Chapter 4: Treatment Settings and Therapeutic Programs

Question 1

Inpatient Hospital treatment: At first, typical psychiatric unit emphasized what?

Answer 1

Talk Therapy, or one-on-one interactions and Milieu Therapy, meaning total environment and effects on the clients treatment

Question 2

Case Management: What is this?

Answer 2

Are usually social workers or nurses who follow the client from admission to discharge and are the liaison between client and community resources

Question 3

Case Management: Interventions for relapse prevention include

Answer 3

Symptom education, service community, and esablishmenet of daily structure

Question 4

Case Management: What are Assertivie Community Treatment?

Answer 4

Programs that provide many of the services that are necessary to stop the revolving door of repeated hospital admissions

Question 5

Partial Hospitalization Programs: These are designed to help clients do what

Answer 5

make a gradual transition from being inpatient to living independently and to prevent repeat admissions

Question 6

Partial Hospitalization Programs: What are some services that they provide?

Answer 6

Day treatment and evening treatment programs

Building comunication and social skills

Solving problems

Monitoring Medications

Question 7

Partial Hospitalization Programs: Who would use this program?

Answer 7

Those after an inpatient hospital stay

Those coming before problems start

Others may transition from this to longer term outpatient therapy

Question 8

Partial Hospitalization Programs: What is the goal of this?

Answer 8

They focus on training for social and basic living skills such as shopping for groceries and planning meals.

Question 9

Residental Services: Board and care homes often provide what?

Answer 9

A room, bathroom, laundry, and one common meal a day

Question 10

Residental Services: Adult foster homes may care for how many clients in what atmosphere?

Answer 10

1-3 in a family-like atmosphere including meals and social activities

Question 11

Residental Services: What are halfway houses?

Answer 11

Serve as temporary placement that provide support as clients prepare for independence.

Question 12

Residential Services: What are group homes?

Answer 12

House 6-10 people who take turns cooking meals and sharing household chores

Question 13

Residential Services: What are independent living programs?

Answer 13

Often houses in apartment complexes where clients share apartments . Staff members available for crisis intervention, transportation, assistance.

Question 14

Residential Services: What is the evolving consumer household?

Answer 14

A group living situation in which the residents make the transition from a transitional group home to a residence where they fulfill their own responsibilities. Eliminates problem of relocation

Question 15

Transitional Care: What is Transitional Discharge Model?

Answer 15

Patients who were discharged after long hospitalization receives intensive services to facilitate their transition .

Question 16

Transitional Care: Two essential components of Transitional Discharge Model?

Answer 16

Peer support and bridging staff.

Question 17

Transitional Care: How is peer support provided?

Answer 17

By a consumer now living successfully in the community

Question 18

Transitional Care: How is bridging staff provided?

Answer 18

Refers to an overlap between hospital and community care. Hospital staff don’t terminate their therapeutic relationship while relationship established with community care provider

Question 19

Psychiatric Rehabilitation and Recovery: What is Psychiatric Rehabilitation?

Answer 19

Services designed to promote the recovery process for clietns with mental illness

Question 20

Psychiatric Rehabilitation and Recovery: Recovery goes beyond symptom control and medication management ot include..

Answer 20

personal growth , reintegration into the community, empowerment, increased independence and improved quality of life

Question 21

Psychiatric Rehabilitation and Recovery: What is the challenge of moving toward a recovery model of care?

Answer 21

Creating and managing the change this requires, both for staff and organization

Question 22

Psychiatric Rehabilitation and Recovery: This rehan has improved client outcomes by providing

Answer 22

community support services to decrease hospital readmission rates and increase community integration

Question 23

Psychiatric Rehabilitation and Recovery: What are some barriers in this field?

Answer 23

Poverty, lack of jobs, and inadequate vocational skills are barriers to community integration because were not included in medically necessary and not funded

Question 24

Psychiatric Rehabilitation and Recovery: Another aspect of involvement of

Answer 24

peer counselors or consumer providers. Programs employing peers showed improvement in client functioning satisfaction

Question 25

Clubhouse Model: Who pioneered this?

Answer 25

Foutain house

Question 26

Clubhouse Model: What was Fountain Houses belief?

