Exemplary Treatment Practices Final
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Questions and Answers

Which of the following outcomes is NOT associated with the Milwaukee wrap-around project?

  • Decrease in youth violence
  • Reduction in school suspensions
  • Improvement in community mental health
  • Increase in psychiatric hospitalization rates (correct)

Which of the following is NOT included in the pyramid model of Positive Behavioral Support (PBS)?

  • Intensive interventions
  • Preventive strategies
  • Social skills training
  • Emotional cutoff (correct)

What term describes a process that helps understand and resolve problem behaviors in children through values and empirical research?

  • Positive behavioral support (correct)
  • Dynamic assessment
  • Cognitive restructuring
  • Behavior modification

What barriers to behavioral healthcare access are most prevalent according to recent studies?

<p>Personal financial issues (C)</p> Signup and view all the answers

Which evidence-based trauma treatment was designed for children exposed to family violence and involves home-based sessions?

<p>Child-parent psychotherapy (C)</p> Signup and view all the answers

In Allport's mental health continuum model, where would Isabela likely fall based on her experiences?

<p>Surviving (C)</p> Signup and view all the answers

How do Singh et al. (2022) view the role of technology in mental health?

<p>As a means to prevent mental disorders and promote health (B)</p> Signup and view all the answers

Which of the following is NOT one of the 6 key components of evidence-based trauma treatments?

<p>Catharsis (D)</p> Signup and view all the answers

Which of the following terms best describes the creation of individual, social, and environmental conditions that enable optimal psychological and psychophysiological development?

<p>Mental health promotion (C)</p> Signup and view all the answers

According to SAMSHA (2022), what fraction of children report experiencing at least one traumatic event by age 16?

<p>Two thirds (C)</p> Signup and view all the answers

According to recent findings, how did the percentage of adults receiving mental health treatment change from 2019 to 2021?

<p>It increased (B)</p> Signup and view all the answers

In applied behavioral analysis (ABA), what is emphasized through observation procedures?

<p>Objective measurement (A)</p> Signup and view all the answers

Which of the following statements about the rationale for prevention and early intervention is FALSE?

<p>Substance use disorders are the leading cause of disability. (B)</p> Signup and view all the answers

What is the primary purpose of wraparound services?

<p>To support youth with complex behavioral health needs (D)</p> Signup and view all the answers

All of the following are included in SAMSHA's Behavioral Health Continuum of Care Model EXCEPT:

<p>Financial assistance programs (A)</p> Signup and view all the answers

What behavior does Hilda exhibit when she feels lonely that reinforces her talking out in class?

<p>Increasing interaction from the teacher (D)</p> Signup and view all the answers

Which of the following is NOT a guiding principle of wraparound services?

<p>Confront problematic family values (C)</p> Signup and view all the answers

What crucial component of wraparound services does Dr. Armstrong emphasize?

<p>Unconditional services (B)</p> Signup and view all the answers

The return on investment (ROI) is GREATEST for which of the following interventions?

<p>Prevention of conduct disorder through social and emotional learning (B)</p> Signup and view all the answers

Which of the following characteristics is associated with wraparound teams?

<p>Flexibility in roles and responsibilities (B)</p> Signup and view all the answers

Using the SBIRT model, if a primary care physician concluded that a patient was at 'moderate risk,' which intervention would be used?

<p>Agreement to change (A)</p> Signup and view all the answers

Which of the following is NOT one of the principles of evidence-based medicine proposed by Drake et al. (2003)?

<p>Adjust the approach to accommodate the preferences of funders (C)</p> Signup and view all the answers

Which of the following is NOT among the three levels of change?

<p>Program level (C)</p> Signup and view all the answers

A community mental health center created a 'unisex' bathroom for working with transgender clients. Which level of change does this represent?

<p>Community change (B)</p> Signup and view all the answers

What is the intervention of not interacting as much with Hilda when she talks out best conceptualized as?

<p>Extinction (C)</p> Signup and view all the answers

During which developmental stage is feeling 'depressed or alone' most associated with traumatic stress?

<p>Middle and high school (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of social justice?

<p>Access to superior education for all (B)</p> Signup and view all the answers

For which disorder is the percentage of total years lost to disability greatest?

<p>Behavioral disorders (B)</p> Signup and view all the answers

How did Irving Goffman originally define stigma?

<p>A mark that is deeply discrediting (A)</p> Signup and view all the answers

What does Dr. Kosyluk argue is primarily responsible for propagating stigma?

