Intro to Mental Health

Question 1

What is a mental health disorder defined as?

Answer 1

psychiatric diagnosis, mental illness

results in significant changes in a persons thinking, emotional state and behaviour and ability to function in social and occupational settings

meets defined diagnostic criteria

Question 2

What is a mental health problem defined as?

Answer 2

poor mental health, minimal mental well-being

broad term that includes mental health disorders and less severe mental health sx that do not meet diagnostic criteria but may disrupt personal, social and occupational functioning

Question 3

What is the purpose of MHSA?

Answer 3

assist people suffering from serious mental illness in receiving treatment

Question 4

What is the MHSA definition of a mental disorder?

Answer 4

a disorder of thought, perception, feelings or behaviour that seriously impairs a persons judgment, ability to recognize reality, ability to associate with others or ability to meet the ordinary demands of life with respect to which treatment is advisable

Question 5

What are the criteria for someone to be voluntarily admitted for mental health serivces?

Answer 5

person requires care that can be provided in a mental health center and the person consents to the admission

does not have to meet the “mental disorder” definition

Question 6

what are the 3 methods for involuntary hospitalization?

Answer 6

physician or prescribed health professional: form A completed

Peace officer

Provincial court judge: form C

Question 7

T or F
non mental health medical treatment can be authorized in an involuntarily admitted patient?

Answer 7

False

Question 8

What criteria must be met for someone to be involuntarily admitted?

Answer 8

being found to be a person with a mental health disorder who needs inpatient care

not being fully capable of making an admission or treatment decision

likely to harm self or others or suffers substantial mental or physical deterioration

Question 9

How many form G’s must be completed for someone to be involuntarily admitted?

Answer 9

2

Question 10

What does a psychiatrist do?

Answer 10

trained to examine emotions, thoughts and behaviours at a biological level in addition to understanding mental processes

Question 11

what does a psychologist do?

Answer 11

trained to focus on how mental processes can coincide with emotions, thoughts and behaviours

Question 12

what does a therapist do?

Answer 12

trained in various practices to help people vaginate challenging emotions, thoughts and behaviours

Question 13

T or F
diagnosis of mental conditions is largely subjective?

Answer 13

True

Question 14

What is the DSM-5?

Answer 14

handbook used as a guide to diagnose mental disorders

contains descriptions, Sx, and other criteria for diagnosing mental disorders

Question 15

what is a clinical psychiatric interview?

Answer 15

a dialogue between HCPs and patient that is designed to diagnose and determine a treatment plan

Question 16

what is the aim of a clinical psychiatric interview?

Answer 16

to collect information about the revealed (behaviour, intentions, prospects) as well as concealed (emotions, drives, conflicts) aspects of the interviewees world

Question 17

What is involved in a clinical psychiatric interview?

Answer 17

pt demographics
chief complaint
history of presenting illness
past psychiatric/substance use/legal history
medical history
family psychiatric history
social history
medication history
risk assessment: suicide, homicide
differential diagnosis
impression
treatment plan

Question 18

what is a mental status exam?

Answer 18

observation of pt throughout the clinical psychiatric interview

questions about pts thoughts, beliefs, perceptions and cognition

Question 19

what is looked for in the mental status exam?

Answer 19

general observations: appearance, speech, behaviour, cooperativeness
thinking: thought process and form, thought content, perceptions
emotions: mood, affect
cognition: orientation/attention, memory, insight/judgement

Question 20

what is the difference between mood and affect?

Answer 20

mood: subjective emotional tone over a period of time, patient describes in own words and often rates

affect: immediately expressed and observed emotional state, interviewer describes

Question 21

what questions are asked in the Columbia protocol suicide risk assessment?

Answer 21

have you wished you were dead or wished you could go to sleep and not wake up?

have you actually had any thoughts about killing yourself?

have you actually thought about how you might do this?

have you had any intention of acting on these thoughts of killing yourself, as opposed to you have the thoughts but you definitely would not act on them?

have you started to work out or worked out the details on how to kill yourself? do you intend to carry out this plan?

have you done anything, started to do anything, or prepared to do anything to end your life?

Question 22

what is measurement based care in mental health?

Answer 22

systematic use of measurement tools, such as validated scares to monitor outcomes and support clinical decision making

Question 23

what is stigma?

Answer 23

a mark or sign of disgrace which distinguishes someone from the rest of society and diminishes their worth as a person

Question 24

what are the 4 distinct components of stigma?

Answer 24

labelling someone with a condition
stereotyping people who have that condition
creating a division
discriminating against someone on the basis of their label(s)

Question 25

What is MHFA?

Answer 25

mental health first aid

the help provided to a person developing a mental health problem or experiencing the worsening of a mental health problem

Question 26

What is MHFA 5 step action plan>

Answer 26

Assess for risk of suicide or harm
Listen nonjudgmentally
Give reassurance and information
Encourage appropriate professional help
Encourage self-help and other support strategies