| Term 
 
        | Explain the concept of dual diagnosis |  | Definition 
 
        | When a Person has both a mental illness and another condition   (Substance abuse, developmental issues) |  | 
        |  | 
        
        | Term 
 
        | Identify  and describe positive symptoms of schizophrenia |  | Definition 
 
        | Positive Symptoms are effects of illness that add to the normal experiences or behaviors of a person |  | 
        |  | 
        
        | Term 
 
        | Define Psychiatric Rehabilitation |  | Definition 
 
        | The practice of assisting mentally ill persons in coping with adjusting to or overcoming symptoms of their disease so they can function in society |  | 
        |  | 
        
        | Term 
 
        | Identify Negative Symptoms of Schizophrenia |  | Definition 
 
        | These symptoms cause the loss of normal behaviors or lessen of behaviors such as the loss of will power or drive |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A negative symptom in which a person experiences the loss of drive or will power |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | a negative symptom in which a person experiences the loss will or desire to do enjoyable activities |  | 
        |  | 
        
        | Term 
 
        | Prodormal Phase of Schizophrenia |  | Definition 
 
        | The stage of schizophrenia where the person experiences both positive and negative sympotoms.   Normal function begins to break down. |  | 
        |  | 
        
        | Term 
 
        | Active Phase of Schizophrenia |  | Definition 
 
        | The most severe stage schizophrenia.   Symptoms are most noticeable and disruptive to life functions. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | the third pahse of Schizophrenia where the severity of symptoms lessens.   Both positive and negative symptoms lessen but negative symptoms such as lack of motivation, focus and void of emotion may continue. |  | 
        |  | 
        
        | Term 
 
        | Medications used in treating Schizophrenia |  | Definition 
 
        | Haldol, Risperidol, Zyprexa, Geodon, Clozaril |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Emphasis placed on utilizing or building on an individual's strengths instead of highlighting weaknesses or deficiencies |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Assessing in situations specific to their unique needs and personal goals to give a clear understanding of his/her progress. |  | 
        |  | 
        
        | Term 
 
        | Obstacles to pursuing a postsecondary education by a person experiencing mental illness |  | Definition 
 
        | Stigma, anxiety, concentration issues, gaps in skills, overwhelming, organization skills, and interacting with other persons. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Individual choice; individual tailored; Match client's environment for optimal normalization; no limit on amount or duration of support; all staff show confidence in client. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Lack of normal function from a physical biological or psychological perspective such as experiencing delusions or inability to sleep |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Not being able to complete a chore or job or participate in an activity that most people could or not to the same level or in the same way as most people such as not being able to maintain personal hygiene or communicate with workers. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Not being able to complete requirements of a specific job or role that most people could  such as providing for your basic needs.   Becomes a disabilty when age appropriate tasks are unable to be fullfilled and not a matter of learning or experience. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Being without certain opportunities to such an extent one cannot complete certain tasks or be a part of certain activities that most people of simialr age, gender, or culture could such as experiencing racial discrimination or lack of education |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Abelief by practioners  of PSR where building relationships with individual people rather than focusing on certain diagnosis or disease.   This means that rehabilitation plans are built around the specific needs of the individual  and not mass produced to fit typical illness course, symptoms and outcomes |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Practioners hold the belief of PSR where emphasis is placed on helping people perform better in their lives; Rehabilitation is about managing life not curing illness |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Practioners hold the belief that Emphasis is placed on giving indivudals all the help they need and desiore for an unlimited time period.   Individuals will guide how much and how long support is provided. |  | 
        |  | 
        
        | Term 
 
        | Environmental Specificity |  | Definition 
 
        | Provide support in environment of person's choice.   People respond differently in different environments requiring different levels and different types of support. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | This is the core believe of todays PsyR.   Rehabilitation, Rehabilitation Programs; Policy and Planning should all be a cooperative effort between practioners and clients. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Practioners are guided by the belief in self determination.  The clients desires and needs should guide their treatment, support and assistance. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Practioners are guided by the blief that all services and assistance is desinged to achieve specific outcomes.  Outcomes and outcome measures are determined by client goals and choices. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Empahsis is placed on the belief that every individual can grow and practioners work from the perspective that clients can achieve the goals they set become productive members of community and live meaningful fullfilling lives. |  | 
        |  | 
        
