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NRSG 126: Mental Health > Chapter 4: Treatment Settings and Therapeutic Programs > Flashcards

Chapter 4: Treatment Settings and Therapeutic Programs Flashcards

1
Q

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

A

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

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2
Q

Case Management: What is this?

A

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

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3
Q

Case Management: Interventions for relapse prevention include

A

Symptom education, service community, and esablishmenet of daily structure

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4
Q

Case Management: What are Assertivie Community Treatment?

A

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

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5
Q

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

A

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

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6
Q

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

A

Day treatment and evening treatment programs

Building comunication and social skills

Solving problems

Monitoring Medications

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7
Q

Partial Hospitalization Programs: Who would use this program?

A

Those after an inpatient hospital stay

Those coming before problems start

Others may transition from this to longer term outpatient therapy

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8
Q

Partial Hospitalization Programs: What is the goal of this?

A

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

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9
Q

Residental Services: Board and care homes often provide what?

A

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

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10
Q

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

A

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

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11
Q

Residental Services: What are halfway houses?

A

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

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12
Q

Residential Services: What are group homes?

A

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

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13
Q

Residential Services: What are independent living programs?

A

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

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14
Q

Residential Services: What is the evolving consumer household?

A

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

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15
Q

Transitional Care: What is Transitional Discharge Model?

A

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

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16
Q

Transitional Care: Two essential components of Transitional Discharge Model?

A

Peer support and bridging staff.

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17
Q

Transitional Care: How is peer support provided?

A

By a consumer now living successfully in the community

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18
Q

Transitional Care: How is bridging staff provided?

A

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

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19
Q

Psychiatric Rehabilitation and Recovery: What is Psychiatric Rehabilitation?

A

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

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20
Q

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

A

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

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21
Q

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

A

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

22
Q

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

A

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

23
Q

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

A

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

24
Q

Psychiatric Rehabilitation and Recovery: Another aspect of involvement of

A

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

25
Q

Clubhouse Model: Who pioneered this?

A

Foutain house

26
Q

Clubhouse Model: What was Fountain Houses belief?

A

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

27
Q

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

A

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

28
Q

Clubhouse Model: Clubhouse model recognizes what relationship is important

A

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

29
Q

Clubhouse Model: What is the rehabilitation alliance?

A

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

30
Q

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

A

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

31
Q

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

A

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

32
Q

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

A

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

33
Q

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

A

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

34
Q

Technology: What does ICT stand for

A

Information and communication technology

35
Q

Homelessness: What are important compents for decreasing homelessness?

A

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

36
Q

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

A

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

37
Q

Homelessness: What was the ACCESS project?

A

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.

38
Q

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

A

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

39
Q

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

A

5x higher than normal people

40
Q

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

A

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

41
Q

Mental Illness and Incarceration: What are mobile crisis services?

A

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

42
Q

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

A

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

43
Q

Active Military and Veterants: OCD and Veterans

A

More prevelant with veterans and should be routinely screened

44
Q

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

A

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

45
Q

Interdisciplinary Team: Members of this team include

A

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

46
Q

adequate discharge planning is a good indicator of

A

how successful the clients community placement will be

47
Q

What does PHP usually address?

A

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

48
Q

Types of resisential settings include

A

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

49
Q

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

A

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

50
Q

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

A

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

51
Q

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

A

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

NRSG 126: Mental Health (24 decks)

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