Mental Health Ch. 7 Tx Settings Flashcards

1
Q

Suggests a dependent relationship to professional staff is known as a…

A

Patient

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2
Q

What does maladaptive mean?

A

Mental illness / dysfunction

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3
Q

The name patient is most appropiately applied to a person who is…

A

Hospitalized or receiving services as an out-patient

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4
Q

Suggests that the person requires substantial supervision or personal assistance with ADL is known as a…

A

Care recepient

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5
Q

Suggests that the individual is hiring the practitioner to perform a service; sometimes used in day tx programs is known as…

A

Client

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6
Q

SPMI is?

A

Serious & persistent mental illness

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7
Q

Preference by persons with SPMI because it implies voluntary use of mental health services is known as a…

A

Consumer

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8
Q

Preferred by persons who belong to a psychosocial club is known as…

A

Member

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9
Q

The implication that the person has been incarcerated, but found mentally incompetent to go to prison. The term is used only in forensic environments & is known as an…

A

Inmate

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10
Q

The person requires 24 hour assistance / supervision & resides in a nursing home, group home or other supervised living environment is known as a…

A

Resident

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11
Q

Term used by persons with diagnoses of serious mental disorders to connote their commitment to living with the threat of relapse is known as a…

A

Survivor

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12
Q

Predominantly are social workers or nurses. They will do an immediate on-site assessment at the ER & based upon the individual state criteria, determine what care will immediately follow and are known as…

A

Case managers

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13
Q

What is the difference between a person with a “mild” mental illness vs. a person with a “serious” mental illness?

A

The seriously ill individual feels they do not need assistance & that there is nothing wrong with them.

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14
Q

Why may a child be brought into a mental health system?

A

Family issues or the inability to cope with behaviors, abuse, or abandonment

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15
Q

What is the approximate percentage of prison inmates with severe & persistent mental illness?

A

10%

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16
Q

What type of mental health patient are OTPs most likely to work with?

A

Patients with severely disabling psychiatric disorders

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17
Q

When is the serious mental health patient generally first recognized?

A
  • Consistently symptomatic or disorganized as to require hospitalization
  • Admitted for detoxification
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18
Q

Medical care for disease, injury, or other medically treatable condition is known as…

A

Treatment

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19
Q

An action undertaken in order to change what is happening or might happen in another’s affairs,especially in order to prevent the undesirable is known as…

A

Intervention

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20
Q

Work done by somebody for somebody else as a job or duty is known as a…

A

Service

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21
Q

Tending to or supervising someone suggests…

A

Care

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22
Q

When would the term ‘care’ best be applicable?

A

When serving those with advanced dementia & similarly disabling conditions.

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23
Q

Name the different types of psychiatric settings in which the OTP may work?

A
  • Large public institutions
  • Nonprofit voluntary psychiatric hospitals
  • General hospitals
  • Proprietary hospitals
24
Q

Where may the aged & those with Alzheimer’s disease & other organic mental disorders may be treated?

A

Long term care facilities such as:

  • Skilled nursing facilities
  • Assisted living environments
  • Person’s home
25
Q

Where will the criminally insane be treated?

A

Forensic units of large state hospitals

26
Q

Where may adolescents & children be treated for mental illness or disorders?

A
  • Schools
  • Camps
  • Activity programs
27
Q

When working with special needs groups such as battered women, sex offenders, child abusers,drug & alcohol abusers, persons with HIV or AIDS, personality or eating disorders, the special needs are best met how?

A

Treated together in group therapy

28
Q

Name the different types of outpatient settings.

A
- Aftercare clinics attached to
hospitals with inpatient services
- walk-in programs in community mental health centers
- psychosocial clubhouses
- Social & community agencies
29
Q

What setting is necessary for those who are violent or so disorganized they cannot meet their own needs for food, clothing, or shelter?

A

Inpatient settings

30
Q

Name the 2 types of inpatient settings.

A
  • Acute

- Chronic

31
Q

Name the settings that provide services on a short-term basis, generally for patients who have become ill suddenly or who have a history of psychiatric illness & have a sudden recurrence of psychotic symptoms.

A

Acute inpatient settings

32
Q

Name the inpatient settings that provide supervision & services for persons who have severe & persistent mental illness & serious disabilities that impair community living.

A

Chronic inpatient settings

33
Q

Name the bill responsible for the deinstitutionalization of psychiatric patients.

A

Community Health Act of 1963

34
Q

Name 2 disorders that qualify for chronic inpatient settings.

A
  • Schizophrenia

- Organic mental disorders

35
Q

Municipal, state, & county hospitals,VA, US Public Health Service facilities are examples of?

A

Public institutions

36
Q

What was the purpose for the deinstitutionalization in 1963?

A

Liberate Pts from confinement & enable them to integrate into community housing & employment.

37
Q

Where may many of the deinstitutionalized Pts found?

A
  • Correctional facilities
  • Shelters for homeless
  • On the street
38
Q

Name the 3 populations of large public psychiatric centers.

A
  • Pts too violent or suicidal to be released

- Those, w/ & w/o social support, cannot live in the community even w/ support despite adequate skills

39
Q

Name the emphasis of acute wards.

A

Medical tx & control of symptoms through the use of medications.

40
Q

Name the emphasis of chronic wards.

A

Maintenance or development of:

  • Daily living skills
  • Work-related skills
  • Leisure activities
41
Q

If & when Pts are discharged from the large state hospital or public institution, where may they be assigned?

A

Satellite clinic near the Pts home that provides aftercare services

42
Q

Define IPRT.

A

Intensive psychiatric rehabilitation tx

43
Q

Name the interventions associated with the IPRT.

A
  • Develop specific skills for the PTs target environment
  • Identifying & supplying environmental supports
  • Providing social supports
44
Q

Tx aims to reduce problem behaviors & enhance coping strategies describes the focus for…

A

Behavioral units

45
Q

Name the specific units that provide tx for Schizophrenia, other psychoses, & TBI.

A

Behavioral units

46
Q

Name the purpose of transitional services.

A

Prepare PTs to move from the hospital to the community

47
Q

Live-in settings that allow residents to explore the experience of more freedom in the community while receiving direct supervision from trained staff describes…

A

Quarterway houses

48
Q

For acute care inpatient wards, what do the evaluations typically focus on?

A
  • Cognitive level
  • Self-care skills
  • Independent living skills
49
Q

Ronbinson & Avallone developed what approach.

A

Activities health approach

50
Q

Describe the purposes of the activities health approach.

A
  • Engage in tasks similar to those pre-hospitalization
  • Monitor effects of meds on ability & function
  • Assess activities health & routine
  • Recommend services needed to improve everyday functioning after discharge
51
Q

Name the approach that Peloquin developed.

A

Interview/therapy set

52
Q

Who & why was the Interview/therapy set developed for?

A

Provides evaluation & tx for large numbers of acute care Pts who stay less than 2 weeks

53
Q

The process of orienting Pts to the purpose, goals, & procedures used in a particular tx describes…

A

Therapy set

54
Q

Name the 3 forms for the interview/therapy set.

A
  • Letter- describes OT in simple language
  • Activity guide- self administered data collection instrument
  • Checklist of goals- based on objectives identified from the activity guide
55
Q

Private hospitals run for profit are…

A

Proprietary hospitals

56
Q

Pg. 192

A

Outpatient Settings