Midterm Flashcards
Zeitgeist
Defining technological endeavor or social movement of the time
Protected titles in OH
Psychologist (PhD or PsyD), Psychiatrist (MD), and Social Worker (MSW)
Ethical Code summary
Develop and maintain competence; informed consent prior to treatment; confidentiality; qualifications for malpractice
Informed consent
Risks, benefits, reasonable alternatives, competency to make decision, ability to discontinue at any time
Malpractice conditions
Dereliction of Duty that Directly causes Disruption
Milieu therapy
focusing on physical environment as an influence of behavior and a method of treatment
Dymphna
Princess who was beheaded by her father for refusing to marry him; indirectly caused the first residential treatment programs in Gheel, Belgium
Residential treatment
Living with community members, treated humanely and with respect
Where did “lunatics” live before institutionalization became widespread?
Poor houses, jails
St. Mary’s of Bethlehem, AKA Bedlam
Institutional asylum in England, famous for inhumane treatment and abuse of patients incl mechanical restraints
Phillippe Pinel
French, caused reformation of Bedlam -> humane `treatment, minimal restraints, adequate nutrition
Moral treatment
“Retreat” homes where residents had a commune-like structure of chores, exercise, lessons, and respectful treatment w/no physicians present
Dorothea Dix
Petitioned government for better asylum conditions and providing basic comforts like beds, windows, privacy
Butler Hospital
Rhode Island: “retreat” living, countryside, humane treatment & personal freedom
Kirkbide Plan
Confinement is the Cure!
Willard Asylum for the Chronic Insane
Permanent living situation for those deemed to be insane, overcrowded bc people got “dumped” there and never left
Clifford Beers
Educated man who attempted suicide, confined in public institution, published a book on the inhumane treatment and physical abuse present there
Custodial Care
Bare minimum needs met (food, shelter), overcrowded, understaffed, underfunded, unsanitary, no privacy
What influences available treatments?
Money :0
Deinstitutionalization causes
Lack of funding (military budget prioritized), discovery of antipsychotics, Kennedy’s “community mental health centers” signed into law
Revolving-door clients
Patients experiencing repeated re-hospitalization because of a lack of adequate follow-up treatment
Contemporary milieu therapy
Residential treatment in community, goal is re-integration, daily structure and life skill education
Contemporary inpatient treatment
Usually less than a week of treatment, heavy focus on medication, opportunity to socialize and work with multiple providers
