Care of Patient with Psychiatric Disorder Mental Health Care of Patient with Psychiatric Disorder

Therapeutic communication Is learned A helping, trusting relationship Verbal and non-verbal

Therapeutic Communication Techniques Review Table 3-3 pg. 43 Group work & Role Play

Intercultural Differences Communication style What are some examples of cultural differences?

Communication with Mentally Troubled Clients Difficulty with trust Loneliness Therapeutic process Climate of trust Need routine

Communication with Mentally Troubled con’t Introduce self Introduce neutral subject Wait for client to respond: assess nonverbal

Communication with Mentally Troubled con’t Therapeutic listening

Communication Assessment Hear and speak Note content, quality, and pace Physical speech problems Can client read and write? Assess culture communication

Speech patterns of Mentally Ill Blocking Echolalia Flight of ideas Mutism Neologism

Special H.C.W. Qualities needed to establish relationship Unconditional positive regard Empathetic Authenticity Explanations Allow to express feelings

Cont’d Mutual trust Self-understanding Consistency Setting limits Reality

Admission to Inpatient Facility Voluntary Involuntary Criteria Baker Act Marchman Act

Crisis Stabilization Counseling Medications Stress management techniques Cognitive, relaxation and behavioral therapies

Therapeutic Environment Milieu Goal Principles of treatment Physical surroundings Structured activities JCAHO

Types of mental health care treatment

Community Mental Health Centers CMHC Community Mental Health Act Delivery modalities

Home care Least disruptive Natural environment Immediate family support

Residential programs 2 types: Crisis stabilization Community residential care

Inpatient psychiatry unit Acute care Types of admission: Voluntary Emergency hold Transportation hold

Direct court hold Assessment hold Court commitment Mentally ill / chemically dependant Mentally ill & dangerous

Methods of psychiatric therapy

1. Psychotherapy Individual psychotherapy Group psychotherapy Psychoanalysis

2. Therapeutic Milieu: Focus: importance of physical surroundings Mental health team

3. Treatment Model Clients set up their own council Set up their own rule/regulations

4. Behavior Modification Focus: what client does Specific mental disorders

5. Operant Conditioning Positive reinforcement Negative reinforcement

6. Group therapy Definition: individuals function in groups based on skills learned in their family

Codependency Traits Strong urge to solve other’s problems Feeling the feelings Taking responsibility

Needing to deny own feelings, needing to please other, overcommitting time/energy, low self worth, worry frequently

Drug classifications Antipsychotics Antidepressants Antianxiety agents Sedatives

Electroconvulsive Therapy Read section in text Summarize for class

Psychopharmacology Antidepressants Antipsychotics Antianxiety Agents Sedatives

Tardive Dyskinesia is a s/e of antipsychotic Ataxia Antiparkinsonian agents Antimanic Drugs

Insulin Shock Therapy Google this topic and research it Be prepared to summarize for class