Schizophrenia: Social Treatments - Assertive Community Therapy Flashcards Preview

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Flashcards in Schizophrenia: Social Treatments - Assertive Community Therapy Deck (12)
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1
Q

What social theory explains a cause for schizophrenia?

A

Social Causation Hypothesis

2
Q

What does the social theory say about the cause of schizophrenia?

A

That it is triggered by factors from the environment such as social adversity, immigration, and family relations.

3
Q

Who is this therapy mostly used by?

A

The community and people with mental health disorders that cannot function on their own.

4
Q

Describe how assertive community therapy is carried out.

A
  • A team of staff (often psychiatrists) share a caseload of one person
  • There is a high frequency of patient contact with a 10:1 staff to patient ratio
  • Services are available 24 hours a day
  • Individualised support focused on independence and recovery
  • Offer support with daily activities
  • Treatment of patient in real life setting
5
Q

Give 3 examples of how ACT would help someone.

A

1) Banking
2) Shopping
3) Laundry

6
Q

Using the acronym ‘DESSERT’, evaluate a ‘different treatment’ point.

A

P - Chemotherapy as an alternative
E - ACT involves someone helping a patient to improve their independence and functioning to reduce relapse rates long-term
E - Antipsychotics is a faster way of reducing symptoms to allow the patient to return to normal life and so they may be more committed to this method

7
Q

Using the acronym ‘DESSERT’, evaluate an ‘expense’ point.

A

P - This can be expensive
E - Paying for many psychiatrists to take care of you and be available 24/7 would be expensive and need a lot of Government funding and it is also only available in urban areas with high pop density
E - Therefore it may not be available to people who need it most as can’t afford or don’t live in urban areas

8
Q

Using the acronym ‘DESSERT’, evaluate 2 ‘supporting studies’ points.

A

P - Bond et al (2000) supports effectiveness of ACT
E - He concluded from 25 studies that looked into the effectiveness of ACT that it was highly effective due to engaging clients and preventing rehospitalisation
E - Therefore showing effectiveness of treatment for SZ
P - Vugt et al (2011) supports global effectiveness of ACT
E - Found in the Netherlands that provided the model was adhered to, ACT could be successful
E - Showing that the format for support in existence works effectively to improve independence and reduce relapse

9
Q

Using the acronym ‘DESSERT’, evaluate a ‘side effects’ point.

A

P - There are no side effects of ACT
E - However it is often needed to be paired with medication if symptoms are bad enough and so patients will experience negative side effects from this anyway, such as muscle spasms
E - Therefore some may not seek extra therapy (that wouldn’t reduce side effects) to aid them if they are already receiving one

10
Q

Using the acronym ‘DESSERT’, evaluate an ‘ethics’ point with a justification.

A

P - High social control
E - Gomory (2001) said that some patients found they were offered little choice in making their own decisions and see it as patronising
E - Therefore these ethical restraints may deter some people from using ACT to improve their symptoms
J - However it benefits people who rebel hospitalisation due to the higher control over actions there and so may find it more relaxing and free

11
Q

Using the acronym ‘DESSERT’, evaluate a ‘mask’ point.

A

P - Masks the cause of SZ
E - ACT does not attempt to cure the cause of SZ instead combines it with antipsychotics to mask symptoms and improve rates of relapse gaining independency
E - Therefore this treatment is not effective due to not addressing cause for SZ

12
Q

Using the acronym ‘DESSERT’, evaluate a ‘time commitment’ point.

A

P - There is no time limit
E - People can choose to stay in ACT as long as they want/need with support 24/7
E - Therefore this is effective as it stays with the patient long-term to help them improve their independence when living with SZ