Flashcards in Ch. 15: Treatment of Schizophrenia and Other Severe Mental Disorders Deck (18):
What is the Milieu approach to long term institutional care?
Creation of social climate to promote productivity. Pts are residents
What is the Token approach to long term institutional care?
Based on operant conditioning, pts receive rewards for good behavior, but there are ethical concerns and difficulty to transition w/o rewards
What two drugs calmed patients w/ psychotic symptoms prior to surgery?
How effective are antipsychotics?
reduce symptoms (mostly positive) by 65%
noncompliance is an issue
Over 50% of all patients with schizophrenia are treated with what drug?
atypical antipsychotic drugs
What are the 3 beneficial therapies?
Cognitive, family, social
What's the premise of cognitive behavioral therapy?
Biologically triggered sensations are linked to development of schizophrenia
What is the goal of cognitive behavioral therapy?
Help patients understand their experiences in a more accurate way in order to reduce fear and confusion
What is the strategy of cognitive behavioral therapy?
Provide education, challenge inaccuracies, teach better interpretations, and teach coping mechanisms
What do new wave cognitive behaviorists teach patients?
be mindful of their worries and accept negative thoughts as harmless events of the mind
What is the community approach?
Community mental health act, range of mental health services to keep patients in community, started deinstitutionalization.
What is family therapy approach?
provides guidance and support to help families empathize with patient.
What is social therapy approach?
provides practical advice and problem solving and social skills, these folks have lower recidivism rates
– a community mental health center is a liaison for care (meds, therapy, social skills, vocational counseling)
What is partial hospitalization?
day centers of day hospitals where patients receive care and treatment during the day, then home at night
halfway houses or group homes that typically house 12 to 24 people. Supervised by mental health professionals, staffed by paraprofessionals (lay person with training).
sheltered workshops where patients work under close supervision. Some patients stay permanently.
occupational training and support