        | Term 
 
        | Participatory Action Research |  | Definition 
 
        | approach to research that includes consumers in planning, development implementation and anaylisis.   Results in individuals guiding that dollars are spent in most beneficial way;  results such as empowerment, satisfaction, and well being are important areas of study. |  | 
        |  | 
        
        | Term 
 
        | Why provide family Psychoeducation |  | Definition 
 
        | reach best outcdome for person in cooperative model of recovery; minimize stress of families; facilitate coordination of all aspects of treatment and rehabilitation ; to evaluate and utilize family strengths in recovery; identify and remedy possible family limitations;  to support families with instruction in coping strategies and problem solving skills; To educate families about natural support systems and available community resources; to recruit family members as equal partners with mental health professionasl in the recovery process. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Speaking on behalf of another for their rights and needs to the persons who make decisions .   Examples of advocacy- lobbying; letter writing; |  | 
        |  | 
        
        | Term 
 
        | Objective Burdens experienced by family members |  | Definition 
 
        | challenges easily identified and labeled.   Finacial difficulty due to treatment costs; participation in activities in community; changing relationship with family member; |  | 
        |  | 
        
        | Term 
 
        | Subjective Burdens of family members |  | Definition 
 
        | Behaviors that are hurtfull emotionally or physically; Paranoia or delusions related to family members; mood fluxuations; behavior that is embarrassing; Lack of motivation that others perceive as laziness; lack of personal hygiene; destruction of personal property |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | some one in immediate family who usually lives with consumer; this person takes on responsibility of being main person involved in care of person.   Most common is female and trys to mitigate effects of illness on rest of the family.   Often gives up living life to make sure the consumer is ok. |  | 
        |  | 
        
        | Term 
 
        | Second Tier family member |  | Definition 
 
        | lives with or close by consumer; less consumed with consumer but also more concerned with crisis of conusmer or relapse; They may begin to avoid both consumer and first tier member and only become involved in crisis situations. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Do not live with or near consumer but close enough family connection to care or have concern for consumer's well being.  Reactions vary from empathetic to blaming; distant or supportive of first and second tier. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Unhappy marriage; dysfunction in  normal realtionships; Economic concerns; situational depression; divorce; lack of social interaction. |  | 
        |  | 
        
        | Term 
 
        | Budens of Siblings and Children |  | Definition 
 
        | Loss of experiences or opportunites due to limits placed on family functioning; Abnormal childhood experiences; distorted adult view of world; Potential for inheriting the illness; role reversal if child of mi; stress and anxiety disorders due to fear and uncertainty. |  | 
        |  | 
        
        | Term 
 
        | Goals of PsyR practioners in helping family members |  | Definition 
 
        | build coalitions with; understanding of family dynamics and individual family functioning; analyze strategies that have worked or not worked in past; strengths should be foundation of rehabilitation; involve family members in suppor positions by collaboration. |  | 
        |  | 
        
        | Term 
 
        | Famiuly Survival Skills Workshops |  | Definition 
 
        | Suggestions and strategies that families can use to deal with new expectations of consumer and self in dealing with status quo; crisis  or relapse.   Examples may be teaching families common vocabulary used in mental health;  medical understanding of illness; details about medication; courses of disease; treatment options;  challenges normal to facing the illness; strains on relationships and communication skills. |  | 
        |  | 
        
        | Term 
 
        | Four phases of Family Members Recovery |  | Definition 
 
        | 1.   Learning of illness- may have denial or attempt to down play;  often experience shock.    2.   Accepting the situation and recognizing its potential-  feel sad and experience grief.   3.   Learning how to deal- becomes actively involved in learning all about illness and rehabilitation.   4.   Recognize inherentcy-  become advocates for mentally ill and families of mentally ill, (NAMI) |  | 
        |  | 
        
