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Final Flashcards

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1
Q

_________________ focuses on enhancing the quality of life for people with disabilities and their families, meeting basic needs and ensuring inclusion and participation

A

Community-based rehabilitation (CBR)

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2
Q
  • Attain high quality longer lives free of preventable disease, disability, injury and premature death
  • Achieve health equity, eliminate disparities, and improve the health of all groups
  • Create social and physical environments that promote good for all
  • Promote quality of life, healthy development, and healthy behaviors across all life stages
A

Healthy People 2020

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3
Q

OT in community based mental health has emphasis on what?

A

Improved quality of life, decreased hospitalization

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4
Q

Place person where they want to work then train them there

A

Place and train model

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5
Q

Cons of place and train model

A

Time consuming, need lots of support initially

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6
Q

Identifying needs and facilitating access to community services, supporting continuity over time and across services, matching the client’s needs to the support provided

A

Case management

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7
Q

Goals of case management

A

Reduce hospitalization, keep client in least restrictive environment, maintain quality of life

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8
Q

6 steps in case management service intervention

A

evaluation, service plan development, placement services, linkage and consultation, daily living skills development, emergency intervention

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9
Q

Administrative office base model, case manager assesses needs and makes referrals, no direct clinical care

A

Broker model

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10
Q

Broker model caseload

A

50-150 clients

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11
Q

Special skills associated with broker model?

A

No clinical skills required, need to be familiar with the mental health system

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12
Q

Goal with broker model?

A

Stabilization and successful use of services

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13
Q

Engagement, assessment, psychotherapy, living skills training and psychoeducation

A

Clinical case management

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14
Q

Caseload clinical case management?

A

30-50

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15
Q

Training clinical care management?

A

training in psychotherapy and psychoeducation

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16
Q

Goal of clinical case management?

A

provide direct services and referral

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17
Q

Commonly used client-driven model, strengths-oriented, stresses importance of client-therapist alliance and aggressive community outreach

A

Strengths Model

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18
Q

Requirements with strengths model?

A

clinical skills

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19
Q

Goal of strengths model?

A

identify and maximize client strengths and obtain needed skills and/or resources to support community integration and improve quality of life

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20
Q

Client-driven, attentive to client strengths, focused on identification and remediation of skill deficits

A

Rehabilitation model

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21
Q

Caseload rehabilitation model?

A

20-30

22
Q

Requirements for rehabilitation model?

A

clinical skills and training, case manager serves as a mentor

23
Q

Goal of rehabilitation model?

A

promote adaptation to the community and achievement of personal goals

24
Q

Full-support model with 24 hour coverage and time-unlimited services

A

Assertive community treatment

25
Q

Caseload for assertive community treatment?

A

Takes some of the most difficult clients, usually take 1-10, some take up to 20

26
Q

Team with assertive community treatment?

A

multi-disciplinary rather than single case manager

27
Q

What is done in assertive community treatment?

A

In vivo service, direct skill training and service rather than referral

28
Q

Goal in assertive community treatment

A

reduce hospitalization, help clients remain in community with support

29
Q

Full support model that is similar to assertive community treatment

A

Intensive case management

30
Q

Caseload for intensive case management?

A

20

31
Q

Team in intensive case management?

A

No team, done individually, do not share caseloads in teams

32
Q

Goal in intensive case management?

A

Reducing hospitalization, helping clients remain in community with support

33
Q

Empowers consumers to manage illnesses, develop own goals for recovery, make informed decisions about treatment

A

Illness management and recovery (IMR)

34
Q

What model provides a blueprint for illness management?

A

Stress-Vulnerability model

35
Q

Trained IMR practitioners meet weekly with consumers either individually or as a group for how long?

A

3 to 10 months

36
Q

Uses evidence-based teaching methods to provide basic information about MI and treatment

A

psychoeducation

37
Q

Consumers who chose to take medications learn strategies to help manage daily medication regimes

A

Behavioral tailoring

38
Q

Involves helping consumers identify triggers of past relapses and early warning signs of impending relapse, consumers learn how to develop plans for preventing relapses

A

Relapse prevention

39
Q

Helps consumers identify and enhance effective strategies that they currently use to deal with symptoms, learn and practice using new strategies

A

Coping skills training

40
Q

Research-proven model of treatment for people with serious mental illnesses and co-occuring substance sue disorders

A

Integrated treatment for co-occuring disorders (IDT)

41
Q

Stages of transtheoretical model

A

pre-contemplation, contemplation/preparation, action, maintenance

42
Q

Precontemplation stage

A

assertive outreach, practical help, intro to ind/family/ group and self-help treatment formats

43
Q

Which transtheoretical stage is associated with engagement?

A

precontemplation

44
Q

Which transtheoretical stage is associated with persuasion?

A

contemplation/preparation

45
Q

Which transtheoretical stage is associated with active treatment?

A

action

46
Q

Which transtheoretical stage is associated with relapse prevention?

A

maintenance

47
Q

Contemplation/preparation stage

A

education, goal setting, building awareness of problem through motivational counseling

48
Q

Action stage

A

counseling and treatment- CBT, skills training, support from families and self-help groups

49
Q

Maintenance stage

A

continued counseling and treatment based on relapse prevention techniques, skill building, ongoing support to promote recovery

50
Q

Decent, safe, and affordable community-based housing that provides tenants with the rights of tenancy under state and local landlord tenant laws and is linked to voluntary and flexible support and services designed to meet tenants’ needs and preferences

A

Permanent supportive housing

Adult Psych (3 decks)

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