Chapter 4 MH

sucidal ideation

Rapid assessment, stabilization of symptoms, discharge planning
Client-centered multidisciplinary approach to brief stay
Identify long-term issues for outpatient therapy
Short-stay hospitalizations
Long term care (severe, persistent mental illness requiring acute care services)
Case management
Discharge planning -> impediments = alcohol and drug abuse, violent behavior, noncompliance to meds, suicidal ideation

do they have housing
do they have a mode of transportation
do they have an out patient provider for medications

if you feel pt is safe at home but need intensice services throughout the day
day treatment programs
transition to living independently

stabilizing psychiatric symptoms
monitoring drug effectiveness
stabilizing living environment
improving activities of daily living
learning to structure time
developing social skills
obtaining meaningul work, paid employment or a volunteer position
providing follow-up of any health concerns

group homes
supervised apartments
board and care homes
assisted living
adult foster care
respite/crisis housing
^ an unhoused person would go here

transitional housing with expectation to progress to independent living
other programs serve clients for longer periods of time

services to promote recovery process
going beyond symptom control and medication management, includes personal growth
focuses on pt and their goals for recovery
reintegration into community
empowerment and increased independence
improved quality of life
higher level goals and expectation for later recovery
improved outcomes by providing community support services

most effective for people with severe, serious mental illnesses
one of the most effective approaches
problem-solving orientation
direct provision of service rather than referral
intense services; no time constraints, all staff works with clients
try to keep pt out of hospital

telepsychiatry, telepsychology, telemental health, e-mental healthy
phone apps fo web-based diary, group participation
videoconferencing, prescription refills
downfalls - privcay and accessibility

spend more time in jail
are homless longer
spend more time in shelters
have less family contact
face great barriers to employment

rate of mental illness among the incarcerated is estimated to be five times higer than the general population
more people with mental illness are in jail rather than in hospitals

deinstitutionalization
more rigid criteria for civil commitment
lack of adequate community support
exonomizing on treatment for mental illness
attitudes of police and society = education can prvent going to jail and killing of people with mental illness

poverty
homlessness
substance use
violence
victimization, rape, trauma
self-harm

prevalence of posttraumatic stress disorder (PTSD) and major depression is greater than in civilian counterparts
increased rates of suicide, homicide, injury, physical illness
reluctance to seek treatment
lack of availability
stigma
widespread sexual traumas for both males and females
services for veterans

sleep disorders
susbtance abuse
cardiovascular disease
smoking
homlessness
martial and family dysfunction

interpersonal skills (tolerance, patience)
humanity (warmth, acceptance, empathy)
nonjudgmental

stress management education
reduce risk of mental health problem happening
coping skills and stress management at a young age

early identification of mental health problems
screenings for early detection
PCP - depression questionair PHQ-9

monitoring and coordinating psychiatric rehabilitation services
have whatever mental illness already and managing it
medication management

susbtance abuse
domestic violence
child abuse
gried
depression