KPSS Exam Flashcards

1
Q

What is meant by the term peer support?

A

Peer Support is the ACT of people who have had similar experiences with mental illnesses/substance use disorders giving each other encouragement, hope, assistance, guidance, and understanding that aids in recovery. It can be done anytime or anywhere when two or more peers are in a mutual , supportive relationship.

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2
Q

What is the SAMHSA working definition of recovery?

A

A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.
There are four dimensions of recovery: Health, Home, Purpose, and Community.

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3
Q

What is the difference between a recovery story and an illness story?

A

An Illness story (“Drama and Trauma”)focuses on challenges, symptoms, and treatments, emphasizing deficiencies and problems.
A recovery story focuses on overcoming challenges, choices, and responsibility, emphasizing strengths and opportunities.

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4
Q

Why is telling a recovery story helpful to clients and staff?

A

Recovery stories help clients know that they are not alone, that they are not their illness, and that recovery is possible. Recovery stories give hope.
Recovery stories help staff by reminding them of how far they’ve come, and helping them find meaning and purpose in their experiences.

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5
Q

List the 5 stages of recovery, and describe the corresponding experiences of a person in each stage.

A
  1. Impact of illness: Overwhelmed by symptoms, difficulty functioning
  2. Life is limited: Gives in to the disabling power of the illness, redefines self as the illness, does not have hope and is not ready/able to change
  3. Change is possible: Questions the power of the illness, begins to believe that life could be different and better even
  4. Commitment to change: Challenges the disabling power of the illness, believes there are other possibilities, willing to explore what it will take to make some changes
  5. Actions for change: Moving Beyond the disabling power of the illness, knows where he or she wants to go, not sure if he or she can do it, but willing to begin to take responsibility for their life.
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6
Q

List the 5 stages of recovery, and describe the corresponding danger a person experiences in each stage.

A
  1. Impact of Illness: The person will re-define identity in behavioral health terminology that will automatically limit their future
  2. Life is limited: The person will have identified so strongly with the negative stigma of the illness that he or she cannot see any possibilty
  3. Change is possible: He or she will be afraid to take necessary risks, or be discouraged to do so, and remain in the “life is limited” stage
  4. Commitment to Change: The individual will not get the skills, resources, and supports that he or she needs to do what they want; become frustrated, and give up
  5. Actions for Change: The individual will begin to doubt his or her ability to function on their own and/or take responsibility for their life
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7
Q

List the 5 stages of recovery, and describe the corresponding Role of Services in each stage.

A
  1. Impact of illness: decrease emotional distress by reducing the symptoms, communicate that there is life after diagnosis
  2. Life is limited: Instill hope, Instill a sense of possibility, rebuild a positive self-image
  3. Change is possible: Help the individual see that they are not so limited by the illness and in order to move on, he or she will need to take some risks.
  4. Commitment to change: Help the individual take initial steps by helping them identify strengths and needs in terms of skills, resources, and supports.
  5. Actions for change: Equip the individual with the necessary skills, resources, and supports so that he or she can trust in their own decision-making ability and take more responsibility for their life.
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8
Q

What is meant by the statement: “The absence of negative messages is more important than the presence of positive messages.”?

A

We have a tendency to latch on to negative messages. We protect our beliefs by filtering out messages/information that contradicts them and letting in messages/information that supports them. Therefore, if our beliefs about ourselves are negative, then we will hold on to negative messages, because they reinforce our beliefs. At the same time, we will filter out any positive statements, as they contradict our negative view of ourselves. The greatest barriers to recovery are often the negative messages that re-enforce a person’s negative self-image and negative self-talk.

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9
Q

What does the term “behavioral health” mean?

A

Behavioral health includes both mental disorders and substance use disorders.

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10
Q

What is one way to state the Ethic of Reciprocity?

A

The ethic of reciprocity can be stated using the “golden rule”: Do unto others as they would have done unto them. In other words, treat others the way they want to be treated.

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11
Q

You can change behavior by changing beliefs. What are the two ways to change a person’s beliefs?

A
  1. Over-power the filter system so that it cannot filter out the contradicting messages
  2. Conversion-change experiences to change beliefs
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12
Q

What was the importance of Courtenay Harding’s longitudinal study of people who had been deinstitutionalized in the 1960s?

