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Evidence-Based Treatments for First Episode Psychosis

3. Evidence Supporting Early Intervention

1. Recent studies emphasize continuity of specialized care for up to _____ years post-psychosis onset in order to consolidate gains achieved through initial treatment.

A. 5

B. 4

C. 3

D. 2


4. Coordinated Specialty Care

2. A developing program should consider including individuals with lived experience of psychosis as team members.

A. True

B. False


3. Which of the following is the responsibility of the client’s principal care manager?

A. Coordination of all aspects of the client’s care.

B. The client’s link to the rest of the treatment team.

C. The client’s link to outside social service agencies and emergency treatment facilities.

D. All of the above.


4. Successful implementation of coordinated specialty care depends mostly on achieving 1:1 correspondence between the number of providers and CSC service components.

A. True

B. False


5. In programs with smaller caseloads, all of the following key roles may be combined, except for:

A. Primary care management and administrative oversight to the team.

B. Individual psychotherapist and care manager.

C. Supported employment / education role and individual psychotherapist.

D. All of the above may be combined.


6. Supported employment and education specialists should be selected on the basis of all of the following, except for:

A. A graduate degree in mental health, social services, or business.

B. Experience working with people with serious mental illnesses.

C. Experience providing employment services within the Individual Placement and Support model.

D. All of the above should be used to select SEE specialists.


7. CSC staff members must understand common problems that cut across all service categories, such as:

A. Difficulties in engaging the client and their family members.

B. Clients’ vulnerability for developing substance use problems.

C. Heightened risk of suicide during the early years of treatment.

D. All of the above.


8. Persons experiencing FEP, and their family members, are often difficult to engage in treatment, requiring a thoughtful approach to presenting the CSC program from the moment of initial contact, and making assertive outreach, efficient enrollment, and hopeful messages critical at the time of intake.

A. True

B. False


9. First contacts with clients and family members should be supportive and reassuring, with emphasis placed on learning about how:

A. The individual experiences symptoms.

B. Symptoms impact their daily lives.

C. Changes related to FEP have affected family members or other significant others.

D. All of the above.


10. Initial ambivalence is common among clients and relatives, so effective engagement requires ongoing education and support and a willingness on the part of providers to negotiate changes in treatment goals and strategies.

A. True

B. False


11. Individuals meeting eligibility criteria should be offered an admission interview with the CSC team quickly, ideally within two days of the screening interview.

A. True

B. False


12. Personalized, recovery-oriented goals that focus on normal developmental milestones are most likely to sustain motivation for treatment beyond the initial phase of care.

A. True

B. False


13. Evidence suggests that abrupt transfer to usual care after two years compromises the immediate benefits of early intervention.

A. True

B. False


14. An important consideration in planning the transition from CSC is the client’s:

A. Personal vision of stability.

B. Success in community functioning.

C. Personal autonomy.

D. All of the above.


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