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CPRP Practice Questions with Answers
1. Mental health affects about 20% of the population.: True
2. Psychiatric rehabilitation emerged out of the deinstitutionalization move-
ment of the 1930's.: False
3. is/are example(s) of evidence-based practices.: All of the
above
4. Delusion are bizarre beliefs or ideas that a person cannot be talked out
of while hallucinations are incorrect sensory information that the individual experiences as real.: True
5. Mood disorders effect between: about 5-20% of the population.
6. The "Vermont study" by Dr. Hardng was one of the first longitudinal studies
to demonstrate that persons with schizophrenia could have positive long-term outcomes.: True
7. Illness Management and Recovery is an evidence based practice consisting
of: psychoeducation and self-management strategies.
8. Recovery is a operationalized construct that can only be measured by
medical doctors.: False
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9. The main goal of Psychiatric Rehabilitation is:: to promote recovery.
10. Shared decision making involves consumers defering to the needs
of the treatment team they are working with.: False
11. The PsyR process has three stages: the diagnostic
stage, the planning stage and the stage.: intervention stage.
12. Since deinstitutionalization PsyR has had a focus on the concept of
interde- pendence.: True
13. A wellness coach helps individuals identify strengths in the 8
dimensions of wellness and then helps them to clarify what they hope to change or improve.- : True
14. Much of the early development of psychiatric rehabilitation took
place in psychiatric hospitals and asylums.: False
15. SMART goals are integral to the coaching process and are used to
help individuals achieve health and wellness goals. The acronym SMART stands for:: Specific, Measurable, Attainable, Realistic, and Time-framed.
16. Research shows that the life span of individuals with mental illnesses
is 10 years less than that of the general population.: False
17. Psychiatric rehabilitation day programming services maintain a strong
rep- utation and are overwhelmingly popular with consumers and families.: False
4 / 56 with disabilities.: True
27. Institutionalization syndrome was a formerly diagnosable condition in
the DSM-III.: False
28. Supported housing and independent living sought to facilitate
opportunities for people to reside in independent living situations of their choice in the community and receive support services to help them maintain those situa- tions.: True
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29. The Olmstead v L.C. US Supreme Court case was a major victory
for the disability community and upheld Title IV of the Americans with Disabilities Act.: False
30. The WRAP is the best known, evidence based self-help approach in
psychi- atric rehabilitation.: False
31. Psychiatric Rehabilitation: promotes recovery, full community integration and improved quality
of life for persons who have been diagnosed with any mental health condition that seriously impairs their ability to lead meaningful lives. Psychiatric rehabilitation services are collaborative, person-directed and individualized. These services are an essential element of the health care and human services spectrum, and should be evidenced-based.
32. WRAP: Wellness Recovery Action Plan
33. Assertive Community Treatment (ACT): -an evidence-based practice that improves
outcomes for people with severe mental illness who are most vulnerable to homelessness and hospitalization.
34. Principles of Psych Rehab Groupings: 1-3= Roles of the
Practitioners 4-10= Best Practices in the Field 11-12 PsyR Service Delivery
35. Evidence-Based Practice (EBP): - recognizes the importance of understanding and following
re- search recommendations, while taking into account the service provider's clinical expertise and the goals, preferences, interests, values, and characteristics of the people using the service
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5. Recovery changes frequency and duration of mental health symptoms.
6. Recovery is not necessarily a linear process.
7. The consequences of the "illness" (eg. stigma) often can be harder to overcome than any of its symptoms.
8. Recovery does not suggest that a person never had a mental illness of never experienced mental health symptoms.
41. Noordsy et al. definition of recovery is centered around what 3 core
con- cepts:: 1. hope 2. taking personal responsibility 3. getting on with life.
42. Principles of Psychiatric Rehabilitation: 1. Psychiatric rehabilitation practitioners (PRP)
convey hope and respect and believe that all individuals have the capacity for learning and growth.
2. PRP recognize that culture is central to recovery and strive to ensure that all services are culturally relevant to individuals
receiving services.
3. PRP engage in the processes of informed and shared-decision making and facilitate partnerships with other
people the individual receiving services has identified
4. PsyR practices build on strengths and capabilities of individuals.
5. PsyR practices are person-centered; they are designed to address the unique needs of individuals, consistent with
their values, hopes, and aspirations.
6. PsyR practices support full integration of people in recovery into their communities where they exercise their rights
of citizenship as well as to accept the responsibilities and explore the opportunities that come with being a member of a community and a larger society.
7. PsyR practices promote self-determination and empowerment. All individuals have the right to make their own
8 / 56 decisions, including decisions about the types of services and support they receive.
