Ch 15

Front 1

State Hospitals

Back 1

Public mental hospitals in the US, ran by individual states.

Front 2

Lobotomy

Back 2

AKA Prefrontal Leucotomy, drilling two holes in either side of the skull and inserting an instrument into the brain tissue to cut or destroy nerve fibers.

Front 3

Transorbital Lobotomy

Back 3

A surgeon inserts a needle into the brain through the eye socket and rotates it in order to destroy brain tissue.

Front 4

Social Breakdown Syndrome

Back 4

Extreme withdrawal, anger, physical aggressiveness, and loss of interest, in personal appearance and functioning.

Front 5

Milieu Therapy

Back 5

A humanistic approach, treatment based on the premise that institutions can help patients recover by creating a climate that promotes self-respect, responsible behavior and meaningful activity.

Front 6

Token Economy Program

Back 6

A behavior focused program in which a person's desirable behaviors are reinforced systematically by the awarding of tokens, which can be exchanged for goods or privileges.

Argued against because it denies basic human rights

Front 7

Antipsychotic drugs

Back 7

Drugs that help grossly confused distorted thinking. Discovered while making antihistamine drugs, phenothiazine - chlorpromazine (thorazine)

Front 8

1st Gen Antipsychotics

Back 8

Conventional antipsychotics

Front 9

2nd Gen Antipsychotics

Back 9

Atypical Antipsychotics

Front 10

Neuroleptic Drugs

Back 10

1st Gen antipsychotic drugs, often call neuroleptic because they produce undesired effects similar to neurological disorders.

Front 11

Extrapyramidal Effects

Back 11

Unwanted movements, like bizzare shaking, strange looking grimaces, twisting of the body and extreme restlessness, sometimes produced by the drugs

Front 12

Parkinsonian Symtoms

Back 12

Reactions that closely resemble Parkinsons disease.

Result of medication induced reductions of dopamine activity in the striatum

Front 13

Neuroleptic Malignant Syndrome

Back 13

A severe, potentially fatal, reaction consisting of muscle rigidity, fever, altered consciousness and improper functioning of the autonomic nervous system

Front 14

Tardive Dyskinesia

Back 14

Does not typically show until after 6 months with 1st gen. Antipsychotics. Involuntary writhing, ticlike movements within the tongue, mouth, face or whole body; involuntary chewing, sucking, lip smacking; jerky movements of the arms, legs or whole body

Patients over 50 are 3-5 times more likely to develop

Front 15

Polypharmacy

Back 15

Adding a drug to achieve a synergistic like effect

Front 16

Agranulocytosis

Back 16

A life threatening drop in white blood cells

Sometimes caused by clozapine

Front 17

Undesired side effects of 2nd gen antipsychotics

Back 17

Weight gain, dizziness, metabolic problems, sexual dysfunctions, cardiovascular changes, changes in blood sugar

Front 18

Cognitive Remediation

Back 18

A treatment that focuses on the cognitive impairments that often characterize people with schizophrenia, primarily their difficulties in attention, planning and memory

Front 19

Hallucination Reinterpretation and Acceptance

Back 19

1- provide clients with education and evidence about the biological causes for hallucination

2- help clients learn what causes of their hallucinations/delusions

3- challenge the inaccurate ideas about the power of their hallucinations

4- teach clients to reattribute and more accurately interpret their hallucinations

5- teach clients techniques for coping with their unpleasant sensations, by refocusing or distracting when they occur

Front 20

How does mindfulness help?

Back 20

By being mindful of the worries that engulf their thinking and accept negative thoughts as harmless events in the mind

Front 21

Family Therapy

Back 21

Provide guidance, training, practical advice, psychoeducation, and emotional support and empathy

Psychoeducation is to the one individual with schizophrenia, family support is to the entire family at home

Front 22

Community Mental Health Act

Back 22

Stipulated that patients with psychological disorders were to receive a range if mental health services

Front 23

Deinstitutionalization

Back 23

The discharge of a large number of patients from long term institutional care so that they may be treated in community programs

Front 24

Assertive Community Treatment

Back 24

Those whose communities help them meet their needs, make more progress than living in other communities

1- coordination of patient services

2- short term hospitalization

3- partial hospitalization

4- supervised residencies

5- occupational training

Front 25

Community Health Center

Back 25

A treatment facility that provides medication, psychotherapy, and emergency care for psychological problems and coordinated treatment in the community

Front 26

Mentally Ill Chemical Abusers

Back 26

Patients with psychotic disorders and substance abuse

Front 27

Aftercare

Back 27

A program of post hospitalization care and treatment in the community

Front 28

Day Center

Back 28

AKA Day Hospital, a program that offers hospital like treatment during the day only and sends patients home at night

Front 29

Semihospital/Residential Crisis Center

Back 29

Community health services available 24 hrs

Front 30

Halfway Houses

Back 30

AKA Crisis home or Group home, a residence for people with schizophrenia or other severe problems (usually ran with milieu therapy philosophy)

Front 31

Paraprofessionals

Back 31

People who receive training and ongoing supervision from the outside mental health professionals

Front 32

Sheltered Workshop

Back 32

A supervised workplace for people who are not ready for competitive jobs

Front 33

Supported Employment

Back 33

Vocational agencies or counselors help clients find competitive jobs in the community and provide psychological support while employed

Front 34

Case Manager

Back 34

A community therapist who offers and coordinates a full range of services for people with schizophrenia and other disorders

Therapy, advice, medication, guidance, and protection of patients rights

Front 35

National interest group

Back 35

Push for better community treatment