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CMH final review

Terms in this set (70)

1952
First edition of DSM was developed in ______
mental disorder
syndrome characterized by clinically significant disturbance in an individual's cognition, emotional regulation, or behavior that reflects a dysfunction in the psychological, biological, or development processes underlying mental function
mental status exam
process by which a social worker or other professional systematically examines the quality of a client's mental functioning
risks
hazards occurring at individual or environmental level that increase likelihood of impairment developing
protective factors
involve personal, familial, etc resources that decrease possibility of problem behaviors
biopsychosocial
___________ modelprovides a theoretical basis for social workers to conceptualize human behavior at several levels and can assist by identifying and bolstering strengths/ reduce risks
major depression
Heritability for_______ ranges from 31-42%
neurotransmitters
Chemicals that convey communication between neurons
serotonin
Low levels of ______ associated with depression, anxiety, BPD; high levels linked to autism
norepinephrine
Inflated levels of______ associated with BPD
dopamine
Problems with _________ correlated with schizophrenia and ADHD
temperament
Includes qualities that are biologically driven, observed from infancy, moderately stable across life span
14
50% of cases have their onset by age _____
24
75% begin by age ______
rumination
proclivity to focus on symptoms of a distressed mood, or mull over reasons for its occurrence in a passive way, rather than using problem solving strategies to resolve it
interpersonal skills
involve ability to create and maintain relationships and to communicate effectively and assertively
specialty mental health
Which chief sector of mental health care: mental hospitals, psych units at hospitals, res. Treatment facilities, etc
General medical and primary care
Which chief mental health care sector: regular prenatal care, childhood immunizations, developmental screenings.....
Human services
Which chief mental health care sector-social welfare, criminal justice, educational, religious and charitable services
Voluntary support network
self-help groups, organizations
motivational interviewing
mobilizing the client's motivation
decisional balance
aimed at getting client to weight advantages and disadvantages of their problem- "What do you get out of drinking.."
personality disorders
DSM 5 category of _________ represents an attempt to identify persons whose chronic problems in social functioning are related to ingrained patterns of thinking, behaving and feeling
personality
According to the APA, all of the _______disorders are characterized by enduring cognitions and behaviors that deviate from cultural standards, are pervasive and rigid, are stable over time, have an onset in adolescence or early adulthood and lead to unhappiness and impairment
affect, cognition, impulse control
They must include maladaptive behavior in at least 2 of the following: ____ (range and intensity of emotion), _______ (how the self and others are perceived) ________ and interpersonal functioning
9.1
About ______% of adult U.S. population has a personality disorder
BPD
Characterized by a pattern of instability in interpersonal relationships and self-image and a capacity for frequent and intense negative emotions; gender ratio=3:1
psychotic
illusions, hallucinations, other perceptual disturbances unrelated to exposure to an extreme stressor= _______ disorder
bipolar 1
characterized by one or more manic episodes, usually accompanied by a major depressive episode=________ disorder
lithium
_________is best studied mood-stabilizer
ECT
_______ therapy used to stabilize mood
vagus nerve stimulation
relies on implanted simulator that sends electrical impulses to left vagus nerve in neck
depression
_________ is most common of all disorders
major depression
a period of 2 weeks or longer during which a person experiences a depressed mood or loss of interest in nearly all life activities
persistent depressive disorder
represents a general personality style featuring ongoing symptoms similar to, but less intense than, those of major depression
SSRI
block the reuptake of serotonin
SNRI
doesn't interfere with other chemicals that are affected by cyclic antidepressants to cause adverse effects
neurocognitive
________disorders characterized by deficits in a person's thought processes due to brain dysfunction
schizophrenia
Mental disorder characterized by a person's abnormal patterns of thoughts and perception
positive
exaggerations of normal behavior and include hallucinations, delusions, disorganized thinking, tendencies toward agitation= __________ symptoms
negative
