Integrated Care Models in Healthcare
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Questions and Answers

What is the primary goal of integrated healthcare models?

  • To reduce healthcare costs
  • To improve individuals' experiences of care (correct)
  • To increase the use of complementary and alternative medical practices
  • To reduce the number of primary care physicians

    • According to the President's New Freedom Commission on Mental Health, which stakeholders should be involved in improving treatment outcomes for those experiencing mental health issues?

  • Primary care physicians, mental health providers, schools, and community organizations (correct)
  • Only primary care physicians and mental health providers
  • Only primary care physicians
  • Only schools and community organizations

    • What is a key benefit of integrating behavioral health practices into medical services?

  • Reduced use of electronic medical records
  • Improved coordination between primary care physicians and mental health providers (correct)
  • Increased use of medicinal herbs
  • Increased costs of healthcare services

    • What is a focus of public health efforts with regards to integrated healthcare?

    <p>Promoting the incorporation of behavioral health practices into medical services</p> Signup and view all the answers

    Which of the following is NOT a goal of systems advocacy in integrated healthcare?

    <p>Promoting the use of medicinal herbs</p> Signup and view all the answers

    What is a key challenge in implementing integrated healthcare models?

    <p>Addressing disparities in mental health care</p> Signup and view all the answers

    What is a primary goal of integrated care models in primary care settings?

    <p>To improve health outcomes by providing comprehensive care</p> Signup and view all the answers

    What is a common disparity in mental health care?

    <p>Limited access to mental health services for rural populations</p> Signup and view all the answers

    What is a key component of primary care mental health?

    <p>Collaboration between mental health specialists and primary care providers</p> Signup and view all the answers

    What is a key role of systems advocacy in integrated care?

    <p>Advocating for policy changes to support integrated care</p> Signup and view all the answers

    What is an advantage of using electronic medical records in integrated care?

    <p>They can improve communication between mental health specialists and primary care providers</p> Signup and view all the answers

    What is a key benefit of direct primary care?

    <p>It can reduce the cost of primary care services</p> Signup and view all the answers

    What is the primary goal of community-based treatments in the context of mental health care?

    <p>To fill the need created by the closure of residential facilities and state psychiatric hospitals</p> Signup and view all the answers

    What is a key feature of programs that reconceptualize the provision of services in mental health care?

    <p>The incorporation of community-based services and interdisciplinary treatment teams</p> Signup and view all the answers

    What is a significant outcome of the Affordable Healthcare Act of 2012 and subsequent Medicaid expansion efforts in many states?

    <p>The development of programs that reconceptualize the provision of services</p> Signup and view all the answers

    What is a key aspect of integrated care in the context of mental health services?

    <p>The collaboration between physical and mental health care providers</p> Signup and view all the answers

    What is a potential drawback of the closure of residential facilities and state psychiatric hospitals?

    <p>The creation of gaps in mental health care services</p> Signup and view all the answers

    What is a key benefit of electronic medical records in the context of mental health care?

    <p>The improvement of care coordination and communication among providers</p> Signup and view all the answers

    What is a key aspect of systems advocacy in the context of mental health care?

    <p>The promotion of policy changes to address disparities in mental health care</p> Signup and view all the answers

    What is a key challenge in mental health care that integrated care models aim to address?

    <p>The lack of coordination between physical and mental health care providers</p> Signup and view all the answers

    Integrated healthcare models improve treatment outcomes by increasing coordination among mental health providers only.

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

    Disparities in mental health care can be addressed through the increased use of electronic medical records.

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

    Primary care mental health is focused solely on the provision of mental health services in primary care settings.

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

    Systems advocacy is primarily focused on individual-level advocacy in mental health care.

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

    The primary benefit of electronic medical records in integrated care is to reduce healthcare costs.

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

    The Affordable Care Act of 2012 mandated the adoption of integrated care models in primary care settings.

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

    The primary goal of integrated care models is to reduce the number of mental health facilities.

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

    Disparities in mental health care are primarily due to lack of access to electronic medical records.

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

    Primary care mental health is solely focused on providing medical services to individuals with mental health issues.

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

    Systems advocacy is primarily focused on individual-level advocacy rather than system-level change.

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

    Electronic medical records are only used in primary care settings.

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

    The Affordable Healthcare Act of 2012 led to the closure of residential facilities and state psychiatric hospitals.

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

    Community-based treatments are only focused on providing services to individuals with severe mental illnesses.

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

    Integrated care models are only used in mental health care settings.

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

    The primary goal of integrated care models is to reduce healthcare costs by 50%.

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

    Racial and ethnic disparities in mental health care are significantly lower in rural areas.

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

    Primary care mental health services are only available in urban areas.