A

The 1987 study showed that recovery is possible. It showed that people who have been very disabled by a severe mental illness could live a meaningful and productive life in the community when given the right skills, resources, and supports.

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13
Q

What does it mean for a behavioral health system to embrace trauma-informed care?

A

They make a shift from asking clients, “What is wrong with you?” to asking them, “What happened to you?”.

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14
Q
Which of the following describes open, honest question? 
a. Are leading and guiding
b. Can't be answered with 1-2 words
c. You don't know the answer to and/or don't want to 
    know the "right" answer
d. Ask who, what, where, when, and how
e. Are "reflective" questions
f. Ask why
A

b. Can’t be answered with 1-2 words
c. You don’t know the answer to and/or don’t want to
know the “right” answer
d. Ask who, what, where, when, and how

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15
Q

Which of the following are things a peer specialist should do if an individual they are working with appears to be having suicidal thoughts?
a. Ask them, either indirectly or directly, if they are
thinking of suicide
b. Listen to them and try to convince them to get help
c. Talk to your supervisor, or any available clinician
immediately
d. Ignore them because only clinicians can discuss suicide

A

a. Ask them, either indirectly or directly, if they are
thinking of suicide
b. Listen to them and try to convince them to get help
c. Talk to your supervisor, or any available clinician
immediately

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16
Q

Which three questions might a Kentucky Peer Support Specialist ask an individual to help them move through their fears?

a. What is the fear keeping you from doing?
b. What supports are available to you?
c. How does the fear make you feel?
d. Why are you willing to continue being afraid?

A

a. What is the fear keeping you from doing?
b. What supports are available to you?
c. How does the fear make you feel?

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17
Q

Which of the following are guiding principles of recovery?

a. Culture
b. Cost benefiting
c. Peer support
d. Respect
e. Problem solving

A

a. Culture
c. Peer support
d. Respect

18
Q

Which are the steps of effective communication in situations with potential conflict?
a. Offer a “we” statement that acknowledges common
ground and promotes a partnership to create another
way of doing things
b. State the problem as clearly as possible
c. Observe and affirm the other person’s position,
values, and concerns
d. Discuss a possible timeline
e. Relate the other’s position, values, and concerns to
your experiences as a consumer

A

a. Offer a “we” statement that acknowledges common
ground and promotes a partnership to create another
way of doing things
c. Observe and affirm the other person’s position,
values, and concerns
e. Relate the other’s position, values, and concerns to
your experiences as a consumer

19
Q

When faced with an ethical dilemma, which of the following questions should guide your actions/decisions?
a. Why am I questioning my actions in this situation?
b. Does this in any way complicate or negatively impact
my relationship with this peer?
c. How often do I see this person each month?
d. Is there an agency policy regarding this situation?
e. Is this a billable service?

A

a. Why am I questioning my actions in this situation?
b. Does this in any way complicate or negatively impact
my relationship with this peer?
d. Is there an agency policy regarding this situation?

20
Q

Which are tips for healing communication?

a. Give others the benefit of the doubt
b. Listen to all sides and consider all interests
c. Turn the other cheek
d. Part of a loaf is better than no loaf at all
e. Use people first language
f. Use “I” statements with feeling words
g. If you can’t say anything nice, don’t say anything at all

A

a. Give others the benefit of the doubt
b. Listen to all sides and consider all interests
e. Use people first language
f. Use “I” statements with feeling words

21
Q

Which are parts of a Wellness Recovery Action Plan (WRAP)?

a. Triggers
b. Crisis Plan
c. Daily Maintenance Plan
d. Early Warning Signs

A

a. Triggers
b. Crisis Plan
c. Daily Maintenance Plan
d. Early Warning Signs

22
Q

Which of the following can be used as windows into what a person wants?

a. Negative Self-Talk
b. Medicaid Status
c. Dissatisfaction
d. Fears
e. Advice

A

c. Dissatisfaction

d. Fears

23
Q

Which of the following are the five basic steps to problem solving with an individual?

