Mental Health Exam 2 Self Study

ESTABLISH RAPPORT

Restoration of client to usual level of functioning

• ID positive coping skills and blocks to coping
• Explore alternative solutions and look at consequences
• Help client choose among alternatives
• Mobilize support system and ID new resources as needed
• Encourage the dev. of new coping skills
• Reinforce strengths
• Maintain consistent intervention, short term to reinforce adaptive behaviors

• Sex...men are more likely to kill self
• Age...U19, 45+...especially 65+
• Depressed?
• Previous attempts
• ETOH?..or drug use
• Rational thinking loss
• Social support....lacking
• Organized plan
• No spouse
• Sickness...chronic, debilitating and severe

• be self reliant
• you can do anything through hard work
• thru science, medicine and technology, illness can be cured

• competition
• power
• status
• wealth

determines the clients level of fluency in English and the possible for an interpreter

Native Americans

they cant metabolize alcohol very well cuz don't have alcohol dehydrogenase

integration of human behaviors based on beliefs, values and perceptions of the world

ones sense of identity, providing social belonging and loyalty to a particular group within society

the idea that ones own cultural values and behaviors are superior and preferable to others

• prejudice
• stereotyping
• discrimination
• stigmatization

using knowledge, attitude and skills to attend to a patients needs across cultural boundaries.

Don't assume anything about anybody, and respect their beliefs

• no sense of belonging
• no family/friends
• no work or community support
• impoverished
• services are disorganized
• shortage of healthcare workers
• stigma and shame

• 1/2 have a mental illness
• most have substance disorders as well as being:
• bi polar
• depressed
• ptsd
• schizo

jailed

ideas that make sense of illness based on the cultural understanding of the behavior

the tendency to overestimate personality factors to explain behavior, rather than looking at the context of the culture

forms of mental illness that is restricted to specific cultures

don't express feelings, problems or ideas of SI cuz Buddha says life is full of suffering, so don't complain

experience more toxic side effects than other cultures

they use them more often and at higher doses

cause agranulyctosis

a collection of individuals whose association is founded on shared commonalities of interest, values, norms or purpose

teaching of social norms that occurs through group interactions

individuals receive joy and pleasure from interactions with significant others

when change is made by groups at times when individuals alone are ineffective

primary concern is to prevent possible future upsets by teaching the participants effective ways of dealing with emotional stress arising from situational or developmental crises

has a theoretical base

leaders have advanced degrees in psych, social work, nursing or medicine

no really based on theory

focus is on group relations, interactions among group members and the consideration of a selected issue

process-how group members interact

content-topic being discussed

made up of individuals with similar problem

served to reduce possibility of further emotional distress

sit in a circle and have 7-8 members

• provide hope
• impart information
• universality-not alone
• altruism-provide support
• allow for dev. of socializing techniques-correct maladaptive social behaviors thru feedback in a group
• group cohesiveness
• catharsis-express + and neg feelings

when the group is able to assist individual members to take direction of their own lives and to accept responsibility for the quality of their existence

Leaders/members establish rules and goals for group

leader promotes trust and ensures rules don't interfere with fulfillment of goals

people are overly polite cuz trust has not yet been established

productive work toward completion of the task undertaken

leader role diminishes and becomes facilitator

TRUST is established among members and cohesiveness exists

Conflict is managed by the group members themselves

a sense of loss occurs here...and grief for previous losses may be triggered

leader encourages these feelings to be expressed as well as all that was accomplished

focus is on the leader whom members are dependent on for problems solving and decision making

focus is on members who are encouraged to participate in problem solving of group issues

no focus, goals are undefined and members do as they please

work on maintaining and enhancing group processes

a type of group therapy that employs a dramatic approach where clients act out real life situation scenarios

to provide the client with a safe place in which to confront unresolved conflicts in an effort to progress toward resolution

focus is on the family as a unit with a goal of identifying and changing problematic, maladaptive, self defeating, repetitive relationship patterns

as a system where members are interdependent.

a change in one part within the system affects or creates changes in all of the other parts

a study of multiple generations within a family, highlighting relationships among family members

Reveals a large amt of info in a small amount of space....can be a teach tool with families