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

    Systems advocacy is primarily focused on individual-level interventions.

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

    Electronic medical records are only used for billing purposes.

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

    Integrated care models are only used in behavioral health settings.

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

    What is one of the primary responsibilities of case managers implementing systems-of-care and strength-based interventions?

    <p>Conducting comprehensive assessments of the health and psychosocial needs of the client</p> Signup and view all the answers

    What is a key aspect of case management in clinical settings?

    <p>Collaborating with the client, family, caregivers, and healthcare providers</p> Signup and view all the answers

    What is the primary goal of case management in integrated systems of care?

    <p>Improving treatment outcomes for clients</p> Signup and view all the answers

    What is a critical component of case management in strength-based interventions?

    <p>Identifying client strengths and building on them</p> Signup and view all the answers

    What is a key responsibility of case managers in clinical settings?

    <p>Coordinating with healthcare providers and community services</p> Signup and view all the answers

    What is an essential aspect of case management in systems-of-care?

    <p>Considering the needs and expectations of the family or caregivers</p> Signup and view all the answers

    What was the title of the document published by the American Occupational Therapy Association in 1991?

    <p>The Occupational Therapist as Case Manager</p> Signup and view all the answers

    What was found to parallel the fundamental concepts of case management as defined by the CMSA?

    <p>The educational premises and standards of occupational therapy programs</p> Signup and view all the answers

    What is a characteristic of case management that transcends professional affiliations?

    <p>Holistic management of chronic and complex conditions</p> Signup and view all the answers

    What is a benefit of case management in terms of resource allocation?

    <p>More efficient use of resources</p> Signup and view all the answers

    What is a key aspect of case management in terms of patient care?

    <p>Holistic management of chronic and complex conditions</p> Signup and view all the answers

    What is a potential role for occupational therapists in case management?

    <p>Serving as case managers</p> Signup and view all the answers

    What is a characteristic of case management that promotes high-quality patient care?

    <p>Holistic management of chronic and complex conditions</p> Signup and view all the answers

    What is a benefit of case management in terms of healthcare services?

    <p>More efficient use of resources</p> Signup and view all the answers

    What is the primary objective of the screening/intake or on-boarding phase in the case management process?

    <p>To identify client needs for targeted case management services</p> Signup and view all the answers

    What is the main difference between the screening/intake or on-boarding phase and the assessment phase in the case management process?

    <p>The level of detail in the information gathered</p> Signup and view all the answers

    What is the ultimate goal of gathering information about a client's circumstances during the assessment phase?

    <p>To identify client needs and assets</p> Signup and view all the answers

    What is the significance of gathering information about a client's financial and insurance assets during the screening/intake or on-boarding phase?

    <p>It determines the client's eligibility for services</p> Signup and view all the answers

    What is the primary focus of the allied health case manager during the screening/intake or on-boarding phase?

    <p>Identifying client needs for targeted case management services</p> Signup and view all the answers

    What is the ultimate goal of the case management process?

    <p>To improve client outcomes</p> Signup and view all the answers

    Case managers implementing systems-of-care and strength-based interventions are responsible for identifying the current and potential needs of the client to develop a case management plan.

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

    The primary goal of case management is to reduce healthcare costs by 50%.

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

    Case managers are only responsible for conducting comprehensive assessments of the health needs of the client.

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

    Systems advocacy is primarily focused on individual-level advocacy in mental health care.

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

    Integrated care models are only used in mental health care settings.

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

    Case managers are expected to fulfill the responsibilities of developing a case management plan without collaborating with the client, family, or caregivers.

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

    The assessment phase in case management involves gathering surface-level information about a client's circumstances.

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

    The primary objective of the screening/intake phase in case management is to facilitate the development of a comprehensive case management or clinical pathway plan.

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

    The allied health case manager's objective is to only identify client needs for case management services during the assessment phase.

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

    The information gathered during the screening/intake phase is not used in the development of a comprehensive case management or clinical pathway plan.

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

    The screening/intake phase in case management only involves gathering information about a client's past health conditions.

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

    The assessment phase is identical to the screening/intake phase in case management.

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

    The American Occupational Therapy Association published the document 'The Occupational Therapist as Case Manager' in 2017.

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

    Baldwin and Fisher's 2005 study found that occupational therapy programs did not parallel the fundamental concepts of case management as defined by the CMSA.

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

    Case management is a model of care that is exclusive to occupational therapy.

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

    The primary goal of case management is to reduce healthcare costs.

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

    The CMSA is an organization that exclusively represents occupational therapists.

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

    Case management is a new concept that emerged in the 2000s.

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

    Occupational therapy is the only profession that can assume the role of case management.