        | Term 
 
        | Key Principles of Leadership in Mental Health System |  | Definition 
 
        | Clear vision; pull organizations together; non micromanager; develop culture; model expectations yet give autonomy; value potential and talent; engage others in development of organization; seek new knowledge and embrace change; recognize outstanding members and make them foundation of organization. |  | 
        |  | 
        
        | Term 
 
        | Improved communication steps |  | Definition 
 
        | keep eye contact where warrented; active listening; patience; calmness; do not rush;  recognize and confirm feelings; repeat when necessary; do not engage in debate or arguments; take time outs; and do not trump with "professional" card. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Outward behaviors, including but not limited to facial expression and vocal modulation, which express emotions |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | rapid change from one emotion to the next. Rapid as in minutes. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Poverty of thinking evidenced either by poverty of speech or by poverty of content of speech. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | lack of enjoyment of life activities |  | 
        |  | 
        
        | Term 
 
        | Areas of Affective symptoms |  | Definition 
 
        | Anxiety, Depression, Euphoria, Anger |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | When person perceives they are hearing voices which do not reflect reality |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Absence of initiative or motivation to begin and maintain behavior in pursuit of a goal |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Personality Disorders and Mental Retardation |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Psychosocial and Environmental Factors |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Global Assessment of Functioning Score |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Diagnosis of this Bipolar Disorder requires at least one Manic or Mixed episode, but there may be episodes of Hypomania or Major Depression as well |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Diagnosis of this Bipolar Disorder requires neither a Manic nor a Mixed Episode, but does require at least one episode of hypomania in addition to an episode of Major Depression. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | characterized by dramatic "mood swings" or episodes of Mania, Hypomania, or Major Depression. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Range of affective expression is markedly reduced, but not absent. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | excitement consists of driven, excited, excessive, but purposeless movement. At the other extreme catatonic patients may appear stuporous with a rigidly held posture, usually remaining mute and unresponsive |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disorder which is severe enough to warrant treatment |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Psychotic individuals sometime describe hallucinations of voices commanding them to engage in specific activity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | When multiple diagnosis are present for an individual. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Syndrom varies among individuals in terms of onset, trajectory and severity |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Diagnosis of this Bipolar Disorder requires a history of numerous hypomanic Episodes intermingled with numerous episodes of depression that do not meet the criteria for Major Depressive Episodes |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Commonly defined in behavioral health care as a fixed false belief (excluding beliefs that are part of a religious movement) this psychotic symptom is present in a variety of serious mental disorders. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Delusional beliefs of possessing exaggerated power, importance, knowledge or ability |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Eronious beliefs having to do with self inflation, religious, persecutory, somatic or referential in content |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disordered thought in which the idea changes spontaneously to another idea that is unrelated or only distantly related. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The collections of symptoms and dysfunctions that cohere to form a meaningful psychiatric syndrome |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An illness that keeps a person from meeting life goals that are age and culturally appropriate |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | represent absence of normal functioning for age and culture |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Syntax and Semantics that govern the meaning of spoken content are absent resulting in content being nonsensical. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Diagnostical Statistical Manual |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Unpleasant mental and emotional state, especially mood, associated with a variety of mental disorders |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The condition of persistent dysphoria or mild mood depression |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A mood state characterized by an exaggerated, superficial sense of well-being |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Normal mood. The absence of mood elevation (hyperthymia or mania) or depression (hypothymia or dysthymia). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Complete or nearly complete absence of affective expression |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Like derailment, this form of disordered thought suggests leaps from idea to unrelated idea, but perhaps with greater number and rapidity |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disturbance of form of thought with or without disturbance of thought content |  | 
        |  | 
        
        | Term 
 
        | Four Conceptual Domains  of Disability |  | Definition 
 
        | 1) Diagnosis; 2) Course; 3) Co-Occurring Disorder; 4)  Disability |  | 
        |  | 
        
        | Term 
 
        | Four fundamental spehres of human psychology |  | Definition 
 
        | 1) Affect; 2) Perception and Cognition; 3) Motivation;  4)  Interpersonal Functioning |  | 
        |  | 
        
