Collaborative Recovery and CHIME Framework
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Collaborative Recovery and CHIME Framework

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Which of the following is NOT one of the four environmental factors for recovery?

  • Inclusion
  • Compassion
  • Determination (correct)
  • Connectedness
  • Mood is defined as an immediate expression of emotion, while affect is the emotional state over an extended period.

    False

    Name one treatment method used in cognitive-behavioral therapy (CBT) for anxiety disorders.

    Changing negative thought patterns

    The CHIME framework includes hope, identity, meaning, and __________.

    <p>connectedness</p> Signup and view all the answers

    Match the following types of affect with their descriptions:

    <p>Euthymic = Normal display of mood Hyperthymic = Intense emotional expression Dysphoric = Feelings of unease or dissatisfaction Labile = Rapidly changing emotional state</p> Signup and view all the answers

    Which of the following indicators is associated with depression?

    <p>Persistent sad or irritable mood</p> Signup and view all the answers

    Biological theories of anxiety suggest that it is always caused by genetic predispositions.

    <p>False</p> Signup and view all the answers

    What is one characteristic feature of anxiety disorders?

    <p>Intensity, duration, and response to stressors</p> Signup and view all the answers

    During therapy, patients are encouraged to assume __________ as part of their treatment.

    <p>risk</p> Signup and view all the answers

    What is a common characteristic of Anorexia Nervosa?

    <p>Fear of weight gain and restriction of energy intake.</p> Signup and view all the answers

    Binge Eating Disorder (BED) includes compensatory behaviors such as purging.

    <p>False</p> Signup and view all the answers

    Name one subtype of Anorexia Nervosa.

    <p>Restricting Type or Binge-Purge Type</p> Signup and view all the answers

    Eating disorders can cause significant stress and conflict within the ______.

    <p>family</p> Signup and view all the answers

    Match the following eating disorder characteristics with their definitions:

    <p>Anorexia Nervosa = Severe weight loss and fear of gaining weight Binge Eating Disorder = Recurrent episodes of eating large quantities of food Restricting Type = No binge eating or purging involved Binge-Purge Type = Engages in both binge eating and purging behavior</p> Signup and view all the answers

    Which of the following is a symptom of Binge Eating Disorder?

    <p>Eating rapidly and feeling a lack of control.</p> Signup and view all the answers

    Cultural interpretations of trauma do not influence responses to eating disorders.

    <p>False</p> Signup and view all the answers

    What is one aspect emphasized in collectivist societies regarding trauma?

    <p>Community and family</p> Signup and view all the answers

    Individuals diagnosed with Anorexia Nervosa often have a ______ body image.

    <p>distorted</p> Signup and view all the answers

    Match the following family dynamics with their effect on eating disorders:

    <p>Central organizing principle = Leads to stress and conflict Support = Crucial resource for recovery Anxiety = Felt by family members Conflict = Deterioration of family relationships</p> Signup and view all the answers

    What is the main finding related to the environment and drug use in the Rat Park study?

    <p>Enriched rats were less likely to consume drugs than isolated rats.</p> Signup and view all the answers

    Harm minimisation aims to completely eliminate drug use.

    <p>False</p> Signup and view all the answers

    What is the Australian National Drug Strategy's primary focus from 2017-2025?

    <p>Harm minimisation</p> Signup and view all the answers

    In the Stages of Change model, the stage where individuals have no immediate intention to change is called ______.

    <p>Pre-contemplation</p> Signup and view all the answers

    Match the following stages of the Stages of Change model with their descriptions:

    <p>Pre-contemplation = No intention to change Contemplation = Considering change but not committed Preparation = Planning to act Action = Actively working on change Maintenance/Relapse = Sustaining change and facing setbacks</p> Signup and view all the answers

    Which strategy is part of harm reduction?

    <p>Needle exchange programs</p> Signup and view all the answers

    Which of the following is a biological risk factor for mental health issues?

    <p>Age over 65</p> Signup and view all the answers

    Withdrawn behavior and escape fantasies can be a result of mental pain.

    <p>True</p> Signup and view all the answers

    The Transtheoretical Model includes five stages.

    <p>True</p> Signup and view all the answers

    What does Orbach theorize suicide stems from?

    <p>Frustration of Fundamental Needs</p> Signup and view all the answers

    What are the two categories of risk factors mentioned?

    <p>Biological and Psychological</p> Signup and view all the answers

    In Orbach's theories, the term ______ describes the unbearable mental pain associated with frustration of needs.

    <p>psychache</p> Signup and view all the answers

    The immediate situational factors are known as ______ risk factors.

    <p>proximal</p> Signup and view all the answers

    Match the following concepts with their descriptions:

    <p>Proximal risk factors = Immediate situational factors Distal risk factors = Long-term chronic stressors Mental Pain = Extreme negative emotions Effective assessment = Evaluating thoughts and intent</p> Signup and view all the answers

    Which of the following best describes self-hate according to Orbach?