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

    Case management is a model of care that is limited to medical settings.

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

    What is a crucial aspect of interdisciplinary care teams that distinguishes them from multidisciplinary teams?

    <p>Being less likely to commit treatment omissions.</p> Signup and view all the answers

    What is an essential role of an occupational therapist in a practice that provides holistic treatment approaches?

    <p>Managing personal activities and livelihood issues.</p> Signup and view all the answers

    What is a key benefit of collaborative mental healthcare services in a community context?

    <p>Addressing the interface among care programs.</p> Signup and view all the answers

    What is a primary focus of psychologists in an interdisciplinary practice?

    <p>Addressing personal and environmental factors influencing daily living.</p> Signup and view all the answers

    What is a key aspect of continuity of care in interdisciplinary teams?

    <p>Team members communicate effectively.</p> Signup and view all the answers

    What is an essential component of holistic treatment approaches in mental health care?

    <p>Addressing personal and environmental factors influencing daily living.</p> Signup and view all the answers

    What is a key characteristic of interdisciplinary communication in mental health care?

    <p>Team members communicate effectively and collaboratively.</p> Signup and view all the answers

    What is a primary goal of interdisciplinary care teams in mental health services?

    <p>Addressing personal and environmental factors influencing daily living.</p> Signup and view all the answers

    What is a primary benefit of effective communication among healthcare providers regarding patient diagnoses and treatment plans?

    <p>Reduced risk of medical errors and duplication of services</p> Signup and view all the answers

    What is a potential consequence of inadequate communication among healthcare providers?

    <p>Ambiguous and likely negative outcomes</p> Signup and view all the answers

    Why is it essential to involve all care providers in the communication process?

    <p>To ensure the collaboration is successful and information is transferred efficiently and effectively</p> Signup and view all the answers

    What is a critical component of effective communication among healthcare providers?

    <p>Presence of a qualified communication coordinator or case manager</p> Signup and view all the answers

    What is a key benefit of interdisciplinary communication among healthcare providers?

    <p>Improved patient outcomes</p> Signup and view all the answers

    What is a primary challenge of communication among healthcare providers?

    <p>Obstructed, fragmented, or incomplete communication</p> Signup and view all the answers

    What is a crucial aspect of collaborative mental health care services?

    <p>Coordinating services among different providers</p> Signup and view all the answers

    Why is it essential for mental health service providers to discuss confidentiality with clients?

    <p>To facilitate open communication among providers</p> Signup and view all the answers

    What is a primary goal of multidisciplinary, collaborative health service approaches?

    <p>Improving access to healthcare and continuity of care</p> Signup and view all the answers

    What is a key aspect of collaborative mental health care services in terms of patient empowerment?

    <p>Working with the client to sign a consent form</p> Signup and view all the answers

    What is a benefit of collaborative mental health care services in terms of treatment outcomes?

    <p>Improving treatment outcomes due to coordination among providers</p> Signup and view all the answers

    What is a key component of collaborative mental health care services in terms of service delivery?

    <p>Providing assistive services such as patient education and follow-ups</p> Signup and view all the answers

    The absence of a qualified communication coordinator or case manager can lead to clear and effective communication among healthcare providers.

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

    Integrated healthcare models prioritize the sharing of treatment plans and prescriptions among healthcare providers to reduce the risk of medical errors.

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

    Effective communication among healthcare providers is not necessary for successful collaboration in patient care.

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

    The primary goal of integrated healthcare models is to reduce the number of healthcare providers involved in patient care.

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

    The sharing of diagnoses and treatment plans among healthcare providers is a key aspect of holistic treatment approaches.

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

    The lack of communication among healthcare providers does not affect the continuity of patient care.

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

    Mental health service providers are not required to discuss the importance of opening lines of communication among different providers with clients.

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

    Collaborative mental health care services involve only primary care providers and mental health specialists.

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

    A mental health service provider cannot work with a client to sign a consent form allowing the provider to speak with other members of the treatment team.

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

    Multidisciplinary collaborative teams are not necessary to improve access to healthcare and provide continuity of care.

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

    Collaborative mental health care services do not provide assistive services such as patient education, follow-ups of outcomes, adjustments, and evaluations.

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

    The primary goal of collaborative mental health care services is to reduce healthcare costs.

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

    An occupational therapist might work with a psychologist to address personal and environmental factors influencing a person's activities of daily living.

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

    Interdisciplinary care teams are more likely to commit treatment omissions due to lack of communication.

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

    A psychologist can assist an individual with mental health conditions to manage personal activities and livelihood issues.

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

    Collaborative mental healthcare services must address the interface among care programs working with the person with mental health conditions.

