Questions and CORRECT Answers
17th and Early 18th Century - CORRECT ANSWER - -Mental illness= "cursed souls",
demon possession, senseless animals
-Care was provided at home in secrecy and people were shunned from society
-Lack of effective, adequate care
-Misguided care (bleeding)
-Misunderstood causes
Mid 18th Century - CORRECT ANSWER - -Creation of hospitals (asylums)
-Safe haven calm retreat
-People were still very much isolated but in hospitals
-Use of restraints/ restraint chairs
19th Century - CORRECT ANSWER - -Changing thought about the etiology of mental
illnesses
-Lack of trained employees
-Questionable practices: shackles and cold baths
-Overcrowding: people and the building weren't being taken care of
Early 20th Century - CORRECT ANSWER - -Mental Hygiene Movement: desire to create
& implement better services and rest and cure treatment
-Emergence of psychoanalysis/ psychotherapy
-Psychotropic medications and the medical model emerge
-Continued lack of trained employees
-Questionable practices continued: cold bath, insulin shock, ECT, lobotomies
-Overcrowding and length of stay was increasing to 5+ years
,Late 20th Century-1949 - CORRECT ANSWER - -creation of National Institute for
Mental Health (NIMH)
-increase information on cause, diagnosis, treatment
-improve training for healthcare professionals
-established treatment locations: opportunities to stay in their own home
Late 20th Century-1963 - CORRECT ANSWER - -Community Mental Health Centers Act
-deinstitutionalized: got people out of institutions because people were -getting too dependent on
them
-Outcomes: homelessness, incarceration, poverty, and recidivism (re-hospitalization)
Late 20th Century-1970s - CORRECT ANSWER - -Consumer Movement / Family
Movement
-Advocacy
-National Alliance on Mental Illness (NAMI)
Late 20th Century-1990s - CORRECT ANSWER - -Consumer Movement
-Role in healthcare
-Life narratives
-Olmstead Decision: must provide community based services to persons with disabilities when
services are appropriate, individual does not oppose community-based treatment, services can be
reasonably accommodated
21st Century-2000s - CORRECT ANSWER - -Recovery Movement
-all persons can and do recover
-person is the expert on him/herself
-based on concepts of strength and empowerment
-Highlights similar desires for
--A sense of belonging
, --Adequate income
--A decent place to live
21st Century-2010s - CORRECT ANSWER - health and Wellness Movement
issues with mortality and morbitity
higher rates of obesity
higher rates of addiction
lifestyle changes
incorporate peer support
The Person - CORRECT ANSWER - whole person who has physical abilities, affective
interactions, cognitive skills, and spiritual preferences
Environment: - CORRECT ANSWER - the context where an occupation takes place;
locale, families, neighborhoods, employment, health insurance, transportation systems, etc. And
physical environment like one's home, school, natural environment;
cultural/physical/institutional/social
Occupation: - CORRECT ANSWER - cluster of activities and tasks which people engage
while carrying out various roles in multiple locations: ADLs, IADLs, education, work, play,
leisure, and social participation
PEO in Mental Health - CORRECT ANSWER - -Promotion of an individual's personal
preferences
-Promotes full participation
-Facilitates communication with other team members to work interprofesionally towards the
clients' goals
What Evidence Tells Us About PEO Model - CORRECT ANSWER - -Occupational
performance is the product of the person, occupation and environment