Chapter 11: Responding to Mental Health Crisis, Emergency, and Disaster Flashcards

1
Q

What is coping?

A
  • how people deal with life challenges
  • need to remain adequately fed, clothed, and sheltered
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2
Q

What are coping styles?

A

unique ways of accomplishing goals inlcuding habitual behaviours, modes of problem solving, forms of social interaction

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3
Q

What are the 5 levels of maslow hierarchy of needs?

A
  1. physiological needs (food, water)
  2. safety (security and shelter)
  3. love/belonging (friends, family)
  4. esteem (achievement, recognition)
  5. self-actualization
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4
Q

How does maslows hierarchy of needs work?

A

you must achieve the most basic of needs first (physiological, safety) before rising up to achieve self-actualization

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5
Q

what is stress?

A

occurs when the demands and challenges of your life situation exceed your capacity to manage them
- this “imbalance” between environmental challenges and coping capacity

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6
Q

if stress becomes unmanageable, we may enter a state of crisis. true or false

A

true

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7
Q

What is a “state of crisis”?

A

when attempts to regain balance in one’s life fails

typical turning point in development of mental disorders

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8
Q

What are the 2 key elements of crisis states?

A
  1. usual coping style doesn’t work in new situation
  2. do “more of the same” –> exaggerated form of usual coping style
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9
Q

Stressful situations may increase a pre-existing mental health condition, making symptoms worse during crisis state. true or false

A

true

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10
Q

What type of cycle is present with crisis? is it tough to break?

A

Vicious cycle
YES!

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11
Q

What is a vicious cycle?

A
  1. crisis
  2. newly triggered mental health problems, increase already exiting problems
  3. reduce coping ability
  4. increased situational stress

THE CYCLE JUST KEEPS REPEATING

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12
Q

If a crisis state is not resolved what could happen?

A
  • becomes more intense
  • lead to poor self care or self harm
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13
Q

Who are first-contact providers?

A
  • police officers and paramedics
  • trained to de-esculate the situations
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14
Q

What is the Mental Health Act?

A

regulates the involuntary transportation and admission to psychiatric services for individuals suspected of suffering from mental illness

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15
Q

What is a “commital”?

A
  • someone who gets hopsitalized
  • balance the goal of ensuring safety with the goal of ensuring the rights are respected
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16
Q

What is a community treatment order?

A

indiduval required to accept specific treatment or support in the community for a specific period of time

17
Q

What are Hospital Emerg departments like?

A
  • for immediate protection and urgent care
  • geared to more dealing with physical emergencies –> however that is changing to add mental health!
18
Q

What are crisis lines?

A
  • provide quick access to advice, info, and referral over the telephone
  • redirect to appropriate help and de-escalate crisis
  • big with suicide
19
Q

What are Mobile services in mental health?

A

delivered by individuals or a small team of mental health profs who travel to meet with an individual in crisis

20
Q

What are shelters?

A

provide short-term accommodation for people who are homeless or experiencing a crisis that has interupted their living situation

21
Q

What is acute hospitalization?

A
  • in-patient treatement for an acute mental health problem
22
Q

What are in-patient units designed to do in mental health?

A

address the need for safety and the patient’s specific needs

treatment includes: meds management, crisis management, counselling or therapy

tends to be brief, but may require follow up

23
Q

What are Acute Withdrawl Management and Detoxification Services?

A
  • withdrawl management: addressed the physical health probelms experienced by people going through a withdrawl
  • detoxifcation = some type of substance that needs to be removed through care (meds, support, therapy, etc…)
24
Q

What are the 7 things we use to determine the level of suicide risk in an emergency?

A
  1. active plan to commit suicide
  2. how dangerous is plan
  3. does person ahve access to lethal means of self harm
  4. previous self-harming behaviour
  5. situational factors
  6. presence/absence of mental health disorders or substance use problems
  7. social supports
25
Q

What are the 3 characteristics of suicidal thoughts about their life?

A
  1. intolerable
  2. interminable
  3. inescapable
26
Q

How do we help a person become less suicidal?

A
  • strengthen coping mechanisms!
  • treatment of outstanding mental health or substance use problems
27
Q

What is the “psychotic emergency”?

A

severe disturbance of the capacity to distinguish reality an to think in a rational manner

confused and frigthening thoughts

28
Q

How do we manage a psychotic emergency?

A
  • calm the individual
  • provide a safe environment
  • antipsychotic or sedative meds
  • use non-restrictive management
29
Q

How do we deal with a substance use emergency?

A
  • provide a safe envrionemnt
  • administer meds to diminish agitation
30
Q

depression, psychosis or other symptoms of mental disorder may occur as part of withdrawl process. true or false

A

true

31
Q

what are some downsides to substance use and getting help?

A
  • may not be covered by public health insurance plans –> therefore do not go because it is not available
  • do not want to receive treatment
  • many resume patterm of substance use dependence
32
Q

What is trauma?

A

experience extremely stressful events

33
Q

What is PTSD?

A
  • have an ongoing crisis
  • flashbacks, frightening dreams, outbursts, etc..
34
Q

How do we treat PTSD? (2 ways)

A
  • exposure therapy
  • critical incident stress debriefing
35
Q

what are the 3 stages of responding to disasters?

A
  1. mitigation/preparedness
  2. response
  3. recovery
36
Q

What is the mitgation/preparedness phase?

A

plan and prepare actions, communication and leadership roles

37
Q

WHat is the response phase?

A

period immediately following the disaster

38
Q

What is the recovery phase

A

extended period following the disaster

39
Q

Do most disasters have transitory symptoms and do not require formal intervention?

A

YES