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.)
What are nursing implication for the homeless mentally ill?
- Assess own attitudes
- Assess client’s needs
- Intervene early
- Discharge planning (educate and offer available resources)
- Be an advocate
What is recovery?
-Process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.
What 4 dimensions support recovery?
- Health
- Home
- Purpose
- Community
What is true about addiction and recovery?
There is no cure for addiction, just recovery.
What is the basic concept of a recovery model?
-The empowerment of the consumer
What are some guideline principles of recovery?
Recovery:
- Emerges from hope
- Is person-driven
- Occurs via many pathways
- Is holistic
- Is culturally based and influenced
- Involves individual, family, and community strengths and responsibility
What is WRAP?
The Wellness Recovery Action Plan
-Step wise process, which an individual is able to monitor and manage distressing symptoms that occur in daily life.
The main empowerment comes from self-administration of the plan, (although others may be included in the process to assist the individual.)
HIGHLY individualized and addresses unique needs of the person or his/her situation
What steps are included in the WRAP process?
- Developing a wellness toolbox
- Daily maintenance list
- Triggers
- Early warning signs
- Things are breaking down or getting worse
- Crisis planning
**Helping client craft psychiatric advanced directive for when PT can no longer take care of himself/herself. Client makes decisions about treatment type, and who will represent his interest