        | Term 
 
        | Four types of Hallucinations |  | Definition 
 
        | Auditory, olfactory, Tactile and Visual |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Score represents  distress and impaired function due to psychiatric illness |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflated self-esteem or self-worth, usually manifested as content of thinking or talk with themes reflecting the patient's belief that he or she is the greatest or has special attributes or abilities |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | This psychotic symptom found in a variety of serious mental disorders involves sensory perceptual distortions, for example seeing (visual), hearing (auditory), smelling (olfactory), feeling (haptic, tactile), or tasting (gustatory) sensations that others would not sense and do not exist outside one's perception |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | a mood state which like mania is characterized by persistent and pervasive elated or irritable mood, and behaviors and thoughts that are consistent with such a mood state. It is distinguished from mania by the absence of psychotic symptoms and less impact of functioning. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | When a person is unable to generated ideas in response to situations and conversations. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | When affect or mood does not reflect the particular situation |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | When nonverbal expressions do not reflect content of persons speech |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Rapidly and easily changing affective expression. |  | 
        |  | 
        
        | Term 
 
        | Lack of insight to illness |  | Definition 
 
        | Happens for three reasons:  1) biological deficits casused by illenss; 2) Deinal related to stigma; 3) Copacetic or misperceptive sense of self as feeling behavior is normal |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | When an individual experiences a discrete episode of persistent and pervasive emotional depression, this term may be applied. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | may be thought of loosely as the opposite of depression. It is characterized by elated, euphoric or irritable mood and increased energy. The term may refer to a mental disorder or to a mood state or symptom and is associated with Bipolar Disorder |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | When an individual experiences a discrete period during which characteristics of both major depressive and manic episodes are evident. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | may refer to the feeling tone of the subject observed during a psychiatric examination or to the emotional state experienced by an individual for a limited period of time |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | persistent or episodic exaggeration of mood state |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | These symptoms involve the absence of normal behaviors. They include affective flattening, alogia, apathy, avolition and social withdrawal |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A paranoid individual lives in a state or attitude of suspicion and mistrust or conviction that something bad will happen or that enemies want to persecute or mistreat them. Paranoia may be associated with several mental disorders: Delusional Disorder, Paranoid Personality Disorder, Paranoid Schizophrenia |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | These prominent or added symptoms include delusions, hallucinations, thought disorder, and aberrant behaviors. |  | 
        |  | 
        
        | Term 
 
        | poverty of content of speech |  | Definition 
 
        | The quantity of speech far exceeds the quantity of thought content it conveys |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Speech, and presumably the thinking that underlies it, is brief and limited to a few words |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | When a person with mental illness can not obtain typical age appropriate goals for extended periods of times |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Two cognitive sympotms are present 1) Delusions 2) Disorganized Speech |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | This term encompasses those serious mental disorders, including schizophrenia, major depression, alcohol withdrawal delirium, and others where the individual "loses touch with reality." Hallucinations and delusions are generally considered psychotic symptoms. The individual experiencing them may be described as psychotic |  | 
        |  | 
        
        | Term 
 
        | Stress and vulnerablity model |  | Definition 
 
        | Belief Mental Illenss is result of some persons being vulnerable to stress.   When vulnerabilites are overloaded by life stages person begins to show illness |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | In behavioral health care as in general medicine, when an individual complains of a subjectively experienced disturbance or unpleasant perception such as pain or anxiety, we call this a symptom. We distinguish this from a sign such as slurred speech which a professional can observe |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Delusion that others can perceive the patient's thoughts |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disturbance of thought content or form. Delusional thinking is an example of the former. The latter is referred to as a formal thought disorder and is exemplified by derailment. |  | 
        |  | 
        
        | Term 
 
        | Three Dysfuncitons in Cognitve Spheres |  | Definition 
 
        | 1)  Dficits in attention; 2)  Memory and executive functions that help people organize processes into efficient decision making system;  3)  Impoverished thoughts |  | 
        |  | 
        
        | Term 
 
        | Three factors of Disability |  | Definition 
 
        | 1) Diagnosable Mental Illness; 2)  Life goals are disrupted; 3)  Persist for a significant time. |  | 
        |  | 
        
