Week 1-4 Flashcards
1
Q
Mental Disorders
A
Term for diagnosable mental illness
2
Q
Recovery
A
- Living a satisfying & hopeful life with mental health challenges/illness
- NOT clinical recovery or cure
3
Q
Psychosocial Rehabilitation Model (PSR)
A
- Help individuals living with mental illness move towards recovery
- Implemented at inpatient & outpatient settings
- HPC’s see capacity for recovery
- Client-centered care through strength based lens
4
Q
PSR Capacities
A
- Resilience
- Hope
- Optimism
- Empowerment
- Self-responsibility
- Insight
- Spiritual strength
- Self-help & social support
5
Q
PSR Recovery Characteristics
A
- Self-efficacy
- Housing
- Relationships
- Work
- Medication management
6
Q
Treatment - Health Care Consent Act
A
- Regulation for consent to treatment
- Anything done for health purpose
- Includes course of treatment, plan, community treatment plan
7
Q
Form 33
A
- Provided to patient if deemed incapable
- Outline their rights
- Can review with a patient’s rights advocate
- Opportunities to appeal the decision
8
Q
Substitute Decision Makers Act
A
Grant substitute decision maker to act on their behalf for personal care
9
Q
Mental Health Act
A
- Sets conditions & time limits to admit & treat personals experiencing mental health disorders
- Permits certain infringements on person’s rights & freedoms to ensure necessary treatment
- Have right to patient advocate support & advice
10
Q
Voluntary Patient
A
- Personal admitted for assessment & treatment
- With consent
11
Q
Involuntary Patient
A
- Allows facility to hold person for assessment/treatment
- Without consent
12
Q
Informal Patient
A
- Under age of consent
- Person admitted for assessment/treatment
- Consent of substitute decision maker
13
Q
Forensic Patient
A
Person admitted under court order
14
Q
Form 1 Hold
A
- Authorizes assessment by psychiatrist
- 72 hours max
- Completed by physician
- Admission for immediate safety concern
- Notify client with form 42
15
Q
Form 3
A
- 14 days
- Completed by psychiatrist
- Admission as involuntary patient
- Notify client with form 30
16
Q
Form 4
A
- 1-3 months per renewal
- Completed by psychiatrist
- Ongoing admission as involuntary patient
- Notify client with form 30
17
Q
Community Treatment Order (CTO)
A
- Mandatory outpatient treatment plan under MHA
- Close monitoring to be carried out in community to support patient transition
- Violation can result in apprehension & presentation to facility for assessment
18
Q
Self Harm
A
Self-inflicted behavior causing harm to one’s own body
19
Q
Suicidal Ideation
A
- Thoughts, feelings person experiences about wanting to die
- Wishing to relieve oneself of severe emotional pain
20
Q
Suicidal Behaviour
A
- Self-inflicted behaviors with intention to die
- How lethal
- Frequency
21
Q
Suicidal Attempt
A
- Behavior that did not result in death
- Despite expectation/intention of death
22
Q
Suicidal Death
A
- Fatal self-inflicted act
- Some evidence intent was to die
23
Q
Active Thoughts of Suicide
A
- Thoughts about taking action to end one’s life
- Method, plan, intention
24
Q
Passive Thoughts of Suicide
A
- Thoughts about death/dying
- No plan or intent
25
Primary Prevention
- Intervention before health effects occur
- Suicide screening
- Informational campaigns
26
Secondary Prevention
- Early identification & treatment of those at risk/living with a health effect
- Ongoing suicide screening & risk formulation
- Treating suicidality with evidence-based practices
- Crisis counselling
- Caring, competent, confident health care workers
27
Tertiary Prevention
- Lessen impact/progression of ongoing health issue
- Inpatient care after attempt
- Evidence based treatment after attempt
- Suicide survivors support group
- Suicide prevention improvements to health care system
28
Focused Suicide Risk Assessment
- Ideation
- Substance abuse
- Purposelessness
- Anxiety/agitation
- Trapped
- Hopelessness/helplessness
- Withdrawal
- Anger
- Recklessness
- Mood change
29
Risk Mitigators - Protective Factors
- Reasons to live
- Social support
