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Mr. D Theory

CH 37

Institution A self-contained community or social structure that encompasses all the needs of the clients or inmates.
Characteristics of an institution: A Encompass the total life of its members. Strip prisoners of decision making ability. Can't leave when they want. Set schedule.
Characteristics of an institution: B Prisoners are isolated from the outside world by design. Get them away from committing more crimes against the public.
Characteristics of an institution: C Break the barriers of ordinary spheres of life. No separation between place of work, eat, and sleep in prison. One intertwined location.
Characteristics of an institution: D All aspects of life take place under the same authority. California Department of Corrections and Rehabilitation(CDCR) rules.
Characteristics of an institution: E A prisoners activity is organized to fulfill the goals of the institution. Safety and structure. No lawsuits. Make sure that they don't kill us or kill each other.
Characteristics of an institution: F Activities are arranged in time schedules. Set time to eat, work, and sleep. Inmates may play attacks if they know your schedule. Inmates attack staff during shift change. Do random rounds. Don't be alone during rounds. Keep 'em guessing.
Rule De-Possession: A All prisoners are treated alike and are required to do the same things.
Rule De-Possession: B Strip prisoners of there rights to be individualistic. Call 'em by there first name, call 'em by there last name, or call 'em by there number.
Rule De-Possession: C Every activity is carried out in the company of others. Showers with others. Eat together. Sleep together. Time with other inmates. No barrier. Phone calls monitored.
Rule De-Possession: D Prisoners are no longer in control, they have to make requests for personal items and needs. Clothing, hygiene, doctor, and visits must be approved and requested. Mail is read.
Curtail of member's self: A Territorial boundaries of self are violated. Required to share thoughts and feelings with staff during therapy and interrogation. Isolate them until we break them to get info.
Curtail of member's self: B Physical boundaries violated. Search everything that they have. Room search. Bunk will cell mate. Smell cell mate poop since stuck in cell, even if they have diarrhea. Showers shared.
Curtail of member's self: C Prisoners experience interpersonal contamination. Forced to relate to each other. All go out to the same yard. Usually segregated into race.
Curtail of member's self: D Prisoners experience social contamination. Different generational groups and ethnic groups live in the same yard. Room shot callers with different race cell mate or crazy inmate. Forced contact with groups that they would consider alien.
Curtail of member's self: E Prisoners experience cultural contamination. Prisoners have to eat what they are given. No choice in food. Forced to get along.
Curtail of member's self: F Prisoners experience personal communication contamination. Mail censorship. Visitations are not private but made public. Everything is watched and monitored.
Binary Character (Staff/Inmate Split): A Staff control the prisoners. Staff makes sure that they do as they are told. Force compliance.
Binary Character (Staff/Inmate Split): B Prisoners are excluded from decision making (there own fate).
Binary Character (Staff/Inmate Split): C Social distance in prison is very formal. Prisoners have to stay away from yellow line "out of bounds". Prisoners can't mingle with staff. Prisoners only refer to staff as title and last name.
Binary Character (Staff/Inmate Split): D/E Staff sees prisoners are untrustworthy. Staff sees prisoners as being very bitter and angry. Staff sees themselves as superior, righteous, and better. Prisoners see staff as mean and heavy handed(punitive). Prisoners see themselves as inferior to staff.
How do you know when an inmate is lying? When he's talking.
Stanford Prison Experiment Proof that environment can change/influence behavior.
Personal Adaptation: A Colonization. They have found a home in prison. May break prison rule to prevent leaving prison because they believe prison to be there home. They know that they can't function in society. Desire for medical care, food, and belonging in prison.
Personal Adaptation: B Taking hard line against staff. Constantly challenging authority and adding more time to their sentence.
Personal Adaptation: C Play it cool. Compromise. Still affiliate with gang, but not out to break rules per-Se. Doing time. Won't tell cell mates when they get out so they won't be forced to do stuff.
National Mental Health Act 1946 Legislature provides funds for the education of psychiatrist, psychologists, social workers, and psychiatric nurses.
Civil Law Protects the private and property rights of individuals and business,
Criminal Law Provides protection from conduct deemed injurious to the public welfare
Primary Prevention Services aimed at reducing the incidence of mental disorders within population
Secondary Prevention Interventions aimed at minimizing early symptoms of psychiatric illness and direct toward reducing the prevalence and the duration of the illness
Tertiary Prevention Services aimed at reducing the residual defects that are associated with severe and persistent mental illness
NAMI (National Alliance on Mental Illness) A service-delivery model that provides comprehensive, locally based treatment to people with serious and persistent medical illness.
What represents a nursing intervention at the Primary level of prevention? Teaching a class in parent effectiveness training
What represents a nursing intervention at the Secondary level of prevention? Providing support in the emergency room to rape victim
John, a homeless person, has just come to live in the shelter. The shelter nurse is assigned to his care. What is the Priority intervention on the part of the nurse? Conducting a behavioral and needs assessment on John
Dorthea Dix Former schoolteacher that started a campaign that resulted in the establishment of a number hospital for the mentally ill in 1841.
Primary prevention Reduces the incidence of mental disorders within the population by EDUCATION.
Secondary prevention Shorten the duration of the illness by PROMPT and EFFECTIVE TREATMENT.
Tertiary prevention Reduce effects that is associated with a chronic mental illness by THERAPY GROUPS and PSYCHOTROPIC MEDICATIONS.
5150 California Law 72 hours hold 3days. Must prove: Danger to Self, Danger to Others, and Gravely disable (1. Cannot provide shelter to Self, 2. Cannot provide clothing to Self, and 3. Cannot provide food to self.)
Case Management A way of coordinating health care services required to meet the needs of the client
High-risk Populations Teenagers, Marriages, Parents, Midlife, and Retired.
Adolescence inpatient care may be required for: Conduct Disorders, Adjustment Disorders, Eating Disorders, Substance Abuse, and Depression and Anxiety Disorders.
Retirement. When individuals are unable to successfully grieve for this part of their lives, it can result in: Depression, Suicidal Ideation- 16% of white male over the age of 80 experience suicidal ideation after they experience a loss, 85% individuals over the age of 65 has at least One chronic medical condition.
The following goals for mental health have been identified: Early mental health screening, assessment, and referral to services will be common practice, Excellent mental health care will be delivered and research will be accelerated, Technology will be used to access mental health care and information.
Most common types of mental illness among the homeless: Schizophrenia (MOST COMMON), Bipolar, Substance abuse, Depression, Personality disorder, Organic mental disorder (your mind is wrong from the beginning) wired wrong.
Community resources for the homeless: Homeless shelters, Health care centers and store –front clinics, and Mobile outreach units.
No treatment for the mentally ill before the year: 1840
3 reasons why its difficult to treat homeless people. 1 Hard to track down(locate). 2 Hardships and selling medications for $. 3 Not enough access to facilities if psych break down.
What represents a nursing intervention at the Tertiary level of prevention? Serving as a case manager for a mentally ill homeless client
Created by: Sanctus Verus
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