<p>The media (B)</p> Signup and view all the answers

Lack of mental health parity would be viewed as which type of stigma?

<p>Structural stigma (A)</p> Signup and view all the answers

According to Pescosolido et al. (2021), what are the trends in public stigma towards mental illness in the US?

<p>Decreasing for depression, increasing for schizophrenia (D)</p> Signup and view all the answers

What does internalized homonegativity refer to?

<p>Devaluation of the self due to negative social attitudes toward homosexuality (D)</p> Signup and view all the answers

Which of the following is NOT identified as a barrier to behavioral healthcare access for Hispanic Americans?

<p>Adjustment disorder (A)</p> Signup and view all the answers

Muslim Americans seeking mental health treatment have high rates of which disorder?

<p>Anxiety disorders (C)</p> Signup and view all the answers

Compared with non-Hispanic whites, African Americans with any mental illness have ____ rates of any mental health service use, including prescription medications, but ____ use of inpatient services.

<p>Lower; higher (C)</p> Signup and view all the answers

Appalachians have ____ rates of mental health problems, compared to the US population, except for alcohol consumption.

<p>Higher (A)</p> Signup and view all the answers

How many tiers of support are included in the PBIS model?

<p>Three (D)</p> Signup and view all the answers

Releasing students one zone at a time to reduce traffic is an example of which PBIS tier of support?

<p>Tier 1 (A)</p> Signup and view all the answers

Which of the following was NOT a recommendation for behavioral healthcare providers related to Tier 1?

<p>Implement strict grading policies (A)</p> Signup and view all the answers

What is the primary focus of Tier 1 interventions in the Florida Positive Behavior Interventions and Support program?

<p>School-wide interventions targeting all students (C)</p> Signup and view all the answers

Which of the following is considered a Tier 3 support within the Florida Positive Behavior Interventions and Support framework?

<p>Individualized interventions and supports (D)</p> Signup and view all the answers

What is one of the notable changes in the focus of community mental health treatment over the years?

<p>From focusing on dangerousness to emphasizing diagnosis (D)</p> Signup and view all the answers

According to Dr. Teague, which statistic reflects the incarceration rate of Black Americans compared to White Americans?

<p>6 times the rate (D)</p> Signup and view all the answers

Which intercept level is associated with a person being referred to an arbitration program to avoid conviction?

<p>Intercept 2 (A)</p> Signup and view all the answers

The APA estimates that what fraction of adults receiving medical care also has a behavioral health condition?

<p>1/3 (C)</p> Signup and view all the answers

Which of the following is recognized by SAMSHA as an evidence-based practice specifically for justice-involved individuals?

<p>Motivational Interviewing (C)</p> Signup and view all the answers

In what context do federal laws offer special protections for emotional support animals?

<p>Housing situations (C)</p> Signup and view all the answers

Flashcards

Mental Wellness Model core elements

Four core elements that are essential components of the First Nations Mental Wellness Model. These elements are not provided in the given text.

Mental health promotion

Creating conditions to improve mental and physical well-being for optimal development.

Prevention of conduct disorder

Learning focused strategies, from social and emotional skills, to reduce conduct disorders.

SBIRT model moderate risk

A patient is categorized as 'moderate risk' in the SBIRT model, and a specific intervention is needed.

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Evidence-based medicine principles

Set of principles that guide the use of scientific evidence to make decisions in healthcare.

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Levels of change

Different stages for implementing changes. There are three levels for change.

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Diffusion

The process of spreading and adopting something new.

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Fidelity

Strict adherence to a protocol or design during implementation.

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Barriers to behavioral healthcare affordability

Issues related to accessing behavioral healthcare due to cost.

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Allport's mental health continuum

A model of mental health, showing a range of experiences from healthy to less healthy.

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Technology use for mental health

Technology can enhance mental health access and promotion of healthy behaviors, according to Singh et al (2022).

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Mental health treatment increase (2019-2021)

The percentage of adults receiving mental health treatment rose from 2019 to 2021.

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Wraparound services target

Youth with substantial behavioral health needs.

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Wraparound guiding principle (not)

Confronting problematic family values is NOT a guiding principle of wraparound services.

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Wraparound service feature

Teams are an essential part of wraparound services, according to Dr. Armstrong.

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Wraparound services unconditional component

Services in wraparound must be non-contingent (unconditional).

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Extinction in therapy

A specific intervention used in therapy where the frequency or intensity of a desired behavior is reduced by withholding reinforcement. This involves decreasing attention or interaction with the person exhibiting the behavior.

