COU 803 Final

Increased coverage of mental health services by insurance companies occurred as a consequence of:

(B) decreased stigmatization of the consumers of mental health services (A) passage of the Community Mental Health Centers Act of 1963

Most cases of school phobia appear around age

11 to 13

What percentage of persons incarcerated in state prisons and local jails have had a mental illness or have been treated for a mental condition?

16%

Flaws in the mental health services were exposed in the ____________.

1950s

When was the American Counseling Association (ACA) created?

1952

By the early 1990s, the costs of health care were increasing at a rate of _________ the rate of inflation.

3 times

By the early 1990s, the costs of health care were increasing at a rate of __________ the rate of inflation.

3 times

Mental health counseling is a licensed profession in:

50 states

The findings of Vessey and Howard (1993) confirmed to insurance providers that as many as _______ of persons being seen for psychotherapy did not meet the DSM diagnostic criteria of the disorder for which they were being treated.

50%

The findings of Vessey and Howard (1993) confirmed to insurance providers that as many as _________ of persons being seen for psychotherapy did not meet the DSM diagnostic criteria of the disorder for which they were being treated.

50%

According to the 2016 CACREP standards, mental health counseling programs must require ___ semester hours for degree completion.

60

It is estimated that ______ of visits to primary health care settings concern psychological and emotional issues.

60-70%

As many as ________ of clients presenting with substance abuse disorders have another co-existing condition.

66%

Which of the following professional organizations represents the interests of professional counselors in general?

ACA - American Counseling Association

Which of the following division of the ACA represents the interests of the mental health counseling profession in specific?

AMHCA - American Mental Health Counselors Association

Which of the following is a specialization within the counseling profession:

Addictions counseling, career counseling, Gerontological counseling

Which of the following theorists developed Individual Psychology?

Adler

Which of the following professional groups was not directly involved in the formation of what is now known as the ACA?

American Psychological Assocation

According to Freud, neurotic anxiety is likely to occur when:

An unconscious impulse emerges into one's awareness

National standards for the accreditation of graduate programs that train clinical mental health counselors have been set by:

CACREP

Which of the following organizations has established standards for the accreditation of graduate educational programs in counseling?

CACREP

Which of the following organizations was formed to develop accreditation standards for graduate programs in counseling?

CACREP

Mental health practitioners are reimbursed at a fixed rate per regional member of a managed care organization, regardless of quantity or types of sessions conducted under a ________ framework.

Capitation

Which of the following is not true regarding the pretreatment authorization of treatment?

Clients typically can obtain any number of sessions they seek for the treatment of their presenting condition.

Which of the following professional groups are most highly trained in the administration, scoring, and interpretation of psychological tests?

Clinical Psychologists

In which stage is the client aware of the problem and considering making changes while also struggling with the ambivalence of giving up familiar patterns of behavior?

Contemplation

What was a major consequence of the passage of the Community Mental Health Centers Act of 1963?

Counselors became providers of care in the community mental health centers

The process or trend of transferring formerly institutionalized individuals to community environments is referred to as:

Deinstitutionalization

Which of the following is a highly recommended approach when working with clients in the preparation stage of behavioral change?

Development of an action or treatment plan

Most personality disorders are induced by alcohol abuse.

False

Which of following theorists is most closely related to the development of psychoanalysis?

Freud

In 1883, _________ became the first nation to legislate national health insurance.

Germany

In 1883, _____________ became the first nation to legislate national health insurance.

Germany

Which of the following must be demonstrated in order for a mental health professional to be placed on a provider panel?

It must be demonstrated that there is a need for additional panel participants in a given geographic region, The mental health professional must demonstrate that they follow acceptable diagnosis and treatment procedures, The mental health provider must be willing to accept reduced fees for service rendered.

Which of the following levels of the ecological system includes one's culture, language, and economic system?

Macrosystems

What is one reason that contributes to the expected job outlook for mental health counselors?

