Inpatient Hospital treatment: At first, typical psychiatric unit emphasized what?
Talk Therapy, or one-on-one interactions and Milieu Therapy, meaning total environment and effects on the clients treatment
Case Management: What is this?
Are usually social workers or nurses who follow the client from admission to discharge and are the liaison between client and community resources
Case Management: Interventions for relapse prevention include
Symptom education, service community, and esablishmenet of daily structure
Case Management: What are Assertivie Community Treatment?
Programs that provide many of the services that are necessary to stop the revolving door of repeated hospital admissions
Partial Hospitalization Programs: These are designed to help clients do what
make a gradual transition from being inpatient to living independently and to prevent repeat admissions
Partial Hospitalization Programs: What are some services that they provide?
Day treatment and evening treatment programs
Building comunication and social skills
Solving problems
Monitoring Medications
Partial Hospitalization Programs: Who would use this program?
Those after an inpatient hospital stay
Those coming before problems start
Others may transition from this to longer term outpatient therapy
Partial Hospitalization Programs: What is the goal of this?
They focus on training for social and basic living skills such as shopping for groceries and planning meals.
Residental Services: Board and care homes often provide what?
A room, bathroom, laundry, and one common meal a day
Residental Services: Adult foster homes may care for how many clients in what atmosphere?
1-3 in a family-like atmosphere including meals and social activities
Residental Services: What are halfway houses?
Serve as temporary placement that provide support as clients prepare for independence.
Residential Services: What are group homes?
House 6-10 people who take turns cooking meals and sharing household chores
Residential Services: What are independent living programs?
Often houses in apartment complexes where clients share apartments . Staff members available for crisis intervention, transportation, assistance.
Residential Services: What is the evolving consumer household?
A group living situation in which the residents make the transition from a transitional group home to a residence where they fulfill their own responsibilities. Eliminates problem of relocation
Transitional Care: What is Transitional Discharge Model?
Patients who were discharged after long hospitalization receives intensive services to facilitate their transition .
Transitional Care: Two essential components of Transitional Discharge Model?
Peer support and bridging staff.
Transitional Care: How is peer support provided?
By a consumer now living successfully in the community
Transitional Care: How is bridging staff provided?
Refers to an overlap between hospital and community care. Hospital staff don’t terminate their therapeutic relationship while relationship established with community care provider
Psychiatric Rehabilitation and Recovery: What is Psychiatric Rehabilitation?
Services designed to promote the recovery process for clietns with mental illness
Psychiatric Rehabilitation and Recovery: Recovery goes beyond symptom control and medication management ot include..
personal growth , reintegration into the community, empowerment, increased independence and improved quality of life
Psychiatric Rehabilitation and Recovery: What is the challenge of moving toward a recovery model of care?
Creating and managing the change this requires, both for staff and organization
Psychiatric Rehabilitation and Recovery: This rehan has improved client outcomes by providing
community support services to decrease hospital readmission rates and increase community integration
Psychiatric Rehabilitation and Recovery: What are some barriers in this field?
Poverty, lack of jobs, and inadequate vocational skills are barriers to community integration because were not included in medically necessary and not funded
Psychiatric Rehabilitation and Recovery: Another aspect of involvement of
peer counselors or consumer providers. Programs employing peers showed improvement in client functioning satisfaction
Clubhouse Model: Who pioneered this?
Foutain house
Clubhouse Model: What was Fountain Houses belief?
that both men and women with serious and persistent psychiatric disabilities can and will achieve normal life goals when given opportunity, time, support, and fellowship
Clubhouse Model: Membership in the clubhouse is based on what four guaranteed rights of members
A place to come to
Meaningful work
Meaningful relationships
A place to return to (lifetime)
Clubhouse Model: Clubhouse model recognizes what relationship is important
Physician-client relationship as a key to successful treatment and rehab while acknowledging that brief encounters tht focus on symptom management are not sufficient to pormote rehab
Clubhouse Model: What is the rehabilitation alliance?
refers to the network of relationships that must develop over time to support people with psychiatric disabilites and includes client, family, friends, and clinicians
Assertive Community Treatment (ACT): Who came up with this?
Marx, Test, and Stein came up with this in 1973
Assertive Community Treatment (ACT): What did the three men believe?
That skills, training, support, and teaching should be done in community where it was needed rather than hospital
Assertive Community Treatment (ACT): Program has a problem-solving orientation meaning
staff members attend to specific life issues, no matter how mundane
Assertive Community Treatment (ACT): How do they provide services?
Directly rather than relying on referrals to other programs or agencies. Implement servivces in clients home and communities
Technology: What does ICT stand for
Information and communication technology
Homelessness: What are important compents for decreasing homelessness?
Psychosocial Rehabilitation services, peer support, vocational training, and daily living skill training
Homelessness: What does the Projects for Assistance in Transtion from Homelessness (PATH) do?
Funds community-based outreach, mental health, substance abuse, case management and other support services
Homelessness: What was the ACCESS project?
To assess whether more integrated systems of delivery enhance the quality of life of homeless people with serious mental disabilities through the use of services and outreach . Was a 5 year program. Provided outreach to 100 people.
Homelessness: What were some positive sustained outcomes of the ACCESS project?
Increased social support, less psychotic symptoms, and fewer days in the hospital and participants were intoxicated for fewer days
Mental Illness and Incarceration: Rate of mental illness in the jailed population?
5x higher than normal people
Mental Illness and Incarceration: Wht is Criminalization of Mental Illness?
The practice of arresting and prosecuting mentally ill offenders, even for misdemanors at a rate 4x higher than general population in order to contain them in a place where theyd need treatment
Mental Illness and Incarceration: What are mobile crisis services?
Linked to police departments. Called to scene where officers believe mental health issues involved. Diverted to hospital instead of jail
Active Military and Veterants: The number of deployments, specifically 3 or more, is positvely correlated with what?
PTSD , Depression, Bipolar, and Anxiety. Sleep Disorders, Substance Use, Cardiovascular Disease, and Family Dysfunction
Active Military and Veterants: OCD and Veterans
More prevelant with veterans and should be routinely screened
Active Military and Veterants: Military Veterants benefit from involvement in therapeutic life changes including
Diet, Exercise Relaxation, Stress Management, Recreation, and Spirituality
Interdisciplinary Team: Members of this team include
Pharmacist, Psychiatrist, Psychologist, Psychiatric Nurse, Psychiatric SocialWorkers and OT
adequate discharge planning is a good indicator of
how successful the clients community placement will be
What does PHP usually address?
CLient’s psychiatric symptoms, medication use, living environment, ADLs, leisure time, social skills, work and health concerns
Types of resisential settings include
board and care homes, adult foster homes, halfway houses, group homes, assited living, and independent living program
The clubhouse model of psychosocial rehabilitation is an intentiional comunity based on the belief that
both men and owmen with mental illness can and will achieve normal life goals when provided time, opportunity, support, and fellowship
Why is ACT one of the most effective approaches to community-based treatment?
Includes 24hr/day services, low staff-to-client rations, in home or community, and intense and frequent contact
Adults with mental illness may be place din the criminal just system more frequently because of
deinstitutionalization, rigid criteria for civil comitment, lack of resources, economizing on treatment and attitudes ofpolice