Institutionalized Special Needs Adults

Question 1

What are the three movements that were set in motion (originally in Scandinavia) in the special needs evolution?

Answer 1

deinstitutionalization
normalization
mainstreaming

Question 2

When was eugenics (certain people are “less than”) the highest in society?

Answer 2

at the turn of the 20th century

Question 3

During warehousing and institutionalization, society “hid its ______” far from the cities and population centers.

Answer 3

defectives

• special needs
• truants
• criminals

Question 4

The main focus for deinstitutionalization was to emphasize ____ not deficiencies in order to recognize a wide range of _____.

Answer 4

skills > deficiencies

wide range of normal

Question 5

True or False: Deinstitutionalization is over.

Answer 5

True, those who remain….need to be there

Question 6

Legislative Change through bill ______: gave the right to equal public education.

Answer 6

PL 94-142

Question 7

The ______ Act states improved the accommodation of society to persons with disabilities.

Answer 7

American with Disabilities

Question 8

True or False: The affordable care act covers patients with SHCN.

Answer 8

False, Affordable Care only covers kids

Question 9

What are the issues related to care for SHCN patients?

Answer 9

1. Health System: lack of integration, need, ignorance

2. Patient Issues: care giver, technology, financing

Question 10

True or False: Some patients depend upon machines, implanted devices, physiological and anatomic substitutes.

Answer 10

True

Question 11

True or False: The system has policies and guidelines for medically necessary dental care.

Answer 11

False, it is often uncompensated!!!

Question 12

True or False: Medically necessary dental care is often compensated for.

Answer 12

False

Question 13

Entry into a dental practice is often complicated by one or more of the “three strikes.” What are the three strikes?

Answer 13

1. Under 3 years old
2. Covered by a government program
3. having a SHCN

Question 14

True or False: There are clear, nationally recognized standards available for dental care of SHCN.

Answer 14

False

Question 15

What are the three residential options that predominate for special needs patients?

Answer 15

Home - largest number of pts.
CRS (community residential setting)
PRF (public residential facility; institution) - smallest #

Question 16

True or False: Institutionalization can be seen as either a positive or negative.

Answer 16

True
good = wide range of services
bad = oppressive, restrictive

Question 17

De-institutionalization should be seen as the process of moving people from the _____ to the ______ environment.

Answer 17

most restrictive to least restrictive

Question 18

True or False: Reinstitutionalization is often seen as a positive.

Answer 18

True, provides the necessary services for a patient needs

Question 19

The population of PRF patients has _____.

Answer 19

declined

Question 20

In 1967, 228,000 patients were in PRF and by 1998 the number was _____.

Answer 20

52,400 patients

Question 21

What is a “group home?”

Answer 21

Community-based (CRS)
small residential facility
clients have chores and are higher-functioning
better compliance and less aberrant behaviors

Question 22

What is the difference between a CRS and PRF:
Accessibility?
Financial?
Communication?
Continuity of Care?

Answer 22

CRS: driver is arranged
PRF: transport unnecessary

CRS: finances could be issue
PRF: finances usually covered

CRS: easier to communicate

CRS: continuity is hard to accomplish
PRF: continuity is scheduled and less difficult

Question 23

True or False: Dental hygienists should form collaborative relationships with dentists to provide better care in residential facilities.

Answer 23

True