    <p>Feeling deeply offended by one's own existence</p> Signup and view all the answers

    What should effective assessment include regarding suicidal ideation?

    <p>Distinguishing between passive and active thoughts</p> Signup and view all the answers

    Giving away possessions can be a warning sign of suicidal behavior.

    <p>True</p> Signup and view all the answers

    Who can issue a Treatment Authority in mental health care?

    <p>An authorised psychiatrist</p> Signup and view all the answers

    The emotional state of an individual is assessed in terms of intent and ______ level.

    <p>distress</p> Signup and view all the answers

    Which of the following includes terms like “suicide” and “death” in their assessment?

    <p>Approach</p> Signup and view all the answers

    What is a requirement for individuals managed under the Mental Health Act (MHA)?

    <p>They are subject to drug screenings.</p> Signup and view all the answers

    The Mental Health Review Tribunal (MHRT) can revoke treatment orders without any restrictions.

    <p>False</p> Signup and view all the answers

    What does capacity to consent entail regarding mental illness treatment?

    <p>Understanding one's illness, treatment nature, risks, benefits, and consequences of not receiving treatment.</p> Signup and view all the answers

    A __________ model is commonly used in adult community mental health settings for case management.

    <p>biopsychosocial</p> Signup and view all the answers

    Match the following roles or elements with their descriptions:

    <p>Forensic Liaison Officer = Provides higher supervision levels for high-risk individuals. Mental Health Court = Determines the mental state of individuals charged with crimes. Case Manager = Coordinates clinical treatment and support. Mental Health Review Tribunal = Reviews treatment orders biannually.</p> Signup and view all the answers

    Who assesses whether an accused person was of unsound mind in Queensland?

    <p>A Supreme Court judge with psychiatrists</p> Signup and view all the answers

    Study Notes

    Willingness to Work Collaboratively for Social & Systemic Change

    • Includes acceptance of assistance and recognition of limitations imposed by symptoms
    • Requires taking an active role in treatment and assuming risks

    Environment Factors for Recovery

    • Connectedness: Fostering social connections and support networks.
    • Inclusion: Promoting feelings of belonging and acceptance within the community.
    • Compassion: Showing empathy and understanding towards individuals with mental illness.
    • Acceptance: Recognizing and validating the realities of mental health challenges.

    CHIME Framework

    • Focuses on five key areas for recovery:
      • Connectedness: Strengthening social bonds and support networks.
      • Hope and Optimism: Maintaining a positive outlook on the future.
      • Identity: Recognizing personal strengths and values.
      • Meaning in Life: Finding purpose and fulfillment in activities.
      • Empowerment: Promoting self-efficacy and control over one's life.

    Mood and Affect

    • Mood: A prolonged emotional state influenced by various factors, including genetics, biology, psychology, social experiences, and cognition.
    • Affect: The immediate expression of emotion observed through behavior and appearance.
      • Euthymic: Normal emotional display.
      • Hyperthymic: Intense emotion.
      • Dysphoric: Unease or dissatisfaction.
      • Labile: Rapidly changing emotions.
    • Congruence: Aligning stated mood with observed affect.

    Anxiety Disorders

    • Characterized by excessive and prolonged anxiety that impacts functioning.
    • Theories for causation:
      • Biological: Genetic predisposition, evolutionary fears, neurotransmitter regulation.
      • Cognitive: Distorted thinking that amplifies anxiety.
      • Learning: Anxiety learned through association and reinforcement.
    • Cognitive Behavioral Therapy (CBT): Focuses on changing negative thought patterns and behaviors including psychoeducation, relaxation techniques, graded exposure, and response prevention.

    Depression

    • Characterized by persistent sad or irritable mood, loss of energy, and motivation.
    • Key factors to assess: Intensity, Duration, Life-event Links, Impact on Functioning.
    • Effects:
      • Physical: Reduced energy, sleep issues, cognitive slowing.
      • Emotional: Feeling hopeless, worthless, and guilt.
      • Social: Withdrawal, isolation, and difficulty maintaining relationships.

    Trauma

    • Cultural interpretations of trauma vary, influencing responses and beliefs.
    • Some cultures attribute trauma to supernatural causes (e.g., karma, witchcraft).
    • Collectivist societies may emphasize community and family over individual responses.
    • Culturally significant events (e.g., destruction of sacred sites) can heighten traumatic stress.

    Anorexia Nervosa

    • Defined by significantly low body weight, intense fear of gaining weight, and distorted body image.
    • Restricting Type: No binge eating or purging behaviors.
    • Binge-Purge Type: Recurrent binge eating or purging behaviors.
    • Key features: Severe weight loss, persistent weight-loss behaviors, distorted body image.

