Chapter 32: Serious Mental Illness Flashcards
serious mental illness definition
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
can SMI be any disorder
yes
younger adults with SMI
- 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
older adults with SMI two groups
before deinstitutionalization
after
older adults before deinstitutionalization
pateitns became dependent on services and structure and were unable to function independently
older adults after deinstitutionalization
inadequate housing
diet
physical toll
medication induced medical conditions
rehab vs recovery
- rehab
focuses on managing patients deficits
helping people learn to live with illness
focuses on what is wrong
rehab vs recovery
- recovery
focuses on client empowerment and strengths
achieving goals of clients choosing
how to move forward
hopeful and empowering
emphasizes future not illness
dual diagnosis
mental health diagnosis + substance use disorder
why do people with mental illness die 25 years earlier
because cannot take care of whole person due to mental illness
SMI
- victim or perpetrator
more likely to be victim
SMI economic challenges
unemployment and poverty
housing instability
caregiver burden
non adherence increases likelihood of
relapse
anosognia
inability to recognize deficits due to illness
residual symptoms
left over symptoms
community services and programs improve ability to funciton
independently and remain outpatient
CBT
thinking patterns to change behavior
cognitive enchancement therapy (CET)
computer based drills and exercises to strengthen brain function
ex: sudoku
assertive community treatment (ACT)
all health care needs in one place
collaborative care
NAMI family to family program focuses on
understanding SMI, coping skills and the recovery process
clubhouse model
gather to be social
no providers
what pateitns want to do
RUN BY PATIENTS, NO PROVIDERS
ex: arts and crafts
involuntary admit have to go through court system why
to make sure they meet criteria
psychiatic advance directive
states what the patient wants treatment to go in case of a crisis
main diagnosis
safety
criminal offenses and incarceration
untreated/undertreated mental illness
deinstitutionalization
moved into community
transinstitutionalization
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
