Institutionalized Special Needs Adults Flashcards
What are the three movements that were set in motion (originally in Scandinavia) in the special needs evolution?
deinstitutionalization
normalization
mainstreaming
When was eugenics (certain people are “less than”) the highest in society?
at the turn of the 20th century
During warehousing and institutionalization, society “hid its ______” far from the cities and population centers.
defectives
- special needs
- truants
- criminals
The main focus for deinstitutionalization was to emphasize ____ not deficiencies in order to recognize a wide range of _____.
skills > deficiencies
wide range of normal
True or False: Deinstitutionalization is over.
True, those who remain….need to be there
Legislative Change through bill ______: gave the right to equal public education.
PL 94-142
The ______ Act states improved the accommodation of society to persons with disabilities.
American with Disabilities
True or False: The affordable care act covers patients with SHCN.
False, Affordable Care only covers kids
What are the issues related to care for SHCN patients?
- Health System: lack of integration, need, ignorance
2. Patient Issues: care giver, technology, financing
True or False: Some patients depend upon machines, implanted devices, physiological and anatomic substitutes.
True
True or False: The system has policies and guidelines for medically necessary dental care.
False, it is often uncompensated!!!
True or False: Medically necessary dental care is often compensated for.
False
Entry into a dental practice is often complicated by one or more of the “three strikes.” What are the three strikes?
- Under 3 years old
- Covered by a government program
- having a SHCN
True or False: There are clear, nationally recognized standards available for dental care of SHCN.
False
What are the three residential options that predominate for special needs patients?
Home - largest number of pts.
CRS (community residential setting)
PRF (public residential facility; institution) - smallest #
True or False: Institutionalization can be seen as either a positive or negative.
True
good = wide range of services
bad = oppressive, restrictive
De-institutionalization should be seen as the process of moving people from the _____ to the ______ environment.
most restrictive to least restrictive
True or False: Reinstitutionalization is often seen as a positive.
True, provides the necessary services for a patient needs
The population of PRF patients has _____.
declined
In 1967, 228,000 patients were in PRF and by 1998 the number was _____.
52,400 patients
What is a “group home?”
Community-based (CRS)
small residential facility
clients have chores and are higher-functioning
better compliance and less aberrant behaviors
What is the difference between a CRS and PRF: Accessibility? Financial? Communication? Continuity of Care?
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
True or False: Dental hygienists should form collaborative relationships with dentists to provide better care in residential facilities.
True
