HSA 3111 FINAL EXAM QUESTIONS
& ANSWERS(RATED A+)
The first effective biological treatments for mental illness appeared - ANSWERin the
1930s (e.g.electroconvulsive therapy, drug-induced convulsions).
However, the first medications targeting psychiatric disorders became available in -
ANSWERThe 1950's
Supported by the 1955 Congressional Commission on Mental Health and Illness,
and the new developments in pharmacologic, psychologic and psychosocial
treatments, - ANSWERfederal financial assistance spurred development of
community based outpatient facilities and deinstitutionalization of a large proportion
of previously institutionalized individuals.
In the early 1960's, Congress passed the Mental Retardation Facilities and
Community Mental Health Centers Construction Act. This resulted in -
ANSWERfederal support for community mental health services.
the National Mental Health Act of 1946 was passed. - ANSWERAfter WW II
the National Mental Health Act of 1946 resulted in the creation of - ANSWERthe
National Institute of Mental Health (Links to an external site.) (NIMH). The
Department of Veterans' Affairs also established psychiatric hospitals and
ambulatory clinics.
The primary mode of delivery for mental illness through the 1950s was -
ANSWERInpatient care remained
In the late 1970s, entitlement programs became accessible to the mentally ill,
including - ANSWERMedicaid, Medicare, Supplemental Security Income (SSI),
Social Security, and Disability Insurance.
the assumptions underlying deinstitutionalization proved erroneous. These incorrect
assumptions were: - ANSWERMental disorders lie on a quantitative continuum, with
severe disorders not differing qualitatively from lesser disorders.
Early intervention can prevent the development of major disorders.
The Wellstone-Domenici Parity Act of 2008 - ANSWERadvanced the cause of
insurance parity for mental health services.
barriers that curtail access to services: - ANSWERSocial stigmatization. Some may
feel personal and familiar shame and embarrassment
Financial barriers
, Persistent myths about treatability. Many of those who determine public policy and
establish guidelines for health insurance still view mental illness as poorly defined,
with diagnostic uncertainty and ineffective treatments. In reality, mental disorders
can now be diagnosed and treated as precisely and effectively as other disorders.
Inadequate community-based resources
Access to treatment is worst among - ANSWERunderserved groups such as
minorities, those with low income, the uninsured, and those living in rural areas.
Barriers to treatment include - ANSWERprovider availability, financial issues, lack of
health insurance, social stigma, misunderstandings about treatability, personal and
provider attitudes, cultural issues, and poorly organized systems of care.
are the leading cause of disability in the U.S. and Canada measured in units
encompassing the total burden of disease, defined as "Disability-adjusted life years"
(DALYs). - ANSWERNeuropsychiatric disorders
Disability-adjusted life years" (DALYs) - ANSWERare the total number of years lost
to illness, disability, or premature death in a given population.
Co-morbidity - ANSWERis the co-existence of two diagnoses, and about one half of
mentally ill Americans have an additional disorder. For example, the prevalence of
substance abuse co-morbidity ranges from 23% to 80% depending on the specific
disorder.
The most common psychiatric disorders include - ANSWERdepression and anxiexy
The approximate number of adults that have psychiatric disorders - ANSWER25%
Factors that may lead to under reporting of problems are - ANSWERFear of stigma
and stereotypes about aging
The four components of psychiatric treatment are: - ANSWERThe psychiatric and
behavioral health sector
The general medical/primary care sector
The human services sector
The voluntary support sector
The costs of mental health services include - ANSWERdiagnosis, treatment, and
rehabilitation.
The estimated total U. S. mental health treatment spending is - ANSWER$100 billion
per year. Lost earnings and disability benefits bring the annual total to over $300
billion.
Mental health services have been funded in many ways, including - ANSWERprivate
health insurance, Medicaid, Medicare, state and local services provided directly or
under contract with local agencies, and VA hospitals and clinic.
& ANSWERS(RATED A+)
The first effective biological treatments for mental illness appeared - ANSWERin the
1930s (e.g.electroconvulsive therapy, drug-induced convulsions).
However, the first medications targeting psychiatric disorders became available in -
ANSWERThe 1950's
Supported by the 1955 Congressional Commission on Mental Health and Illness,
and the new developments in pharmacologic, psychologic and psychosocial
treatments, - ANSWERfederal financial assistance spurred development of
community based outpatient facilities and deinstitutionalization of a large proportion
of previously institutionalized individuals.
In the early 1960's, Congress passed the Mental Retardation Facilities and
Community Mental Health Centers Construction Act. This resulted in -
ANSWERfederal support for community mental health services.
the National Mental Health Act of 1946 was passed. - ANSWERAfter WW II
the National Mental Health Act of 1946 resulted in the creation of - ANSWERthe
National Institute of Mental Health (Links to an external site.) (NIMH). The
Department of Veterans' Affairs also established psychiatric hospitals and
ambulatory clinics.
The primary mode of delivery for mental illness through the 1950s was -
ANSWERInpatient care remained
In the late 1970s, entitlement programs became accessible to the mentally ill,
including - ANSWERMedicaid, Medicare, Supplemental Security Income (SSI),
Social Security, and Disability Insurance.
the assumptions underlying deinstitutionalization proved erroneous. These incorrect
assumptions were: - ANSWERMental disorders lie on a quantitative continuum, with
severe disorders not differing qualitatively from lesser disorders.
Early intervention can prevent the development of major disorders.
The Wellstone-Domenici Parity Act of 2008 - ANSWERadvanced the cause of
insurance parity for mental health services.
barriers that curtail access to services: - ANSWERSocial stigmatization. Some may
feel personal and familiar shame and embarrassment
Financial barriers
, Persistent myths about treatability. Many of those who determine public policy and
establish guidelines for health insurance still view mental illness as poorly defined,
with diagnostic uncertainty and ineffective treatments. In reality, mental disorders
can now be diagnosed and treated as precisely and effectively as other disorders.
Inadequate community-based resources
Access to treatment is worst among - ANSWERunderserved groups such as
minorities, those with low income, the uninsured, and those living in rural areas.
Barriers to treatment include - ANSWERprovider availability, financial issues, lack of
health insurance, social stigma, misunderstandings about treatability, personal and
provider attitudes, cultural issues, and poorly organized systems of care.
are the leading cause of disability in the U.S. and Canada measured in units
encompassing the total burden of disease, defined as "Disability-adjusted life years"
(DALYs). - ANSWERNeuropsychiatric disorders
Disability-adjusted life years" (DALYs) - ANSWERare the total number of years lost
to illness, disability, or premature death in a given population.
Co-morbidity - ANSWERis the co-existence of two diagnoses, and about one half of
mentally ill Americans have an additional disorder. For example, the prevalence of
substance abuse co-morbidity ranges from 23% to 80% depending on the specific
disorder.
The most common psychiatric disorders include - ANSWERdepression and anxiexy
The approximate number of adults that have psychiatric disorders - ANSWER25%
Factors that may lead to under reporting of problems are - ANSWERFear of stigma
and stereotypes about aging
The four components of psychiatric treatment are: - ANSWERThe psychiatric and
behavioral health sector
The general medical/primary care sector
The human services sector
The voluntary support sector
The costs of mental health services include - ANSWERdiagnosis, treatment, and
rehabilitation.
The estimated total U. S. mental health treatment spending is - ANSWER$100 billion
per year. Lost earnings and disability benefits bring the annual total to over $300
billion.
Mental health services have been funded in many ways, including - ANSWERprivate
health insurance, Medicaid, Medicare, state and local services provided directly or
under contract with local agencies, and VA hospitals and clinic.
