Question 1

The process or trend of transferring formerly institutionalized individuals to community environments is referred to as:
A) least restrictive environments
B) deinstitutionalization
C) partial hospitalization
D) day treatment

Accepted Answer

Deinstitutionalization refers to the process of moving individuals, especially those with mental health issues, from long-term institutional care to community-based settings. This trend aims to improve quality of life by providing care in less restrictive environments.

Question 2

Many have concluded that decreased populations in mental hospitals has been accompanied by significant increases in the number of mentally ill persons being housed in:
A) nursing homes
B) correctional facilities
C) foster homes for children and adolescents
D) all of the above
E) (b) and (c) only

Accepted Answer

Decreased populations in mental hospitals have led to more mentally ill persons being housed in alternative settings, including nursing homes, correctional facilities, and foster homes for children and adolescents, reflecting a broader trend in the management and care of mental illness outside traditional psychiatric hospitals.

Question 3

Individual or community needs can be best viewed as:
A) existing states of difference or discrepancy between a "what is" condition and the "what should be" condition.
B) states of incongruency between the "what is" and the "what could be" conditions.
C) the incongruency that exists between the reality and ideal conditions.
D) conditions that motivate persons or communities to action.

Accepted Answer

Individual or community needs are often identified by recognizing the gap or discrepancy between the current state ("what is") and the desired state ("what should be").

Question 4

Program development follows directly from a valid and reliable:
A) mission statement.
B) vision and set of values.
C) needs assessment.
D) working knowledge of the community.

Accepted Answer

A needs assessment is crucial for program development as it identifies the specific needs that the program aims to address, ensuring that the program is both valid (meets the actual needs) and reliable (can consistently address those needs).

Question 5

The overarching sense of purpose and vision is expressed in:
A) a set of program goals and objectives.
B) outcome of a valid needs assessment.
C) the conclusions of a formative evaluation.
D) mission statement.

Accepted Answer

The overarching sense of purpose and vision of an organization or program is typically expressed in its mission statement. This statement provides a clear and concise description of the organization's core purpose and values, guiding its strategies and actions.

Question 6

Program goals should be stated in terms that are:
A) measurable
B) realistic
C) idealistic
D) all of the above
E) (a) and (b) only

Accepted Answer

Program goals should be measurable and realistic to ensure they can be effectively achieved and assessed. Idealistic goals, while aspirational, may not always be practical or achievable, making (a) and (b) the correct choices.

Question 7

The step-by-step means by which each goal is achieved is the function of:
A) objectives.
B) programs.
C) process evaluation.
D) working knowledge.

Accepted Answer

Programs are designed to outline the step-by-step means by which goals are achieved, detailing the specific actions, methods, and resources required to accomplish each objective.

Question 8

Which of the following are related to projects that are successfully funded through the acquisition of grants?
A) accurately identified needs
B) innovative solutions to the identified needs
C) proposal of programs that are cost effective
D) all of the above

Accepted Answer

Projects that are successfully funded through grants typically feature accurately identified needs, innovative solutions to these needs, and the proposal of cost-effective programs, making all of the options correct.

Question 9

The best way to learn grant writing is through:
A) engaging in the actual grant writing process under the guidance of an experienced mentor.
B) taking a course offered through a college or university.
C) continuing education experiences.
D) social learning by observing an experienced grant writer at work.

Accepted Answer

Engaging in the actual grant writing process under the guidance of an experienced mentor provides hands-on experience and personalized feedback, which are crucial for mastering the skills needed in grant writing.

Question 10

Which of the following would be considered the least restrictive treatment?
A) inpatient hospitalization
B) day treatment
C) crisis residential treatment
D) outpatient counseling

Accepted Answer

Outpatient counseling is the least restrictive treatment as it allows individuals to live at home and maintain their daily routines while receiving therapy.

Question 11

Which of the following is not a common element of assertive community treatment?
A) continuous coverage 24 hours a day, 7 days a week
B) multidisciplinary team approach to treatment
C) cases assigned by matching client needs with team member's specific area of expertise
D) time-unlimited services

Accepted Answer

Assertive Community Treatment (ACT) typically involves a team approach where the team as a whole, rather than individual members with specific expertise, is responsible for the care of the clients. This means that cases are not assigned based on matching client needs with a team member's specific area of expertise, but rather the team works collaboratively to meet all the client's needs.

Question 12

Which of the following has been a goal of the mental health consumer movement?
A) development of more modern state inpatient facilities
B) increased availability of case managers to direct mental health consumers in community living
C) to develop appropriate control of their psychiatric treatment
D) increase availability of more restrictive forms of treatment

Accepted Answer

The mental health consumer movement has focused on empowering individuals with mental health conditions to have more control and input into their own psychiatric treatment, emphasizing patient rights and self-determination.

