Oct 28: Engaging Persons Living with Mental Illness in Employment and Education

Question 1

Symptomatology of Schizophrenias:
What are positive symptoms?

Answer 1

‘Added’ on top of a person’s baseline:
- Delusions
- Hallucinations
- Grandiosity
- Paranoia / persecutory beliefs

Question 2

Symptomatology of Schizophrenias:
What are negative symptoms?

Answer 2

‘Subtracted’ from a person’s baseline:
- Flat or blunted affect
- Emotional & social withdrawal
- Lack of spontaneity in speech, thinking, and/or behaviours

Question 3

What do the Cognitive Symptoms of Schizophrenia Impact?

Answer 3

• Processing speed
• Working memory
• Attention and vigilance
• Verbal learning
• Reasoning and problem solving
• Social / emotional cognition

Question 4

Employment Supports:
Individual Placement & Support (IPS) Model

Answer 4

intensive, individual support, a rapid job search followed by placement in paid employment, and time-unlimited in-work support for both the employee and the employer.

*caveat: not a good fit for this with Serious MI

Question 5

Employment supports:
what works for ppl with serious MI?

Answer 5

• employment assistance / skill building PLUS mental health support
• recovery model of delivery, based on incremental successes**, LT strategies

Question 6

Community mental health acronyms:
FACTT
ACTT
AIS
EPI

Answer 6

FACTT = Flexible ACTT team
ACTT = Assertive community tx team
AIS = Adult Intensive Services
EIP = Early Psychosis Intervention

Question 7

Assessments: LOCUS
-what does it stand for?
-purpose?

Answer 7

LOCUS = Level of Care Utilization System
- ID level of severity of a mental/substance use health issue (risk of harm, functional status, comorbidity, supports, tx history)

Question 8

Assessments: LOCUS
- what is the range of scores?
- what do the scores mean

Answer 8

LOCUS = Level of Care Utilization System
- The range of scores= levels 1-6
- Lower score = lower level on pyramid, less support needed
- Higher score = high level on pyramid, more support needed

Question 9

Assessments: LOCUS
- What levels do FACTT and ACTT teams support?

Answer 9

LOCUS = Level of Care Utilization System
- FACTT teams tend to be more levels 3-4 (community based) and sometimes 5
- ACTT teams tend to be more levels 4-5 and sometimes 6 (hospital based)

Question 10

Assessments: PANSS
-what does it stand for?
-purpose?

Answer 10

Positive and Negative Syndrome Scale (PANSS)
- IDs specific symptoms of psychosis present for an individual

Question 11

Assessments: COPM
-what does it stand for?
-purpose?

Answer 11

COPM = Canadian Occupational Performance Measure
- ID client goals
- detect change in a client’s self-perception of occupational performance + satisfaction over time

Question 12

Assessments: PEO model
- what does it stand for?
- purpose?

Answer 12

PEO = person, environment, occupation
- identify areas for intervention