    Binge Eating Disorder (BED)

    • Characterized by recurrent episodes of binge eating without compensatory behaviors like purging.
    • Symptoms include:
      • Eating large quantities in a short period.
      • Lack of control during eating episodes.
      • Eating rapidly, until uncomfortably full, when not hungry, alone due to embarrassment.
      • Feeling disgusted or guilty after eating.
    • Episodes occur at least once a week for three months.

    Role of Family in Eating Disorders

    • Eating disorders can become the central organizing principle of family life, leading to stress and conflict.
    • Family members often feel anxious, frustrated, or helpless.
    • Families are seen as a crucial resource for recovery, especially for children and adolescents.

    Harm Minimisation

    • A public health approach that aims to reduce the negative impacts of drug use without aiming to eliminate use.
    • National Drug Strategy (Australia, 2017-2025) focuses on reducing supply, demand, and harm.
    • Key principle: Acknowledges that substance use may continue, striving to make it safer.

    Stages of Change Model

    • Describes the stages individuals go through when considering and making changes to their behavior.
    • Pre-contemplation: No intention to change.
    • Contemplation: Considering change but not committed.
    • Preparation: Planning to act.
    • Action: Actively working on change.
    • Maintenance/Relapse: Sustaining change, planning for setbacks, and viewing relapses as learning opportunities.

    Orbach's Theories on Suicide

    • Frustration of Fundamental Needs: Suicide stems from the frustration of essential needs, leading to unbearable mental pain.
    • Psychache Clusters:
      • Self-Hate: Deeply offended by one's own existence.
      • Unrelenting Loss: Continuous perception of loss, both present and anticipated.
      • Mental Pain: Extreme negative emotions such as guilt, shame, and estrangement.

    Suicide Risk Factors

    • Biological: Age, ethnicity.
    • Psychological: Substance abuse, untreated mood disorders.
    • Cognitive: Impulsivity, rigid thinking.
    • Social: Unemployment, relationship breakdown, poverty.
    • Proximal Risk Factors: Immediate, situational factors (e.g., job loss).
    • Distal Risk Factors: Long-term, chronic stressors (e.g., chronic illness).

    Suicide Warning Signs

    • Verbal: Talking about death or expressing a desire to die.
    • Behavioral: Giving away possessions or neglecting self-care.
    • Mood Shifts: Sudden improvement after deep depression.

    Effective Suicide Assessment

    • Assessment Components:
      • Thoughts: Evaluating suicidal ideation, distinguishing between passive and active thoughts.
      • Plans and Means: Assessing planning or access to means of suicide.
      • Intent and Distress Level: Determining severity of intent and emotional state.
      • Coping Potential: Gauging individual's ability to manage stress and impulses.
    • Approach:
      • Use empathy and communication skills.
      • Ask direct and specific questions about suicide and death.
      • Assess for ambivalence and impulsivity.
      • Collaborate to create a safety plan.

    Mental Health Act (Australia)

    • Treatment Authority (TA): Used when a consumer lacks capacity to consent to treatment.
      • Issued by an authorized psychiatrist.
      • Includes community or inpatient treatment.
      • Revoked when consumer regains capacity.
    • Forensic Orders (FO): Applied to individuals with major mental illness who have committed a serious crime.
      • Managed by an authorized mental health service.
      • Include conditions like housing restrictions, drug screenings, weapon prohibitions.
      • Reviewed by Mental Health Review Tribunal (MHRT) biannually.
      • Involve higher supervision levels, often with a Forensic Liaison Officer (FLO).

    Capacity

    • Definition: Understanding illness, nature and purpose of treatment, risks/benefits, and consequences of not receiving treatment.
    • Assessment: Regular evaluations to determine if capacity is maintained or regained.
    • TA Revocation: Can be revoked by a psychiatrist or MHRT if capacity is regained.

    Case Management in Mental Health

    • Typically used in adult community mental health settings.
    • Role: Provide a biopsychosocial approach to care, coordinating clinical treatment and support.
    • Responsibilities: Develop recovery goals, foster resilience, coordinate referrals, and support involuntary consumers.
    • Specialist Work: Working with high-risk consumers or those under FO, including safety, risk assessments, and multidisciplinary collaboration.

    Mental Health Court (Queensland, Australia)

    • Unique court that determines the mental state of individuals charged with serious criminal offenses.
    • Composition: Supreme Court judge and two psychiatrists who advise on psychiatric and medical issues.
    • Decisions: Whether the accused was of unsound mind or unfit for trial.
    • Outcomes: May lead to forensic orders for treatment under the MHA instead of traditional criminal penalties.

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    Description

    This quiz explores the willingness to work collaboratively for social and systemic change in mental health. It emphasizes the importance of environmental factors such as connectedness, compassion, and empowerment as well as the CHIME framework for recovery. Delve into key concepts that contribute to effective mental health practices and community support.

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