Question 13

For purposes of valid research and program development, homelessness can be defined simply as the absence of housing or permanent residence.

Accepted Answer

The answer of For purposes of valid research and program...

Question 14

Compared to domiciled adults with severe mental illness, the homeless, severe mentally ill have:
A) less severe psychiatric symptoms.
B) lower rates of psychiatric inpatient admissions.
C) more stable employment histories.
D) higher frequency of alcohol and chemical abuse.

Accepted Answer

Homeless individuals with severe mental illness are more likely to have higher frequencies of alcohol and chemical abuse compared to their domiciled counterparts. This is due to a variety of factors including self-medication for psychiatric symptoms, the stress of homelessness, and the social environments they may find themselves in.

Question 15

According to Morrissey (1999), which of the following populations has benefited more from the trend of increased community-based treatment?
A) persons with acute mental health needs
B) persons with milder mental health diagnoses
C) persons with chronic and severe mental illness
D) none of the above
E) (a) and (b) only

Accepted Answer

Persons with milder mental health diagnoses and persons with acute mental health needs have benefited more from the trend of increased community-based treatment.

Question 16

Which of the following is critical for adequate treatment of persons with chronic, severe mental illness in community settings?
A) the availability of doctorally-trained direct service providers
B) accurate diagnosis
C) the capacity of mental health care providers to integrate multiple services into a coherent treatment package
D) numerous outpatient treatment options from which the consumer can choose

Accepted Answer

The capacity of mental health care providers to integrate multiple services into a coherent treatment package is critical for the adequate treatment of persons with chronic, severe mental illness in community settings. This integrated approach ensures that various aspects of the individual's needs are addressed in a coordinated manner, improving treatment outcomes.

Question 17

ACT programs have been shown to be effective in:
A) reducing hospitalization
B) increasing stability of housing
C) increasing client satisfaction
D) all of the above

Accepted Answer

ACT (Assertive Community Treatment) programs are designed to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to individuals with serious mental illnesses. They have been shown to be effective in reducing hospitalization, increasing stability of housing, and increasing client satisfaction, thus making all the options correct.

Question 18

As many as ________ of clients presenting with substance abuse disorders have another co-existing condition.
A) 15%
B) 25%
C) 50%
D) 66%

Accepted Answer

As many as 66% of clients presenting with substance abuse disorders have another co-existing condition, often referred to as dual diagnosis or co-occurring disorders. This highlights the complexity of treating substance abuse, as it often intersects with other mental health issues.

Question 19

Most personality disorders are induced by alcohol abuse.

Accepted Answer

Personality disorders are primarily characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, not directly caused by alcohol abuse or other substance use. While substance abuse can exacerbate or mimic personality disorder symptoms, it is not the primary cause of these disorders.

Question 20

The development of fully integrated programs for the treatment of co-occurring disorders has been hindered by:
A) funding mechanisms that support treatment programs
B) eligibility requirements for program benefits
C) administrative policies that hinder coordinated and effective treatment
D) all of the above

Accepted Answer

The development of fully integrated programs for the treatment of co-occurring disorders has been hindered by a combination of factors including funding mechanisms that often do not support integrated treatment programs, eligibility requirements that can limit access to necessary services, and administrative policies that can prevent the coordination of care across different types of services. These barriers collectively contribute to the challenge of providing effective, integrated treatment for individuals with co-occurring disorders.

Quiz 12: Community Mental Health: Program Development, Evaluation, and Management

The process or trend of transferring formerly institutionalized individuals to community environments is referred to as:

Many have concluded that decreased populations in mental hospitals has been accompanied by significant increases in the number of mentally ill persons being housed in:

Individual or community needs can be best viewed as:

Program development follows directly from a valid and reliable:

The overarching sense of purpose and vision is expressed in:

Program goals should be stated in terms that are:

The step-by-step means by which each goal is achieved is the function of:

Which of the following are related to projects that are successfully funded through the acquisition of grants?

The best way to learn grant writing is through:

Which of the following would be considered the least restrictive treatment?

Which of the following is not a common element of assertive community treatment?

Which of the following has been a goal of the mental health consumer movement?

For purposes of valid research and program development, homelessness can be defined simply as the absence of housing or permanent residence.

Compared to domiciled adults with severe mental illness, the homeless, severe mentally ill have:

According to Morrissey (1999) , which of the following populations has benefited more from the trend of increased community-based treatment?

Which of the following is critical for adequate treatment of persons with chronic, severe mental illness in community settings?

ACT programs have been shown to be effective in:

As many as ________ of clients presenting with substance abuse disorders have another co-existing condition.

Most personality disorders are induced by alcohol abuse.

The development of fully integrated programs for the treatment of co-occurring disorders has been hindered by: