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

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

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

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

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

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

7. Communication with Mentally Troubled con’t
Therapeutic listening

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

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

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

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

12. Admission to Inpatient Facility
Voluntary
Involuntary
Criteria
Baker Act
Marchman Act

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

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

15. Types of mental health care treatment

16. Community Mental Health Centers
CMHC
Community Mental Health Act
Delivery modalities

17. Home care
Least disruptive
Natural environment
Immediate family support

18. Residential programs
2 types:
Crisis stabilization
Community residential care

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

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

21. Methods of psychiatric therapy

22. 1. Psychotherapy
Individual psychotherapy
Group psychotherapy
Psychoanalysis

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

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

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

26. 5. Operant Conditioning
Positive reinforcement
Negative reinforcement

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

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

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

30. Drug classifications
Antipsychotics
Antidepressants
Antianxiety agents
Sedatives

31. Electroconvulsive Therapy
Read section in text
Summarize for class

33. Psychopharmacology
Antidepressants
Antipsychotics
Antianxiety Agents
Sedatives

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

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