Intro

Question 1

mental health

Answer 1

reach own potential, well being, work productively, contribute to community

Question 2

Mental illness

Answer 2

Change in emotion, thinking, behavior that is distressing and causes problems with functioning

Question 3

Aspects of mental wellness

Answer 3

Rational thought, self-esteem, resilience, self-care, productivity, emotional growth, spirituality, relationship satisfaction

Question 4

psychological aspects of biopsychosocial functioning

Answer 4

Interactions, skills, creativity, emotional development

Question 5

Resilience determines…

Answer 5

Severity and progression of mental illness
- essential to recovery

Question 6

Resilience

Answer 6

ability to get resources to obtain own wellbeing

Question 7

Continuum of wellbeing

Answer 7

Wellbeing–>mild to moderate emotional problems and concerns with some sx–>mental illness (altered thinking and behavior with mood alterations)

Question 8

Inheritance theory

Answer 8

mental illness passed through genetics

Question 9

Germ theory

Answer 9

Mental illness is contagious through contagious microbes

Question 10

Septic foci theory

Answer 10

Mental illness spread through infection that begins in localized part of the body and spreads
- bleeding or surgery to cure

Question 11

Moral degeneracy theory

Answer 11

poor character causes illness

Question 12

Diathesis stress model

Answer 12

Biological predisposition plus environmental stress or trauma causes illness presentation

Question 13

Lunacy act

Answer 13

1845, started asylums and pushed to institutionalization

Question 14

early 1800s mental health understanding

Answer 14

symptoms are behavioral; sedation and restraint
- tx with lobotomy, insulin therapy, hydrotherapy, sedative cold pack, ECT

Question 15

Mental Health act

Answer 15

1930; institutes now give medical care

Question 16

1970

Answer 16

Mental health institutes become more hospitalized

Question 17

1990s

Answer 17

Mental health care moved to community

Question 18

When did mental and primary HC interweave?

Answer 18

late 2000s

Question 19

Effect of deinstitutionalization

Answer 19

SMI moved to outpt/community, some integrated successfully with psychotropic drugs or did not know how to fxn, many ended in prison or homeless

Question 20

Revolving door tx

Answer 20

60s, cycle of going in and out ED, limited comm support; changed admission criteria to shorter stays

Question 21

NAMI

Answer 21

consumers with AMI advocate for tx and focus on awareness, education, research, integration

Question 22

1999 Surgeon general report

Answer 22

mental health is real and early dx and tx is needed

Question 23

Tim’s law

Answer 23

Aimed at stopping revolving door; for people do not do well in community

Question 24

anosognosia

Answer 24

Don’t know you have a mental illness

Question 25

2003 new freedom commission

Answer 25

linked mental health to overall health; screenings and more resources

Question 26

Fayette county mental health court

Answer 26

Provides alternates to jail with classes, meds for AMI, tx recs

Question 27

Mental health parity act

Answer 27

1996; advocate for same coverage for phys and mental health disorders

Question 28

Affordable care act

Answer 28

Coverage for uninsured thru expanded Medicaid

Question 29

Dual diagnosis

Answer 29

AMI and sub abuse dx

Question 30

Recovery

Answer 30

Reach full potential and improve health

Question 31

Sigma

Answer 31

Fear and misunderstanding of mental illness

Question 32

Acute care

Answer 32

3-7d, stability and crisis intervention

Question 33

Long term care

Answer 33

7+ days to stabilize pt

Question 34

Partial hospitalization

Answer 34

daily for 6h/d, for pt who don't need inpt but need monitoring

Question 35

Day tx

Answer 35

less intense, 2-3x/w, group work on social skills and interpersonal often

Question 36

Who gets inpatient psych care

Answer 36

Ind who can't care for self or are at risk for SI or attempt, homicidal ideation

Question 37

72h hold

Answer 37

Involuntary hold against when danger to self or others (weekends and holidays not included)

Question 38

Pt restraint orders

Answer 38

Can't be PRN or standing orders - can be obtained ASAP after applying restraints - begin with least restrictive

Question 39

Order of sedation and restraint

Answer 39

- take to room to dec stimulation - oral PRN meds - Seclusion - IM PRN meds - restraint if dangerous

Question 40

Duty to warn and protect 3rd party

Answer 40

Exemption from pt's rights; pt says they will kill specific person or case of child and elder abuse

Question 41

Therapeutic milieau

Answer 41

Safe, secure, and therapeutic environment for ppl - reality orientation, real life training, interactions with peer/staff

Question 42

Elements of therapeutic milieau

Answer 42

Secure containment (basic needs), support, validation (holistic health), structure, and involvement (promote efficacy)