Managed care willing to reimburse because less costly, More people seek treatment, Less stigma attached

Which of the following professional groups is trained to viewed the family as the most basic emotional unit?

Marriage and Family Counselors

Which of the following professions cannot qualify for professional certifications offered by the National Board of Certified Counselors (NBCC)?

Marriage and Family Counselors

Which of the following professions has most likely benefited from managed care's trend to utilize less expensive, but equally treatment approaches?

Master's level mental health counselors and social workers

CACREP accredits:

Master's programs and doctoral programs only

According to Beier and Young (1998), how have mental health professionals responded to managed care?

Moving toward and embracing managed care, Moving away from and not collecting third-party reimbursement for services, Moving against managed care by resisting and occasionally taking managed care organizations to court.

Which of the following organizations provides the primary national certification process for professional counselors?

NBCC - National Board for Certified Counselors

Which of the following is not a contemporary delivery system approach?

Person-Centered

Mental health counseling draws from all of the following disciplines except:

Political Sciences

Which of the following is not a way of controlling the cost per unit of mental health services?

Pretreatment authorization of treatment

The credential of National Certified Counselor (NCC) is a type of:

Professional certification

What was the primary interest of early psychologists?

Promotion of Mental Health

Which of the following professional groups is a medical specialty?

Psychiatry

A university holds a Mental Health day and screens students for emotional/mental disorders. Students who are detected as having an emotional/mental disorder are offered counseling resources. This is an example of

Secondary prevention

Section 2703 of The Patient Protection and Affordable Care Act (2010) has pushed governments to find funding for persons with ________________.

Severe and persistent mental illness

Which of the following professional groups are most highly trained in linking persons to tangible local, state, and federal services?

Social Workers

Which of the following underlying assumptions were critical in the move toward managed care in the United States?

Steps must be taken to control the upward spiral of medical/mental health costs to employers and insurers.

Which of the following statements is most closely related to the views of Carl Rogers?

The therapeutic relationship can provide the essential ingredients for personal growth

According to the behavioral perspective, pathological behavior is acquired:

Through the processes of learning

According to mental health and community counselors, mental health is much more than the mere absence of mental illness.

True

Health maintenance organizations are the most common form of managed care systems

True

Licensure laws do not fully reflect the knowledge and skills specified in the CACREP training model.

True

Wellness interventions play a fundamental role in facilitating and maintaining one's health.

True

Which of the following states was first to pass a counselor licensure law?

Virginia

A counselor who practices from a ________________ encourages clients to implement strength-based, solution -focused patterns of living, which enables clients to live their life rather than their diagnosis.

Wellness perspective

In practicum, site supervisors are required to have:

a master's degree in counseling or a related profession, two years of experience, hold appropriate licenses or certifications

Which of the following are related to projects that are successfully funded through the acquisition of grants?

accurately identified needs, innovative solutions to the identified needs, proposal of programs that are cost effective

School-age friends

behave more pro-socially with each other

Which of the following is not a common element of assertive community treatment?

cases assigned by matching client needs with team member's specific area of expertise

Which of the following credentials is controlled by the profession itself?

certification

Cognitive therapies assist clients in finding relief from presenting symptoms by:

changing specific styles of thinking, developing alternative self-statements, altering one's self-schema

Which of the following is not a form of behavior therapy?

cognitive restucturing

The answer to the question, "To what extent is it necessary for the clients to continue in treatment beyond the number of sessions initially authorized" is determined through:

concurrent utilization reviews

The CACREP standards establishes a general curricular model consisting of all of the following components except:

contents of course syllabi

Managed care commonly refers to a range of programs that:

control access to health care, set limits on the types of health care delivered, control the cost of specific health care services

Which of the following is not a program for which CACREP renders accreditation decisions?

counseling psychology

The best way to learn grant writing is through:

engaging in the actual grant writing process under the guidance of the experienced mentor

