Ch. 15: Treatment of Schizophrenia and Other Severe Mental Disorders

Question 1

What is the Milieu approach to long term institutional care?

Answer 1

Creation of social climate to promote productivity. Pts are residents

Question 2

What is the Token approach to long term institutional care?

Answer 2

Based on operant conditioning, pts receive rewards for good behavior, but there are ethical concerns and difficulty to transition w/o rewards

Question 3

What two drugs calmed patients w/ psychotic symptoms prior to surgery?

Answer 3

chlorpromazine

Question 4

How effective are antipsychotics?

Answer 4

reduce symptoms (mostly positive) by 65%
noncompliance is an issue

Question 5

Over 50% of all patients with schizophrenia are treated with what drug?

Answer 5

atypical antipsychotic drugs

Question 6

What are the 3 beneficial therapies?

Answer 6

Cognitive, family, social

Question 7

What’s the premise of cognitive behavioral therapy?

Answer 7

Biologically triggered sensations are linked to development of schizophrenia

Question 8

What is the goal of cognitive behavioral therapy?

Answer 8

Help patients understand their experiences in a more accurate way in order to reduce fear and confusion

Question 9

What is the strategy of cognitive behavioral therapy?

Answer 9

Provide education, challenge inaccuracies, teach better interpretations, and teach coping mechanisms

Question 10

What do new wave cognitive behaviorists teach patients?

Answer 10

be mindful of their worries and accept negative thoughts as harmless events of the mind

Question 11

What is the community approach?

Answer 11

Community mental health act, range of mental health services to keep patients in community, started deinstitutionalization.

Question 12

What is family therapy approach?

Answer 12

provides guidance and support to help families empathize with patient.

Question 13

What is social therapy approach?

Answer 13

provides practical advice and problem solving and social skills, these folks have lower recidivism rates

Question 14

– a community mental health center is a liaison for care (meds, therapy, social skills, vocational counseling)

Answer 14

Coordinated services

Question 15

What is partial hospitalization?

Answer 15

day centers of day hospitals where patients receive care and treatment during the day, then home at night

Question 16

halfway houses or group homes that typically house 12 to 24 people. Supervised by mental health professionals, staffed by paraprofessionals (lay person with training).

Answer 16

supervised residences

Question 17

sheltered workshops where patients work under close supervision. Some patients stay permanently.

Answer 17

occupational training and support

Question 18

How has community treatment failed?

Answer 18

Poor coordination of services
Poor or limited communication between agencies
Shortage of services/money/economic plan