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

    Multidisciplinary teams are more effective in providing holistic treatment approaches than interdisciplinary teams.

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

    Interdisciplinary care teams can provide continuity of care by ensuring that all team members are aware of the individual's treatment plan.

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

    Disciplinary expertise is not necessary for effective interdisciplinary communication.

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

    Consent and confidentiality are not relevant concerns in interdisciplinary communication.

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

    What is the primary role of a counselor in client empowerment, as depicted in Table 9.1?

    <p>Direct intervention to enhance client autonomy and self-advocacy</p> Signup and view all the answers

    What is a key strength of social justice advocates in integrated systems of care?

    <p>Their capacity to contribute to changing social policies</p> Signup and view all the answers

    Which of the following is an example of a social justice competency in the school/community domain?

    <p>Community collaboration to promote social change</p> Signup and view all the answers

    What is a limitation of social justice advocates in terms of their role in public policy?

    <p>Their limited knowledge of policy-making processes</p> Signup and view all the answers

    What is a key aspect of the counselor advocate role in integrated systems of care?

    <p>Working directly with clients and contributing to policy change</p> Signup and view all the answers

    What is a key benefit of social justice advocates working in integrated systems of care?

    <p>Their capacity to contribute to broader systemic change</p> Signup and view all the answers

    What is the primary role of an advocacy-oriented counselor when working with clients?

    <p>To empower clients to develop self-advocacy skills</p> Signup and view all the answers

    Which of the following is a key social justice competency for counselors?

    <p>Recognizing the impact of oppression on clients</p> Signup and view all the answers

    What is a limitation of advocacy in integrated systems of care?

    <p>It may not address systemic barriers to care</p> Signup and view all the answers

    What is a strength of counselors as advocates?

    <p>Their ability to recognize the signs of individual and systemic oppression</p> Signup and view all the answers

    How can counselors disseminate information to promote healthy development?

    <p>Through a variety of media, such as social media and community events</p> Signup and view all the answers

    What is a key aspect of developing alliances with groups working for change?

    <p>Collaborating with community organizations to promote systemic change</p> Signup and view all the answers

    What is the primary focus of social/political advocacy?

    <p>Influencing public policy in a large, public arena</p> Signup and view all the answers

    What is the role of the counselor in systems advocacy?

    <p>Exerting systems-change leadership at the school or community level</p> Signup and view all the answers

    What is the goal of the counselor in client/student advocacy?

    <p>Negotiating relevant services on behalf of clients and students</p> Signup and view all the answers

    What is the focus of the counselor in social/political advocacy?

    <p>Influencing public policy in a large, public arena</p> Signup and view all the answers

    What is the role of the counselor in identifying environmental factors?

    <p>Identifying environmental factors impinging on students' development</p> Signup and view all the answers

    What is the goal of the counselor in social/political advocacy with allies?

    <p>Lobbying legislators and other policy makers</p> Signup and view all the answers

    What is the focus of the counselor in systems advocacy at the school or community level?

    <p>Exerting systems-change leadership at the school or community level</p> Signup and view all the answers

    What is the goal of the counselor in social/political advocacy in maintaining open dialogue?

    <p>Maintaining open dialogue with allies and other stakeholders</p> Signup and view all the answers

    Client empowerment is a key competence in the School/Community advocacy domain

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

    Counselors can only work directly with clients and families in integrated systems of care

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

    Public information is a type of advocacy competence in the Client/Student domain

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

    Effective clinical mental health counselors only work directly with clients and families

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

    The Public Arena domain of advocacy only focuses on informing the public about the role of environmental factors in human development

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

    Community collaboration is a type of advocacy competence in the Client/Student domain

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

    Client/student advocacy involves negotiating relevant services and education systems on behalf of clients and students.

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

    Systems advocacy is primarily focused on individual-level interventions.

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

    Counselor advocates involved in social-political advocacy are able to prepare convincing data and rationales for change.

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

    Environmental interventions at the school or community level are a form of client/student advocacy.

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

    Identifying environmental factors impinging on students' or clients' development is a role of counselor advocates in social-political advocacy.

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

    Helping clients and students gain access to needed resources is a primary goal of systems advocacy.

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

    Social-political advocacy involves working solely with individual clients or students.

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

    Counselor advocates involved in client/student advocacy are able to exert systems-change leadership at the school or community level.

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

    A counselor can help clients develop self-advocacy action plans.

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

    Recognizing the impact of oppression on healthy development is not a social justice competency.

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

    Counselors can disseminate information about mental health through social media only.

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

    Assessing the effect of a counselor's interaction with the community is not an important advocacy skill.

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

    Identifying environmental factors that are protective of healthy development is not a counselor's role.

