Chapter 5 - Mental Health in Community Flashcards
Goal of least restrictive enviroment
Achievement of the highest level of functioning in the least restrictive enviroment
Coordination of care is most effective with:
a. ) Physician input
b. ) Home health care nurse
c. ) Tx for illness
d. ) Rapport
D Rapport makes it most effective
Case manager job
Locate services, links the pt. w/ services, and monitors the pt. receipt of services
Case management goal:
Help the pt. gain access to high-quality and cost-effective mental health services
Crisis Care
crisis intervention (ER)
23-hr observation
Crisis stabilization
Crisis intervention
a specialized short-term, goal-directed therapy for those in acute distress last < 6 hr.
Crisis stabilzation
< 7 days
Symptoms management, sort term interventions, monitoring side effects
Transitional care
Transitional care interventions have been used in the community to ensure that people with mental illnesses stay engaged in treatment between discharge from the hospital and the first follow-up appointment. Reduce 30 day readmission
Outpatient detoxification normal length
Depends on severity of addiction
Intensive outpatient programs
stabilization and relapse prevention for highly vulnerable individuals who function autonomously on a daily basis
Ex. Addiction out pt. care
Self-Help Groups
AA, NA
Outpatient care
Ex. Therapy
Nurse’s role in alternative housing
Act al liaison for residential placement
Nurse’s role in managed care?
Teaching social skills and self reliance
Build self confidence
Inform about pt. progress
Crisis interventions and case management
