Author Question: Which of the following statements explains why deinstitutionalization has led to homelessness and ... (Read 19 times)

rl · **on:** Jul 19, 2018

Which of the following statements explains why deinstitutionalizat ion has led to homelessness and incarceration for people with mental illness?

A) People with schizophrenia often avoid social situations and prefer living away from a society they do not understand.
B) Families cannot cope with their relatives who have mental illness.
C) People with mental illness often cannot work and thus inevitably end up committing crimes or losing their homes.
D) No community infrastructure exists to meet the needs of people with mental illness.

Question 2

A nurse is organizing population-based interventions aimed at addressing this high incidence and prevalence of depression in older Americans. Which of the following statements of true of depression in older adults?

A) Depression is largely unavoidable in older adults due to age-related life changes.
B) Electroconvulsive therapy is preferable to antidepressant medications in the treatment of older adults' depression.
C) Depression in older adults is usually self-limiting, unlike depression in younger adults.
D) Treatments for depression are usually effective in older adults, but many do not receive adequate treatment.

flannelavenger · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: D
Feedback:
Because of problems in the implementation of deinstitutionalizat ion, a new generation of severely mentally ill people have spent only brief times in hospitals, face a shortage of affordable housing, and experience a greater severity of illness than mentally ill people in general. As a result, these noninstitutionalize d, often younger mentally ill are joining the ranks of the homeless. Their treatment usually demonstrates a common pattern. They are referred to community treatment yet often do not follow through and thus decompensate, perhaps resulting in hospitalization. Frequently, they are discharged from the hospital without full stabilization of their symptoms, returning to a stressful environment without the needed structure and support and thus resuming the pattern.

Answer to Question 2

Ans: D
Feedback:
Available medications and psychological treatment can help 80 of those with depression, yet many clients do not seek help. Medications are preferable to ECT and depression is never considered to be a normal life event. Depression in older adults is not a self-limiting condition.