Summary: Community Psychiatry

Read the summary and the most important questions on Community Psychiatry

• 1 Center based services

• 1.1 MENTARI

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• Which part of MHA emphasize regarding CMHC

  Mental Health 2001, Part IV Section 32 Community Mental Health Center.

• 1.2 Clubhouse

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• Evidence based practice in Clubhouse

  Research shows that participating in a Clubhouse can lead to an eightfold reduction in psychiatric rehospitalisation and significantly improves a member's quality of life and self-esteem

• 3 Reaching out services

• 3.1 Acute Home Care

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• Frequency of Home Visit in AHC

  Several times a day

• Estimated Length of treatment for AHC

  4-6 weeks

• 3.2 Assertive Community Treatment

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• ACT Response time ;

  Within 28 days

• Frequency of Home Visit in ACT

  Depends on patient's need

• 3.4 Early intervension of Psychosis

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• 3 Core Function of EIP

  early detection, acute care, and recovery

• TERAS (Therapeutic Early psychosis Rehabilitation And Support),

  1. Community Awareness & Education.
  2. Primary Care (Klinik Kesihatan) Level: Local health clinics act as the frontline for early detection
  3. The "Hub" (Specialised Assessment): undergoes a comprehensive clinical assessment to determine if they meet the criteria for Ultra High Risk (UHR) or a full First Episode of Psychosis (FEP).
  4. Integrated Intervention: This includes the safe initiation of medication and therapies like Cognitive Behavioural Therapy (CBT).

         5. Hospital & Community Links: The programme links patients to inpatient wards for acute crises or to centres like MENTARI for long-term vocational rehabilitation and social support

• 4 Special services

• 4.1 Family intervention

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• Goals of family intervention

  Reduce relapse rate
  improve family communication
  improve patient outcome
  improve treatment adherence
  stregten resilience (coping strategy)
  streghten family functioning

• Concept of family intervention

  Collaborative - involving the family members as the active partner in care rather that passive observer
  
  Education - Psychoeducation regarding the course of illness, prognosis and treatment plan strategies
  
  Support - Emotional support and reduce caregiver burden
  
  Communication - healthy communication among family
  
  Problem solving in managing daily crisis