411 Exam 3 Week 3 Part II

cdunbar4's version from 2017-06-11 21:19

Chapter 33 TERMS

Question Answer
Vulnerable populations(sensitivity & cumulative factors increase vulnerability): A subgroup of the population that is more likely to develop health problems as a result of exposure to risks or have worse outcomes from health problems than the population as a whole
Health Disparities a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion”.
Institutionalizationlong-term care in an institutional setting resulted in impaired social interaction, decision making & independent living skills.
De institutionalization was underway with the goal of reducing the number of clients cared for in state hospitals by 50% over a two-decade period
revolving-door cycleshort inpatient stay, rapid discharge, eventual repeat admissions
catchment areaHow a community is defined to divide the larger population into manageable segments for delivery of mental health services
severely mentally illdiverse group with a variety of diagnoses including schizophrenia, major affective disorders, organic disorders (secondary to trauma, disease or substance abuse)
Individual Placement and Support Method (IPS)new approach to vocational rehabilitation for the severely mentally ill and is supported by empirical research demonstrating rates of competitive employ- ment reaching 40% or more in programs using IPS compared with 15% in traditional mental health programs.
single-room occupancyin which they rent a room from a landlord
congregate or sheltered housingclient has a separate apartment and receives support in meal preparation, housekeeping chores, and errands.
day treatment centersprovide respite for family care providers, who benefit by hav- ing their loved ones spend a portion of their time at another facility.
mobile treatment units consist of professionals who go into the community to provide care. This type of service is appropri- ate for clients who are unable to keep clinic appointments and adhere to medication regimens as well as for crisis intervention
Assisted outpatient treatment (aka Kendra's Law)involuntary outpatient commitment which allows courts to order certain individuals with brain disorders to comply with the prescribed treatment regimen while living in the community.

Vulnerable populations (Chapter 21)

Question Answer
List predisposing factors that make some people more vulnerable than others Disabled persons  Homeless persons  Migrant workers  Impoverished persons  Persons with serious health problems  Pregnant adolescents  Refugees and recent immigrants  Severely mentally ill  Substance abusers; Very young or very old persons  Victims of disaster  Victims of violence
Explain the effects of poverty on health ??Poor health outcomes (early death) Chronic stress; Marginalization
Identify the most commonly occurring health problems for vulnerable groupsanemia, arthritis, asthma, diabetes, hearing impairments, influenza, pneumonia, tuberculosis, and certain eye abnormalities
Describe the types of social services available for vulnerable groups p540welfare reform (TANF/Medicaid); Medical care; housing;

Mental Health Movements (mostly notes from PPT lecture)

Question Answer
60s-70sBetween the medication, the cost of running these hospitals, rural health centers…led to focus of reform. This change was funded by the federal gov’t. They directed this Action for Mental Health Report 1961 (the community mental health center in anchorage is a remnant of that movement) People would go to these centers and get meds, but they needed housing.
Change of administration in the 80sBlock grants were given to each state, money given, to do what they want with it. It was up to them how they wanted to use it whether they used it for. Some states combined MH with disabilities, etc. so it was diluted unevenly
1999 Surgeon General ReportMental health tx is effective; there is a range of treatment (psychotherapy & psychopharmacology); dx of mental disorders are reliable; and get help if you can.
Mental Health Study Act 1955Recommended community-based mental health services
Community Mental Health Centers Act 1963Funded construction of mental health centers; fueled deinstitutionalization
Trends for MH SystemsIntegrated care to try to remove obstacles for ppl with mental disorders. They should have a one-stop place to get their physical & mental health care. *Also EBP
National Advocacy Groups *NTK theseNational Alliance for Mentally Ill; Mental Health America; The Bazelon Center for Mental Health Law.
National Alliance for Mentally Ill (NAMI)nonprofit, grassroots, self-help, support & advocacy organization of consumers, families, & friends of ppl with severe mental illness.
Mental Health Americacountry’s oldest/largest nonprofit organization addressing all aspects of mental health & mental illness.
The Bazelon Center for Mental Health Lawnat’l legal advocate for ppl with mental disabilities; acts to protect & advance the rights of adults & children who have mental disabilities.

Mental health care (chapter 33)

Question Answer
Describe the philosophy of community mental health care p826Care that is continuous & comprehensive: ensuring that if individual clients are receiving care from different parts of the health care system, providers are assuming responsibility for monitoring that care & assisting clients in moving through the system.
Identify the community-based services available to meet the needs of persons with mental illness p829Community MH Centers; alternative living arrangements; support groups; day treatment centers; mobile treatment units; psychiatric home care services; community services
Describe nursing’s role in community mental health p830Essential to focus on the levels of prevention as they provide direction for interventions carried out by nurses within the community setting.

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