Learning Activity 1 Flashcards
The AMPS screen tool has four primary clinical dimensions what are the names of them?
Anxiety, mood, psychosis, substance use
What are the three sections of the psychiatric assessment?
Psychiatric interview, the MSE, and time saving strategies
What does mse stand for?
Mental status exam
What are the four areas that consist of social history assessment?
Socioeconomic status, interpersonal relationships, legal history, and developmental history
What is tangential thinking?
A patient who exhibits tangential thinking will quickly change the focus of the conversation in a way that deviates from the main topic
Whenever there is a concern for cognitive deficits, what to assessment should be performed to screen for dementia and other neurocognitive disorders?
The mini mental state examination or the Montreal cognitive assessment should be performed
The collaborative care models can achieve a quadruple aim of healthcare system optimization. What are the four Aims?
Improve patient satisfaction, improve patient outcomes, cost effectiveness of care, and improved provider experience.
Who is a part of the psychiatric collaborative care model? There are three roles.
Includes a primary care provider, a behavioral health provider or a care manager, and a psychiatric consultant.
Who’s role is this and in the collaborative care team?
Identifies patient, introduces collaborative care, makes diagnosis, initiate treatment, prescribes medication or referral to psychotherapy.
Primary care provider
Whose role is this in the psychiatric collaborative care model?
Engages patients, Tracks patients and registry, care management, brief crisis management, measurement based treatment to target, and optional evidence-based therapy
Behavioral health care manager
Who’s role is this and the psychiatric collaborative care model?
Caseload consultation, reviews patient registry, supports team assessment and treatment, optional direct evaluation in person or TeleVideo, and provide education to the team.
Psychiatric consultant
Who has the least direct contact with the patient and a psychiatric collaborative care model?
The psychiatric consultant. Their main role is to provide indirect consultation by case of reviews and weekly meetings with the behavioral health care providers/care managers without seeing the patient in person
Behavioral health providers or care managers see a patient on regular intervals, how many weeks?
Usually every two weeks a person or by phone
What are the four components of preventative care (4 interrelated clinical activities) ?
Immunizations, counseling on lifestyle changes to reduce and healthier high risk behaviors, screening tests to find disease early, preventative meds to prevent for the disease or complications.
What type of prevention aims to avoid disease or injury before it occurs?
Primary prevention, and example would be immunizations against infectious diseases.
What type of prevention is this: Aims to detect and help progression of disease or injury while it is still asymptomatic.
Secondary prevention. Colonoscopy for detecting and treating colon cancer. Lobster evaluate cholesterol levels to help calculate cardiovascular risk.
What type of prevention is this: aims to reduce complications of the disease or injury after diagnosis and or to improve quality of life and function. Think of “chronic disease management.
Tertiary prevention. Think of Statin or antiplatelet therapy after a myocardial infarction or stroke
What trans theoretical stage is this:
Not seriously considering change, may become defensive to change
Precontemplation. As a provider you should encourage reevaluation and self exploration. Personalize the risk for the patient
What trans theoretical stage is this: And be valiant about change or Weighing pros and cons.
Contemplation. As a provider it is OK to validate that patient is not ready for change, encourage pros and cons and promote expected positive outcomes with change
What trans theoretical stage is this:
Exploring options around change, and may start taking small steps.
Preparation. As a provider ensure patient has the skills/means for change. Encourage small, measurable and attainable goals
What trans theoretical stage is this: Actively involved and change
Action. As a provider you should address any sense of loss and support long-term goals/benefits.
What trans theoretical stage is this: Adhering to new change and avoiding Temptations.
Maintenance. As a provider reinforce external and internal supports. Discussed coping with relapse.
What trans theoretical stage is this:
Resumption of old behaviors
Relapse. Identify and evaluate triggers for relapse. Reassess motivation and where patient has re-entered along the stages of change.
What does this mean:
Collaborative, goal oriented style of communication with particular attention to the language of change.
Motivational interviewing.
