Serious Mental Illness

Question 1

SMI suffer from excessive morbidity and mortality

Answer 1

Die from suicide, accidents, and murders at 4.6 times the rate of the gen. pop.

Die from medical illness 1.8 times the rate of the gen. pop.

Question 2

Main predisposing factor for SMI

Answer 2

Delay in Tx resulting from pt not seeking treatment, and from PCPs looking for physiological reason for complaint

Question 3

ACT

Answer 3

Organized with a core services team with fixed responsibility delegated to a primary provider who provides continuity across time and functional areas.

Question 4

3 R’s of psychiatric rehabilitation program

Answer 4

Relapse
Recovery
Rehabilitation

Question 5

Psychosocial rehabilitation model

Answer 5

Consumer/member run
Social and recreational services
Residential assistance
Educational services
Vocational assistance

Question 6

Multisystemic Therapy

Answer 6

Home based services for youths with SMI
Develop parent’s skills
Provide services at the school and home

Question 7

Fairweather Lodge Model

Answer 7

Hospital trains group of clients
They move together into residence (known as a lodge)
They open and operate a small business
Group norms and peer support are the foundation of program

Question 8

Mindfulness of ALL about recovery language

Answer 8

ADA language of “persons with…”

Sucessful persons with mental illness are not superhumans: Assumes it is the rare to be successful with mental illness

No sensationalizing: Not victims, not afflicted

Emphasize abilities: strength-focused

Question 9

Highest risk for chronicity

Answer 9

Dementia: 100%
Scz: 90%
Bipolar: 40-50%