38. Chronic Mental Illness Flashcards Preview

M2 Psychiatry > 38. Chronic Mental Illness > Flashcards

Flashcards in 38. Chronic Mental Illness Deck (20)
1

define serious and persistent mental illness

psychiatric disorder that persists over many years, produces severe disability, and requires long term care and support.

2

ppl with what illnesses often qualify as having serious and persistent mental illness?

schizophrenia, schizoaffective, severe bipolar

3

mental health dollars have been transferred from what to what in the era of deinstitutionalization?

state mental health hosp to community programs.

4

why was deinstitutionalization considered a failure in most states?

community programs not created: health money used for hospital based care systems and other things

5

in the US what % of people with severe and persistent mental illness receive NO care?

half

6

what is the goal of community care?

help people whose lives are affected by severe mental illness to achieve life goals (housing, employment, symptom management, freedom from addiction, good health, staying out of hosp)

7

what are some of the evidence-based practices that support the health of pts with severe mental illness?

-appropriate med use
-supported employment
-dual diagnosis services
-outreach-oriented case management
-illness self-management strategies
-family psychoeducation

8

what is the cornerstone of treating the severely mentally ill?

adequate housing. 33% of homeless have mental illness.

9

most adults with severe mental illness live where?

w family (40%)

10

in what ways is work helpful for people with severe mental illness?

direct improvements in activity level, social contact, money and also can help self-esteem, illness management, quality of life

11

what is employment support?

helps pts find jobs, provides monitoring and support.

12

what % of ppl with severe mental illness abuse alc/drugs?

50%.

13

what does alc/drug abuse lead to in ppl with severe mental illness?

inc symptoms, more hospitalizations, homelessness, infectious diseases, victimization, poor response to treatment

14

what is the role of families for ppl with mental illness?

providing psychoeducation to families improves the course of their relatives' mental illness

15

what is the role of the day to day environment for people with mental illness? what is ideal?

overstimulation leads to symptomatic relapse, understimulation leads to atrophy, lethargy. ideal is supportive, emotionally consistent.

16

compared to the general popn, what is the average life expectancy of ppl with severe mental illness?

15-30 y less

17

what contributes to the shortened lifespan of ppl with severel mental illness?

med side effects, low exercise, poor diet, high tobacco use, less access to general healthcare

18

what is the rate of suicide in scz and bipolar?

10-15%

19

what highly correlates with suicide?

hopelessness

20

what type of therapy helps prevent suicide? what are the stages of that therapy?

supportive psychotherapy (rather than exploratory/psychodynamic)
stages: engagement, illness mastery, working through