Chapter 32 - Serious Mental Illness Flashcards
Define serious mental illness (SMI)
KNOW THIS!!!
Group of psychiatric conditions, that can significantly affect functioning & one’s quality of life, especially if left untreated
- most are primarily biological in origin
Examples of serious mental illnesses (SMIs)
- Mood disorders
- Personality disorders
- Psychotic disorders
- Subtypes of schizophrenia
Young people with SMI
- Cyclical in nature (cycles of quick treatment, brief recovery, nonadherance, & relapse)
Additional Problems:
* Increased frequency of relapse
* Legal difficulties
* Homelessness
* Substance use
* Unemployment
* Poorer long-term prognosis
Older Adults with SMI
Before deinstituionalization, psychiatric hospitals were long-term residencies
- Patients became dependent on services & structure & were unable to function independently
Current Challenges:
* Inadequate housing
* Inadequate diets
* More of a physicla toll
* Medication-induced medical conditions
What is rehabilitation & what does it focus on?
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- Managing the patient’s deficits
- Helping individuals learn to live with their illness
Teach patients how to manage their illness / problem & focuses on the patient’s deficits
What is recovery & what does it focus on?
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- Patient empowerment & strengths
- Achieving goals of the patient’s choosing
- Leading increasingly productive & meaningful lives
Patient chooses their goals & focus is on the patient’s strengths / empowerment
What is anosognosia?
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Inability to recognize something is wrong due to psychiatric illness / diagnosis
Inability to see they’re ill
aNOsogNOsia = NO, I’m NOT ill
- Non-adherence
- Relapse
What is the clubhoue model?
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Patients with similar psychiatric mental illness / serious mental illness
Patients plan activities & interactions that are interested to them
- People with similar diagnoses plan their own activities / what they want to do & run the programming themselves (i.e. lemonade stand, playing cards, etc.)
What is the supported employment model?
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Financial incentives to employers to employ individuals who have serious mental illness
- Financial incentives to employers
- Rapid placement in job preferred by the patient
- Continuing individualized support on the job
- Integration of mental health & employment services
What is assertive community treatment (ACT)?
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Patient works with multidisciplinary team to receive a range of services instead of having to go to multiple agencies
What is cognitive-enhancement therapy (CET)?
Computer-based drills & exercises to strengthen brain function
What is de-institutionalization?
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Indidivual is moved out of an institutional setting & into the community
What is transinstitutionalization?
KNOW THIS!!!
Individual moves from one institutional setting to another
- From in-patient psych hospital to jail
Explain current issues with trans-institutionalization
KNOW THIS!!! – ESSAY QUESTION
- Patients who are moved from one institution to another instead of going home
- Psych hospital to jail
- 20% of jail inmates have serious mental illness
