Deck 12: Community Mental Health: Program Development, Evaluation, and Management

Question 1

The process or trend of transferring formerly institutionalized individuals to community environments is referred to as:

A) least restrictive environments
B) deinstitutionalization
C) partial hospitalization
D) day treatment

Answer 1

deinstitutionalization

Question 2

Many have concluded that decreased populations in mental hospitals has been accompanied by significant increases in the number of mentally ill persons being housed in:

A) nursing homes
B) correctional facilities
C) foster homes for children and adolescents
D) all of the above
E) (b) and (c) only

Answer 2

all of the above

Question 3

Individual or community needs can be best viewed as:

A) existing states of difference or discrepancy between a "what is" condition and the "what should be" condition.
B) states of incongruency between the "what is" and the "what could be" conditions.
C) the incongruency that exists between the reality and ideal conditions.
D) conditions that motivate persons or communities to action.

Answer 3

existing states of difference or discrepancy between a "what is" condition and the "what should be" condition.

Question 4

Program development follows directly from a valid and reliable:

A) mission statement.
B) vision and set of values.
C) needs assessment.
D) working knowledge of the community.

Question 5

The overarching sense of purpose and vision is expressed in:

A) a set of program goals and objectives.
B) outcome of a valid needs assessment.
C) the conclusions of a formative evaluation.
D) mission statement.

Question 6

Program goals should be stated in terms that are:

A) measurable
B) realistic
C) idealistic
D) all of the above
E) (a) and (b) only

Question 7

The step-by-step means by which each goal is achieved is the function of:

A) objectives.
B) programs.
C) process evaluation.
D) working knowledge.

Question 8

Which of the following are related to projects that are successfully funded through the acquisition of grants?

A) accurately identified needs
B) innovative solutions to the identified needs
C) proposal of programs that are cost effective
D) all of the above

Question 9

The best way to learn grant writing is through:

A) engaging in the actual grant writing process under the guidance of an experienced mentor.
B) taking a course offered through a college or university.
C) continuing education experiences.
D) social learning by observing an experienced grant writer at work.

Question 10

Which of the following would be considered the least restrictive treatment?

A) inpatient hospitalization
B) day treatment
C) crisis residential treatment
D) outpatient counseling

Question 11

Which of the following is not a common element of assertive community treatment?

A) continuous coverage 24 hours a day, 7 days a week
B) multidisciplinary team approach to treatment
C) cases assigned by matching client needs with team member's specific area of expertise
D) time-unlimited services

Question 12

Which of the following has been a goal of the mental health consumer movement?

A) development of more modern state inpatient facilities
B) increased availability of case managers to direct mental health consumers in community living
C) to develop appropriate control of their psychiatric treatment
D) increase availability of more restrictive forms of treatment

Question 13

For purposes of valid research and program development, homelessness can be defined simply as the absence of housing or permanent residence.

Question 14

Compared to domiciled adults with severe mental illness, the homeless, severe mentally ill have:

A) less severe psychiatric symptoms.
B) lower rates of psychiatric inpatient admissions.
C) more stable employment histories.
D) higher frequency of alcohol and chemical abuse.

Question 15

According to Morrissey (1999), which of the following populations has benefited more from the trend of increased community-based treatment?

A) persons with acute mental health needs
B) persons with milder mental health diagnoses
C) persons with chronic and severe mental illness
D) none of the above
E) (a) and (b) only

Question 16

Which of the following is critical for adequate treatment of persons with chronic, severe mental illness in community settings?

A) the availability of doctorally-trained direct service providers
B) accurate diagnosis
C) the capacity of mental health care providers to integrate multiple services into a coherent treatment package
D) numerous outpatient treatment options from which the consumer can choose

Question 17

ACT programs have been shown to be effective in:

A) reducing hospitalization
B) increasing stability of housing
C) increasing client satisfaction
D) all of the above

Question 18

As many as ________ of clients presenting with substance abuse disorders have another co-existing condition.

A) 15%
B) 25%
C) 50%
D) 66%

Question 19

Most personality disorders are induced by alcohol abuse.

Question 20

The development of fully integrated programs for the treatment of co-occurring disorders has been hindered by:

A) funding mechanisms that support treatment programs
B) eligibility requirements for program benefits
C) administrative policies that hinder coordinated and effective treatment
D) all of the above

Question 21

What percentage of persons incarcerated in state prisons and local jails have had a mental illness or have been treated for a mental condition?

A) 10%
B) 16%
C) 24%
D) 37%

Question 22

Which of the following three groups represents the smallest number of mentally ill persons who are incarcerated in local jails?

A) mentally ill persons arrested for misdemeanor offenses, some of which would not result in the arrest of non-disordered persons
B) persons with psychotic symptoms who commit violent acts
C) persons with co-occurring personality and substance abuse disorders

Question 23

The consumer movement began with the underlying assumption that persons with shared experiences can be more useful and provide more supportive environments than persons who have not had a history of psychiatric treatment.

Question 24

Which disaster response involves an evidence-informed practice that aims to reduce initial post-trauma distress and facilitate the short-and long-term adaptive functioning of trauma survivors?

A) Three phase intervention model
B) Crisis incident stress debriefing
C) Psychological first aid
D) Emergency management systems

Question 25

Flaws in the mental health services were exposed in the ____________.

A) 1930s
B) 1940s
C) 1950s
D) 1960s

Question 26

What are some of the barriers to developing effective, integrative treatment programs for persons with co-occurring substance abuse and severe mental illness? Identify and briefly describe three important components of an adequate program for the treatment of co-occurring disorders.

Question 27

Some experts argue that correct deinstitutionalization did not take place. Rather, the severe mentally ill are still institutionalized - in jails and homeless shelters - rather than in inpatient facilities. To what extent do you agree or disagree with this perspective? Support your response.

Question 28

Identify and describe what you see as being the top five opportunities for mental health counselors in contemporary community mental health.

Question 29

What is meant by the consumer movement in community mental health? How specifically do you feel about the possibility of consumer-operated mental health services, such as crisis hotlines, drop-in centers, case management, or ACT?

Question 30

Briefly describe the General Mental Health Delivery System Model presented in Chapter 11. Discuss how you would apply it in the development of a new mental health service or the revision of an existing mental health program.