MHS 4408 - Final Exam

All of the following are among the outcomes of the Milwaukee wraparound project EXCEPT:

Increase in psychiatric hospitalization rates

Which ABA term describes "the occurrence of target behavior outside of the treatment or training setting in the natural environment?"

generalization

Hilda's ABA therapist discovers that when Hilda starts to feel lonely, she begins talking out in class. When this happens, the teacher interacts a great deal with Hilda, reinforcing her behavior. The therapist instructs the teacher not to interact so intensively with Hilda when she talks out. The intervention of not interacting as much with Hilda anymore (as opposed to in the past) is best conceptualized as:

extinction

The standards of care (soc) philosophy includes guiding principles emphasizing all of the following EXCEPT:

experimental practices

In applied behavior analysis (ABA), emphasis is placed on ____ measurement of behavior through direct observation procedures.

objective

Which module 7 term is best defined as "a coordinated network of community-based services and supports that are organized to meet the challenges of children and youth with serious mental health needs and their families?"

system of care (SOC)

Which of the following is a characteristic of wraparound terms offered by Dr. Armstrong?

Teams are a non-negotiable component of the wraparound process.

Which term refers to a process to understand and resolve the problem behavior of individuals or children that is based on values and empirical research that offers an approach to develop an understanding of why the child engages in problem behavior while teaching the child new skills.

positive behavior support

According to Dr. Armstrong, without this component, it's not really wraparound services.

Services must be unconditional.

All of the following are among the four key areas of improving mental health in urban settings referenced by Ponte (2020) EXCEPT:

increased access to material possessions

The percentage of total years lost to disability is greatest for _____.

behavioral disorders

Dr. Kosyluk argues that stigma is primarily propagated by _____.

the media

According to the American Psychiatric Association, the US population is gradually becoming more diverse. It is estimated that by 2044, ___ of all Americans will belong to a minority group (i.e., any group other than White, non-Hispanic).

more than half

Compared with non-Hispanic whites, African Americans with any mental illness have ____ rates of any mental health service use including prescription medication and outpatient services, but ____ use of inpatient services.

lower; higher

Stigma has been found to be a barrier to all of the following EXCEPT:

eligibility for disability benefits

All of the following are among the three common public stigma change strategies proposed by Dr. Koysluk EXCEPT:

lobbying

Stigma was originally defined by Irving Goffman, a sociologist, as:

a mark that is deeply discrediting

In Module 8, Lecture 1, Dr. Epps noted all of the following as characteristics of social justice EXCEPT:

it guarantees that all people have the same economic and material resources

Which of the following BEST describes the findings of Pescosolido et al. (2021) with respect to trends in public stigma towards mental illness in the US?

Stigmatizing beliefs and attitudes are decreasing for depression but increasing for schizophrenia

All of the following are among the 6 key components of evidence-based trauma treatments EXCEPT:

catharsis

According to Dr. Teague, all of the following are TRUE with respect to the history of community mental health treatment EXCEPT:

Community mental health center administration has largely been centralized

Which of the following PBIS Tier 3 supports include defining problem behavioral and replacement behavior?

functional behavior assessment

Which of the following is NOT a research finding about positive outcomes associated with positive behavior interventions and support (PBIS) discussed by Sugai and Horner (2020) in your module readings?

reduced administrative school expenses

Which of the following BEST describes Alessi and Bennett's (2020) perspective on the relationship between autoimmune disorders and mental disorders?

Shared biological pathways likely cause both mental and other medical disorders.

In his TEDTalk lecture, Tom Sebastian reported that the APA estimates that ___ of all adults receiving medical care also have a behavioral health condition, such as depression or anxiety.

1/3

How many tiers of support are included in the PBIS model?

3

In the M9.1.3 lecture, Dr. Martinez offered several Tier 1 recommendations for behavioral healthcare providers working with students in a school using a PBIS approach. Which of the following was NOT among those recommendations?

Draft schoolwide expectations and rules and send them to school administrators.

A person who is experiencing a crisis can now call 988 to get help. This is an example of a service at what intercept?