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Traumatic stress in middle/high school

According to SAMHSA, feeling "depressed or alone" is a potential sign of traumatic stress in individuals during middle and high school.

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Social justice characteristic

Social justice aims to ensure equal opportunities and resources for all individuals regardless of their background or identity. This includes economic resources. Therefore, the statement "it guarantees that all people have the same economic and material resources" is NOT characteristic of social justice.

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Disability years lost

Individuals with behavioral disorders experience the highest percentage of years lost to disability.

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Stigma definition

Stigma, as defined by sociologist Irving Goffman, is a deeply discrediting mark that can significantly impact an individual's social standing and acceptance.

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Stigma propagation

According to Dr. Kosyluk, the media plays a primary role in propagating stigma.

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Lack of mental health parity

The lack of mental health parity signifies a form of discriminatory behavior and is considered structural stigma. It refers to the unequal treatment of mental health compared to physical health, particularly in access to services and benefits.

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Stigma barrier

Stigma can hinder access to critical support and resources, such as eligibility for disability benefits. However, it does NOT usually impact eligibility for vocational training, educational opportunities, or social programs.

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Internalized homonegativity

Negative social attitudes about homosexuality directed towards oneself, leading to low self-esteem and poor self-image.

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Barriers to healthcare access for Hispanic Americans

Factors that make it difficult for Hispanic Americans to receive mental health care.

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High rates of mental health disorders in Muslim Americans

Muslim Americans frequently experience mental health conditions at a higher rate than other population groups.

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Mental health service use in African Americans

African Americans with mental illness use mental health services less often than non-Hispanic whites, but use inpatient services more frequently.

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Mental health problems in Appalachia

Appalachian communities have higher rates of mental health issues compared to the general US population, except for alcohol consumption.

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PBIS core principles

Key ideas that guide the Positive Behavioral Interventions and Supports (PBIS) framework, focused on promoting positive behavior in schools.

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PBIS tiers of support

The PBIS model has three tiers of support, each providing different levels of intensity and intervention for student behavior.

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Traditional discipline vs. PBIS

Traditional discipline focuses on punishment, while PBIS emphasizes positive behavior support and prevention.

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Milwaukee Wraparound Project Outcome

The Milwaukee Wraparound Project aimed to improve outcomes for children with behavioral health needs. One outcome not associated with the project was an increase in psychiatric hospitalization rates.

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Out-of-School Suspensions

The majority of out-of-school preschool suspensions disproportionately affect Black boys, with over 3/4 of suspensions involving them.

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Pyramid Model of PBS

The Pyramid Model of Positive Behavioral Supports (PBS) focuses on multiple levels of interventions. One component not included in the model is 'emotional cutoff.'

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Impact of Complex Trauma

Complex trauma can have wide-ranging impacts on individuals. One area not directly impacted by complex trauma, according to Dr. Stover, is extroversion.

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TF-CBT Component

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a widely used treatment approach. Psychoanalysis is not integrated into TF-CBT.

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Child-Parent Psychotherapy (CPP)

CPP is an evidence-based treatment for children exposed to family violence. It involves weekly sessions for 20 to 32 weeks, provided in-home.

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Key Component of Trauma Treatment

Evidence-based trauma treatments often share common components. 'Catharsis' is not one of the 6 key components identified.

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Traumatic Event Prevalence

Research suggests that over two-thirds of children experience at least one traumatic event by the age of 16.

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FPBIS Fidelity

The extent to which FPBIS schools consistently implement the program's principles and practices.

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Tier 3 PBIS Support

Individualized interventions for students with significant behavior challenges, often involving functional behavior assessments and replacement behavior plans.

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Tier 1 vs. Tier 3 Intervention

Tier 1 interventions are school-wide, aiming to prevent problems for everyone. Tier 3 interventions are individualized, focusing on students with the most severe needs.

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Community Mental Health Centralization

The administration of community mental health services is primarily managed by a central authority.

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Shift in Civil Commitment Focus

Historically, civil commitment focused on 'dangerousness,' but now emphasizes 'diagnosis.'

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Mental Health Problem Prevalence in Inmates

Approximately 50% of incarcerated individuals report experiencing mental health issues.

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Intercept 0 for Mental Health Crisis

A person experiencing a mental health emergency can now call 988 for immediate help.

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Motivational Interviewing in Justice-Involved Individuals

A evidence-based approach to helping individuals change their behaviors, considered effective for people in the justice system.

