Psych Ch4

Front 1

continuum of care

Back 1

integrated system of settings, services, healthcare clinicians, and care levels, spanning illness to wellness states

Front 2

least restrictive environment

Back 2

goal of cotinuum of care
-treatment within highest level of functioning

Front 3

case manager

Back 3

coordinates care
-special training in psychotherapy, psychopharmacology, psycho social rehab
-treats family as unit

Front 4

crisis intervention

Back 4

-last < 6 hours
-focus is to stabilize, symptom reduction, and prevent relapse

Front 5

those that benefit from 23 hour observation

Back 5

acute trauma, rape, alcohol and narcotic detox or personality disorders

Front 6

1 hour rule

Back 6

patient can only be secluded or restrained for 1 hour until physcian must evaluate

Front 7

crisis stabilization

Back 7

<7 days
-control symptoms thru meds and behavorial interventions, coordinate care

Front 8

acute inpatient care

Back 8

-high risk for harming themselves, others or unable to care for basic needs

Front 9

partial hospitilization programs (PHPs)

Back 9

full day or half day
-provides treatment to patients with acute symptoms and can't function autonomously but are not a danger

Front 10

residential services/intensive residential services

Back 10

provide a place for people to reside during a 24 hour period on an ongoing basis

Front 11

IMD

Back 11

institution for mental disease, 16 beds, with at least 50% of those with mental illness

Front 12

in home mental health care

Back 12

patient at home with in home health care

Front 13

intensive outpatient programs

Back 13

focus on prevention and relapse prevention for highly vulnerable indiv who function autonomously
-2-3 xweek, 3-4 hours

Front 14

outpatient detoxification

Back 14

partial hospitilization for patients requiring medical supervision, then sent home
-23 hour bed treatment for withdrawal &/or 4-5 day detox

Front 15

in home detoxification

Back 15

nurse visits and monitors meds for first week of sobriety

Front 16

Assertive community treatment model

Back 16

multidisciplinary clinical team providing 24 hour intensive community service in indiv's natural setting for those with serious mental health issue live in the community

Front 17

psychiatric rehabilitaion programs

Back 17

reintergration of people with psychiatric d/o into the community thru work, education, social skills while addressing their medical and residential needs

Front 18

clubhouse model

Back 18

psychosocial rehab that aims to reintegrate a person with mental illness into the community
-voluntary, support center, vocational training, may or may not live their
-run by patients

Front 19

relapse prevention after-care programs

Back 19

patient and family
-educate themselves about the illness
-learn to cope with chronic nature of illness
-learn warning signs of relapse
-educate about meds
-other disease management strategies

Front 20

personal care homes

Back 20

6-10 people live together with 24 hour supervision
-elderly, mildly retarded, and mentally ill

Front 21

board and care homes

Back 21

50-150 people, 24 hour supervision and assistance with meds but not ADLs

Front 22

managed care organizations goal

Back 22

increase access to care and provide appropriate level of care that is least restrictive
-generally avoid costly inpatient

Front 23

discharge documentation

Back 23

patient's response to proposal, plan, follow up for psychiatric and physical health problems, discharge instructions