Unit 2

Question 1

an integrated health system of supports and services designed to maximize peoples health and wellbeing that is provided by professional health care clinicians as well as nonprofessional caregivers

Answer 1

Continuum of care

Question 2

Care coordination activities the nurse does with or for the patient, includes referrals, assistance with paperwork applications, connections to resources, and overall navigation of the health care system

Answer 2

Case management

Question 3

What is the role of the nurse in case management

Answer 3

to coordinate activities, and to look at the patients strengths and needs

Question 4

an intensive type of case management developed in response to the community living needs of those with serious, persistent, psychiatric symptoms

Answer 4

ACT

Question 5

What is the goal of ACT?

Answer 5

to reduce relapse and decompensation in their illness, whatever that looks like for the individual

Question 6

What is a tool used to assist placing individuals on the continuum of care?

Answer 6

Level of Care Utilization System

Question 7

What is the LOCUS used for?

Answer 7

it is a tool used to determine the best level of care for an individual

Question 8

Does training have to be taken by clinicians before using the LOCUS?

Answer 8

Yes

Question 9

what are the 6 dimensions that the LOCUS assesses?

Answer 9

1. Risk of Harm
2. Functional Status
3. Medical, Addictive and psychiatric comorbidity
4. Recovery environment
5. Treatment and recovery history
6. Engagement and recovery status

Question 10

Locus Level 1

Answer 10

Recovery maintenance and health management

Question 11

Locus Level 2

Answer 11

Low intensity community based services

Question 12

LOCUS level 3

Answer 12

High intensity community based services (Case Management)

Question 13

LOCUS level 4

Answer 13

Medically monitored non-residential services (ACT)

Question 14

LOCUS level 5

Answer 14

medically monitored residential services

Question 15

LOCUS level 6

Answer 15

Medically managed residential services

Question 16

A collaborative, client-driven process for the provision of quality health and support services through the effective and efficient use of resources

Answer 16

Case Management

Question 17

Supports the clients achievement of safe, realistic and reasonable goals within a complex health, social and fiscal environment

Answer 17

Case Management

Question 18

what are the 5 case management principles?

Answer 18

• supports clients rights
• is purposeful
• is collaborative
• supports accountability
• strives for cultural competency

Question 19

Broker Case Management Model

Answer 19

• non-clinician based
• Assess needs
• coordinate services
• monitor treatment

Question 20

Which model is similar to the Broker Model but has the addition of therapeutic interventions

Answer 20

Clinical Case management

Question 21

Strengths based Model

Answer 21

• focuses on strengths
• relationships are an essential part
• emphasis on growth and change
• service user choice is important

Question 22

what should be the ratio of case manager to clients

Answer 22

1:20

Question 23

Which type of case management evolved from ACT and Case Management with an emphasis on smaller case loads

Answer 23

Intensive case management

Question 24

People in ICM are more likely to

Answer 24

• stay with service
• see an improvement in the general functioning
• gain employment
• have housing
• have shorter hospital stays

Question 25

what are 4 examples of case management

Answer 25

• ACT
• ICT
• Home care
• Community mental health services