Final Flashcards
_________________ focuses on enhancing the quality of life for people with disabilities and their families, meeting basic needs and ensuring inclusion and participation
Community-based rehabilitation (CBR)
- 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
Healthy People 2020
OT in community based mental health has emphasis on what?
Improved quality of life, decreased hospitalization
Place person where they want to work then train them there
Place and train model
Cons of place and train model
Time consuming, need lots of support initially
Identifying needs and facilitating access to community services, supporting continuity over time and across services, matching the client’s needs to the support provided
Case management
Goals of case management
Reduce hospitalization, keep client in least restrictive environment, maintain quality of life
6 steps in case management service intervention
evaluation, service plan development, placement services, linkage and consultation, daily living skills development, emergency intervention
Administrative office base model, case manager assesses needs and makes referrals, no direct clinical care
Broker model
Broker model caseload
50-150 clients
Special skills associated with broker model?
No clinical skills required, need to be familiar with the mental health system
Goal with broker model?
Stabilization and successful use of services
Engagement, assessment, psychotherapy, living skills training and psychoeducation
Clinical case management
Caseload clinical case management?
30-50
Training clinical care management?
training in psychotherapy and psychoeducation
Goal of clinical case management?
provide direct services and referral
Commonly used client-driven model, strengths-oriented, stresses importance of client-therapist alliance and aggressive community outreach
Strengths Model
Requirements with strengths model?
clinical skills
Goal of strengths model?
identify and maximize client strengths and obtain needed skills and/or resources to support community integration and improve quality of life
Client-driven, attentive to client strengths, focused on identification and remediation of skill deficits
Rehabilitation model
Caseload rehabilitation model?
20-30
Requirements for rehabilitation model?
clinical skills and training, case manager serves as a mentor
Goal of rehabilitation model?
promote adaptation to the community and achievement of personal goals
Full-support model with 24 hour coverage and time-unlimited services
Assertive community treatment
Caseload for assertive community treatment?
Takes some of the most difficult clients, usually take 1-10, some take up to 20
Team with assertive community treatment?
multi-disciplinary rather than single case manager
What is done in assertive community treatment?
In vivo service, direct skill training and service rather than referral
Goal in assertive community treatment
reduce hospitalization, help clients remain in community with support
Full support model that is similar to assertive community treatment
Intensive case management
Caseload for intensive case management?
20
Team in intensive case management?
No team, done individually, do not share caseloads in teams
Goal in intensive case management?
Reducing hospitalization, helping clients remain in community with support
Empowers consumers to manage illnesses, develop own goals for recovery, make informed decisions about treatment
Illness management and recovery (IMR)
What model provides a blueprint for illness management?
Stress-Vulnerability model
Trained IMR practitioners meet weekly with consumers either individually or as a group for how long?
3 to 10 months
Uses evidence-based teaching methods to provide basic information about MI and treatment
psychoeducation
Consumers who chose to take medications learn strategies to help manage daily medication regimes
Behavioral tailoring
Involves helping consumers identify triggers of past relapses and early warning signs of impending relapse, consumers learn how to develop plans for preventing relapses
Relapse prevention
Helps consumers identify and enhance effective strategies that they currently use to deal with symptoms, learn and practice using new strategies
Coping skills training
Research-proven model of treatment for people with serious mental illnesses and co-occuring substance sue disorders
Integrated treatment for co-occuring disorders (IDT)
Stages of transtheoretical model
pre-contemplation, contemplation/preparation, action, maintenance
Precontemplation stage
assertive outreach, practical help, intro to ind/family/ group and self-help treatment formats
Which transtheoretical stage is associated with engagement?
precontemplation
Which transtheoretical stage is associated with persuasion?
contemplation/preparation
Which transtheoretical stage is associated with active treatment?
action
Which transtheoretical stage is associated with relapse prevention?
maintenance
Contemplation/preparation stage
education, goal setting, building awareness of problem through motivational counseling
Action stage
counseling and treatment- CBT, skills training, support from families and self-help groups
Maintenance stage
continued counseling and treatment based on relapse prevention techniques, skill building, ongoing support to promote recovery
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
Permanent supportive housing
