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1)National awareness of the needs of the mentally ill rose sharply in the aftermath of WWI


1)National awareness of the needs of the mentally ill rose sharply in the aftermath of WWI. This was because:

    1. a large number of soldiers had been rejected from the draft due to mental illness
    2. by the end of the war, several new effective pharmacologic treatments for mental illness had become available
    3. the passage of the National Mental Health Act prompted political attention to the causes of the mentally ill
    4. page 305; thousands of soldiers returned from the war suffering from “war neurosis” or “shell shock”


  1. Until the 1960s, the primary mode of psychiatric illness treatment in the US was:
    1. confinement at home and care by family members
    2. community-based day treatment programs
    3. page 306; state and county operated inpatient institutionalization
    4. communal care by charitable organizations


  1. One factor that contributed significantly to deinstitutionalization of mentally ill patients was:
    1. Page 306;the development of effective pharmacologic treatments for many disorders
    2. rising concern over the costs of inpatient care
    3. expanded availability of community-based mental health professionals
    4. the Quaker movement for “moral treatment”


  1. A major reason why only a small percentage of those in need of mental health services actually receives  them is:
    1. mental health treatment is known to rarely be effective
    2. page 310; treatment is often painful, with serious side effects
    3. fear of family and social stigmatization
    4. there is an undersupply of qualified professionals available to deliver care


  1. According the Surgeon General’s Report on Mental Health, the predominant provider of mental health services for children and adolescents is:
    1. Page 313; the school system
    2. private psychiatric hospitals
    3. community health centers
    4. self-help groups


  1. One factor that does not impact the accurate diagnosis and treatment of mental illness in older adults is that:
    1. physicians often fail to recognize and properly identify mental disorders
    2. depression and anxiety often are considered normal conditions among older adults
    3. safe and effective drug therapies are not available for older adults
    4. page 314; physicians may be reluctant to inform patients about a mental illness diagnosis


  1. Insurance coverage for mental illness treatment has lagged behind coverage for other types of health care because:
    1. employers view offering this type of coverage as opening themselves to lawsuits
    2. it is generally agreed that most people wouldn’t use their benefits anyway for fear of stigmatization
    3. myths persist that the costs of psychiatric care are uncontrollable and unpredictable
    4. p.327;epidemiologic evidence suggests that outcomes of treatment are generally poor


  1. The term, “parity,” as it applies to insurance coverage for mental health services, is best defined as:
    1. Anti-discrimination laws based on age and gender
    2. Page 314; Requirements that insurers cover mental health care at the same level as medical care
    3. Reimbursement approvals according to specific diagnoses
    4. Reimbursement for outpatient services at the same rate as hospitalization



  1. President Bush’s 2002 “Freedom Commission on Mental Health” had the Mission to: “recommend improvements to enable adults with serious mental illness and children with serious emotional disturbances to live, work, learn and participate fully in their communities.”  The Commission’s interim progress report stated, “America’s mental health service delivery system is in shambles.” The 2003 final report issued six goals, as outlined in the text. List each goal  and then discuss the feasibility of implementing the stated goals.



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