Chapter 4: Treatment Settings Flashcards
asylums have roots in
civil war
continuum of mental health care start and end
primary care
state hospital
when we are choosing care for patients what do we want to focus on
least restrictive environment
primary care setting
where many mental health disorders are identified
speciality providers
treat more in-depth cases
primary goal in emergency services
preform triage and stabilization
triage
determining the severity of the problem and the urgency of a response
stabilization
resolution of the immediate crisis
primary prevention
occurs before any problem appears
seeks to reduce the rate of new cases
stops problem from occurring
education
if a patient already has a diagnosis what stage are they past
primary
secondary prevention
early identification of problems
screening
effect treatment
prevent from getting worse
can a patient have a diagnosis in secondary
yes
tertiary prevention
treatment with a focus on preventing progression
closely related to rehab
what are some outpatient problems that may affect the success of treatment
housing adequacy and stability
income and source of income
family and support system
substance abuse history and current use
physical well being
crisis stabilization/observation
step up from ER
23 hours
observing if needed to be admitted
voluntary vs involuntary
voluntary is agree
non voluntary is disagree
what does the patient maintain
rights
- med refusal
- restraints
- seclusion
criteria to justify admission
danger to self
danger to others
unable to fulfill basic needs
rights of the hospitalized patient
- retains rights as citizens
- patient needs to safety must be balanced against patient right as a citizen
clinical pathways/care pathways/integrated care pathyways
essential steps in care of patents with specific clinical problems based on the usual and expected clinical course
milieu
the physical or social setting in which something occurs or develops
