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Dual Diagnosis
Question | Answer |
---|---|
What does the term "developmental disability" mean? | The limitations in the area of intellectual functioning of the individual |
What is the IQ level of someone with a mild level of mental retardation? | 50-55 to approximately 70 |
What is the IQ level of someone with a moderate level of mental retardation? | 35-40 to 50-55 |
What is the IQ level of someone with a severe level of mental retardation? | 20-25 to 35-40 |
What is the IQ level of someone with a profound level of mental retardation? | Below 20 or 25 |
What sub groups of people with developmental disabilities are prone to mental health? | People with autism |
What makes detection of underlying health problems more difficult? | Behaviour highlighting severe or intense behaviour problem |
List the clinical challenges that exist in correctly diagnosing mental health in individuals with DD | - Behavioural overshadowing - Diagnostic overshadowing - Baseline exaggeration - Failure to recognize that complex concurrent disorders may occur at the same time |
Give 3 examples of a dual diagnosis? | - Autism - Anxiety - Schizophrenia - OCD |
Identify two reasons why assessment and screening are important | - Identify those who are likely to require more in-depth assessment - For mutating a tentative diagnosis |
What constitutes our behavior? | Everything we do |
List characteristics of normal behavior | - Behavior is expected to conform certain patterns that are acceptable - There is considerable variation in normal behavior at the societal on personal level |
List characteristics of abnormal behavior | - behaviors that seem to far from norm, too odd or to unusual to be acceptable - It is important to distinguish between abnormal behaviors and mental illness |
List 4 factors that can result in abnormal behavior | - Traumatic brain injury - Intellectual or DD - Physical conditions - Drug use or withdrawal |
What is a stereotypical behavior? | A repetitive invariant behavior pattern with no obvious goal or function |
What is a self-stimulatory behavior? | - Staring at lights - Snapping fingers - Rubbing skin |
What is a self-injurious behavior? | Any behavior that causes tissue damage |
What does DSM-5 stand for? | Diagnostic and Statistical Manual of Mental Disorders |
What other information besides diagnostic criteria would you find in each section of the DSM-5? | - Prevalence - Development and course - Co-morbidity - Functional consequences |
What does the DSM-5 classify and why? | It classifies the disorders people have to improve treatment and prevention |
What percentage of Canadians will experience mental health disorders? | 20% |
What disorder is the most common of all mental health issues? | Anxiety disorders |
What % of men in Canada will experience major depression in the course of their lives? | 11% |
List 5 causes of mental health disorders | 1 - biological factors 2 - childhood experiences 3 - social and cultural factors 4 - stressful life events 5 - poor physical health or disability |
When supporting clients and their families a DSW should do what? | Focus on respect and acceptance of the individual and family |
List team members that may be part of care planning for a client? | - Family physician - Nurse - Social workers and support workers - Occupational therapist - Specialists |
What is the role of the registered nurse on the interdisciplinary mental health team? | - Provide the psychiatrist with background info - Contribute info |
What is a multidisciplinary team? | Members of 2 or more health professionals, disciplines, drawing on their knowledge, work separately to achieve clinical goals |
What is an interdisciplinary team? | Members of 2 or more health professional disciplines work together to achieve common clinical goals |
List obstacles commonly faced among the interdisciplinary team | - Differential status among disciplines - Professional rivalries - Differences in philosophies or perspectives |
What factors promote effective team functioning? | - Devoted time - Organizational and administrative supports need to be engaged - Establish working environment that rewards interdisciplinary activities |
According to Carey, what six systemic factors must be addressed to understand and treat challenging behaviors? | - Flexibility - Consistency - Portability - Intensity - Change - Tolerance |
What treatment is used in Seasonal Affective disorder? | Phototherapy |
What are psychotropic medications? | - Benzodiazepines - Antipsychotics |
Acquired brain injury: | Any type of sudden injury that causes temporary or permanent damage to the brain |
Obsessive compulsive disorder: | An obsession is a persistent thought or desire and a compulsion is the uncontrollable urge to perform an act |
Conduct disorder: | Repeatedly violate the personal or property rights of others and society |
Anorexia nervosa: | A serious, often chronic life-threatening eating disorder defined by a refusal to maintain minimal body weight within 15% of an individuals normal weight |
Bulimia nervosa: | A psychological eating disorder that is characterized by episodes of binge eating followed by inappropriate methods of weight control (purging) |
Pica: | An eating disorder defined as persistently eating substances without nutritional value for a period of at least a month |
Autism: | Mental condition, present from early childhood |
Schizophrenia: | An extremely complex mental health disorder characterized by delusions, hallucinations, disturbances in thinking and withdrawal from society |
Portability: | Easily carried or moved |
Antipsychotics: | Used to treat psychotic disorders |
Benzodiazepine: | Librium |
Insomnia: | Inability to sleep |