Chapter 32: Serious Mental Illness

Question 1

serious mental illness definition

Answer 1

group of psychiatric conditions, most of which are primarily biological in origin, that can significantly affect functioning and ones quality of life, especially if they go untreated

Question 2

can SMI be any disorder

Answer 2

yes

Question 3

younger adults with SMI

Answer 3

• disjointed short term hospitalizations
• cycles of quick treatment, brief recovery, non adherence, and relapse
• additional problems (relapse, legal, homelessness, substance use)
• poorer long term prognosis

Question 4

older adults with SMI two groups

Answer 4

before deinstitutionalization
after

Question 5

older adults before deinstitutionalization

Answer 5

pateitns became dependent on services and structure and were unable to function independently

Question 6

older adults after deinstitutionalization

Answer 6

inadequate housing
diet
physical toll
medication induced medical conditions

Question 7

rehab vs recovery
- rehab

Answer 7

focuses on managing patients deficits
helping people learn to live with illness

focuses on what is wrong

Question 8

rehab vs recovery
- recovery

Answer 8

focuses on client empowerment and strengths
achieving goals of clients choosing

how to move forward
hopeful and empowering
emphasizes future not illness

Question 9

dual diagnosis

Answer 9

mental health diagnosis + substance use disorder

Question 10

why do people with mental illness die 25 years earlier

Answer 10

because cannot take care of whole person due to mental illness

Question 11

SMI
- victim or perpetrator

Answer 11

more likely to be victim

Question 12

SMI economic challenges

Answer 12

unemployment and poverty
housing instability
caregiver burden

Question 13

non adherence increases likelihood of

Answer 13

relapse

Question 14

anosognia

Answer 14

inability to recognize deficits due to illness

Question 15

residual symptoms

Answer 15

left over symptoms

Question 16

community services and programs improve ability to funciton

Answer 16

independently and remain outpatient

Question 17

CBT

Answer 17

thinking patterns to change behavior

Question 18

cognitive enchancement therapy (CET)

Answer 18

computer based drills and exercises to strengthen brain function
ex: sudoku

Question 19

assertive community treatment (ACT)

Answer 19

all health care needs in one place
collaborative care

Question 20

NAMI family to family program focuses on

Answer 20

understanding SMI, coping skills and the recovery process

Question 21

clubhouse model

Answer 21

gather to be social
no providers
what pateitns want to do
RUN BY PATIENTS, NO PROVIDERS
ex: arts and crafts

Question 22

involuntary admit have to go through court system why

Answer 22

to make sure they meet criteria

Question 23

psychiatic advance directive

Answer 23

states what the patient wants treatment to go in case of a crisis

Question 24

main diagnosis

Answer 24

safety

Question 25

criminal offenses and incarceration

Answer 25

untreated/undertreated mental illness

Question 26

deinstitutionalization

Answer 26

moved into community

Question 27

transinstitutionalization

Answer 27

moving from one insititue to another
ex: hospital to hospital or hospital to jail

a press whereby individuals supposedly deinstitutionalization as a result of community care polices, in practice end up in different insititutions, rather than their own homes