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Study Notes

Exemplary Treatment Practices Final

  • First Nations Mental Wellness Model: Four core elements; information omitted.
  • Prevention and Early Intervention: Rationale for prevention and early intervention, some information is false.
  • SAMHSA's Behavioral Health Continuum of Care Model: Components of the model, except one is included.
  • Return on Investment (ROI): Highest ROI intervention type.
  • SBIRT Model: Intervention for moderate-risk patients.
  • Evidence-based Medicine Principles: One principle is not included in list.
  • Levels of Change: Community mental health center example of one level.
  • Adoption of Change: Term describing implementation process in a set of factors.
  • Implementation Fidelity: Agency designed workshop to ensure precise implementation.
  • Barriers to Behavioral Healthcare Access: Most prevalent barriers in accessing healthcare, related to issues.
  • Allport's Mental Health Continuum Model: Example usage in a refugee case.
  • Technology in Mental Health: Technology's role in access and promotion of healthy behavior.
  • Mental Health Treatment: Percentage of adults receiving treatment.
  • Wraparound Services: Guiding principles, characteristics, and outcomes.
  • Outcomes of Milwaukee Wraparound Project: Milwaukee wraparound project, without all outcomes.
  • Preschool Suspensions: High percentage of out-of-school suspensions.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

  • Pyramid Model of PBS: Components of Positive Behavioral Interventions and Supports, omitted.
  • Complex Trauma Impact: Areas impacted by complex trauma.
  • Integrated Components of Trauma Treatments: Six key components from evidence-based trauma treatments.
  • Child Trauma: Treatment for children experiencing family violence.
  • Problem Behavior Resolution: Process to resolve problem behavior of children based on values and research.
  • Applied Behavioral Analysis (ABA): Emphasis on behavior measurement.
  • Intervention for Lonely Behavior: Technique of not interacting as much, as an intervention.
  • Developmental Stages and Trauma: Potential stage associated with feeling "depressed or alone"; traumatic stress.
  • Social Justice: Characteristics of social justice.
  • Disability: Largest percentage of total years lost due to disability.
  • Stigma: Definition and origins provided; impacts on mental health.
  • Stigma in Criminal Justice: True statements about stigma within the criminal justice system.
  • Stigma Change Strategies: Effectiveness of strategies.
  • Mental Health Stigma Trends: Trends related to mental health in the U.S.
  • Internalized Homonegativity: Definition and impact on self-image.
  • Barriers to Healthcare Access for Hispanics: APA-identified barriers hindering Hispanic Americans' healthcare access.

Mental Health Treatment Practices and Policy

  • Muslim Americans and Mental Health: Mental health disorders potentially higher.
  • Racial Differences in Mental Health: African Americans with mental illness have lower rates of mental health service usage.
  • Mental Health Service Use: Usage rates, including prescription medications and outpatient services.
  • Appalachian Mental Health Issues: Differences in mental health problems compared to the national average.
  • Positive Behavioral Interventions and Supports (PBIS): Tenets of this program.
  • PBIS Tier Levels: Number of tiers in the model.
  • PBIS Tier 1: Example, use of releasing students to improve traffic congestion as a tier 1 intervention.
  • Tiered Supports for Interventions: Definition and comparison of interventions at tier 1 and tier 3.
  • Community Mental Health Treatment History: Key aspects of the community mental health treatment history.
  • Civil Commitment: False statement about historical evolution of commitment practices.
  • Incarceration Rates: Black Americans are incarcerated at higher rates compared to White Americans.
  • Inmate Mental Health: Percentage of inmates reporting mental health issues.
  • Crisis Intervention: New access points for crisis management.
  • Intercept Levels: Different intercept levels in the crisis intervention system, and example circumstances for levels.
  • Behavioral Health in Medical Care: Percentage of adults receiving medical care who also have behavioral health conditions.
  • Special Protection for Emotional Support Animals: Laws regarding emotional support animals.
  • Evidence-Based Practice for Justice-Involved Individuals: Methods identified as evidence-based practices.
  • Counseling Services: Services provided by counseling consultants.

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Exemplary Treatment Practices Final PDF

Description

This quiz covers key aspects of exemplary treatment practices in mental health care, focusing on models like the First Nations Mental Wellness Model, SAMHSA's Continuum of Care, and SBIRT. It also discusses barriers to access and principles of evidence-based medicine. Test your knowledge on these crucial concepts and improve your understanding of mental health interventions.

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