Mental Health Ch. 7 Tx Settings Flashcards

(56 cards)

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
Where will the criminally insane be treated?
Forensic units of large state hospitals
26
Where may adolescents & children be treated for mental illness or disorders?
- Schools - Camps - Activity programs
27
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?
Treated together in group therapy
28
Name the different types of outpatient settings.
``` - Aftercare clinics attached to hospitals with inpatient services - walk-in programs in community mental health centers - psychosocial clubhouses - Social & community agencies ```
29
What setting is necessary for those who are violent or so disorganized they cannot meet their own needs for food, clothing, or shelter?
Inpatient settings
30
Name the 2 types of inpatient settings.
- Acute | - Chronic
31
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.
Acute inpatient settings
32
Name the inpatient settings that provide supervision & services for persons who have severe & persistent mental illness & serious disabilities that impair community living.
Chronic inpatient settings
33
Name the bill responsible for the deinstitutionalization of psychiatric patients.
Community Health Act of 1963
34
Name 2 disorders that qualify for chronic inpatient settings.
- Schizophrenia | - Organic mental disorders
35
Municipal, state, & county hospitals,VA, US Public Health Service facilities are examples of?
Public institutions
36
What was the purpose for the deinstitutionalization in 1963?
Liberate Pts from confinement & enable them to integrate into community housing & employment.
37
Where may many of the deinstitutionalized Pts found?
- Correctional facilities - Shelters for homeless - On the street
38
Name the 3 populations of large public psychiatric centers.
- 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
Name the emphasis of acute wards.
Medical tx & control of symptoms through the use of medications.
40
Name the emphasis of chronic wards.
Maintenance or development of: - Daily living skills - Work-related skills - Leisure activities
41
If & when Pts are discharged from the large state hospital or public institution, where may they be assigned?
Satellite clinic near the Pts home that provides aftercare services
42
Define IPRT.
Intensive psychiatric rehabilitation tx
43
Name the interventions associated with the IPRT.
- Develop specific skills for the PTs target environment - Identifying & supplying environmental supports - Providing social supports
44
Tx aims to reduce problem behaviors & enhance coping strategies describes the focus for...
Behavioral units
45
Name the specific units that provide tx for Schizophrenia, other psychoses, & TBI.
Behavioral units
46
Name the purpose of transitional services.
Prepare PTs to move from the hospital to the community
47
Live-in settings that allow residents to explore the experience of more freedom in the community while receiving direct supervision from trained staff describes...
Quarterway houses
48
For acute care inpatient wards, what do the evaluations typically focus on?
- Cognitive level - Self-care skills - Independent living skills
49
Ronbinson & Avallone developed what approach.
Activities health approach
50
Describe the purposes of the activities health approach.
- 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
Name the approach that Peloquin developed.
Interview/therapy set
52
Who & why was the Interview/therapy set developed for?
Provides evaluation & tx for large numbers of acute care Pts who stay less than 2 weeks
53
The process of orienting Pts to the purpose, goals, & procedures used in a particular tx describes...
Therapy set
54
Name the 3 forms for the interview/therapy set.
- 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
Private hospitals run for profit are...
Proprietary hospitals
56
Pg. 192
Outpatient Settings