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CERTIFIED PSYCHIATRIC
REHABILITATION PRACTITIONER
(CPRP) EXAM & Verified answers
Mental health affects about 20% of the population. True Psychiatric rehabilitation emerged out of the deinstitutionalization movement of the 1930's. False is/are example(s) of evidence-based practices. All of the above Delusion are bizarre beliefs or ideas that a person cannot be talked out of while hallucinations are incorrect sensory information that the individual experiences as real. True Mood disorders effect between about 5 - 20% of the population. The "Vermont study" by Dr. Hardng was one of the first longitudinal studies to demonstrate that persons with schizophrenia could have positive long-term outcomes. True Illness Management and Recovery is an evidence based practice consisting of psychoeducation and self-management strategies. Recovery is a operationalized construct that can only be measured by medical doctors. False
The main goal of Psychiatric Rehabilitation is: to promote recovery. Shared decision making involves consumers defering to the needs of the treatment team they are working with. False The PsyR process has three stages: the diagnostic stage, the planning stage and the stage. intervention stage. Since deinstitutionalization PsyR has had a focus on the concept of interdependence. True A wellness coach helps individuals identify strengths in the 8 dimensions of wellness and then helps them to clarify what they hope to change or improve. True Much of the early development of psychiatric rehabilitation took place in psychiatric hospitals and asylums. False SMART goals are integral to the coaching process and are used to help individuals achieve health and wellness goals. The acronym SMART stands for: Specific, Measurable, Attainable, Realistic, and Time-framed. Research shows that the life span of individuals with mental illnesses is 10 years less than that of the general population. False
Deinstitutionalization and transinstitutionalization are synonymous terms to describe a key residential movement from the 60's. False The US Fair Housing Act of 1968, was originally enacted to prohibit discrimination based on race or ethnicity in the sale or rental of housing; however, 20 years later it was amended to add protections against individuals with disabilities. True Institutionalization syndrome was a formerly diagnosable condition in the DSM-III. False Supported housing and independent living sought to facilitate opportunities for people to reside in independent living situations of their choice in the community and receive support services to help them maintain those situations. True The Olmstead v L.C. US Supreme Court case was a major victory for the disability community and upheld Title IV of the Americans with Disabilities Act. False The WRAP is the best known, evidence based self-help approach in psychiatric rehabilitation. False Psychiatric Rehabilitation .... promotes recovery, full community integration and improved quality of life for persons who have been diagnosed with any mental health condition that seriously impairs their ability to lead meaningful lives. Psychiatric rehabilitation services are collaborative, person- directed and individualized. These services are an essential element of the health care and human services spectrum, and should be evidenced-based.
- the process an individual practitioner follows in selecting the appropriate intervention for one individual diagnosed with a particular condition who is experiencing specific symptoms. . .... a deeply personal unique process of changing one's attitudes, values, feelings, goals, skills, and/or roles. it is a way of living a satisfying, hopeful, and contributing life even with limitations cause by illness. Recovery involves the development of new meaning and purpose in one's life as one grows beyond the catastrophic effects of mental illness.
WRAP
Wellness Recovery Action Plan Assertive Community Treatment (ACT)
- an evidence-based practice that improves outcomes for people with severe mental illness who are most vulnerable to homelessness and hospitalization. Principles of Psych Rehab Groupings 1 - 3= Roles of the Practitioners 4 - 10= Best Practices in the Field 11 - 12 PsyR Service Delivery Evidence-Based Practice (EBP)
- recognizes the importance of understanding and following research recommendations, while taking into account the service provider's clinical expertise and the goals, preferences, interests, values, and characteristics of the people using the service Empirically Supported Treatment (EST)
- a type of intervention that has been proven effective, such as cognitive behavioral therapy for treatment of depression. Evidenced-Based Medicine (EBM) Recovery Recovery Relating to principles of PsyR
- PsyR practices build on strengths and capabilities of individuals.
- PsyR practices are person-centered; they are designed to address the unique needs of individuals, consistent with their values, hopes, and aspirations.
- PsyR practices support full integration of people in recovery into their communities where they exercise their rights of citizenship as well as to accept the responsibilities and explore the opportunities that come with being a member of a community and a larger society.
- PsyR practices promote self-determination and empowerment. All individuals have the right to make their own decisions, including decisions about the types of services and support they receive.
- PsyR practices facilitate the development of personal support networks by utilizing natual supports within communities, peer support initiatives, and self-and mutual-help groups.
- PsyR practices strive to help individuals improve the quality of all aspects of their lives, including social, occupational, educational, residential, intellectual, spiritual, and financial.
- PsyR practices promote health and wellness, encouraging individuals to develop and use individualized wellness plans.
- PsyR Services emphasize evidence-based, promising, and emerging best practices that produce outcomes congruent with personal recovery. Programs include structured program evaluation and quality improvement mechanisms that actively involve persons receiving services.
- PsyR services must be readily accessible to all individuals whenever they need them. These services also should be well coordinated and integrated with other psychiatric, medical, and holistic treatments and practices. SAMHSA's definition of recovery: A process of change through which individuals improve their health and wellness, live a self- directed life, and strive to reach their full potential. SAMHSA's Four Major Dimensions of Recovery
- HEALTH: Overcoming or managing one's disease(s) as well as living in a physically and emotionally healthy way;
- HOME: A stable and safe place to live;
- PURPOSE: Meaningful daily activities, such as a job, school, volunteerism, family caretaking, or creative endeavors, and the independence, income, and resources to participate in society;
- COMMUNITY: Relationships and social networks that provide support, friendship, love, and hope. The Medical Perspective on Psychiatric Disability
- Focused on treating the mental health condition (the symptoms of the psychiatric illness).
