Final

Question 1

_________________ focuses on enhancing the quality of life for people with disabilities and their families, meeting basic needs and ensuring inclusion and participation

Answer 1

Community-based rehabilitation (CBR)

Question 2

• Attain high quality longer lives free of preventable disease, disability, injury and premature death
• Achieve health equity, eliminate disparities, and improve the health of all groups
• Create social and physical environments that promote good for all
• Promote quality of life, healthy development, and healthy behaviors across all life stages

Answer 2

Healthy People 2020

Question 3

OT in community based mental health has emphasis on what?

Answer 3

Improved quality of life, decreased hospitalization

Question 4

Place person where they want to work then train them there

Answer 4

Place and train model

Question 5

Cons of place and train model

Answer 5

Time consuming, need lots of support initially

Question 6

Identifying needs and facilitating access to community services, supporting continuity over time and across services, matching the client’s needs to the support provided

Answer 6

Case management

Question 7

Goals of case management

Answer 7

Reduce hospitalization, keep client in least restrictive environment, maintain quality of life

Question 8

6 steps in case management service intervention

Answer 8

evaluation, service plan development, placement services, linkage and consultation, daily living skills development, emergency intervention

Question 9

Administrative office base model, case manager assesses needs and makes referrals, no direct clinical care

Answer 9

Broker model

Question 10

Broker model caseload

Answer 10

50-150 clients

Question 11

Special skills associated with broker model?

Answer 11

No clinical skills required, need to be familiar with the mental health system

Question 12

Goal with broker model?

Answer 12

Stabilization and successful use of services

Question 13

Engagement, assessment, psychotherapy, living skills training and psychoeducation

Answer 13

Clinical case management

Question 14

Caseload clinical case management?

Answer 14

30-50

Question 15

Training clinical care management?

Answer 15

training in psychotherapy and psychoeducation

Question 16

Goal of clinical case management?

Answer 16

provide direct services and referral

Question 17

Commonly used client-driven model, strengths-oriented, stresses importance of client-therapist alliance and aggressive community outreach

Answer 17

Strengths Model

Question 18

Requirements with strengths model?

Answer 18

clinical skills

Question 19

Goal of strengths model?

Answer 19

identify and maximize client strengths and obtain needed skills and/or resources to support community integration and improve quality of life

Question 20

Client-driven, attentive to client strengths, focused on identification and remediation of skill deficits

Answer 20

Rehabilitation model

Question 21

Caseload rehabilitation model?

Answer 21

20-30

Question 22

Requirements for rehabilitation model?

Answer 22

clinical skills and training, case manager serves as a mentor

Question 23

Goal of rehabilitation model?

Answer 23

promote adaptation to the community and achievement of personal goals

Question 24

Full-support model with 24 hour coverage and time-unlimited services

Answer 24

Assertive community treatment

Question 25

Caseload for assertive community treatment?

Answer 25

Takes some of the most difficult clients, usually take 1-10, some take up to 20

Question 26

Team with assertive community treatment?

Answer 26

multi-disciplinary rather than single case manager

Question 27

What is done in assertive community treatment?

Answer 27

In vivo service, direct skill training and service rather than referral

Question 28

Goal in assertive community treatment

Answer 28

reduce hospitalization, help clients remain in community with support

Question 29

Full support model that is similar to assertive community treatment

Answer 29

Intensive case management

Question 30

Caseload for intensive case management?

Answer 30

20

Question 31

Team in intensive case management?

Answer 31

No team, done individually, do not share caseloads in teams

Question 32

Goal in intensive case management?

Answer 32

Reducing hospitalization, helping clients remain in community with support

Question 33

Empowers consumers to manage illnesses, develop own goals for recovery, make informed decisions about treatment

Answer 33

Illness management and recovery (IMR)

Question 34

What model provides a blueprint for illness management?

Answer 34

Stress-Vulnerability model

Question 35

Trained IMR practitioners meet weekly with consumers either individually or as a group for how long?

Answer 35

3 to 10 months

Question 36

Uses evidence-based teaching methods to provide basic information about MI and treatment

Answer 36

psychoeducation

Question 37

Consumers who chose to take medications learn strategies to help manage daily medication regimes

Answer 37

Behavioral tailoring

Question 38

Involves helping consumers identify triggers of past relapses and early warning signs of impending relapse, consumers learn how to develop plans for preventing relapses

Answer 38

Relapse prevention

Question 39

Helps consumers identify and enhance effective strategies that they currently use to deal with symptoms, learn and practice using new strategies

Answer 39

Coping skills training

Question 40

Research-proven model of treatment for people with serious mental illnesses and co-occuring substance sue disorders

Answer 40

Integrated treatment for co-occuring disorders (IDT)

Question 41

Stages of transtheoretical model

Answer 41

pre-contemplation, contemplation/preparation, action, maintenance

Question 42

Precontemplation stage

Answer 42

assertive outreach, practical help, intro to ind/family/ group and self-help treatment formats

Question 43

Which transtheoretical stage is associated with engagement?

Answer 43

precontemplation

Question 44

Which transtheoretical stage is associated with persuasion?

Answer 44

contemplation/preparation

Question 45

Which transtheoretical stage is associated with active treatment?

Answer 45

action

Question 46

Which transtheoretical stage is associated with relapse prevention?

Answer 46

maintenance

Question 47

Contemplation/preparation stage

Answer 47

education, goal setting, building awareness of problem through motivational counseling

Question 48

Action stage

Answer 48

counseling and treatment- CBT, skills training, support from families and self-help groups

Question 49

Maintenance stage

Answer 49

continued counseling and treatment based on relapse prevention techniques, skill building, ongoing support to promote recovery

Question 50

Decent, safe, and affordable community-based housing that provides tenants with the rights of tenancy under state and local landlord tenant laws and is linked to voluntary and flexible support and services designed to meet tenants' needs and preferences

Answer 50

Permanent supportive housing