Behavioral Health Flashcards

1
Q

what field is behavioral health in?

A

interdisciplinary

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2
Q

what 4 characteristics does the application of behavioral health help aid in?

A

prevention

diagnosis

treatment

rehabilitation

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3
Q

overview of behavioral health

A

national
- health campaigns

group
- for people with chronic conditions already motivated to look to groups with support
- unique opportunity to connect people for support

individual
- patient treated for single or multiple behaviors

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4
Q

behavioral health aims to preserve health and prevent illness through ______ _________

A

lifestyle changes

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5
Q

goal for managing chronic illnesses in behavioral health

A

increase quality of life and better treatment

not necessarily to cure illness

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6
Q

biopsychosocial model for behavioral health

A

psychological

social

biological
- traditional medication
- health = absence of disease
- disease = presence of something

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7
Q

disease vs. illness

A

d - biomedical model, always explained by abnormal biological processes

i - biopsychosocial model, explained by the interaction between biological, social and psychological factors

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8
Q

what is the short-term goal in session length for behavioral health?

A

4-8 sessions

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9
Q

teachable moments for behavioral health

A

office visit for health screenings/preventive care

diagnosis of chronic medical condition

office visit for an acute health concern

when a patient expresses worry about a loved one’s health

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10
Q

work with people as they are, not as they _______ ___

A

should be

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11
Q

using SMART goals is a method of goal setting that: (three things)

A

increases the likelihood of reaching goals

anticipates and plans for barriers to reaching the goals

reinforces continued success by setting a progressive series of goals

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12
Q

what is a known pitfall of goal setting?

A

setting unachievable goals!

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13
Q

SMART goals stands for…

A

specific

measurable
- setting goal we can observe and a specific way to measure it

attainable (aka achievable)
- balance challenge with resources to achieve goal

realistic

time-limited

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14
Q

I want to get healthy vs. I want to begin an exercise plan is working on what part of SMART?

A

Specific

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15
Q

I want to exercise more vs. I want to exercise 30 minutes 3 times per week is working on what part of SMART?

A

measurable

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16
Q

I want to complete an ironman vs. I want to sign up for a couch-to-5k program is working on what part of SMART?

A

attainable

17
Q

SMART: attainable vs. realistic

A

a - Can you do it

r - will you do it

18
Q

I want to run outside everyday vs. i want to incorporate movement into my day everyday is working on what part of SMART?

19
Q

I want to lose 50 lbs vs. I want to follow my exercise goal for one month and check in on my progress is working on what part of SMART?

A

time-limited

20
Q

2 reasons to set time-limited goals?

A
  1. goal met short term = good for reinforcement for future goal, while not met short term = changes need to be made
  2. make sure people aren’t setting goals outside of your control
    - ex. get an internship is a bad goal, not in your control for them to pick you
21
Q

what did the problem solving video of the two guys show?

A

response to small problems = give up and accept it

causing them to add up

22
Q

step one in problem solving to promote treatment adherence

A

define the problem clearly

state the problem in terms of changes that are clear and achievable within persons control

23
Q

step two in problem solving to promote treatment adherence

A

generate a wide range of responses
- obtain as many different responses as possible
- think outside the box
- do not consider pros/cons at this stage
- doing nothing is always an option

24
Q

step three in problem solving to promote treatment adherence

A

evaluate pros/cons of each response
- how feasible is this response?
- what are the potential consequences of this response?
- what are the potential benefits of this response?
- would anything get in the way or make this response less effective?

25
step four in problem solving to promote treatment adherence
**rank order of potential responses** - use list from step 3 to identify the response with the optimal pro/con balance - when ranking solutions, emphasize feasibility in relation to potential benefits
26
step five in problem solving to promote treatment adherence
**select and implement a response** - choose the highest rank response - assist the patient in developing an action plan to implement the response - the action plan should address exactly *what* the patient is going to do and *when* they are going to do it
27
step six in problem solving to promote treatment adherence
**evaluate the response** - if a problem remains, return to the previous steps
28
clinicians should try to respond ____________ to patient disclosures of non-adherence
non-judgementally
29
what mentality does the clinician want to adopt when address patient's experience
investigator mentality! - understand the why and learn why this is happening
30
activity scheduling in behavioral health
- chronic illness can interfere with patients' abilities to engage in pleasurable or valued activities - decreased engagement can contribute to - depression and anxiety - social isolation and lower quality of life - difficulties with treatment adherence and worsening of medical symptoms
31
the disability spiral
thoughts - "I have to stay in bed and rest when I hurt" behaviors - stay in bed, watch TV, stop socializing emotions - sadness, depression, anger physical sensations - pain/making it worse repeat!
32
4 steps in activity scheduling
1. identify pleasurable or valued activities 2. plan a specific time for the activity 3. anticipate and problem-solve barriers 4. monitor mood before and after - begin to engage once we realize we feel better after
33
what does activity scheduling do?
disrupts disability spiral!