4. Mental Health Care Services Possible Questions 100% Accurately Solved Graded A+.

Burdens of Mental Illness (3) - correct answer 1. Social 2. Economic 3. Medical Burdens of Mental Illness: Social - correct answer Isolation and poor quality of life Burdens of Mental Illness: Economic - correct answer -Significant economic and social costs -High rate of mental illness among incarcerated individuals but less than 20% receive mental health treatment Burdens of Mental Illness: Medical - correct answer 1. Increased risk for developing many physical illnesses and increased mortality 2. Major risk factors for communicable diseases & intentional/non-intentional injury (on average, individuals w. mental illness die 25 years younger vs. general population) Access to Mental Health Care Services: Problems w. access to services - correct answer 1. Long wait to see a provider 2. Inconsistent coverage for medications 3. Shortage of trained, qualified professionals/facilities Access to Mental Health Care Services: Gaps in mental healthcare coverage - correct answer Gaps in mental health coverage under Medicaid & Medicare: 1. Lifetime limits on psychiatric hospital days under Medicare 2. Obstacles to obtaining psychotropic medication under Medicaid 3. Limits on inpatient care for Medicaid-insured individuals aged 22-64 years 4. Insufficient funding for community mental health centers Types of Mental Health Care Services - correct answer 1. Psychotropic medication 2. Cognitive behavioral therapy: Individual and group counseling 3. Supportive services -Case management coordinates behavioral health services with housing, employment, education -Wraparound services - team-based care coordination; develop a treatment plan based on an individuals' needs -Respite care 4. Family education to learn coping strategies and problem-solving skills 5. Rehabilitation - involving social and vocational training Settings of Mental Health Care Services - correct answer Most Restrictive to least restrictive settings: 1. Inpatient settings - general, psychiatric, and VA hospitals 2. Residential treatment centers and nursing homes 3. Jails/prisons 4. Emergency rooms 5. Day treatment/day hospital 6. Schools 7. Outpatient settings - community medical and mental health centers, physician and therapists offices Transinstitutionalization - correct answer Transitioned individuals out of state psychiatric hospitals and moved to other institutions (Nursing homes, boarding houses, jails and prisons) -Changes in legislation provided funding for community mental health services Legislation that changed how we deliver community mental health services - correct answer 1. Community Mental Health Act of 1963 2. Social Security Amendments of 1965 provided funding for moving patients out of institutes and into community Federal Reports- Mental health: A Report of the Surgeon General - correct answer Highlighted problems with mental health care system: 1. Disjointed and dysfunctional mental health system 2. Insurance & Financial limits on care 3. Stigma Roles of the Pharmacist in Mental Health Care Services - correct answer 1. Clinical psychiatric pharmacist responsibilities: a. Initiation and adjustment of medication b. Laboratory monitoring c. Authorize/monitor prescription refills d. Interact with the team and in some stat