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1. Adults, children and older adults with a serious mental illness or emotional disorder often lead lives characterized by recurrent, significant crises, and these crises tend to be the inevitable consequences of mental disability.
A. True
B. False
2. Which of the following accurately depicts how crises affect the lives of people who have mental or emotional disabilities?
A. From one-half to two-thirds of homeless people have a severe psychiatric disorder
B. Approximately 12 percent of all police contacts in urban settings involve a person believed to have a mental illness
C. Due to a lack of available alternatives, 79 percent of hospital emergency departments report having to “board” psychiatric patients who are in crisis and in need of inpatient care
D. About 81 percent of adult inpatients in state psychiatric hospitals report histories of trauma
3. Individuals whose diagnoses do not fit “serious mental illnesses” may be vulnerable to devastating mental health crises, and private healthcare professionals need to be prepared to intervene on their behalf since most crises contacts occur in this sector.
A. True
B. False
4. Situations involving mental health crises may follow trajectories that include intense feelings of personal distress, obvious changes in functioning, catastrophic life events, and:
A. Major disruption in relationships and daily activities
B. Severe harm to self or others
C. Increased clinical and social difficulties
D. Loss of autonomy or parental rights
5. Appropriate crisis intervention promotes patient-centered care while also focusing on interventions and practices based on diagnostic labels and customary practices.
A. True
B. False
6. An individual with a serious mental illness who is in crisis is a _____________ whose established psychiatric disability may be relevant but may—or may not—be immediately paramount.
A. Fragile character
B. Questionable source
C. Whole person
D. Clinical phenomenon
7. An adequate crisis response requires measures that address the person’s unmet needs, both through individualized planning and by promoting systemic improvements.
A. True
B. False
8. Crisis Intervention practices should encompass a strengths-based approach that furthers the goals of building resilience and a capability for self-managing future crises.
A. True
B. False
9. Effective crises services should be compatible with the culture, gender, race, age, sexual orientation, _________________ and communication needs of the individual being served.
A. Personal care
B. Community support
C. Symptom reduction
D. Health literacy
10. It is always essential to understand how the individual’s response within the current crisis may reflect past traumatic reactions, and to be cognizant of how interventions may pose particular risks to that individual based on that trauma history.
A. True
B. False
11. The way in which interventions must focus on lowering future crises episodes is described accurately in each of the following statements EXCEPT:
A. Crisis intervention must be more than another installment in an ongoing traumatic cycle
B. Meaningfully improving an individual’s prospects for success requires not only good crisis services and good discharge planning, but also an understanding that the crisis intervener is part of a much larger system
C. Performance-improvement activities that are confined to activities within the walls of a single facility or a specific program are critical components of crisis intervention
D. Capturing and transmitting information about unmet clients needs to outside entities that have responsibility and authority is an essential ingrediant of crisis management
12. Organizations who encounter individuals in crises should have staff and staff leadership that understands, accepts and promotes the concepts of recovery and resilience, the value of consumer partnerships and consumer choice, and:
A. The balance between protection from harm and personal dignity
B. The critical relationship between control and empowerment
C. The need for linear and specific interventions
D. The impact of previous catastrophic experiences
13. An organization will be most effective if it limits its focus to “specific” patient-level interventions, while positioning itself to play a meaningful role in promoting formal strategies for the high-risk population it serves as well as specific strategies that target prevention within the general population.
A. True
B. False
14. Quality control and performance-improvement processes within an organization should be research-driven and attuned to demonstrating not only what segments of the service population are vulnerable to mental health crises, but also what factors underlie their susceptibility.
A. True
B. False
15. Favorable approaches to crisis services must be ______________ rather than merely reactive, with success seen as the ability of the individual served to return to a stable life in the community.
A. Outcome-based
B. Prevention-seeking
C. Cyclically-oriented
D. Forward-looking
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