serious mental illness

Refers to a group of psychiatric disorders, most of which are primarily biological in origin, that can significantly affect functioning and one’s quality of life, especially if they go untreated, Lifelong with waxing and waning, Young adults aged 18-25 years had the highest prevalence, includes: Schizophrenia, Schizoaffective, MDD, Bipolar, PTSD, personality disorders etc

serious mental illness

The WHO reports that people with SMI have a life expectancy —- years shorter than the general population

10-25

Shifting of a person or population from one kind of institution to another, Hospitals, jails, prisons, nursing homes, shelters, the street,The community mental health nurse meets the client in and between these institutions

trans-institutionalization

Treatment inadequacy, Anosognosia, Medication side effects, Residual symptoms even with treatment, Nonadherence, Relapse, chronicity, and loss

barriers to care

suicide is —- more frequent with people who have a SMI

12x

Person-centered, forward looking, Empowering, Focuses on strengths, Client sets their own goals, Nurses collaborate with clients, Quality of Life > Symptom management, utilize counseling styles like Motivational Interviewing, strategies like Harm Reduction, and philosophies like Trauma-informed care, Evoking - you already have what you need, together we’ll find it

recovery model

preceding the recovery model centered on paternalistic, provider-directed treatment that limited its focus to symptom management.

rehabilitation model

is evidenced-based:  Ensure stable housing prior to initiating treatment.  Related to Maslow’s hierarchy of needs

housing first model

Team-based approach to delivering mental health care in the community setting to adults with severe mental illnesses, Focus on high-need, high-risk individuals, Transdisciplinary Team, Direct Service/Integrated Services, Continuous Coverage: 24 hours, 7 days a week, Includes Crisis Intervention (ACT)

assertive community treatment team

Helping patients regain their ability to cope when facing overwhelming stress such as psychological trauma or relapse., Impaired cognition and problem solving increase risk of crisis in people with SMI, Seeks to help person manage stressor in less restrictive settings and avoid more-disruptive inpatient care

crisis intervention

legal documents that allow an individual whose disorder is in remission to direct how to manage treatment if judgement becomes impaired during a relapse

psychiatric advance directives

Family member, friend, or third party designee chosen by the client that manages the client’s finances

payee

“Outpatient commitment” Court-mandated when person with SMI leaves hospital or prison, Person with SMI would otherwise be unlikely to continue treatment, for people with a high likelihood of becoming a danger to self or others based on history and severity of illness

assisted outpatient treatment

Antipsychotics: Haloperidol Decanoate (Haldol D), Fluphenazine Decanoate (Prolixin D), Paliperidone Palmitate (Invega Sustenna), Aripiprazole (Abilify Maintena), Aripiprazole Lauroxil (Aristada), Substance Use Tx: Buprenorphine extended release (Sublocade), Naltrexone (Vivitrol)

long acting injectable medication