatry (13 decks)

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