a. Problem-Needs-Strengths-Supports-Preferences
b. Strengths-Assessment-Needs-Preferences-Supports
c. Problem-Impact-Cost/Benefit-Brainstorm-Action
d. Problem-Impact-Needs-Brainstorm-Actions

A

c. Problem-Impact-Cost/Benefit-Brainstorm-Action

24
Q

Listing multiple ways to solve a problem is called:

a. Action
b. Cost
c. Brainstorming
d. Evidence based practice

A

c. Brainstorming

25
Q

When a person has identified an area of life they are dissatisfied with, what five things should you help them think through in order to set a goal in this area?
a. Desired Outcome-Steps-Resources-Skills-Supports
b. Degree of Dissatisfaction-Goal-Benefits-Difficulties-
Supports
c. Degree of Dissatisfaction-Goal-Resources-Supports-
Skills
d. Desired Outcome-Resources-Benefits-Costs-Skills

A

b. Degree of Dissatisfaction-Goal-Benefits-Difficulties-

Supports

26
Q

One of the greatest dangers for a person at the “Commitment to Change” stage is:

a. She is afraid to take risk for fear she may relapse
b. She begins to see herself as the illness and begins to live out an illness or disabled story
c. He does not have the help he needs to get the necessary skills, resources, and supports
d. He believes that there is nothing he can do to make his life better, so he turns his life over to the system
d. She moves too quickly and does not think through everything involved in making the change

A

c. He does not have the help he needs to get the necessary skills, resources, and supports

27
Q

Which of the following is NOT a fundamental belief of the peer specialist training?

a. Everybody has the ability to learn and grow
b. Life’s experiences are not reliable teachers
c. Whatever people focus on, they give power to
d. People think their way through life
e. People’s beliefs determine their behavior

A

b. Life’s experiences are not reliable teachers

28
Q

In Kentucky, a WRAP is a legal document

a. true
b. false

A

b. false

29
Q

Being in a support group is not as intense as a one-on-one situation.

a. true
b. false

A

a. true

30
Q

Silence is never okay in a group. Everyone must speak.

a. true
b. false

A

b. false

31
Q

Health, Home, Purpose, and Community are the four major dominions that support recovery.

A

a. true

32
Q

Accomplishing a goal always involves changing a current situation.

a. true
b. false

A

a. true

33
Q

Kentucky’s Advance Directive for Mental Health Treatment was a provider initiative.

A

a. False

It is the only consumer initiated legislation in the state of Kentucky.

34
Q

Before the 1980s, providers didn’t believe that consumers could recover because that is what they were taught in school.

a. true
b. false

A

a. true

35
Q

When a person has both a mental health issue and a substance use issue, he/she is said to have a co-occurring disorder.

a. true
b. false

A

a. true

36
Q

Setting a goal never involves getting rid of something you have or are doing.

a. true
b. false

A

b. false

37
Q

If you could create your own KPSS position, what would your job description be (what services would you provide), where would you work, and what population of individuals would you work with?

A

-

38
Q

What positive things do KPSSs bring to Kentucky’s behavioral health service delivery system?

A

-

39
Q

When working with a peer, what are five rules of thumb?

A
  1. No fixing
  2. No advising
  3. No saving
  4. No judging
  5. No setting a person straight
40
Q

What are the major changes that occurred in behavioral health that occurred pre 1980s through 2007? Or 1950s-Now

A

Prior to 1980: (The Old System) People with SMI cannot recover; They can be stabilized and maintained in institutional settings
1980s: Three things played a role in this shift (1. Writings of consumers 2. Longitudinal research 3. Emergence of the philosophy of psycho-social rehabilitation.)
1990s (The Decade of Recovery): Recovery in DSM 3-“recovery vs deterioration” People can and do recover;
2003: System can support recovery; funding agencies began to seek proposals for system transformation (Freedom Commission Report)
2005: long term strategy driven by consumers and families; major shift
2007: Recovery involves the whole person; NASMHPD issues a report called, “Morbidity and mortality in people with serious mental illness.”; recommended a standard set of health indicators should be recorded and used for the clinical care of each person served.

41
Q

Major changes pre 1970s-now (summary form)

A

Pre-1980s: people cannot recover
1980s-90s: people can and do recover
2003-2005: system can support recovery
2005-now: recovery involves the whole person