Individual or community needs can be best viewed as:

existing states of difference or discrepancy between what is condition and what should be condition

According to the Occupational Outlook Handbook, the overall demand for counselors is expected to:

expected to grow faster than the average for all occupations through 2014

For purposes of valid research and program development, homelessness can be defined simply as the absence of housing or permanent residence.

false

The development of fully integrated programs for the treatment of co-occurring disorders has been hindered by:

funding mechanisms that support treatment programs, eligibility requirements for program benefits, administrative policies that hinder coordinated and effective treatment

Compared to domiciled adults with severe mental illness, the homeless, severe mentally ill have:

higher frequency of alcohol and chemical abuse

Which of the following structures of personality operates on the pleasure principle?

id

A recent economic trend that is influencing community mental health care is:

increased federal deficit leading to significant cuts in mental health program funding

Psychic energy used to satisfy basic needs for survival and reproduction is referred to in psychoanalytic theory as:

libido

Which of the following credentials tends to protect both professional title and scope of practice?

lisencure

Program goals should be stated in terms that are:

measurable, realistic

The overarching sense of purpose and vision is expressed in:

mission statement

According to Freud, which of the following is most associated with the experience of shame and guilt?

moral anxiety

Program development follows directly from a valid and reliable:

needs assessment

Many have concluded that decreased populations in mental hospitals has been accompanied by significant increases in the number of mentally ill persons being housed in:

nursing homes, correctional facilities, foster homes for children and adolescents

Which of the following would be considered the least restrictive treatment?

outpatient counseling

Which of the following is not true regarding the operation of defense mechanisms?

persons consciously choose to use them

According to Morrissey (1999), which of the following populations has benefited more from the trend of increased community-based treatment?

persons with acute mental health needs, persons with milder mental health diagnoses

Which of the following three groups represents the smallest number of mentally ill persons who are incarcerated in local jails?

persons with psychotic symptoms who commit violent acts

The ability of counseling professionals to move their licensed status from one state to another is referred to as:

portability

Which stage of change is the client unaware of their need to make behavioral changes?

pre-contemplation

Drug Abuse Resistance Education (DARE) programs are an example of which model of prevention?

primary prevention

The step-by-step means by which each goal is achieved is the function of:

programs

The husband accuses his spouse of not loving him when, in fact, it is he who does not love his spouse. Which of the following defense mechanisms does this illustrate?

projection

Which disaster response involves an evidence-informed practice that aims to reduce initial post-trauma distress and facilitate the short-and long-term adaptive functioning of trauma survivors?

psychological first aid

Which of the following is not a component of the common core areas identified by CACREP?

psychopharmacology

ACT programs have been shown to be effective in:

reducing hospitalization, increasing stability of housing, increasing client satisfaction

Which of the following structures of personality is a reflection of the values of society and culture as represented to the child by the words and actions of the parents?

superego

Which of the following is critical for adequate treatment of persons with chronic, severe mental illness in community settings?

the capacity of mental health care providers to integrate multiple services into a coherent treatment package

Which of the following has been a goal of the mental health consumer movement?

to develop appropriate control of their psychiatric treatment

Clients may experience thoughts and feelings toward their counselor that do not fit the reality of the therapeutic relationship, but reflect thoughts and feelings toward significant others from the client's past. This experience is referred to as:

transference

When under stress, dyads become unstable and seek the support of a third person. In family therapy, this tendency is called:

triangulation

The consumer movement began with the underlying assumption that persons with shared experiences can be more useful and provide more supportive environments than persons who have not had a history of psychiatric treatment.

true

The mental health counseling profession is licensable in all 50 states.

true

"The sum total of one's beliefs about the nature of the world and how one relates to it" defines:

worldview

Cognitive structures, derived from past experience, that organize and guide the processing of ongoing, self-related information are known as:

worldviews ? thought it was self-schemas (asked Dr. Spiers)