Deck 14: Community Care and Public Policy

Question 1

Most people who are psychologically distressed __________.

A) seek and receive
B) seek but do not receive
C) do not seek but receive
D) do not seek or receive

Answer 1

D

Question 2

The majority of people with mental disorders receive professional help from __________ care.

A) outpatient
B) inpatient
C) community
D) specialty

Answer 2

A

Question 3

About seventy percent of the mentally ill are seen and/or treated by __________.

A) psychologists
B) psychiatrists
C) physicians
D) psychics

Answer 3

C

Question 4

The most common mental disorders seen in hospital emergency rooms include all of the following, except __________.

A) substance use
B) conduct disorders
C) schizophrenia
D) bipolar disorder

Question 5

Approximately __________ percent of mental patients are served by the general hospital and nursing home sector and __________ are served by the specialty mental health sector.

A) 1; 50
B) 40; 15
C) 5; 25
D) 10; 20

Question 6

Psychiatric assistance is limited in __________.

A) geographic setting and cost of services
B) number of doctors and services provided
C) geographic setting and number of doctors
D) cost of services and services provided

Question 7

The National Mental Health Act of 1946 __________.

A) promoted an increase in research, training, and community programs
B) increased the number of outpatient clinics
C) encouraged the use of psychotropic drugs
D) established the Commission on Mental Illness and Mental Health

Question 8

The most significant recent change in mental health policy has been __________.

A) a movement towards more humane care
B) the shift to outpatient services
C) the improvement in nursing home care
D) improved diagnostics of mental illness

Question 9

The community mental health movement was made possible by all of the following, except __________.

A) the use and success of psychotropic drugs
B) public campaigns
C) a good economic situation
D) government commitment

Question 10

Community mental health programs were designed for the __________ of mental disorder.

A) identification
B) prevention
C) intervention
D) treatment

Question 11

The most important public role of community mental health centers is __________.

A) departation
B) deinstitutionalization
C) dehumanization
D) deindividualization

Question 12

__________ provides limited inpatient coverage for older persons and little for outpatient services.

A) Social Security
B) Medicare
C) Medicaid
D) Supplemental Security Income

Question 13

Which of the following is not one of the major provisions of the Patient Protection and Affordable Care Act?

A) mental illness could not be used to deny coverage
B) children could remain on their parent's plans until age twenty-six
C) most Americans would be required to purchase health insurance
D) all health insurance plans must include basic mental health provisions

Question 14

__________ care refers to health organizations that control the cost of care.

A) Micro
B) Marketed
C) Managed
D) Monitored

Question 15

Managed care changes the patient-provider relationship by adding a __________.

A) case manager
B) caregiver
C) co-provider
D) social worker

Question 16

Which of the following is not one of the problems that exists as a result of an illogical system of mental health?

A) inadequate quality of care
B) a duplication of services
C) poorly distributed location of services
D) lack of continuity of care

Question 17

In 2004, __________ accounted for the smallest number of mental health facilities.

A) nonfederal general hospitals
B) private psychiatric hospitals
C) VA psychiatric services
D) treatment centers for children

Question 18

The average stay at a state or county hospital in 1970 was __________ days and is __________ days today.

A) 15; 51
B) 23; 8
C) 41; 10
D) 22; 31

Question 19

Between 1972 and 2007, the number of community mental health centers in the United States __________.

A) was cut in half
B) remained the same
C) doubled
D) tripled

Question 20

Community mental health centers were initially intended to be __________.

A) short-term
B) self-supporting
C) free and accessible
D) supported by Medicare

Question 21

The public likely gets most of its information about mental health from __________.

A) personal stories
B) the media
C) public policy
D) government reports

Question 22

Community mental health centers have failed to __________.

A) cure mental illness
B) remove the causes of mental disorder from community life
C) reduce the social costs of mental illness
D) help the mentally ill adjust to daily life

Question 23

One of the major reasons for the failure of community mental health centers to provide basic needs is __________.

A) a lack of government support
B) little available inexpensive housing
C) poor community relations
D) insufficient professional support

Question 24

__________ financing is a paid fixed monthly sum that guarantees specific services at no cost.

A) Managed
B) Insurance
C) Public
D) Capitation

Question 25

The current health care system is based on __________.

A) government funding
B) fee-for-service
C) a welfare system
D) per capita financing

Question 26

What has caused the shift from an emphasis on inpatient care to outpatient care in the United States?

Question 27

How have mental health insurance programs for mental illness changed over time?

Question 28

What are the major provision of the Patient Protection and Affordable Care Act?

Question 29

What are the problems associated with community mental health centers?

Question 30

How would you design a policy or program to improve community mental health care?