Community Mental Health Exam 2-Hay

Involuntary Civil commitment

- Mental illness must be present-psychiatric disorder is necessary - Individuals must be considered dangerous to themselves or others-suicidal, homicidal, dangerousness related to mental illness. - Inability to provide basic needs-gravely disabled

Addington V. Texas

(1979) State must have clear and convincing evidence; dangerousness must be documented

Least restrictive environment

Holmstead vs LC...institutionalized but could have been able to live independently: - A legal principle that has been a basis for discharging or not hospitalizing clients with a mental illness who can function in a less intrusive environment.

Advantages of using psychological testing

Multi-dimensional Empirical Reliable Validity

Hi content communication

Reliance on non-verbal group identity. Reliance on others. Elevate status of group, devalue self. (native americans, African American, Hispanic)

Low content communication

Reliance on words, verbal dialogue as the confirming mechanism for communication. Reliance on self, value self, self-absorbed. (white, middle class)

Herman (1992) model of psychological trauma

Terror, disconnection, captivity

DeAnda's model of biculturalism

There are differences as well as areas of overlap between cultures and that one can function effectively in different cultural environments A and B have an overlap

DeHoyo

Three stage model: Individual, Mezzo, Macro Working with individual, group, Sociocultural model

Advanced directives

a person while competent creates a written legal document specifying "how decisions about treatment should be made if the person becomes incompetent." Instructional-how they want to be treated Proxy-someone represents them while they are incompetent

Women's mental health issues - illness

illness-anxiety and depression

Rapid Assessment devices

instruments that can be administered by clinical social workers Example: BDI (Beck Depression Inventory)

Postmodernism

the way we look at things or explain things in academics have been through science. Science has created a closed system. It's their way or no way

O'Connor v donaldson

A man institutionalized unfairly because he was not dangerous

Functional assessment

- person's ability to function independently in their social environment - Measures the extent of the client's ability to conduct their life independently in the community. Identifies the clients strengths and needs

Types of Psychological tests

-IQ-Stanford Binet, Weschler Adult Intelligent Scales (WAIS) -Personality-MMPI, SCL90 -Projective-TAP tests

Components of an interdisciplinary assessment

-Medical testing -Psychological testing -Rapid assessment devices -Functional assessment -Psychosocial histories -Psychiatric evaluations

Clients right to refuse treatment guidelines

-has not been addressed by US supreme court -too many variables. Left up to the professional, but could be challenged in court - emergency vs. non-emergency

DeHoyo's three stage model of diversity and social work practice

.-need more help in the sociocultural.. individual Interactional Sociocultural

Essay: Explain proxemics-distance and space regulation

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Herman (1992) stages of recovery from trauma

1. Establishment of safety 2. Remembrance and mourning 3. Reconnections

Proxemics (distance and space regulation)

distance and varies by culture and socialization The study of the nature, degree, and effect of spatial separation individuals naturally maintain (in various social and interpersonal situations) and how this separation is related to environmental and cultural factors. Examples-Latin Americans, Hispanics, and African Americans typically have a closer distance and style of interaction. Europeans like their space.

Tarasoff rulings

duty to warn, duty to protect

Managed Care

ethical issues-clients rights 1. Confidentiality: release in 2. Professional autonomy:

Paralanguage (inflection, speed)

optional vocal effects (as in tone of voice) - voice pitch, intonation, flow and rate, silence etc. of speech and its use in communication. • Examples: Traditional Asians may see silence as a sign of respect where-as Europeans / Americans are uncomfortable with silence. European parliaments may be very vocal and loud in their style - which others may interpret as rude form other cultures etc. hi-low content communication

Kinesics (body language)

systematic study of the relationship between nonlinguistic body motions (movements) and communication (ex. Smiling may be seen as a possible sign of embarrassment and distress in traditional Asians or they may look away, as a sign of respect. Where-as a Caucasian American may say to their child, "look at me when I speak to you." Talking with ones hands to emphasize something may be another kinesics example - gestures vary from culture to culture. -body movements eye contact