ISSUES IN PRACTICE - Levels of Care Flashcards
Barrier to psychiatric care access?
Low acceptance of insurance for
psychiatrists compared to other specialties
What improves partial hospitalization
programs post-treatment prognosis?
Family involvement
What is the Families OverComing Under
Stress (FOCUS) program for children with
parents in military deployment?
Selective Preventive Intervention
Successful treatment in day treatment
setting is prevented by what symptom or
behavior?
Physical aggression
15 yo female admitted to a partial hospitalization program. Parents worried about new defiance, changes in friends, failing school. Most important step in planning treatment?
Agree on explicit goals with patient and
family
Most common presenting problem for
adolescents being admitted to residential
treatment?
Familial difficulties
Adolescents in residential care tended to
have better outcomes when they came from
placements with?
family members
Risk associated with treatment of youth in
psychiatric residential treatment facilities?
Potential for peer reinforcement of selfdefeating or antisocial conduct
Why was the Child Guidance Clinic
movement started?
Juvenile delinquency
According to AACAP practice parameters,
indications for use of seclusion and
restraint in inpatient and residential
treatment settings include?
Less restrictive options have failed or are
impractical
Best way to reduce rates of seclusion and
restraint in child inpatient psych unit?
Developing regulations and guidelines
limiting orders of seclusion and restraint.
Psychiatrist is contacted between visits by
patient who wants to run away from home.
The best initial step?
Assess the nature of the crisis
Difference between residential and
inpatient care?
Residential encourages more independence