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6 Cards in this Set

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Asylum

A safe refuge or haven offering protection;in the United States, the term “asylum” was used to describe institutions for the mentally ill.


*began in the 1790s, a period of enlightenment concerning persons with mental illness.


*Formulated by Philippe Pinel (France) and William Tuke (England)

Moral treatment of mentally ill

Psychotropic Drugs

Drugs that affect mood, behavior, and thinking that are used to treat mental illness.


*developed in about 1950


First drugs developed:


Chlorpromazine (Thorazine) antipsychotic


Lithium an anti manic agent

These reduced agitation, psychotic thinking,m and depression making hospital stays shorter.D

Deinstituitionalization

A deliberate shift in care of the mentally ill from institutional care in state hospitals to care in community-based facilities and through community-based services.

1963 Community Mental Health Centers Construction Act caused the shift to community mental health centers.

Boarding

Keeping patients in the ED or a unit while waiting to see if the crisis de-escalates or until an inpatient bed can be located or becomes available.


*leads to the revolving door effect - shorter stays but admitted more often

This practice frustrates health care personnel, leads to increase in suicide, and dissatisfaction with care for clients

Case Management

Management of care on a case-by-case basis, representing an effort to provide necessary services while containing cost; in the community case management services include accessing medical and psychiatric services and providing assistance with tasks of daily living such as financial management, transportation, and buying groceries.

Effort to provide necessary services while containing cost.


*Reality, costs are reduced by withholding services deemed unnecessary or substituting less expensive treatment alternatives ie: hospital admission is denied

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR)

A taxonomy published by the APA; the DSM-5-TR describes all mental disorders and outlines specific diagnostic criteria for each based on clinical experience and research.

Book


3 purposes: provide standardized


Present defining characteristics


Assist in identifying underlying Causes of disorders