Chapters 4 treatment options

Anosognia

is a neurological condition in which a person is unaware of their own disability or illness, often leading to a lack of insight regarding their treatment needs.

Patient Centered medical homes

• patient centered

• comprehensive care on all levels

• coordination of care

• improved access

• EBS

Psychiatric Home Care

• (1) homebound status of the patient, (2) presence of a psychiatric diagnosis, (3) need for the skills of a psychiatric registered nurse, and (4) development of a plan of care under orders of a physician or advanced practice registered nurse.

Assertive Community Treatment

• an intensive case management for people who are unable or unwilling to participate in traditional treatment. ACT teams are composed of a variety of professionals who provide 24-hour, 7-days-a-week support.

Intensive and Partial Outpatient Programs

• function as intermediate steps between inpatient and outpatient care. The primary difference between the two groups is the amount of time that patients spend in them

Therapeutic Milieu

• it refers to the overall environment and interactions within that environment.

• an all-inclusive term that recognizes the people (patients and staff), the setting, the structure, and the emotional climate as important to healing.

Community mental health center

• provide a wide range of mental health services for individuals who lack funding for care

PCP

• this treatment choice may feel familiar and reduce stigma. Time limitations may impact a complete mental assessment and training limitations may make some providers uncomfortable.