- Use language such as mental impairment, psychiatric disorder, emotional disturbance, or diagnosis.
- Follows the DSM- to be a disorder:
- symptoms must be noticeable (clinically significant)
- must be/or at risk of causing difficulty in role functioning
- must have abnormal/not "culturally-sanctioned" reactions/behaviors to events
- a faulty way of perceiving or reacting to the world The Disability Perspective
- psych disabilities occur when a mental health condition interferes with a person's function in living, learning, working, and/or social environments and roles. Americans with Disabilities Act (ADA) definition for Disability
- a physical or mental impairment that substantially limits one or more major life activities of such individual Social Security Act (SSA) definition for Disability
Ex. social withdrawl, difficulty producing thoughts or speech, blunted of flat affect, etc. The Social Perspective on Psychiatric Disability
- sees the disability as a product of the social and interpersonal factors.
- "there is no such thing as a mental illness"
- believes that psychiatric symptoms can be a healthy response to a dysfunctional world.
- "what looks like illness often represents a method of surviving difficult times or coping with trauma
- Believes that because the environment helps to define 'disability', disability is a socially constructed concept. Competency
- the ability to apply or use knowledge, skills, attitudes, and personal characteristics to successfully perform critical work tasks, specific functions, or operate in a given role or position. KSA Knowledge, Skills, and Attitudes KSA's Three competency blocks Foundational (bottom tier), industry-related (middle tier), and occupation-related (top tier) KSA's Foundational Block
- can be generalized/are core competencies
- three tiers: basic workplace skills, basic academic skills, and the personal effectiveness skill (soft skills)
Accredidation the approval of an organization stating that they meet the expected standards and competencies Certification granted to an individual by a non-governmental agency Licensure/Registration granted to an individual by a government agency Person-Centered Planning (PCP)
- an ongoing collaborative process between an individual and his or her team members (including clinical and rehabilitation professionals as well as natural supports) Process Perspective (in regards to PCP)
- how roles, relationships, and planning meetings look different when conducted in a person- centered fashion Documentation Perspective (in regards to PCP)
- how the person-centered process is reflected in a written plan. "Dignity of Risk"/"Right to Fail"
- Commitment to Change (are they committed to making changes?)
- Personal Closeness (are they open to connect w/others?)
- Self-Awareness (have insight?)
- Environmental Awareness (aware of the differences between environments?) Psych Rehab Assessment includes:
- a readiness assessment
- an assessment of the person's functional strengths and needs
- an assessment of the environmental and/or contextual resources and barriers. Focus of Functional Assessment
- the behavioral routines and skills needed for the life domains targeted for change by the rehabilitation readiness assessment.
- the starting point is always the person's expressed goals. Performance-Based Assessments
- assessments in which the person in recovery is actually engaged in doing the activity, and the CPRP is observing the person's engagement. Interventions
- the actions service providers take to help individuals achieve their personal recovery goals, and in a service plan, they indicate the methods by which goals and objectives are achieved. Psych Rehab Interventions Defnition
- building the skills and supports needed to help people choose and achieve their personal goals.
Best Practice definition
- is valued by the people who use it, has been evaluated as effective through high quality research , and has been implemented correctly by a competent practitioner the APA's Three Relationship Components for Effective Indidvidual Therapy:
- Demonstrating empathy
- Monitoring the alliance
- achieving goal consensus A Skill:
- a complex action made up of both knowledge and behavior A Behavior:
- a simple observable action and is conceptually small than a skill The Two Most Comprehensible and Best Defined Methods of Skill Development
- Skill Training
- Direct Skills Teaching An Activity:
- is composed of many skills Ex. Communication
- a one-to-one counseling-type skill intervention used when a person has demonstrated the ability to competently perform the skills, but is not using that skill as needed in real life. The Four Common Types of Barriers
- Lack of Planning
- Lack of Resource
- Lack of Knowledge
- Lack of Confidence Steps to Overcome the Four Common Barriers
- Lack of Planning โ needs more prep
- Lack of Resource โ needs connected to resource
- Lack of Knowledge โ research is needed
- Lack of Confidence โ repeated practice needed to develop a sense of mastery. Definition of Supports
- the people, places, things, and activities that keep people going from day to day. 3 Interventions to Build Supports:
- Acquiring Resources
- Linking to Resources
- Creating Resources Acquiring Resources
- helping a person access or obtain an existing thing or activity.
Linking to Resources
- making a connection to an existing service or support and is more complicated than resource acquisition. Peer Support Definition
- a process of sharing mutuality, giving and receiving hope, strengths, and lived experiences. Peer Support Services Definition
- are programs, discussions, events, groups, etc. within the mental health system that are led by people in recovery and are based on the philosophy of peer support. Certified Peer Specialists
- a workforce that models the lived experience of recovery to promote hope and teach skills for self-directed recovery and mind-body whole health and resiliency.. Peer Support Competencies
- Understanding and Fulfilling the Peer Worker Role
- Empowerment
- Recovery
- Building Relationships
- Service Delivery
- Documentation
