Chapter 4 Treatment Settings & Therapeutic Programs

Question 1

Treatment Settings: Inpatient Hospital

Answer 1

Criteria: Danger/harm to self, danger/harm to others, not being able to function in daily living

Duration: Typically 3-7 days

Rapid assessment, stabilization of symptoms, discharge planning

Client-centered multidisciplinary approach
to brief stay

Identify long-term issues for outpatient therapy
* Criteria for inpatient mental health admission
* Case management
* Discharge planning

Question 2

Goal of Inpatient Treatment

Answer 2

Stabilize symptoms

Question 3

Forensic Psychiatric Unit

Answer 3

Patient involved in criminal cases w/ mental illness

Question 4

Dual Diagnosis

Answer 4

Refers to a client w/mental illness as well as a substance abuse disorder

May also refer to a client w/mental illness & developmental disorder

More difficult to treat due to more issues posed by multiple diagnoses
- Higher rates of nonadherence to treatment & poorer long-term outcomes

Question 5

Treatment Settings: Partial Hospitalization (PHP)

Answer 5

Day treatment programs: Clients return home at night

Eight broad categories of goals
(see Box 4.1)
- Stabilization psychiatric symptoms
- Monitoring drug effectiveness
- Stabilizing living environment
- Improving ADL’s
- Time Management
- Developing Social Skills
- Obtaining meaningful work
- Providing follow-up of health concerns

Question 6

Treatment Settings: Residential

Answer 6

Vary in structure, level of supervision, and services provided
* Group homes
* Supervised apartments
* Board and care homes
* Adult foster care
* Respite/crisis housing

Transitional housing: Expectation to progress to
independent living
* Other programs serve clients
for longer periods of time.
* Respite or crisis housing
* Short-term temporary
shelter
* Opposition to group homes and
residential facilities

Question 7

Transitional Housing

Answer 7

Expectation to progress to independent living

Question 8

Least Restrictive Setting to Most Restrictive Setting

Answer 8

Outpatient-> ACT-> IOP-> PHP-> Residential-> Inpatient-> Forensic Psych

Question 9

Community Meaning

Answer 9

Includes all the clients on the unit, focuses on matters that affect ALL clients
Ex) Water heater is broken, snack shortage

Question 10

Miliui

Answer 10

Includes all staff members, focuses on how they can improve the unit

Question 11

Psychosocial Rehabilitation

Answer 11

Refers to services designed to promote the recovery process for clients w/mental illness

Question 12

Goals of Psychiatric Rehabilitation

Answer 12

Recovery from mental illness

Personal growth

Quality of lime

Community reintegration

Empowerment

Increased independence

Decreased hospital admissions

Improved vocational & social functioning

Continuous treatment

Question 13

Recovery

Answer 13

Improved quality of life, beyond just symptom control, including personal growth, reintegration into the community, empowerment, increased independence, & pursuit of life goals like any other person