Answer 26

that both men and women with serious and persistent psychiatric disabilities can and will achieve normal life goals when given opportunity, time, support, and fellowship

Question 27

Clubhouse Model: Membership in the clubhouse is based on what four guaranteed rights of members

Answer 27

A place to come to Meaningful work Meaningful relationships A place to return to (lifetime)

Question 28

Clubhouse Model: Clubhouse model recognizes what relationship is important

Answer 28

Physician-client relationship as a key to successful treatment and rehab while acknowledging that brief encounters tht focus on symptom management are not sufficient to pormote rehab

Question 29

Clubhouse Model: What is the rehabilitation alliance?

Answer 29

refers to the network of relationships that must develop over time to support people with psychiatric disabilites and includes client, family, friends, and clinicians

Question 30

Assertive Community Treatment (ACT): Who came up with this?

Answer 30

Marx, Test, and Stein came up with this in 1973

Question 31

Assertive Community Treatment (ACT): What did the three men believe?

Answer 31

That skills, training, support, and teaching should be done in community where it was needed rather than hospital

Question 32

Assertive Community Treatment (ACT): Program has a problem-solving orientation meaning

Answer 32

staff members attend to specific life issues, no matter how mundane

Question 33

Assertive Community Treatment (ACT): How do they provide services?

Answer 33

Directly rather than relying on referrals to other programs or agencies. Implement servivces in clients home and communities

Question 34

Technology: What does ICT stand for

Answer 34

Information and communication technology

Question 35

Homelessness: What are important compents for decreasing homelessness?

Answer 35

Psychosocial Rehabilitation services, peer support, vocational training, and daily living skill training

Question 36

Homelessness: What does the Projects for Assistance in Transtion from Homelessness (PATH) do?

Answer 36

Funds community-based outreach, mental health, substance abuse, case management and other support services

Question 37

Homelessness: What was the ACCESS project?

Answer 37

To assess whether more integrated systems of delivery enhance the quality of life of homeless people with serious mental disabilities through the use of services and outreach . Was a 5 year program. Provided outreach to 100 people.

Question 38

Homelessness: What were some positive sustained outcomes of the ACCESS project?

Answer 38

Increased social support, less psychotic symptoms, and fewer days in the hospital and participants were intoxicated for fewer days

Question 39

Mental Illness and Incarceration: Rate of mental illness in the jailed population?

Answer 39

5x higher than normal people

Question 40

Mental Illness and Incarceration: Wht is Criminalization of Mental Illness?

Answer 40

The practice of arresting and prosecuting mentally ill offenders, even for misdemanors at a rate 4x higher than general population in order to contain them in a place where theyd need treatment

Question 41

Mental Illness and Incarceration: What are mobile crisis services?

Answer 41

Linked to police departments. Called to scene where officers believe mental health issues involved. Diverted to hospital instead of jail

Question 42

Active Military and Veterants: The number of deployments, specifically 3 or more, is positvely correlated with what?

Answer 42

PTSD , Depression, Bipolar, and Anxiety. Sleep Disorders, Substance Use, Cardiovascular Disease, and Family Dysfunction

Question 43

Active Military and Veterants: OCD and Veterans

Answer 43

More prevelant with veterans and should be routinely screened

Question 44

Active Military and Veterants: Military Veterants benefit from involvement in therapeutic life changes including

Answer 44

Diet, Exercise Relaxation, Stress Management, Recreation, and Spirituality

Question 45

Interdisciplinary Team: Members of this team include

Answer 45

Pharmacist, Psychiatrist, Psychologist, Psychiatric Nurse, Psychiatric SocialWorkers and OT

Question 46

adequate discharge planning is a good indicator of

Answer 46

how successful the clients community placement will be

Question 47

What does PHP usually address?

Answer 47

CLient's psychiatric symptoms, medication use, living environment, ADLs, leisure time, social skills, work and health concerns

Question 48

Types of resisential settings include

Answer 48

board and care homes, adult foster homes, halfway houses, group homes, assited living, and independent living program

Question 49

The clubhouse model of psychosocial rehabilitation is an intentiional comunity based on the belief that

Answer 49

both men and owmen with mental illness can and will achieve normal life goals when provided time, opportunity, support, and fellowship

Question 50

Why is ACT one of the most effective approaches to community-based treatment?

Answer 50

Includes 24hr/day services, low staff-to-client rations, in home or community, and intense and frequent contact

Question 51

Adults with mental illness may be place din the criminal just system more frequently because of

Answer 51

deinstitutionalization, rigid criteria for civil comitment, lack of resources, economizing on treatment and attitudes ofpolice