MODULE 14: Mental Illness

de-escalation

- Nonphysical interventions to manage violence and aggression in mental health

- These techniques include interacting with the person who is in crisis and offering the person choices in a difficult situation

- alternative from restrictive measures like seclusion and physical restraint

1. be empathetic and nonjudgmental

2. respect personal space

3. allow time for decisions

4. use nonthreatening verbals

5. set limits

6. focus on feelings

7. ignore challenging questions

8. avoid overreacting

9. choose what you insist upon wisely

10. allow silence for reflection

top 10 de-escalation tips for healthcare professionals (10)

aims to stop the escalation of aggression to either violence or use of potentially harmful containment strategies such as physical restraint

goal of de-esclation techniques

psychological first aid (PFA)

an inital disaster response intervention

an evidence-informed intervention in the immediate aftermath of a disaster

- protect, connect, and direct

- may last from days to months

- uses therapeutic communication techniques

1. promote safety

2. stabilize disaster survivors

3. connect people with resources

goals of PFA (3)

assess; on-site therapy

The purpose of PFA is to ____________________ the immediate concerns and needs of an individual in the aftermath of a disaster, and NOT to provide _________________________________.

community level

The organizations that administer PFA range from a ______________ to a national level.

nurses

PFA is designed to be delivered by disaster relief workers, including __________________ who are often on the front lines of a disaster in a variety of community-based settings.

ranged from a few days to months

The time at which PFA was administered ______________________ after an incident depending on the type of disaster and local situations with due consideration to safety.

1. unemployed

2. lack of housing

3. poverty

high risk populations for mental illness (3)

true

True or false:

Though persons with chronic mental illness are eligible to receive supplemental security income (SSI), it is difficult for them to find affordable housing.

True

True or false: There is a rise in the # of clients with mental illness who are unhoused in the US.

replace state hospitals with small group homes, half-way houses, or other supported living arrangments that integrate, rather than separate, people with chronic mental illness in the community.

What is the purpose of deinstitutionalization?