| A | B |
|---|
| Improved communication steps | keep eye contact where warrented; active listening; patience; calmness; do not rush; recognize and confirm feelings; repeat when necessary; do not engage in debate or arguments; take time outs; and do not trump with "professional" card. |
| Key Principles of Leadership in Mental Health System | Clear vision; pull organizations together; non micromanager; develop culture; model expectations yet give autonomy; value potential and talent; engage others in development of organization; seek new knowledge and embrace change; recognize outstanding members and make them foundation of organization. |
| Four phases of Family Members Recovery | 1. Learning of illness- may have denial or attempt to down play; often experience shock. 2. Accepting the situation and recognizing its potential- feel sad and experience grief. 3. Learning how to deal- becomes actively involved in learning all about illness and rehabilitation. 4. Recognize inherentcy- become advocates for mentally ill and families of mentally ill, (NAMI) |
| Famiuly Survival Skills Workshops | Suggestions and strategies that families can use to deal with new expectations of consumer and self in dealing with status quo; crisis or relapse. Examples may be teaching families common vocabulary used in mental health; medical understanding of illness; details about medication; courses of disease; treatment options; challenges normal to facing the illness; strains on relationships and communication skills. |
| Goals of PsyR practioners in helping family members | build coalitions with; understanding of family dynamics and individual family functioning; analyze strategies that have worked or not worked in past; strengths should be foundation of rehabilitation; involve family members in suppor positions by collaboration. |
| Budens of Siblings and Children | Loss of experiences or opportunites due to limits placed on family functioning; Abnormal childhood experiences; distorted adult view of world; Potential for inheriting the illness; role reversal if child of mi; stress and anxiety disorders due to fear and uncertainty. |
| Spousal Burdens | Unhappy marriage; dysfunction in normal realtionships; Economic concerns; situational depression; divorce; lack of social interaction. |
| Third Tier Family member | Do not live with or near consumer but close enough family connection to care or have concern for consumer's well being. Reactions vary from empathetic to blaming; distant or supportive of first and second tier. |
| Second Tier family member | lives with or close by consumer; less consumed with consumer but also more concerned with crisis of conusmer or relapse; They may begin to avoid both consumer and first tier member and only become involved in crisis situations. |
| First tier family member | some one in immediate family who usually lives with consumer; this person takes on responsibility of being main person involved in care of person. Most common is female and trys to mitigate effects of illness on rest of the family. Often gives up living life to make sure the consumer is ok. |
| Subjective Burdens of family members | Behaviors that are hurtfull emotionally or physically; Paranoia or delusions related to family members; mood fluxuations; behavior that is embarrassing; Lack of motivation that others perceive as laziness; lack of personal hygiene; destruction of personal property |
| Objective Burdens experienced by family members | challenges easily identified and labeled. Finacial difficulty due to treatment costs; participation in activities in community; changing relationship with family member; |
| advocacy | Speaking on behalf of another for their rights and needs to the persons who make decisions . Examples of advocacy- lobbying; letter writing; |
| Why provide family Psychoeducation | reach best outcdome for person in cooperative model of recovery; minimize stress of families; facilitate coordination of all aspects of treatment and rehabilitation ; to evaluate and utilize family strengths in recovery; identify and remedy possible family limitations; to support families with instruction in coping strategies and problem solving skills; To educate families about natural support systems and available community resources; to recruit family members as equal partners with mental health professionasl in the recovery process. |
| Participatory Action Research | approach to research that includes consumers in planning, development implementation and anaylisis. Results in individuals guiding that dollars are spent in most beneficial way; results such as empowerment, satisfaction, and well being are important areas of study. |
| Potential for Growth | Empahsis is placed on the belief that every individual can grow and practioners work from the perspective that clients can achieve the goals they set become productive members of community and live meaningful fullfilling lives. |
| Outcome Orientation | Practioners are guided by the blief that all services and assistance is desinged to achieve specific outcomes. Outcomes and outcome measures are determined by client goals and choices. |
| Choice | Practioners are guided by the belief in self determination. The clients desires and needs should guide their treatment, support and assistance. |
| Involvement | This is the core believe of todays PsyR. Rehabilitation, Rehabilitation Programs; Policy and Planning should all be a cooperative effort between practioners and clients. |
| Environmental Specificity | Provide support in environment of person's choice. People respond differently in different environments requiring different levels and different types of support. |
| Support | Practioners hold the belief that Emphasis is placed on giving indivudals all the help they need and desiore for an unlimited time period. Individuals will guide how much and how long support is provided. |
| View of Functioning | Practioners hold the belief of PSR where emphasis is placed on helping people perform better in their lives; Rehabilitation is about managing life not curing illness |
| Person Orientation | Abelief by practioners of PSR where building relationships with individual people rather than focusing on certain diagnosis or disease. This means that rehabilitation plans are built around the specific needs of the individual and not mass produced to fit typical illness course, symptoms and outcomes |
| Disadvantage | Being without certain opportunities to such an extent one cannot complete certain tasks or be a part of certain activities that most people of simialr age, gender, or culture could such as experiencing racial discrimination or lack of education |
| Disability | Not being able to complete requirements of a specific job or role that most people could such as providing for your basic needs. Becomes a disabilty when age appropriate tasks are unable to be fullfilled and not a matter of learning or experience. |
| Dysfunction | Not being able to complete a chore or job or participate in an activity that most people could or not to the same level or in the same way as most people such as not being able to maintain personal hygiene or communicate with workers. |
| Impairment | Lack of normal function from a physical biological or psychological perspective such as experiencing delusions or inability to sleep |
| Ideal Program | Individual choice; individual tailored; Match client's environment for optimal normalization; no limit on amount or duration of support; all staff show confidence in client. |
| Obstacles to pursuing a postsecondary education by a person experiencing mental illness | Stigma, anxiety, concentration issues, gaps in skills, overwhelming, organization skills, and interacting with other persons. |
| Situational Assessments | Assessing in situations specific to their unique needs and personal goals to give a clear understanding of his/her progress. |
| Strengths focus | Emphasis placed on utilizing or building on an individual's strengths instead of highlighting weaknesses or deficiencies |
| Medications used in treating Schizophrenia | Haldol, Risperidol, Zyprexa, Geodon, Clozaril |
| Residual Phase | the third pahse of Schizophrenia where the severity of symptoms lessens. Both positive and negative symptoms lessen but negative symptoms such as lack of motivation, focus and void of emotion may continue. |
| Active Phase of Schizophrenia | The most severe stage schizophrenia. Symptoms are most noticeable and disruptive to life functions. |
| Prodormal Phase of Schizophrenia | The stage of schizophrenia where the person experiences both positive and negative sympotoms. Normal function begins to break down. |
| Anhedonia | a negative symptom in which a person experiences the loss will or desire to do enjoyable activities |
| Avolition | A negative symptom in which a person experiences the loss of drive or will power |