        | Term 
 
        | Identify five core values of PR professionals |  | Definition 
 
        | 1.  All people should have control over their own lives and make decisions about their lives.   2   All people should be valued as worthwhile, shown respect and treated with dignity no matter illness; 3.   When a mentally ill person receives psyR services,  there is hope fro improvement and recovery; 4.  All people can learn new things and grow as individuals; 5.  It is important to be aware of each persons unique personality, needs, culture, ethnicity and beliefs and show respect for differences. |  | 
        |  | 
        
        | Term 
 
        | Identify and explain five main steps to learning a new skill as suggested by Albert Bandura |  | Definition 
 
        | Instruction- teach; Modeling-watch others use skills; Role Playing- Practice skills in pretend situation; Behavior Rehearsal- Practice skill in real situation with instructor; In-Vivo Practice- The skill is practiced in real situation without instructor. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Purpose is developing skills; focus is on modifying behavior; Emphasis is on identifying what skill are lacking in a specific area; Instructions  and modeling are used to show desired behaviors as is role playing.  Feedback is given about strengths and weaknesses in a positive tone; Assignments for practice are given. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Treatment by skills teaching; emphasis is on identifying skills that and individual needs for their desired environment; cycle approach of tell, show and do to build skills; obstacles to success are identified and a plan developed to overcome them. |  | 
        |  | 
        
        | Term 
 
        | Describe the affect of Stress on physical health |  | Definition 
 
        | If stress is constant, the body will enter distress.  Headaches, stomach upset, high bp.   Individuals experiencing constant stress are more likely to abuse drugs. |  | 
        |  | 
        
        | Term 
 
        | Explain the use of behaviorism in teaching skills |  | Definition 
 
        | Behaviorism is the idea lf encouraging or discouraging certain behaviors using reinforcement through reward or punishment.   Behaviorism is commonly used in education.   Behavior in form of progress can be reinforced with positive or negative rewards where positive refers to something that is added while negative is the removal.   Punishment should be used cautiously as it can cause resentment and damage relationships.   Rewards have better potential to communicate progress.   Criticized for lacking human compassion. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Employers can not discriminate age.   Requires  employers to consider all qualified applicants for a job regardless of disabilities even if job accommodations will be required.   During interview, employers can not ask about any obvious or possible disability.   Employers with less than 15 employees are exempt from  this law. |  | 
        |  | 
        
        | Term 
 
        | Describe advantages and disadvantages of Single Room Occupancy residences for individuals with psychiatric disabilities. |  | Definition 
 
        | Advantages= Low cost; Usually supportive services attached; can provide a transitional housing environment for moving from hospitalization to independent living.   Disadvantages= potential for abuse by operators; not the most normalized environment; some in unsafe areas; can promote institutionalized like behaviors and lack of privacy. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Theory that asserts that mental illness is a result of unresolved problems buried deep in an individual's mind |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An approach popularized by Freud that emphasizes exploring the inner mind and looking carefully at the past |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A theory that suggests that some people who are already biologically susceptible to mental illnesses can become symptomatic because of certain  stresses. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A research approach that acquires information by questioning experts in that area or field. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A scientific field that focuses on changing or refining hereditary characteristics in a specific species, breed or race |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | research approach that follows participants and documents results over an extended period of time usually ten years or longer. |  | 
        |  | 
        
        | Term 
 
        | Who could be stakeholders in mental health and psychiatric rehabilitation system |  | Definition 
 
        | Psychiatrist; Counselors; vocational rehabilitation specialist; individuals with mental illness; law enforcement; |  | 
        |  | 
        
        | Term 
 
        | Identify Obstacles to employment that individuals with mental illness face. |  | Definition 
 
        | stigma of mental illness; self doubt; misguided services provided by professionals not trained; limited vocation experience; symptoms; medication side effects; loss of benies; |  | 
        |  | 
        
        | Term 
 
        | Role of job coach in supporting vocational goals of an individual with mental illness |  | Definition 
 