- Access to/benefits from health care/community supports
- Skills in problem solving/conflict resolution & handling problems non-violently
30
Access to Lethal Means
- Many suicidal crises are short-lived
- Help to survive periods of acute risk by restricting/reducing access to lethal means
- Lethal means dependent on availability - discuss what patient has available
- Strong relationship between availability, lethality, suicide death
31
C-SSRS: Short Screen
- Ideation: active & passive
- Plan & intent
- Behavior
- Assess risk based on different time frames
- Rating of low, moderate, high
32
Immediate/Imminent Risk
- Inpatient admission to protect safety
- Form under mental health act
- Reduce/eliminate suicidal crisis is the goal
- Help client re-establish personal control
33
Non-Pharmacological Interventions
- Milieu therapy
- Group therapy
- Goal setting
- Cognitive therapies
- Communication
34
Recovery Goals
- Longer-term larger goals
- Focused on recovery outcomes
35
Daily Goals
Behaviors/actions that help move towards recovery
36
Moment Goals
Next action that will create opportunity for recovery
37
Milieu Therapy
- Uses safe environment that is actively supporting client to achieve their goals
- All client encounters have goal of being therapeutic
38
Psychotherapy
- Intense client-therapist relationship
- Examine deeply emotional experiences, destructive behaviors patterns & serious mental health issues
39
Cognitive-Behavioral Therapy CBT
- Focused on relationship between cognition & behaviors
- Often used in anxiety & depression
40
CBT Format
- Structured
- Time-limited (6-20 sessions)
- Problem focused & goal oriented
- Teaches strategies & skills
- Proactive, shared therapeutic relationship between therapist & client
41
Interpersonal Therapy (IPT)
- Focused on current challenges & relationships with others in client's life
- Often used in depression
42
IPT Format
- Structured
- Time-limited (6-20 sessions)
- Interpersonal relationships & communication
- Here and now relationships
- Aims to improve interpersonal functioning & social support
43
Dialectical Behavior Therapy DBT
- Focused on acceptance - validating current thoughts & feelings
- Change of thoughts & behaviors
- Often used in BPD, depression, PTSD
44
DBT Format
- Structured
- 1 year commitment
- Focuses on skills development (psychotherapy, coaching, case management)
45
Family Therapy
- Assist family members in identifying lived experience of one other
- Define roles
- Enhance relational capacity
- Support family actions that have likelihood of support client in achieving goals
46
Group Therapy
- Initial, working, termination phases
- Position of the leader in the group depends on group goals
47
Motivational Interviewing
- Patient led lasting behavior goal
- Behavior change can occur from compliance or autonomy
- Change motivated by autonomy likely lasts longer
48
Behavior Risk Assessment
- Recognizing risk for violent behaviors
- Understand root cause
- Planning intervention in context of violent behavior
- Caring for ourselves & others when caring in context of aggression
49
Anger
Emotion that compels to act in a way that may harm/attack
50
Aggression
- Behavior that results in harm/injury to others
- Physical or verbal
51
Expression of Anger & Aggression
- Form of defence against perceived threat to their autonomy
- Feeling decreased sense of control over situation
- Manifestation varies between person & situation
- Almost always related to unmet need
52
Risk Factors of Violence
- History of violence
- Substance use
- Trauma
- Support system
- Coping
- Diagnosis
53
Aggression Continuum Ladder
1. Calm
2. Verbally agitated
3. Verbally hostile
4. verbally threatening
5. Physically threatening
6. Physically violent
54
Verbal De-Escalation (LOWLINE)
- Listen
- Offer
- Wait
- Look
- Incline
- Nod
- Express
55
Seclusion
Confining person to room where they cannot exit freely
56
Least Restraint
- All alternative interventions explored before use of restraint/seclusion
- Must be under mental health act if used without permission
