Unit 16 CMH/Recovery Model Flashcards
What is epidemiology?
The study the distribution and factors of disease in human populations
What are some uses for epidemiology?
- Determine factors for specific disorder
- Identify groups at high risk
- Recognize changes in health problems
- Plan for current needs and predict future needs
- Evaluate preventative and therapeutic measures
What is prevalence?
Number of existing cases of a disorder at a point in time over the total population.
What is Incidence?
Number of new cases of a disorder over a period of time over the population at risk.
What is primary prevention?
No disease, education for ppl at risk (ex: teaching at a seminar)
What is secondary prevention?
Disease exists, Diagnosed early to treat and limit defects (ex: all screenings)
What is Tertiary Prevention?
No longer treating disease but instead the effects left by disease
Before what date was their no treatment for mental health care? When and who campaigned for it?
- Before 1840 no known treatment
- Dorothea Dix in 1841
What is Deinstitutionalization in regards to the Community Mental Health Centers Act of 1963?
The closing of state mental hospitals and discharging of those patients after federal funds cut in 1984.
What and how do the revolving door and retrospect reimbursement go hand-in-hand?
They explain how PT’s would get treatment they needed in a crisis, the state insurance would pay only for that, so they would have to leave, relapse, and keep coming back.
What were the DRG’s in regards to the Prospective Reimbursement in 1983?
They were the diagnostic related groups that gave process of treatment, and set strict guidelines to get reimbursements.
What types of outpatient services are available?
IOP- Intensive outpatient services/partial hospitalization
Community Mental Health Centers
ACT/PACT- Assertive community treatment
Psychiatric home health care
“Day Care” for clients with persistent mental illness
Community residential facilities
What percent of the single adult homeless suffer from SPMI?
30% suffer from severe and persistent mental illness (SPMI)
What is considered chronically homeless?
Homeless for more than 1 year or homeless at least 4 times in the past three years.
What are types of illness among the homeless?
Schizophrenia - most common Bipolar disorder Substance abuse and dependence Depression Personality disorders Organic mental disorders (dementia, etc.)