        | Assist individuals in obtaining meaningful employment; requires to be knowledgeable in career planning, marketing, and networking within different industries.  Starts with detailed assessment of a client's skills strengths interests level of required support.   Also able to do on the job support, training employers, money management, transportation, relationships, and benefits.   Job coaches also educate clients about all other available resources including family, government and community organizations. |  | 
        |  | 
        
        | Term 
 
        | Self contained classroom type of supported education |  | Definition 
 
        | In  this type of Supported education program all students have some type of psychiatric disability.   There is a set curriculum which emphasizes career planning with extensive supports in employment.  Classroom is physically on a campus of the school sponsoring .   They are preps for higher education of finding a job.   This is least normalized as all students have a mental illness. |  | 
        |  | 
        
        | Term 
 
        | On site model of Supported Education |  | Definition 
 
        | This type of program focuses on helping individuals with psychiatric disabilities find and use the resources already available at an institution of higher learning.   This can include programs such as tutoring, counseling, and peer support. |  | 
        |  | 
        
        | Term 
 
        | Mobile support model of supported education |  | Definition 
 
        | This type of program utilizes professional support staff that travel to help individuals with mental illness reach educational goals; includes providing help on and off campus and is individualized to each student. |  | 
        |  | 
        
        | Term 
 
        | Principles of effective vocational program |  | Definition 
 
        | 1.  Client Choice; 2.  Integrated environment; 3. Service Connection; 3. Natural Supports; 4. Quick placement; 5. Job accommodation; 6. Uninterrupted services; 7. Employer education |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An environment for workers with disabilities in which they receive full time on the job support in their work environment. |  | 
        |  | 
        
        | Term 
 
        | Enclave or Work Crew in supported employment |  | Definition 
 
        | A small group of individuals with disabilities works for the same business or employer.   This group is no larger than 8 and works in a self contained unit.   It is possible for members to work in different stations of the business.   A job coach stays with the group during the entire shift to provide support and training.   This type of work environment is covered in the Federal Rehabilitation Act.   It has the disadvantage of isolating persons from other workers and limits choice. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A housing approach with emphasis on the importance of choice made successful by providing the level and type of support unique to each individual.   Values specific environments with respect to choice, limiting rules and structure.   Self Determination is key element of Supported Housing.   So successful that dollars are moved from state hospital budgets to supported housing programs.    Research shows this approach has increased housing stability and fewer incidents of hospitalization as well as clients reports of greater quality of life. |  | 
        |  | 
        
        | Term 
 
        | Relevance of Psychosocial rehabilitation centers to the development of modern day psychiatric rehabilitation approach |  | Definition 
 
        | Intended to provide a social forum for mentally ill persons to help and support one another as well as others with mental illness.   Common goal to both programs has been the individual development of skills and strategies for coping with mental illness.   Level of success achieved by psychosocial rehab centers supports the idea that support and assistance should be provided in a persons chosen environment and that peer support is valuable. |  | 
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        | Term 
 
        | Progressive Muscular Relaxation |  | Definition 
 
        | A physical technique for stress reduction.   (PMR) Teaches a person to contract a set of muscles as tightly as possible and hold it for several seconds. |  | 
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        | Term 
 | Definition 
 
        | Technique for stress reduction focusing on breathing with increased O2 to brain |  | 
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        | Term 
 | Definition 
 
        | Physical technique to reduce stress where relaxation is promoted using electronic sensors to measure reactions such as skin temperature, heart rate, and muscle movement while individual engages in specific activities including experimenting with stress reduction; gives immediate insight to specific techniques and actions. |  | 
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        | Term 
 
        | Elements of comprehensive service system for persons with mental illness |  | Definition 
 
        | Treatment; Crisis intervention; Case Management; Rehabilitation; Enrichment; Rights protection; basic support; Self-help; wellness |  | 
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        | Term 
 
        | National Alliance for Mentally Ill |  | Definition 
 
        | Grassroots organization founded by individuals with mental illness and their family members.   Goals include providing support for one another teaching larger community; lobbies for legislation. |  | 
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        | Term 
 
