ISSUES IN PRACTICE - Levels of Care Flashcards

1
Q

Barrier to psychiatric care access?

A

Low acceptance of insurance for

psychiatrists compared to other specialties

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2
Q

What improves partial hospitalization

programs post-treatment prognosis?

A

Family involvement

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3
Q

What is the Families OverComing Under
Stress (FOCUS) program for children with
parents in military deployment?

A

Selective Preventive Intervention

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4
Q

Successful treatment in day treatment
setting is prevented by what symptom or
behavior?

A

Physical aggression

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5
Q
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?
A

Agree on explicit goals with patient and

family

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6
Q

Most common presenting problem for
adolescents being admitted to residential
treatment?

A

Familial difficulties

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7
Q

Adolescents in residential care tended to
have better outcomes when they came from
placements with?

A

family members

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8
Q

Risk associated with treatment of youth in

psychiatric residential treatment facilities?

A

Potential for peer reinforcement of selfdefeating or antisocial conduct

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9
Q

Why was the Child Guidance Clinic

movement started?

A

Juvenile delinquency

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10
Q

According to AACAP practice parameters,
indications for use of seclusion and
restraint in inpatient and residential
treatment settings include?

A

Less restrictive options have failed or are

impractical

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11
Q

Best way to reduce rates of seclusion and

restraint in child inpatient psych unit?

A

Developing regulations and guidelines

limiting orders of seclusion and restraint.

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12
Q

Psychiatrist is contacted between visits by
patient who wants to run away from home.
The best initial step?

A

Assess the nature of the crisis

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13
Q

Difference between residential and

inpatient care?

A

Residential encourages more independence

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