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FMSC 383 Test 3
Study Guide Questions
| Question | Answer |
|---|---|
| What are the rates of mental illness in the U.S? | 1 in 4 people have a mental illness in the US |
| What kinds of mental illness are most common? | Anxiety disorders, mood disorders, personality disorders and ADHD |
| What are the symptoms of depression? | Loss of interest in hobbys, loss or excessive sleeping, feelings of worthlessness and guilt |
| What are the symptoms of anxiety disorders? | restlessness, fatigue, concentration problems, irritability, muscle tension, and sleep disturbance |
| What are the symptoms of bipolar? | alternating between depression and manic episodes |
| What are the symptoms of schizophrenia? | Auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking |
| Which types of mental illness are Axis 1 Mental Disorders according to the DSM, and which are Axis 2 mental disorders? | Axis 1- Mood disorders Axis 2- Personality disorders |
| What is the difference between severe mental illness and more mild forms of mental illness? | Being severly mentally ill prevents a person from functioning normally. They are unable to maintain employment or to perform normal everyday tasks |
| What are personality disorders? | OCD, Bipolar, narcissistic, schizoid (patten of indifference to others and social isolation |
| How were people with mental illness treated during various eras (Middle ages, 1800's, early 1900s? | Medieval times= People were looked at as having demonic possession so the priests performed exorcisms. Colonial US- People were looked at as "crazy brained", "mad" "witched. They were cared for by the town. remember the poor laws |
| Who advocated for more humane treatment of mental illness and what did they do? | Dorothea Dix- She visited the poor "insane" allmshouses, exposed the harsh conditions, and passed a law to build more humane "state hospitals" |
| What was the major hope/ belief during the post World War II era (1950s) about institutionalized people with mental illness (people then living in mental institutions)? Why did experts believe this? | That psychotropic medication like 'penicillin for the mind' and 'wonder drugs' like Thorazine would help symptoms but turned out to be harmful. 1955 Mental Health Study Act sought to improve conditions for mental patients |
| What then happend during the 1960s- 1980s with mental institutions and mental patients? What was this movement called? | They let them out of the institutions |
| What law did President John F. Kennedy pass to deal with mental illness? What was its effect? | Community Mental Health Centers Act of 1963= emphasis on prevention, treatment, and rehab... Instead of most of them being confined and compressed within an overcrowded, chain of institutions |
| What mental health law passed in 2008? What did it do? | Mental Health Parity Act= Required same level of coverage for mental health care |
| About what percentage of people (who need it) get adequate treatment for mental illness in the US? | For the people who NEED it 11-12% |
| Are most homeless people mentally ill? | No. 33% are severely ill. |
| How do you motivate a client to seek care for mental illness? What are the stages that a client goes through? | Help them to become aware that they have an illness. 2. Action- seek help therapy. 3. Maintenance- people have been able to sustain action for a while and are working to prevent relapse |
| About what percentage of highschool seniors have sed alcohol in the prior 30 days, according to surveys? | About 40% |
| What percentage of adults meets the criteria for substance abuse or dependence? | About 8% to 8.4% |
| About what percentage of people with substance abuse or dependence receives (and seeks) treatment? | For the people who NEED it 10-11% |
| What qualifies as substance abuse under the DSM IV? What qualifies as substance dependence under the DSM? What is the difference between them? | Substance Abuse= Continuing to use a substance despite the fact that there are negative consequences. Substance Dependence = One's body and mind depend on the substance to function. (you can depend on a substance like caffeine or prescription drugs) |
| Qualifications...DSM-IV for a substance abusee: one or more of the following... | leads to absences, failure to perform obligations at work, home, school... recurrent use when physically hazardous (drunk driving), recurrent substance related legal problems, continue even though causes drama w fam or friends |
| Qualifications for substance dependence: three or more of the following... | tolerance, withdrawl, substance taken in large amount, over longer period than intended, unsuccessful efforts to cut down or control, much time trying to get, use, recover, continue use despite problems caused by substance |
| Do all cultures use alcohol in ceremonial or social ways? | No, but most do. (Islamic cultures do not) |
| Who in the US first recognized alcohal abuse as a medical condition rather than a moral issue? | Dr. Benjamin Rush did. |
| Who wrote the AA book and whats it about? | BIll Wilson, published AA book with stories of people dealing with alcoholism and how they recovered. Acceptance of the medical model (alcoholism is a disease) |
| Who was Carrie Nation | She was one of the crusade's leaders, described herself as a bulldog running at the feet of Jesus, barking at what he doesn't like. She and her followers rushed into saloons, taking axes to the bar "smash ladies" |
| What was the Women's Christian Temperence Union | Had lobbyists in DC to promote laws outlawing liquor sales |
| What were patent medicines? How did the Pure Food and Drug Act change their availability? | It aimed at patent medicine makers who laces their drugs with heroin, cocaine, alcohol (ex- cocaine cough drops) Pure Food and Drug Act made them illegal w/o a prescription, they also needed to label |
| When did it become illegal to possess certain drugs (cocaine,morphine, heroin, marijuana ) without a prescription? | 1914 with the Harrison Act, drugs became illegal, controlled substances moral |
