Test 4 Flashcards
The three D’s of serious mental illness pgs 226-227
Diagnosis
Disability
Duration
Severe mental disorders pg. 228
*LIST
Schizophrenia Schizoaffective Disorder Bipolar I Disorder Bipolar II Disorder Major Depressive Disorder
Best Practices recommended by Schizophrenia Patient Outcome Research Team (PORT) page 240-241
- Psychological treatments
- Family Treatments
- Vocational Rehabilitation
- General Service Systems
Desired outcomes of Assertive Community Treatment ACT (KNOW ALL)
- Reduce the use of hospitalization
- Increase quality and stability of community living
- Normalizing activities of daily life.
Specific goals of ACT
Know 3 or 4
- Help client recover through rehabilitation and community treatment (primary goal)
- Achieve reduction in psychotic symptoms
- Acquire and maintain a job
- Maintain a substance-free lifestyle
- Meet additional individualized goals
Key Features of ACT programs pg. 256
- Flexible service delivery
- Fixed point of responsibility
- Direct provision of services
Steps in Problem Solving Model – covered in class-294
- Define the problem
- Generate solutions
- Discuss advantages and disadvantages of each solution
- Choose the best solution
- Form an action plan
- Review the action plan
Positive symptoms of schizophrenia pg. 300
Hallucinations
Delusions
Bizarre Behavior
Formal Thought Disorder
Negative symptoms of schizophrenia 300
*Flat Affect
Apathy
*Social Withdrawal
Poverty of Speech
First anti-psychotic medication pg. 300
Chlorpromazine
*Thorazine
Major side effects of some of the first generation antipsychotic drugs pg. 300-301
Sedation: calming response, also helps control agitation, aggressiveness, mania, irritability Extrapyramidal Symptoms (EPSs): disturbances in motor activity
Lithium 303-304
It is used to treat bipolar I disorder.
Conceptual basis for social skills training – pg 284
Social Learning
Cognitive Theories
Social skills training is directed at – pg 284
Improving attention and higher order thinking, enhancing receiving processing and sending skills
modifying the environment to support the use of improved skills.
Major skills utilized in social skills training – pg 284
rehearsal, modeling, reinforcement, shaping, prompting
Psycho-education family management – Anderson model & McFarlane model Psycho-educational Multifamily group (PMFG) 290 -297 4 stages
*Choose 1
*ANDERSON MODEL* 4 overlapping phases *connection *survival skills workshop *reentry and application *maintenance
- McFarlane Model of Psycho-educational Multifamily Group (PMFG)*
(1) joining families and individuals (connection)
(2) Educational workshop for families (survival skills workshop
(3) Multifamily group sessions that include the consumer – strong problem solving emphasis (reentry and application)
(4) social and vocational rehabilitation (maintenance)
Psychosocial Rehabilitation (PSR) consists of – pg. 236 (LIST)
- Multifamily Group Sessions to problem-solve in their relationships
- Case Management
- Family Support & Intervention
- Support in employment & housing
- social skills training
- Reality Oriented Individual & Group Therapy
DSM IV three major sets of diagnoses for Substance Use (315 -316)
Substance Induced Disorders
Substance Induced Mental Disorder
Substance Use Disorders: abuse/dependence
Explanations and etiologic theories of substance abuse disorders 317 -319 + I-Learn Lesson
(Moral Model-given)
Biological Model
Psychological Model
Sociocultural Model
Know at least four types of interventions (ways) to treat substance abuse disorders pgs. 325-333
(*KNOW 4)
Brief Intervention Residential Treatment Programs Detoxification's Outpatient Services Missions & Shelters Psychophramical Therapy Self-Help Group Intensive Treatment
Individual vs group therapy for substance abuse – effectiveness
Groups are more effective
Dual diagnosis –Co- occurring 313-315
a diagnosis of substance abuse or dependence in addition to another Axis I disorder from the DSM
Seven categories of substances abused – pg 315
- Central Nervous System Depressants
- Central Nervous System Stimulants
- Opiates or Narcotics
- Hallucinogens
- Cannabis
- Anabolic Steroids
- Over-the Counter Drugs
Two major characteristics of substance dependence – addictive drugs –
Tolerance
Withdrawal