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

    Developing alliances with groups working for change is not a counselor advocacy skill.

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

    What is a common phenomenon observed in both Sam and Michael's behaviors?

    <p>Resistance to change</p> Signup and view all the answers

    What is Sam's supervisor trying to help him with?

    <p>Overcoming his fear of confrontation</p> Signup and view all the answers

    What is Michael trying to achieve in his sessions with Sam?

    <p>Prove Sam's observations are incorrect</p> Signup and view all the answers

    What is a crucial aspect of self-reflection for Sam as a counselor?

    <p>Recognizing his own flaws and biases</p> Signup and view all the answers

    What is a potential outcome of Sam's resistance to feedback?

    <p>Therapeutic plateau</p> Signup and view all the answers

    What is a key strategy for Sam's supervisor to overcome Sam's resistance?

    <p>Use empathy to understand Sam's perspective</p> Signup and view all the answers

    What is a common challenge in family therapy that Michael's situation illustrates?

    <p>Resistance to change and feedback</p> Signup and view all the answers

    What is a crucial aspect of supervision strategies in Sam's case?

    <p>Encouraging Sam to practice self-reflection</p> Signup and view all the answers

    What is a critical aspect of the supervisory process in systemic supervision?

    <p>Oversight of the work from the perspective of the specific model's tenets</p> Signup and view all the answers

    What is a unique feature of systemic supervision?

    <p>The focus on the isomorphic process</p> Signup and view all the answers

    What is essential for effective supervision in systemic supervision?

    <p>Consideration of the context and worldview of both the supervisee and the client</p> Signup and view all the answers

    What is a key aspect of the relationship between the counselor and the client in systemic supervision?

    <p>The mutual consideration of each other's context</p> Signup and view all the answers

    What is a characteristic of systemic supervision?

    <p>An exploration of the supervisee's experiences as part of the family's system</p> Signup and view all the answers

    What is a key consideration for the supervisor in systemic supervision?

    <p>The context of both the supervisee and the client</p> Signup and view all the answers

    What might be inferred about the parents' current state in their counseling process?

    <p>They have returned to their old patterns of behavior.</p> Signup and view all the answers

    What might be contributing to the team's decreased productivity in supervision?

    <p>The team's feelings of frustration and overwhelm with their cases.</p> Signup and view all the answers

    What challenge do the parents' behaviors pose to the counselor?

    <p>Overcoming the parents' resistance to change.</p> Signup and view all the answers

    What might be a supervision strategy to address the team's decreased productivity?

    <p>Encouraging the team to reflect on their feelings and challenges.</p> Signup and view all the answers

    What family therapy challenge do the parents' behaviors exemplify?

    <p>Overcoming resistance to change and therapeutic plateaus.</p> Signup and view all the answers

    What might be a potential outcome of the counselor's self-reflection on their supervision strategy?

    <p>The counselor recognizes the need for alternative supervision strategies.</p> Signup and view all the answers

    Sam is successfully addressing his client Michael's resistance to feedback by providing examples of times when Michael acted in a manner that would bring him closer to his wife.

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

    Sam's supervisor is trying to help Sam become more confrontational with his clients.

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

    Michael is engaged in accepting Sam's critical information and actively working to change his behavior.

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

    Sam is demonstrating self-reflection and openness to his supervisor's criticism.

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

    Sam's supervisor is using a confrontation strategy to help Sam overcome his resistance to feedback.

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

    Sam and Michael are both experiencing a therapeutic plateau in their respective relationships.

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

    The couple's progress in counseling was hindered by their consistent completion of tasks and engagement in activities designed to improve their relationship.

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

    The supervisor's strategy of pointing out Sam's lack of confrontation is an effective way to overcome therapeutic plateaus.

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

    The team's lack of productivity in supervision was a result of their effective use of supervision strategies.

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

    Family therapy is not relevant to the scenario described, as it only involves Sam and Michael.

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

    The increase in the kids' acting out behaviors was a sign of improvement in the family's overall dynamics.

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

    The counselor's self-reflection led to the realization that the team was making significant progress in their counseling work.

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

    Overcoming therapeutic plateaus can be achieved by abandoning the original treatment plan and starting from scratch.

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

    Family therapy challenges can be overcome by solely focusing on individual-level interventions.

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

    In systemic supervision, the supervisor must consider the context of the supervisee only.

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

    The supervisory process involves oversight of the work from a general perspective, without consideration of specific therapeutic models.

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

    Systemic therapists believe that the isomorphic process is not inherent to the work.

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

    The counselor does not need to consider the client's worldview in order to be effective.

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

    The supervisor-supervisee relationship is not characterized by a mutual consideration of context.

