Mental Health Exam 2 Self Study

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Mental Health Exam 2 Self Study
2013-04-20 13:40:48

Exam 2 Self Study....Culture and Intervention Groups
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  1. During crisis intervention what is the first step?
  2. What is your goal during a crisis intervention?
    Restoration of client to usual level of functioning
  3. How do you intervene in a crisis?
    • 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
    • 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
  5. American values
    • be self reliant
    • you can do anything through hard work
    • thru science, medicine and technology, illness can be cured
  6. Individualism in American culture is communicated with an emphasis on...
    • competition
    • power
    • status
    • wealth
  7. culturally congruent assessment
    determines the clients level of fluency in English and the possible for an interpreter
  8. Who has a higher incidence of alcohol abuse and alcoholism?
    Native Americans
  9. What happens when Asians drink?
    they cant metabolize alcohol very well cuz don't have alcohol dehydrogenase
  10. culture
    integration of human behaviors based on beliefs, values and perceptions of the world
  11. ethnicity
    ones sense of identity, providing social belonging and loyalty to a particular group within society
  12. ethnocentrism
    the idea that ones own cultural values and behaviors are superior and preferable to others
  13. What does ethnocentrism lead to?
    • prejudice
    • stereotyping
    • discrimination
    • stigmatization
  14. Discuss the concept of cultural competence
    using knowledge, attitude and skills to attend to a patients needs across cultural boundaries.

    Don't assume anything about anybody, and respect their beliefs
  15. How does homelessness affect mental illness?
    • no sense of belonging
    • no family/friends
    • no work or community support
    • impoverished
    • services are disorganized
    • shortage of healthcare workers
    • stigma and shame
  16. Important facts to know about mentally ill
    • 1/2 have a mental illness
    • most have substance disorders as well as being:
    • bi polar
    • depressed
    • ptsd
    • schizo
  17. People with mental illness are 5x's more likely to be
  18. explanatory models
    ideas that make sense of illness based on the cultural understanding of the behavior
  19. attributional error
    the tendency to overestimate personality factors to explain behavior, rather than looking at the context of the culture
  20. culture bound syndromes
    forms of mental illness that is restricted to specific cultures
  21. Asians and mental health
    don't express feelings, problems or ideas of SI cuz Buddha says life is full of suffering, so don't complain
  22. Asians and mental health RX
    experience more toxic side effects than other cultures
  23. African Americans and antipsychotics
    they use them more often and at higher doses
  24. Jews and clozapine
    cause agranulyctosis
  25. group
    a collection of individuals whose association is founded on shared commonalities of interest, values, norms or purpose
  26. socialization of groups
    teaching of social norms that occurs through group interactions
  27. camaraderie in groups
    individuals receive joy and pleasure from interactions with significant others
  28. empowerment from groups
    when change is made by groups at times when individuals alone are ineffective
  29. Supportive/Therapeutic groups
    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
  30. group therapy
    has a theoretical base

    leaders have advanced degrees in psych, social work, nursing or medicine
  31. therapeutic group
    no really based on theory

    focus is on group relations, interactions among group members and the consideration of a selected issue
  32. group process vs. group content
    process-how group members interact

    content-topic being discussed
  33. Self help groups
    made up of individuals with similar problem

    served to reduce possibility of further emotional distress
  34. Ideal group dynamics
    sit in a circle and have 7-8 members
  35. Groups are good cuz....
    • 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
  36. Existential factors with groups
    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
  37. Initial or orientation phase of group development
    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
  38. Middle or working phase of group development
    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
  39. Termination phase of group
    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
  40. Autocratic leadership
    focus is on the leader whom members are dependent on for problems solving and decision making
  41. Democratic leadership
    focus is on members who are encouraged to participate in problem solving of group issues
  42. Laissez-faire leadership
    no focus, goals are undefined and members do as they please
  43. Maintenance roles
    work on maintaining and enhancing group processes
  44. psychodrama
    a type of group therapy that employs a dramatic approach where clients act out real life situation scenarios
  45. Purpose of psychodrama therapy
    to provide the client with a safe place in which to confront unresolved conflicts in an effort to progress toward resolution
  46. family therapy
    focus is on the family as a unit with a goal of identifying and changing problematic, maladaptive, self defeating, repetitive relationship patterns
  47. How is family viewed in family therapy?
    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
  48. genograms
    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