| What is Prohibition and when was it enacted and repealed? | Prohibiting the sale and manufacture of alc. drinks (18th amendment to the constitution) It reduced crime and violence but also created criminal underground acitivty to trade alcohol.Enacted in 1919 repealed in 1933 |
| Who founded AA and why? | 1935: Bill Wilson and Dr. Bob Smith (Originally Bill Wilson was trying to help Bob Smith who was an addict... it is a method for recovery) |
| What do the twelve steps involve? | Three aspects 1. surrender 2.housecleaning 3. maintenence |
| Do you have to believe in God to go to AA or other 12 step meetings? | No, they do emphasize some sort of belief in a higher being |
| Under the medicsl model, what features does alcoholism have? | In general, alcoholism is a progressive disease. There are fatal consequences. Its periodic or continuous. There are genetic and psychological components |
| Other than alcohol, what are the most common drugs of abuse? | marijuana, pills, cocaine, |
| What are the stages that a person goes through in approaching recovery from alcoholism/ substance abuse / dependence? | Approaching recovering : 1. Acceptance and "hitting bottom": denial (interventions?) and "solution" to life problems becomes a problem. 2. Theory of change: pre contemplation, contemplation, action, maintenance |
| Who qualifies as homeless under the current definition? living in car or doubling up make you homeless? | Ppl living in a place not meant for human habitation. If you live in a car or doubling up you are homeless |
| What is stigma and how does it relate to homelessness, mental illness, and substance abuse? | Stigma is a social process involving power relations, in which the value of one group is discounted, and the value of another group is elevated. They face stigma because people just think they did it to themselves, people are reluctant to help. |
| What is the fundamental attribution error? | People that you know: Attribute homelessness to circumstances (I.E they lost their job, broken marriage) People that you don't know: Homelessness is caused by their own personal failures (they are lazy, or bad moral character ,drug addict etc) |
| What was a hobo or a tramp and what were peoples' attitudes toward them? | From 1870- 1930. They were single migrant laborers/ adventurers/ wanderers. Mostly men, drank a lot and was an important labor source in the West |
| How did the Great Depression affect homelessness in the US? | Reduced some of the stigma |
| When did the new homelessness emerge and why? | Emerged late 70s early 80s because mental institutions closed, people went to cheap houses. They kickedo ut the poor as well as the least skilled |
| About what percentage of people who are homeless use public assistance? | about 20% |
| What does the current homeless population look like, in terms of social/ demographic makeup | Mainly black or latino men, 15% veterans, 4%AIDS, 13% victims of domestic violence, 28% severe mental illness, 39% substance abuse, 40% came from another shelter |
| What approach can be effective in counseling people who are experiencing homelessness? | Approach them with a positive perspective... Give them strength and hope. High levels of determination, sense of personal pride, ability to confront their problems directly |
| What is forensic social work or forensic human service work? | The application of social work to questions and issues relating to law and legal systems both criminal and civil |
| What are the three types of violence? | Sexual, physical, emotional |
| What is intimate partner violence? | Use of psychological, physical and/ or sexual aggression in order to harm and exert power and control over a partner |
| About what percentage of couples have at least one incident of violence? | 30% TO 1/3 |
| Who can/ can't experience intimate partner violence? | Children can't experience it. You need a partner |
| What tools can a human services professional use in counseling victims of domestic violence? | dont judge or give commands, do not compromise their safety, assist in making decision to staying or leave the abusive relationship |
| What is the difference between cost-benefit analysis and the investment model of decision making, and how can this be used in counseling victims of domestic violence? | You want your client to be focused on long term goals "where do you see yourself in 5 years?" Cost-benefit (short term) - cost= abuse, could lead to poverty benefit= money, kids, love. Investment model= long term = future investments |
| Why is there counseling available for betters and what does it teach? | Some of them show remorse and want to unlearn that kind of behavior, and learn to respect boundaries as well as impulse control |
| What is intimate terrorism, and how does it differ from situational violence? | Intimate terrorism is also known as the "cycle of violence" and it has a set pattern. Situational violence is triggered by a specific incident; |
| What are the different types of sexual assault and who can commit it? | Completed sexual acts, attempted sexual assault, non-contacted sexual abuse, abusive sexual contact. It can be done by anyone.. but its mostly done by men. Can be committed by strangers, acquaintances, dates, partners, spouses etc |
| What is the impact of sexual assault> | Rape Trauma Syndrome (RTS) which is similar to PTSC |
| If you are sexually assaulted, what are the first four things you need to do? | 1. Get away from attacker 2 Call 911... 3. Call friend/ family member 4 Try not to tamper with evidence (don't shower, clean, change clothes. etc)Must be kept in tact for best chance of getting DNA of assaulter and any other evidence will find attacker |
| In counseling people who have been sexually assaulted, what do you need to help them regain? | Sense of personal power and control over their lives. It is very important for them to regain a sense of safety and security as well as empowerment |
Created by:
FMSC 487
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