8. PsyR practices facilitate the development of personal support networks by utilizing natual supports within commu-
nities, peer support initiatives, and self-and mutual-help groups.
9. PsyR practices strive to help individuals improve the quality of all aspects of their lives, including social, occupational,
educational, residential, intellectual, spiritual, and financial.
10. PsyR practices promote health and wellness, encouraging individuals to develop and use individualized wellness
10 / 56 -must have abnormal/not "culturally-sanctioned" reactions/behaviors to events -a faulty way of perceiving or reacting to the world
46. The Disability Perspective: -psych disabilities occur when a mental health condition interferes
with a person's function in living, learning, working, and/or social environments and roles.
47. Americans with Disabilities Act (ADA) definition for Disability: -a physical or
mental impairment that substantially limits one or more major life activities of such individual
48. Social Security Act (SSA) definition for Disability: -"the inability to engage in any
substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of no less than 12 months."
49. PRA's definition for Disability: -the concept is seen as more relevant to rehabilitation than
is the concept of illness and implies the hope of reacquiring abilities and valued roles.
50. The Bio-Psycho-Social Perspective: -the health condition is seen as interacting with
environmental and personal factors to affect an individual's functioning at the level of body functions and structures, in performance of daily activities, and in participation in values roles and life domains.
51. Bio-Psycho-Social Perspective Functions related to Symptoms of the
Body: - ABC -Affective functions: experience, expression, regulation of affect. -Behavioral functions: energy and drive, sleep and appetites, and psychomotor functions
11 / 56 -Cognitive functions: experience of self and time, attention/concentration, memory, and executive functions
52. Positive Symptoms (in regards to Medical Perspective of Psychiatric
D i s a b i l i t y ): -additions to typical behaviors (present) Ex. delusion, hallucinations, bizzare behaviors, etc.
53. Negative Symptoms (in regards to Medical Perspective of Psychiatric
Disbility): -showing a lack of something (absent) Ex. social withdrawl, difficulty producing thoughts or speech, blunted of flat affect, etc.
54. The Social Perspective on Psychiatric Disability: -sees the disability as a product of the
social and interpersonal factors. -"there is no such thing as a mental illness" -believes that psychiatric symptoms can be a healthy response to a dysfunctional world. -"what looks like illness often represents a method of surviving difficult times or coping with trauma -Believes that because the environment helps to define 'disability', disability is a socially constructed concept.
55. Competency: -the ability to apply or use knowledge, skills, attitudes, and personal characteristics to
success- fully perform critical work tasks, specific functions, or operate in a given role or position.
56. KSA: Knowledge, Skills, and Attitudes
57. KSA's Three competency blocks: Foundational (bottom tier), industry-related (middle tier),
and occupation-related (top tier)
58. KSA's Foundational Block: -can be generalized/are core competencies
-three tiers: basic workplace skills, basic academic skills, and the personal ettectiveness skill (soft skills)
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62. Person-Centered Planning (PCP): -an ongoing collaborative process between an individual
and his or her team members (including clinical and rehabilitation professionals as well as natural supports)
63. Process Perspective (in regards to PCP): -how roles, relationships, and planning meetings
look different when conducted in a person-centered fashion
64. Documentation Perspective (in regards to PCP): -how the person-centered
process is reflected in a written plan.
65. "Dignity of Risk"/"Right to Fail": -respecting each individual's autonomy and self-
determination (or "dignity") to make choices for himself or herself
66. IAPSRS Plans Should Include:: -person-first language
-diagnosis is not as important as the persons' individuality -language should be understandable to all involved and if professional terminology is necessary it should be explained to all. -goals should be written using individuals' own words.
67. PROS: Personalized Recovery-Oriented Services
68. A Comprehensive approach to Psychiatric Rehabilitation Assessment
in- cludes an assessment of:: 1. the person's readiness and preferences for life changes
2. the person's everyday functional strengths and needs
3. the nature of the person's resource supports an barriers
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69. Assessment in PsyR Practice: -an ongoing process that the person in recovery and their
psych practitioner engage in mutually to determine the need to and direction of change in the person's daily living skills and living learning, and working domains
70. Rehabilitation Readiness Assessment explores:: 1. Need for Change (is person
dissatisfied with their current situation?)
2. Commitment to Change (are they committed to making changes?)
3. Personal Closeness (are they open to connect w/others?)
4. Self-Awareness (have insight?)
5. Environmental Awareness (aware of the differences between environments?)
71. Psych Rehab Assessment includes:: 1. a readiness assessment
2. an assessment of the person's functional strengths and needs
3. an assessment of the environmental and/or contextual resources and barriers.
