Mental Health Ch. 7 Tx Settings Flashcards
Suggests a dependent relationship to professional staff is known as a…
Patient
What does maladaptive mean?
Mental illness / dysfunction
The name patient is most appropiately applied to a person who is…
Hospitalized or receiving services as an out-patient
Suggests that the person requires substantial supervision or personal assistance with ADL is known as a…
Care recepient
Suggests that the individual is hiring the practitioner to perform a service; sometimes used in day tx programs is known as…
Client
SPMI is?
Serious & persistent mental illness
Preference by persons with SPMI because it implies voluntary use of mental health services is known as a…
Consumer
Preferred by persons who belong to a psychosocial club is known as…
Member
The implication that the person has been incarcerated, but found mentally incompetent to go to prison. The term is used only in forensic environments & is known as an…
Inmate
The person requires 24 hour assistance / supervision & resides in a nursing home, group home or other supervised living environment is known as a…
Resident
Term used by persons with diagnoses of serious mental disorders to connote their commitment to living with the threat of relapse is known as a…
Survivor
Predominantly are social workers or nurses. They will do an immediate on-site assessment at the ER & based upon the individual state criteria, determine what care will immediately follow and are known as…
Case managers
What is the difference between a person with a “mild” mental illness vs. a person with a “serious” mental illness?
The seriously ill individual feels they do not need assistance & that there is nothing wrong with them.
Why may a child be brought into a mental health system?
Family issues or the inability to cope with behaviors, abuse, or abandonment
What is the approximate percentage of prison inmates with severe & persistent mental illness?
10%
What type of mental health patient are OTPs most likely to work with?
Patients with severely disabling psychiatric disorders
When is the serious mental health patient generally first recognized?
- Consistently symptomatic or disorganized as to require hospitalization
- Admitted for detoxification
Medical care for disease, injury, or other medically treatable condition is known as…
Treatment
An action undertaken in order to change what is happening or might happen in another’s affairs,especially in order to prevent the undesirable is known as…
Intervention
Work done by somebody for somebody else as a job or duty is known as a…
Service
Tending to or supervising someone suggests…
Care
When would the term ‘care’ best be applicable?
When serving those with advanced dementia & similarly disabling conditions.
Name the different types of psychiatric settings in which the OTP may work?
- Large public institutions
- Nonprofit voluntary psychiatric hospitals
- General hospitals
- Proprietary hospitals
Where may the aged & those with Alzheimer’s disease & other organic mental disorders may be treated?
Long term care facilities such as:
- Skilled nursing facilities
- Assisted living environments
- Person’s home
Where will the criminally insane be treated?
Forensic units of large state hospitals
Where may adolescents & children be treated for mental illness or disorders?
- Schools
- Camps
- Activity programs
When working with special needs groups such as battered women, sex offenders, child abusers,drug & alcohol abusers, persons with HIV or AIDS, personality or eating disorders, the special needs are best met how?
Treated together in group therapy
Name the different types of outpatient settings.
- Aftercare clinics attached to hospitals with inpatient services - walk-in programs in community mental health centers - psychosocial clubhouses - Social & community agencies
What setting is necessary for those who are violent or so disorganized they cannot meet their own needs for food, clothing, or shelter?
Inpatient settings
Name the 2 types of inpatient settings.
- Acute
- Chronic
Name the settings that provide services on a short-term basis, generally for patients who have become ill suddenly or who have a history of psychiatric illness & have a sudden recurrence of psychotic symptoms.
Acute inpatient settings
Name the inpatient settings that provide supervision & services for persons who have severe & persistent mental illness & serious disabilities that impair community living.
Chronic inpatient settings
Name the bill responsible for the deinstitutionalization of psychiatric patients.
Community Health Act of 1963
Name 2 disorders that qualify for chronic inpatient settings.
- Schizophrenia
- Organic mental disorders
Municipal, state, & county hospitals,VA, US Public Health Service facilities are examples of?
Public institutions
What was the purpose for the deinstitutionalization in 1963?
Liberate Pts from confinement & enable them to integrate into community housing & employment.
Where may many of the deinstitutionalized Pts found?
- Correctional facilities
- Shelters for homeless
- On the street
Name the 3 populations of large public psychiatric centers.
- Pts too violent or suicidal to be released
- Those, w/ & w/o social support, cannot live in the community even w/ support despite adequate skills
Name the emphasis of acute wards.
Medical tx & control of symptoms through the use of medications.
Name the emphasis of chronic wards.
Maintenance or development of:
- Daily living skills
- Work-related skills
- Leisure activities
If & when Pts are discharged from the large state hospital or public institution, where may they be assigned?
Satellite clinic near the Pts home that provides aftercare services
Define IPRT.
Intensive psychiatric rehabilitation tx
Name the interventions associated with the IPRT.
- Develop specific skills for the PTs target environment
- Identifying & supplying environmental supports
- Providing social supports
Tx aims to reduce problem behaviors & enhance coping strategies describes the focus for…
Behavioral units
Name the specific units that provide tx for Schizophrenia, other psychoses, & TBI.
Behavioral units
Name the purpose of transitional services.
Prepare PTs to move from the hospital to the community
Live-in settings that allow residents to explore the experience of more freedom in the community while receiving direct supervision from trained staff describes…
Quarterway houses
For acute care inpatient wards, what do the evaluations typically focus on?
- Cognitive level
- Self-care skills
- Independent living skills
Ronbinson & Avallone developed what approach.
Activities health approach
Describe the purposes of the activities health approach.
- Engage in tasks similar to those pre-hospitalization
- Monitor effects of meds on ability & function
- Assess activities health & routine
- Recommend services needed to improve everyday functioning after discharge
Name the approach that Peloquin developed.
Interview/therapy set
Who & why was the Interview/therapy set developed for?
Provides evaluation & tx for large numbers of acute care Pts who stay less than 2 weeks
The process of orienting Pts to the purpose, goals, & procedures used in a particular tx describes…
Therapy set
Name the 3 forms for the interview/therapy set.
- Letter- describes OT in simple language
- Activity guide- self administered data collection instrument
- Checklist of goals- based on objectives identified from the activity guide
Private hospitals run for profit are…
Proprietary hospitals
Pg. 192
Outpatient Settings