PSYC 3830 1st Edition Lecture 25 Outline of Last Lecture I. Treatment a. Maintaining factors b. Mental Health Professionalsi. Clinical psychologyii. Psychiatryiii. Social workc. Categories of Medicationi. Antidepressantsii. Mood Stabilizersiii. Antipsychoticsiv. Anxiolyticsd. Types of Therapiesi. Psychodynamicii. Humanistic Therapiesiii. Behaviorist / Cognitiveiv. Mindfulness TherapiesII. Modes of PsychotherapyThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.a. Individual b. Family/Couplesc. Groupd. Self help/bibliotherapy/appse. Telehealthf. Lay-LedIII. Motives for TreatmentsIV. Research Outline of Current Lecture I. Models to Consider Abnormal Behavior a. Disease/Medical Modelb. Dimensional Modelc. Situational Modeld. Positive Psychology ModelII. Preventiona. Universal Interventionb. Selective Interventionsc. Indicated InterventionsIII. Treatment Modelsa. Outpatientb. InpatientIV. Legal Issuesa. Assessing Dangerousnessb. Competence To Stand Trialc. Civil ProceedingsV. Controversies a. Insuranceb. StigmaCurrent LectureI. Models to Consider Abnormal Behaviora. Disease/Medical Modeli. DSM follows this modelii. Clusters of things that have gone wrongiii. The therapist checks off a box 1. Once they have identified what box their patient applies to, they can look up treatmentsiv. Works well for easy, straight forward treatments v. Doesn’t work well for people with comorbidity or subclinical diagnosesvi. There is also a lack of specificity about treatmentsb. Dimensional Modeli. DSM has moved toward this model more recentlyii. Diseases are uniformly distributediii. Harder to specify who gets covered by insurancec. Situational Modeli. Based on the fact that the problem is within the individuald. Positive Psychology Modeli. Balance of problems/symptoms with the person’s strengthsii. The person can compensate for their problems by focusing on their strengthsII. Preventiona. Universal Interventioni. Targets everybodyii. Aimed at influencing a general populationb. Selective Interventionsi. Targets people who are at risk1. Identified by some group of characteristicsc. Indicated Interventionsi. Targets people who have started to show signs of a problemii. The idea is to teach people to recognize their mistakes and how to avoid them in the futureIII. Treatment Modelsa. Outpatienti. Comes in for sessions or takes medication ii. Live at home but come in for occasional sessionsb. Inpatient i. Used to be the normii. Very expensiveiii. Good for people who are severely sufferingiv. Deinstitutionalism1. Moving people from inpatient to outpatient2. Passed as laws3. Funding to move people out from inpatient was there, but there wasn’t much funding for outpatient treatmenta. Lots of people ended up on the street or in prisonIV. Legal Issuesa. Assessing Dangerousnessi. It’s hard to predict who will be most violent because it’s very rareii. Therapists usually overpredict b. Insanity Defensei. How their mental functioning was at the time of the crimec. Competence to Stand Triali. Mental state currently at time of trialii. Unable to hear the evidence against them and respond to it in a useful wayd. Mental Health and Civil Proceedingsi. Divorce/custodyii. Disabilityiii. Immigration V. Controversiesa. Insurancei. HMO Plans1. Managed care options2. The person is told what to do3. The patient contacts a case manager who directs them to treatment a. If more sessions are needed, the provider must go to the case managerii. Preferred Provider Organization1. The person has a choice of what provider they will seeiii. Health Savings Accounts1. They put a certain amount of money in and can spend it however they want b. Stigmasi. As long as mental disorders are considered completely separate from normal functioning, there will be