The nurse case manager is discussing the various community ...

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The nurse case manager is discussing the various community support programs for a patient who is scheduled to be discharged from an inpatient mental health facility. Which statement by the patient indicates that the nurse's teaching about supported
 
  employment (SE) programs has been effective? Select all that apply.
  1. The goal of these programs is competitive employment.
  2. Treatment and employment are integrated in these programs.
  3. The goal of these programs is to provide job readiness classes.
  4. Assessment of intellect and abilities are integrated in these programs.
  5. Everyone who shows interest in employment is eligible for these programs.

Question 2

The nurse case manager is discussing the pros and cons of Assertive Community Treatment (ACT) programs with a patient who is due to be discharged from the inpatient mental health unit.
 
  Which patient statement indicates the patient has understood the information provided?
  1. These programs are expensive and not cost-effective.
  2. These programs will assign me to a single staff member who will work with me to achieve my goals.
  3. These programs offer access to resources such as housing and financial assistance.
  4. These programs increase stress and burnout of individual case managers.

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Answer to Question 1

Answer: 1, 2, 5
Explanation: Supported employment (SE) programs help individuals with mental illness find and maintain employment. Employment specialists work with the individual and other members of the treatment team to help the individual identify interests and strengths and to focus on areas for training and educational. The goal of these programs is competitive employment, not providing job readiness classes. Treatment and employment are integrated into these programs, not assessment of intellect and abilities. Everyone who shows interest in employment is eligible for these programs.

Answer to Question 2

Answer: 3
Explanation: ACT programs become actively and directly involved in many areas of the patient's life and may control access to resources, such as housing and financial assistance in return for adherence to medication and treatment programs through outpatient commitment. ACT programs are expensive, sophisticated programs, making them difficult for some clients to afford; however, they are believed to be cost-effective because they offset still more expensive hospital episodes. Reduction of stress and burnout of individual case managers is achieved through the an interprofessional team approach to the management of cases, which is considered one of the advantages of ACT programs.