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

    The supervisory process does not involve an exploration of the supervisee's experiences as a part of the client's system.

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

    Study Notes

    Integrated Healthcare Models

    • Integrated healthcare incorporates behavioral health practices into medical services, including complementary and alternative medical (CAM) practices.
    • Integrated healthcare aims to improve individuals' experiences of care.
    • The President's New Freedom Commission on Mental Health (2008) highlighted the need for increased coordination among primary care physicians, mental health providers, and other stakeholders to improve treatment outcomes.

    Importance of Integrated Care

    • Integrated care models bridge the gaps among all the treatments needed for those experiencing mental health issues.
    • Community-based treatments fill the need created by the closure of residential facilities and state psychiatric hospitals.
    • Integrated care is not limited to physical and mental health, but also includes other realms.

    Affordable Healthcare Act and Medicaid Expansion

    • The Affordable Healthcare Act of 2012 and subsequent Medicaid expansion efforts allowed for the development of programs that reconceptualize the provision of services.
    • Programs incorporating community-based services, interdisciplinary treatment teams, in-home family services, and innovative technologies have been developed.

    Examples of Integrated Care Models

    • Cherokee Health Systems: uses electronic medical records to integrate mental health care into primary care.
    • Direct Primary Care: a model that remakes the healthcare system to focus on patient-centered care.

    Personal Experience with Integrated Care

    • A person with diabetes was misdiagnosed with schizophrenia, but a mental health counselor listened to them and helped them regain control of their life.

    Integrated Healthcare Models

    • Integrated healthcare incorporates behavioral health practices into medical services, including complementary and alternative medical (CAM) practices.
    • Integrated healthcare aims to improve individuals' experiences of care.
    • The President's New Freedom Commission on Mental Health (2008) highlighted the need for increased coordination among primary care physicians, mental health providers, and other stakeholders to improve treatment outcomes.

    Importance of Integrated Care

    • Integrated care models bridge the gaps among all the treatments needed for those experiencing mental health issues.
    • Community-based treatments fill the need created by the closure of residential facilities and state psychiatric hospitals.
    • Integrated care is not limited to physical and mental health, but also includes other realms.

    Affordable Healthcare Act and Medicaid Expansion

    • The Affordable Healthcare Act of 2012 and subsequent Medicaid expansion efforts allowed for the development of programs that reconceptualize the provision of services.
    • Programs incorporating community-based services, interdisciplinary treatment teams, in-home family services, and innovative technologies have been developed.

    Examples of Integrated Care Models

    • Cherokee Health Systems: uses electronic medical records to integrate mental health care into primary care.
    • Direct Primary Care: a model that remakes the healthcare system to focus on patient-centered care.

    Personal Experience with Integrated Care

    • A person with diabetes was misdiagnosed with schizophrenia, but a mental health counselor listened to them and helped them regain control of their life.

    Case Management Responsibilities

    • Conduct comprehensive assessments of clients' health and psychosocial needs, considering family or caregivers' needs and expectations.
    • Identify current and potential needs of clients to develop a case management or clinical pathway plan with clients, families, caregivers, and healthcare providers.

    Case Management Process

    • Screening/Intake or On-Boarding: gathering and reviewing relevant information about clients' past and present health conditions, functional abilities, social supports, home environment, and financial and insurance assets.
    • Assessment: gathering in-depth information about clients' circumstances to identify needs and assets for developing a comprehensive case management or clinical pathway plan.

    Case Management: Historical, Current, and Future Perspectives

    • The goal of case management is to help patients receive high-quality care while promoting efficient use of resources and services.
    • Case management is a model of care that transcends professional affiliations, creating opportunities for members of various allied health and mental health professions to assume certain aspects of the case management role.

    Occupational Therapy and Case Management

    • In 1991, the American Occupational Therapy Association published the document "The Occupational Therapist as Case Manager", asserting that occupational therapists can serve successfully as case managers.
    • Research by Baldwin and Fisher (2005) found that occupational therapy programs' educational premises and standards parallel the fundamental concepts of case management, including holistic management of chronic and complex conditions.

    Case Management Responsibilities

    • Conduct comprehensive assessments of clients' health and psychosocial needs, considering family or caregivers' needs and expectations.
    • Identify current and potential needs of clients to develop a case management or clinical pathway plan with clients, families, caregivers, and healthcare providers.

    Case Management Process

    • Screening/Intake or On-Boarding: gathering and reviewing relevant information about clients' past and present health conditions, functional abilities, social supports, home environment, and financial and insurance assets.
    • Assessment: gathering in-depth information about clients' circumstances to identify needs and assets for developing a comprehensive case management or clinical pathway plan.