Intercept 0

All of the following interventions were offered by Hoffman, Essien, and Norton (2020) as examples of how clinical mental health counselors can help reduce police violence and burnout EXCEPT:

organize protests against police

All of the following are among the core principles of positive behavior interventions and support (PBIS) EXCEPT:

hard work

Which of the following is NOT among the three levels of change as discussed by Dr. Teague in the M10.2.1 lecture?

policy

Which of the following terms BEST describes "the creation of the individual, social, and environmental conditions that enable optimal psychological and psychophysiological development?"

mental health promotion

A substance use treatment agency trying to implement motivational enhancement therapy (MET) created a training workshop taught by MET founders/experts designed to ensure precise implementation of the MET protocol as it was originally designed. Which term BEST describes the agency's goal?

fidelity

According to Coombs et al. (2021), the most prevalent barriers to behavioral healthcare access involve issues related to ______.

affordability

From 2019 through 2021, the percentage of adults of all ages who had received any form of mental health treatment in the past 12 months _____.

increased

All of the following are included in SAMHSA's Behavioral Health Continuum of Care Model EXCEPT:

education

Isabela has emigrated from Cuba. Her family applied for refugee status because they were fleeing political persecution from the Cuban government. Isabela is struggling to learn English, make new friends, and adjust to her new home, and she has been crying more than usual. However, she is able to perform her usual daily activities, such as chores, sports (i.e., she plays on a soccer team), and homework (with some extra tutoring). Which of the following points on Allport's mental health continuum model most accurately matches Isabela's experience?

the problem point

All of the following are among the four core elements of The First Nations Mental Wellness Model EXCEPT:

Self-Determination

Which of the following terms describes "the 'complete' process of bringing something into practice or set of factors necessary for successful adoption by stakeholders and the targeted population of an EBP which results in widespread use/practice and penetration of broad scale recommendations?"

diffusion

Colin sees his primary care physician (PCP) for an annual exam. His PCP asked him whether he ever drinks more than 4 servings of alcohol in a day or more than 14 in a week, and Colin answeres, "Yes". The PCP administered the Alcohol Use Disorder Identification Tests (AUDIT), and the PCP concluded that Colin was at "moderate risk" for an alcohol-related problem. Using the screening, brief intervention, and referral to treatment (SBIRT) model, which intervention would the PCP employ next?

5-20 minutes of awareness raising, motivation to change, and agreement to change.

Which of the following statements about the rationale for prevention and early intervention is FALSE?

Mental and substance use disorders are the second greatest cause of disability worldwide.

The return on investment (ROI) is GREATEST for which of the following interventions?

prevention of conduct disorder through social and emotional learning

Which of the following is NOT one of the principles of evidence-based medicine proposed by Drake et al. (2003)?

Adjust the approach to accommodate the preferences of funders.

A community mental health center researched best practices for working with transgender clients and created a "unisex" bathroom in its center. Which level of change is this?

program

Releasing students one zone at a time to reduce traffic in the double gated exit is an example of which PBIS tier of support?

Tier 1

The use of punishment to stop undesirable student behavior is a goal of _____.

traditional discipline

Which of the 10 critical elements do schools tend to MOST enjoy?

reward programs

Which of the following is TRUE with respect to outcomes of the Florida Positive Behavior Interventions and Support (FPBIS) program?

not all FPBIS schools have the same level of fidelity to the program

What is the difference between a Tier 1 and Tier 3 intervention?

Tier 1 involves school-wide interventions, and Tier 3 involves individual interventions.

All of the following are TRUE with respect to the history of community mental health treatment EXCEPT:

community mental health center administration has largely been centralized

Which of the following statements about the historical evolution of civil commitment is FALSE?

the focus has shifted from focusing on "dangerousness" to focusing on "diagnosis"

According to Dr. Teague, Black Americans are incarcerated at nearly ___ times the rate of White Americans.

6

According to Dr. Teague, about ____% of inmates report mental health problems.

50

After her initial hearing, Sara was referred to an arbitration program, making it possible for her to avoid conviction for a minor charge. Which intercept level is this?

Intercept 2 or 3

All of the following are characteristics of social justice EXCEPT:

it guarantees that all people have the same economic and material resources

Lack of mental health parity would be viewed as a ______ related to ______.

discriminatory behavior; structural stigma

All of the following are true with respect to stigma within the criminal justice system EXCEPT:

factors that influence mental health are generally different than those that influence crime

Which of the following three common strategies for changing stigma is LEAST affective in meta analyses?

protest

Wraparound services are designed for:

youth with the most severe behavioral health needs

All of the following are guiding principles of wraparound family services EXCEPT:

confront problematic family values

More than 3 out of 4 out-of0school suspensions involve:

black boys

All of the following are part of the pyramid model of PBS EXCEPT:

emotional cutoff

All of the following areas are among the areas impacted by complex trauma cited by Dr. Stover EXCEPT:

extroversion

Which of the following is NOT integrated into trauma-focused cognitive behavioral therapy (TF-CBT)?

psychoanalysis

Which evidence-based trauma treatment was designed for children exposed to family violence and consists of weekly sessions for 20 to 32 weeks (or more) provided in-home?

child-parent psychotherapy