absence of what would be considered normal behavior and include flat affect (absence of expression), social withdrawal, non communication, passivity, ambivalence in decision making= ________ symptoms
co-occuring
prescence of both severe mental illness and substance use disorder=________ disorder
1980s
Clinical awareness of co-occuring disorders problem begin in early ________
ecological
________perspective includes the biological health, ethnic, social and familial, environmental, emotional functioning, spiritual and religious beliefs, financial and political structures
red cross
Emergency mental health assistance has its roots going back to the _______
Sphere Project
earliest program that defines standards for disaster response work incorporating community mental health concerns into the larger structure; 5 key areas: water, supply and sanitation, nutrition, food aid, shelter, and health services; mental health falls under health services
ACT
Combo of case management and psychiatric treatment delivered by a mobile team; Began in 1972 in wisconsin; Results in fewer hospitalizations, increased housing stability, higher client and family satisfactions with services; Often promotes an improved quality of life, fewer symptoms, and increased social functioning
EE
defined by the family members' level of criticism, hostility, and/or emotional over involvement
clifford beers
1908-_________-former psych patient-founded the National Committee on Mental Hygiene (national mental health association)
deinstitutionalization
highlighted need for community based services to address re-entry into community in terms of adequate housing, meaningful work, effective treatment, and development of social relationships
1950s
_________=era of deinstitutionalization (current consumer movement)
relapse prevention
seeks to teach people ways to cope with relapses during periods when person is thinking clearly and not overwhelmed emotionally
chlorpromazine
first medication used to reduce hallucinations, delusions and thought disorder of schizophrenia
anti anxiety
_______` meds in the benzodiazepine family modulate activity of the GABA
harm reduction
a pragmatic approach toward helping individuals who engage in some problem behavior (abuse of substances, binge drinking, gambling) to minimize the hazards that are often associated with problematic behaviors (drunk driving, overdose, disease transmission) without requiring abstinence from those behaviors as an ultimate goal
psychoeducation
family-based recovery model that incorporates brain biology and environment; main goals include achieving best outcome for client while addressing family's distress through support, edu; and problem solving
IMR
collection of interventions that seek to achieve a broad set of goals: social skills, psychoed, coping skills
motivational interviewing
developed by substance use providers; way to help people consider significant life decisions; help the person understand costs/benefits of a decision/changing a behavior
integrated DDT
principles: integration, individualization, stage wise recovery, harm reduction, comprehensiveness
permanent supportive housing
"decent, safe, affordable community-based housing"; client has full rights to home; "whatever it takes" approach by service providers toward helping people stay in housing
DBT
emphasizes individual psychotherapy and group skills training classes to help people learn/use new skills/strategies to developing a good life (mindfulness, emotion regulation, distress tolerance, etc)
CSC
recovery-oriented treatment for people with first episode psychosis; promotes shared decision making and team of specialists to create treatment plan
antipsychotics
people take these meds in public inpatient settings and outpatient: prolixin, haldol, melalaril, risperdal, abilify;
antidepressants
women are greatest consumers; 3 different types: Monoamine oxidase inhibitors (Nardil), cyclic drugs (Elavil), SSRIs (prozac)
mood stabilizers
lithium has been most widely prescribed for treatment of bipolar; anticonvulsant drugs including valproate have emerged since late 1970s
stimulants
children, adolescents and some adults who have been diagnosed with ADHD; adderall, ritalin can be prescribed______?
women
_____ tend to have higher rates of SMI perhaps because they are more willing to admit/seek help
neurosis
conflict between ego and instincts that causes anxiety and depression; still considered functional
psychological first aid
aims to reduce stress symptoms and assist in a healthy recovery following a traumatic event, natural disaster, public health ER, personal crisis
IMPACT
intervention for older adult clients who have major depression or dysthymia; providing stepped care according to a set of principles and structures; plans usually include: psychoed, self-management, meds, psychotherapy
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