    Case Management: Historical, Current, and Future Perspectives

    • The goal of case management is to help patients receive high-quality care while promoting efficient use of resources and services.
    • Case management is a model of care that transcends professional affiliations, creating opportunities for members of various allied health and mental health professions to assume certain aspects of the case management role.

    Occupational Therapy and Case Management

    • In 1991, the American Occupational Therapy Association published the document "The Occupational Therapist as Case Manager", asserting that occupational therapists can serve successfully as case managers.
    • Research by Baldwin and Fisher (2005) found that occupational therapy programs' educational premises and standards parallel the fundamental concepts of case management, including holistic management of chronic and complex conditions.

    Effective Communication in Healthcare

    • Communication among healthcare providers about diagnoses, treatment plans, and medical instructions reduces the risk of medical errors, duplication of services, and conflicting management recommendations.
    • Sharing diagnoses, treatment plans, prescriptions, and follow-up recommendations among care providers is essential for successful collaboration.

    Challenges in Communication

    • Communication among care providers is not always easy, and without a qualified communication coordinator or case manager, it may lead to ambiguous and negative outcomes.
    • Obstructed, fragmented, or incomplete communication can lead to negative outcomes.

    Collaborative Mental Health-Care Services

    • Collaborative mental health-care services involve primary care providers, mental health specialists, and case managers who coordinate services and provide assistive services such as patient education, follow-ups, and evaluations.
    • Case managers play a crucial role in coordinating services and ensuring optimal service delivery.

    Importance of Confidentiality

    • Mental health service providers must discuss the importance of opening lines of communication among different providers with clients to ensure optimal service delivery.
    • Clients can sign a consent form allowing providers to speak with other members of the treatment team.

    Multidisciplinary Collaborative Teams

    • Multidisciplinary, collaborative health service approaches aim to improve access to healthcare, provide continuity of care, and produce better outcomes.
    • Interdisciplinary care teams are less likely to commit treatment omissions than multidisciplinary teams.

    Interdisciplinary Care

    • An occupational therapist can assist individuals in managing personal activities and livelihood issues.
    • A psychologist can work with allied healthcare providers to address personal and environmental factors influencing daily living, family support, and engagement in significant life roles.

    Community Context

    • Collaborative mental healthcare services in a community context must address the interface among care programs working with individuals with mental health conditions.
    • Three core competencies for interdisciplinary collaboration were proposed by Doherty, McDaniel, and Baird (1996).

    Effective Communication in Healthcare

    • Communication among healthcare providers about diagnoses, treatment plans, and medical instructions reduces the risk of medical errors, duplication of services, and conflicting management recommendations.
    • Sharing diagnoses, treatment plans, prescriptions, and follow-up recommendations among care providers is essential for successful collaboration.

    Challenges in Communication

    • Communication among care providers is not always easy, and without a qualified communication coordinator or case manager, it may lead to ambiguous and negative outcomes.
    • Obstructed, fragmented, or incomplete communication can lead to negative outcomes.

    Collaborative Mental Health-Care Services

    • Collaborative mental health-care services involve primary care providers, mental health specialists, and case managers who coordinate services and provide assistive services such as patient education, follow-ups, and evaluations.
    • Case managers play a crucial role in coordinating services and ensuring optimal service delivery.

    Importance of Confidentiality

    • Mental health service providers must discuss the importance of opening lines of communication among different providers with clients to ensure optimal service delivery.
    • Clients can sign a consent form allowing providers to speak with other members of the treatment team.

    Multidisciplinary Collaborative Teams

    • Multidisciplinary, collaborative health service approaches aim to improve access to healthcare, provide continuity of care, and produce better outcomes.
    • Interdisciplinary care teams are less likely to commit treatment omissions than multidisciplinary teams.

    Interdisciplinary Care

    • An occupational therapist can assist individuals in managing personal activities and livelihood issues.
    • A psychologist can work with allied healthcare providers to address personal and environmental factors influencing daily living, family support, and engagement in significant life roles.

    Community Context

    • Collaborative mental healthcare services in a community context must address the interface among care programs working with individuals with mental health conditions.
    • Three core competencies for interdisciplinary collaboration were proposed by Doherty, McDaniel, and Baird (1996).

