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Dual Diagnosis
Question | Answer |
---|---|
What does the term "development 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? | 35-55 |
What is the IQ level of someone with a severe level of mental retardation? | 20-40 |
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, fragile x, down syndrome, prader willie syndrome |
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 development disabilities? | -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 Down syndrome-> depression |
What plays a major role in the occurrence of mental ill-health in people with developmental disabilities? | Biological, psychological, environmental |
Identify two reasons why assessment and screening are important? | identify those who are likely to require more in depth assessment and formulating alternative diagnosis. |
What does comprehensive assessment indicate? | present or absence of a psychological disorder |
Effective treatment should involve what? | -treatment -options -educating -strategies |
What would be the initial treatment to manage dangerous behaviour? | CPI |
What constitutes our behaviour? | Everything we do |
List characteristics of normal behaviour? | -Behaviour is expected to conform to certain patterns that are acceptable. -Acceptable patters of behaviours are called behavioural norms - There is considerable variation in normal behaviour at the societal on personal level |
List characteristics of normal behaviour part 2? | Unique behaviours are beneficial to expand and develop human race and society |
List characteristics of abnormal behaviour? | - Behaviours that seem too far from the behaviour norm, too odd, or to unusual to be acceptable - It is important to distinguish between abnormal behaviours |
List 4 factors that can result in abnormal behaviour? | -Traumatic brain injury -Intellectual or developmental disability - physical conditions -drug use or withdrawl |
What is a stereotypic behaviour? | repetitive of physical movements, sounds , or repetitive movement |
What is a self stimulatory behaviour? | repetion of physical movements, sounds, or repetitive movement or objects |
What is self-injurious behaviour? | deliberate, repetitive, impulsive , non lethal, harming oneself |
What des DSM-5 stand for? | Diagnostic& statistical Manual of Mental Disorders |
What other information besides diagnostic criteria would you find in each section of the DSM-5? | -Prevalence -Development& course -Co-morbidty -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? | -Biological factors -chemical imbalances -childhood experiences -Trauma or conflicts -stressful life events -poor physical health |
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 registers nurse on the interdisciplinary mental health team? | Decisions about the assessment, formulation, and treatment of cases are made independently |
What is a multidisciplinary team? | members of two or more health professional disciplines, drawing on their own knowledge, work separately to achieve clinical goals |
What is an interdisciplinary team? | Members of two or more health professional disciplines work together to achieve clinical goals. |
List obsticals commonly faced among the interdisciplinary team? | -differential status among discipline - professional rivalries - Differences in philosophies or perspectives |
What factors promote effective team functioning? | -Devote time to develop interdependent functioning & resolve conflict within the team -organizational & administrative supports need to be engaged to lead & participate in team building exercises . |
What factors promote effective team functioning? part 2 | Establish working environment that rewards interdisciplinary activities |
List 5 treatment approaches that may be used following a comprehensive assessment & diagnosis? | Counselling, staff support, education |
What is the prevalence rate of mental health issues in individuals with developmental disabilities? | 24-40% |
According to carey, what six systemic factors must be addressed to understand and treat challenging behaviours? | -flexability -perserverance/tolerace -consistancy -portability - intensity -change |
What treatment is used in seasonal affective disorder? | phototherapy |
What is stigma? | Shame or social disgrace |
List interventions used in coordinating treatment support? | -pharmacological -behaviour -habilitative -psychotheopeutic |
What are psychotropic medications | A psychiatric medication is a licensed psychoactive drug taken to exert an effect on the chemical makeup of the brain and nervous system. Benzodiazepines and antipsychotics |
An SSRI is considered to be what class of medication? | Antidepressants. |
Acquired brain injury | Sudden injury that causes temp or permanent damagee to the brain |
Obsessive compulsive disorder | A persistent thought or desire, and a compulsion is the uncontrollable way to perform a act |
Conduct disorder | repeatedly violate the personal of property rights of others and society |
Anorexia nervosa | Serious often chronic , life threatening eating disorder defended by a refusal to maintain minimal body weight within %15 of an individuals normal body weight |
Bulimia nervosa | Psychological eating disorder that is characterized by episodes of binge eating followed by inappropriate of weight control (purging) |
Pica | Eating substances without nutritional value for a period of dates atlas amonth |
Autism | A mental condition, present form early childhood characterized by difficult in communication & forming relationships with other people and in using language , abstract concepts |
Schizophrenia | false perceptions |
portability | easily carried or moved |
antipsychotics | also known as neuroleptics or major tranquilizers,[1] are a class of medication primarily used to manage psychosis (including delusions, hallucinations, paranoia or disordered thought), principally in schizophrenia and bipolar disorder. |
Benzodiazepine | any of a class of heterocyclic organic compounds used as tranquilizers, such as Librium and Valium. |
Insomnia | inability to sleep |