Chapter 17 Flashcards
These efforts are targeted at the general public or a whole population group.
Universal interventions.
These efforts are aimed at a specific subgroup of the population whose risk of developing a mental health problem is thought to be significantly higher than average
Selective interventions.
Thes eefforts are directed toward high risk individuals who are identified as having minimal but detectable symptoms of mental disorder but who do not meet the criteria for clinical diagnoses.
Indicated intervention.
This research strategy involves identifying high risk individuals and providing special approaches to circumvent their problems, for example, identifying adolescents at risk for abusing alcohol or committing suicide and implementing a program to prevent the problem behaviour.
Intervention programs for high risk populations.
__________________________ for prevention begin with promoting adaptive lifestyles. Many of the gaols of health psychology can be viewed as universal prevention strategies.
Biologically based universal strategies.
The first requirement for _________________ is that aperson develops the skills needed for effective problem solving, for expressing emotions constructively, and for engaging in satisfying relationships with others.
Psychosocial health.
_________________ efforts toward universal prevenetion are focused on making the community as saef and attractive as possible for the individuals within it.
Sociocultural.
What are the two drugs most abused by adolescents?
Alchohol and tobacco.
In creating a therapeutic community, all the ongoing activities of he hospital are brought into the total treatment program, and the environment, or milieu, is a crucial aspect of the therapy. This approach is thus often referred to as _______________.
Milieu therapy.
Three general principles guide the approach to milieu therapy…. what are they?
1.. Staff expectations are clearly communicated to patient.
2. Patients are encouraged to become involved in all decisions made and all actions taken, concerning them.
3. All patients belong to social groups on the unit.
Considerable effort has been devoted to reducing the population of inpatients by closing hospitals and treating patients who have mental health disorder as out patients. This effort, which is referred to as __________________, was initiated to prevent the negative effects for many psychiatric patients.
Deinstitutionalization.
Community based treatment programs, now referred to as __________________, are live in facilities that serve as a home base for former patients as they make the transition back to adequate functioning in the community.
Aftercare programs.
People who have not committed crimes but who are judged to be potentially dangerous because of their psychological state may, after ______________ procedures, be confined in a psychaitric hospital.
Civil commitment.
Most states have stringent safeguards to ensure that any person who is the subject of a petition for commitment is grnted due provess, including right to formal hearings and the right to legal counsel at commitment hearings. This right was granted by the supreme court in the case of ______________.
Memmel vs. mundy.
The duty to warn ruling - has come to be known as the ___________________.
Tarasoff decision.
In the Wyatt v Stickney decision, it was ruled that a person with an intellectual disability had the right _________________________.
To receive treatment.
In the souder v brennan ruling it was determined that someone had the right to _______________________.
Compensation for work.
The right to freedom from custodial confinement was determined in which case?
Oconnor v. Donaldson
The establishment of the right to live in a community was a part of what case?
Stone v. Miller.
Patients have the right to less restrictive treatment was determined in what case?
Dixon v. Weinberger.
Patients have the right to refuse psychotropic medication was a part of which ruling?
Washington v. Harper
He was not found guilty because he was experiencing delusions of persecution. People are assumed sane unless it can be proved that at the time of committing the act they were laboring under such a defect of reason that they did not know the nature of the quality of the act they were doing. This is known as the _______________________ rule.
M’Naughten
This is the rule which states that someone could not avoid doing the act in question because they were compelled beyond their will to commit the act.
The irresistible impulse rule.
This rule states that the accused is not criminally responsible if her or his unlawful act was the product of mental disease or mental defect
The durham rule.
Often referred to as the “substantial capacity test” for insanity, this test combines the cognitive aspect of M’Naghten with the volitional focus of irresistible impulse in holding that the perpetrator is not legally responsible if at the time of the act he or she, owing to mental disease or defect, lacked “substantial capacity” either to appreciate the act’s criminal character or to conform his or her behavior to the law’s requirements.
The american law institute standard.
IDRA also specified that the mental disorder involved must be a severe one and shifted the burden of proof from the prosecution to the defense. That is, the defense must clearly and convincingly establish the defendant’s insanity. This is in contrast to the prior requirement that the prosecution clearly and convincingly demonstrate the defendant to have been sane when the prohibited act was committed.
The federal insanity defense reform ACT.
In these cases, a defendant may be sentenced but placed in a treatment facility rather than in a prison.
Guilty but mentall ill.
If someone is charged with a crime and is considered to be unable to understand the trial proceedings as a result of intellectual deficits or mental health problems, that person can be hospitalized until her or his mental state is judged to be improved sufficiently for the person to be considered competent to stand trial.
Competent to stand trial.
Prcedure whereby a person certified as mentally disordered can be hospitalized, either voluntarily or against his or her will.
Civil commitment.
The determination that a person who is charged with a crime has the mental health capability to participate in the proceedings.
Competent to stand trial.
Movement to close mental hospitals and treat people with seveere mental disorders in the community.
Deinstitutionalization.
Plea and possible verdict that would provide an alternative to pleading not guilty by reason of instanity (NGRI) and would allow for placing a defendant in a treatment facility rather than in a prison.
Guilty but mentally ill (GMBI)
Early detectiong and prompt treatment of maldaptive behaviour in a persons family and community setting.
Indicated intervention.
The not guilty by reason of insanity (NGRI) plea used as a legal defense in a criminal trial.
Insanity defense.
Genreal approach to treatment for hospitalized patients that focuses on making the hospital environemtn itself a therapeutic community.
Milieu therapy.
NGRI, is a legal defense a defendant might use to claim that he or she was not guilty of a crime because of insanity.
Not guilty by reason of insanity. (NGRI)
Mobilization of prevention resorces to eleiminate or reduce a particular type of problem (such as teenage pregnanacy or alcohol or drug abuse).
Selective intervention.
Ruling by a california court that a therapist has a duty to warn a prospective victim of an explicit threat expressed by a client in therapy.
Tarasoff decision.
The tasks of altering conditions that cause or contribute to mental disorders (risk factors) and establishing conditions that foster positive mental health (protective factors).
Universal intervention.