    Effective Clinical Mental Health Counselor Social Justice Advocates

    • Work directly with clients, families, and groups and contribute to changing social policies
    • Contribute to changing social policies through professional practices

    Advocacy Competencies

    • 43 advocacy competencies within each advocacy domain (Lewis et al., 2002)

    Client/Student Advocacy

    • Identify strengths and resources of clients and students
    • Recognize signs indicating individual's behaviors and concerns or internalized oppression
    • Help students and clients develop self-advocacy action plans
    • Help clients and students gain access to needed resources and education systems
    • Negotiate relevant services and education systems on behalf of clients and students

    School/Community Collaboration

    • Develop alliances with groups working for change
    • Use effective listening skills to gain understanding of the group's goals
    • Assess the effect of counselor's interaction with the community
    • Identify environmental factors that are protective of healthy development
    • Disseminate information about the role of environmental factors in human development

    Public Information and Social/Political Advocacy

    • Recognize the impact of oppression and other barriers to healthy development
    • Identify environmental factors that impinge on students' or clients' development
    • Prepare convincing data and rationales for change with allies
    • Lobby legislators and other policy makers with allies
    • Maintain open dialogue with allies

    Effective Clinical Mental Health Counselor Social Justice Advocates

    • Work directly with clients, families, and groups and contribute to changing social policies
    • Contribute to changing social policies through professional practices

    Advocacy Competencies

    • 43 advocacy competencies within each advocacy domain (Lewis et al., 2002)

    Client/Student Advocacy

    • Identify strengths and resources of clients and students
    • Recognize signs indicating individual's behaviors and concerns or internalized oppression
    • Help students and clients develop self-advocacy action plans
    • Help clients and students gain access to needed resources and education systems
    • Negotiate relevant services and education systems on behalf of clients and students

    School/Community Collaboration

    • Develop alliances with groups working for change
    • Use effective listening skills to gain understanding of the group's goals
    • Assess the effect of counselor's interaction with the community
    • Identify environmental factors that are protective of healthy development
    • Disseminate information about the role of environmental factors in human development

    Public Information and Social/Political Advocacy

    • Recognize the impact of oppression and other barriers to healthy development
    • Identify environmental factors that impinge on students' or clients' development
    • Prepare convincing data and rationales for change with allies
    • Lobby legislators and other policy makers with allies
    • Maintain open dialogue with allies

    Counseling and Supervision

    • A couple's relationship struggle in counseling led to a decrease in their motivation and engagement, causing them to return to old patterns and distant behavior.
    • This struggle was reflected in their children's increased acting out behaviors, leaving the mother feeling overwhelmed and unsupported by the father.

    Supervision Challenges

    • The team's progress in supervision was hindered by their lack of productivity, resulting in late paperwork, failure to follow through with suggestions, and feelings of overwhelm.
    • The supervisee's (counselor's) resistance to feedback and criticism mirrored their client's behavior, demonstrating a lack of acceptance and a tendency to refute or discount feedback.

    Systemic Supervision

    • Effective supervision requires considering the context and worldview of both the supervisee and the client.
    • The supervisory process involves oversight of the work from the perspective of a specific model's tenets and exploration of the supervisee's experiences as part of the client's system.
    • Systemic supervision focuses on the isomorphic process, where the patterns and relationships within the client's system are reflected in the supervisory relationship.

    Counselling and Feedback

    • Clients may resist or deny feedback, attempting to provide examples or evidence to disprove the counselor's observations.
    • Counselors may also resist or deny feedback from their supervisors, demonstrating similar behaviors to their clients.

    Counseling and Supervision

    • A couple's relationship struggle in counseling led to a decrease in their motivation and engagement, causing them to return to old patterns and distant behavior.
    • This struggle was reflected in their children's increased acting out behaviors, leaving the mother feeling overwhelmed and unsupported by the father.

    Supervision Challenges

    • The team's progress in supervision was hindered by their lack of productivity, resulting in late paperwork, failure to follow through with suggestions, and feelings of overwhelm.
    • The supervisee's (counselor's) resistance to feedback and criticism mirrored their client's behavior, demonstrating a lack of acceptance and a tendency to refute or discount feedback.

    Systemic Supervision

    • Effective supervision requires considering the context and worldview of both the supervisee and the client.
    • The supervisory process involves oversight of the work from the perspective of a specific model's tenets and exploration of the supervisee's experiences as part of the client's system.
    • Systemic supervision focuses on the isomorphic process, where the patterns and relationships within the client's system are reflected in the supervisory relationship.

    Counselling and Feedback

    • Clients may resist or deny feedback, attempting to provide examples or evidence to disprove the counselor's observations.
    • Counselors may also resist or deny feedback from their supervisors, demonstrating similar behaviors to their clients.

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    Related Documents

    Clinical Mental Health Counseling PDF
    CLE71D~1.PDF
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    Clinical Supervision and Professional Development PDF

    Description

    This quiz covers the basics of integrated care models, including behavioral health in primary care, as discussed by the SAMHSA-HRSA Center for Integrated Health Solutions. It explores the concepts and principles of integrated care models in healthcare settings.

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