Mental Health Chapter 4

Front 1

Assertive community treatment (ACT)

Back 1

Community-based programs that provide many of the services that are necessary for successful community living; includes case management, problem-solving skills training, support, teaching on a 23/7 basis. There is no time limit but working towards independence.

This decreases the revolving door of repeated hospital admissions because of unsuccessful attempts at community living.

Hint 1

Reintegrating persons into the community through ACT is beneficial

Front 2

Clubhouse model

Back 2

1948, Fountain House started this model of community-based rehabilitation in New York City.

A community-based rehabilitation; an “intentional community” based on the belief that both men and women with serious and persistent psychiatric disability can and will achieve normal life goals when given the opportunity, time, support, and fellowship.

Hint 2

Membership is based on 4 guaranteed rights of members:

A place to come to

Meaningful work

Meaningful relationships

A place to return to (lifetime membership)

Front 3

Criminalization of mental illness

Back 3

Refers to the practice of arresting and prosecuting mentally ill offenders, even for misdemeanors, at a rate much higher (4 times) than that of the general population in an effort to contain them in some type of institution where they might receive needed treatment.

*noted that some of these people would not be offenders if they had received much needed treatment.

Front 4

Day treatment

Back 4

Treatment programs in which clients attend during the day and return home or to the community at night.

Hint 4

A treatment used under Partial Hospitalization programs

Front 5

Interdisciplinary (multidisciplinary) team

Back 5

Treatment group composed of individuals from a variety of fields or disciplines; the most useful approach in dealing with the multifaceted problems of clients with mental illness.

Hint 5

By collaborating, they can meet the client’s needs more effectively.

Ie: pharmacist, psychiatrist, psychologist, psychiatric nurse, psychiatric social worker

Study box 4.7

Front 6

Partial hospitalization programs (PHPs)

Back 6

Structured treatment at an agency or a facility for clients living in the community; designed to help clients make a gradual transition from being an inpatient to living independently or to avoid hospital admission.

Hint 6

Designed to help clients make a gradual transition from being inpatients to living independently and to prevent repeat admissions.

Front 7

Recovery

Back 7

Improved quality of life, beyond just symptom control, including personal growth, reintegration into the community, empowerment, increased independence, and pursuit of life goals like any other person.

Hint 7

Read box 4.3 and 4.4

Front 8

Residential treatment settings

Back 8

Long-term treatment provided in a living situation; vary according to structure, level of supervision, and services provided.

Hint 8

Examples:

Group homes, supervised apartments, board and care homes, assisted living, adult foster care, crisis housing

Front 9

Stigma

Back 9

Dealing with this perceived stigma of mental illness can be problematic. Many times veterans may be reluctant to seek treatment or find that treatment isn’t readily available.

Hint 9

Box 4.6 discusses services for veterans

Front 10

Telepsychiatry

Back 10

Mental health services delivered via information and communication technology. Holds promise for many individuals who haven’t received necessary services for one reason or another.

Hint 10

Great for reaching out to rural areas, also became widespread due to 2020 covid 19 pandemic

Front 11

Pharmacist

Back 11

Member of the interdisciplinary team when medications, management of side effects, and/or interactions with non psychiatric meds are complex.

Hint 11

Medication

Front 12

Psychiatrist

Back 12

Physician certified in psychiatry bye the American board of psychiatry and neurology, function is diagnosis of mental disorders and prescription of medical treatments

Hint 12

Makes diagnosis and prescribes meds

Front 13

Psychologist

Back 13

has a PHD in clinical psychology

May participate in the design of therapy programs for groups of individuals, practice therapy, interprets psychological tests

Hint 13

Designs therapy programs for individuals and groups

Front 14

Psychiatric nurse

Back 14

RN gains experience in working with clients with psychiatric disorders. If receive their masters in mental health may be in some states certified as clinical specialists and in some states certified to prescribe drugs

Front 15

Occupational therapist

Back 15

Focuses on functional abilities of the client and ways to improve client functioning, such as working with arts and crafts and focusing on psychomotor skills

Hint 15

Associates degree or baccalaureate degree

Front 16

Recreation therapist

Back 16

Helps the client to achieve a balance of work and play in their life and provides activities that promote constructive use of leisure or unstructured time

Front 17

Vocational rehabilitation specialist

Back 17

Determines clients’ interests and abilities and matching them with vocational choices. Clients are also assisted in job seeking and job retention skills as well as pursuit of further education.

Hint 17

These specialists have their Baccalaureate or masters degrees

Front 18

Psychiatric social worker

Back 18

Works with the family, community supports, and referrals