72. Focus of Functional Assessment: -the behavioral routines and skills needed for the life
domains targeted for change by the rehabilitation readiness assessment. -the starting point is always the person's expressed goals.
73. Performance-Based Assessments: -assessments in which the person in recovery is actually
en- gaged in doing the activity, and the CPRP is observing the person's engagement.
74. Interventions: -the actions service providers take to help individuals achieve their personal recovery
goals, and in a service plan, they indicate the methods by which goals and objectives are achieved.
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84. 3 Key Components of the Direct Skills Teaching Process: Self-determination,
choice, and active participation
85. The Tell-Show-Do Process (Skill Development): 1. Tell- refers to written and oral
descriptions of what needs to be done, along with any tips about how to do a behavior or how to select and use the tools needed for the skill.
2. Show- refers to the instructor modeling a demonstration of the skill for the learner.
3. Do- giving the leaner a chance to practice the skill.
86. Reinforcement (in terms of skill development): -the form of verbal praise
supports effort and accuracy.
87. Shaping (in terms of skill development): -reinforcing gradual changes towards
successful performance.
88. Programming Skill Use: -a one-to-one counseling-type skill intervention used when a
person has demonstrated the ability to competently perform the skills, but is not using that skill as needed in real life.
89. The Four Common Types of Barriers: 1. Lack of Planning
2. Lack of Resource
3. Lack of Knowledge
4. Lack of Confidence
90. Steps to Overcome the Four Common Barriers: 1. Lack of Planning ’needs more
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2. Lack of Resource ’needs connected to resource
3. Lack of Knowledge ’research is needed
4. Lack of Confidence ’repeated practice needed to develop a sense of mastery.
91. Definition of Supports: -the people, places, things, and activities that keep people going from
day to day.
92. 3 Interventions to Build Supports:: 1. Acquiring Resources
2. Linking to Resources
3. Creating Resources
93. Acquiring Resources: -helping a person access or obtain an existing thing or activity.
94. Linking to Resources: -making a connection to an existing service or support and is more
complicated than resource acquisition.
95. Peer Support Definition: -a process of sharing mutuality, giving and receiving hope,
strengths, and lived experiences.
96. Peer Support Services Definition: -are programs, discussions, events, groups, etc. within the
mental health system that are led by people in recovery and are based on the philosophy of peer support.
97. Certified Peer Specialists: -a workforce that models the lived experience of recovery to promote
hope and teach skills for self-directed recovery and mind-body whole health and resiliency..
98. Peer Support Competencies: 1. Understanding and Fulfilling the Peer Worker Role
19 / 56 and have ready access to intensive, flexible personalized support services that would help them to succeed in their living environment.
104. Pathways to Housing First Model (PHF): - provides housing that does not require
readiness, treatment, or sobriety as preconditions for getting into housing. -believes that housing is a basic human right, not something that people must earn or prove they deserve by complying with treatment.
105. "Housing First": -reserves the approach of care demanding treatment and sobriety first.
-referring to individuals' expressed choice about what problem they would like to deal with first.
106. Core Values of Pathways Housing First: 1. All people have a right to housing
2. People with psychiatric disabilities should not have to prove that they are 'housing ready' nor 'earn the right to
housing' by complying with psychiatric treatment or attaining sobriety
3. Strengths are appreciated, and each person's potential for creativity, growth, and recovery is acknowledged, honored,
and encouraged.
4. Respect, hope, and creating possibilities are the foundations of helping.
5. People have the power of choice, and their life choices are honored and upheld
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107. Person First Language: - use "person" alone and keep diagnosis irrelevant
-person WITH a psychiatric disability -Ex.. Someone with a history of depression, not "suffering from depression"- suffering is a concept that can only be used by the person who is experiencing the suffering. -Not considered a 'client' (this implies possession)
108. "Psychiatric Disability" or "Mental Illness": Use Psychiatric disability for person first
language
109. Psychiatric Disability: implies something a person has (not "is"), while emphasizing ability,
and is analogous to physical disability
110. Mental Illness: implies a medical perspective, with an emphasis on diagnosis and symptoms,
which is analogous to physical illness
111. Mental Health: Implies wellness and successful cognitive and interpersonal behaviors and is analogous
to physical health, in the sense that someone can be basically healthy while still experiencing occasional periods "illness" or symptoms.
112. Discrimination: is making a distinction in favor of or against a person, based on the group or category
to which that person belongs
113. Stigma: refers to a mark or evidence of shame that is intrinsic to a person, and which often is used
as a justification for discrimination