        | Linear Continuum Model of Housing |  | Definition 
 
        | Approach emphasizes the transition from institution to independent living as a multi step process based upon the following:  1.  Has a variety of housing options 2.  Require clients to move from the level with the highest support to the least ; 3.  Clients currently participating at one level should all have achieved similar levels of function and progress; 4. the end goal  is to achieve independent living status outside of the program.   If client has setback and is hospitalized, they start all over.   Limited research of efficacy on this model.   some negative results constant state of impending change and limits choice as well as privacy. |  | 
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        | Term 
 
        | Environmental Reduction of Stress |  | Definition 
 
        | Reduce uncertainty; Clarification of expectations, guidelines and specific information for particular jobs, programs.   Mentally reduce importance of an event by comparing to other events accomplished positively. |  | 
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        | Term 
 | Definition 
 
        | Costs; landlords; stigma; Misinformation; Neighbors; |  | 
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        | Term 
 | Definition 
 
        | Move people to live in care facilities in the community where treatment is provided with little emphasis given to other aspects of daily lives of individuals.   Differs in this respect to psychiatric rehabilitation where all attention is on the needs and desires of people being served |  | 
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        | Term 
 | Definition 
 
        | Developed in 1970s designed to provide comprehensive assistance to persons with mental illness.   It includes connected system of programs and agencies providing different services.   Similar to todays rehab in that both target persons with mental illness; both support concept of providing needed services and supports within desired environment as opposed to hospital; both operate under the belief that intensive rehabilitation and support can reduce relapses and prevent hospitalization for many individuals and emphasize skills training |  | 
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        | Term 
 | Definition 
 
        | The ability to apply a skill learned in a specific situation to other situations.   (some clients are successful in controlled environment or with supervision but not without) |  | 
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        | Term 
 | Definition 
 
        | Ability to stay proficient at a skill over time.   Practicing proficient skills again can help client to have confidence as focus is on strengths.   Confidence is crucial to process of learning new things. |  | 
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        | Term 
 | Definition 
 
        | Assistance from others; Policy Changes; Management familiar with ADA; Co-workers who encourage respect, acceptance; and integration |  | 
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        | Term 
 | Definition 
 
        | Advantages-extensive support on site; operate as businesses with employment and even ownership; more positive than hospitals; promotes cooperative problem solving skills; allow members to live and work outside the lodge.     Disadvantages- does not offer normalized environment; stigma of group home; limited socialization; limited employment |  | 
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        | Term 
 
        | Difference between treatment and rehabilitation |  | Definition 
 
        | Goal of treatment is to cure or reduce symptoms through psychotherapy, medications and behavior modification; Rehabilitation  goal is to help individual operate in his chosen situation with maximum functioning and fulfillment.   While treatment emphasizes traditional theories and medical approaches, rehab is focused on needs and goals. |  | 
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        | Term 
 
        | Four elements of Recovery Model |  | Definition 
 
        | 1.Hope- believe it is possible to recover built upon strengths; 2.  Healing- Person sees themselves as a person not an illness; 3.  Empowerment- Feel control over life and decisions that affect it.    4.  Connection- process of fully reentering society and the larger community with meaningful activities and relationships. |  | 
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        | Term 
 
        | Transitional Employment Program |  | Definition 
 
        | Allows individuals to experience one or more temporary jobs in preparation for future permanent work.   Agency holds a position at a job site promising the business to keep it filled.  Rehab staff learn the job and then train clients who hold it for a designated time and then move on opening it up for another client.   Job usually is part time and requires little skill. |  | 
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        | Term 
 | Definition 
 
        | Period in 1800s of improving care for persons with mental illness.   One treatment approach used was conducting complete analysis of persons illness on all aspects of persons life.   First time activities were used to engage person resulting in health.   Cornerstone of today's rehab in that focus on engaging led to improving lives and involvement in other goals. |  | 
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        | Term 
 
        | IPE, (Individual Plan for Employment) |  | Definition 
 
        | Plan created with joint effort of the client and rehab counselor.   Foundation of individuals plan for obtaining meaningful employment and should be considered a significant step.   Details needed services and resources needed to assist client in achieving goals. |  | 
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