Appropriate care Model- Mental Health Part-1 Quiz

1. Which of the following are Factors which may influence the duration of disability?

History

Home/Lifestyle

Workplace

Plan-Member

All of the above

Factors from each of these sources may positively of negatively impact symptoms in mental health conditions and the duartion of disability. They are addressed in out Active case management framework.

Explanation

Factors from each of these sources may positively of negatively impact symptoms in mental health conditions and the duartion of disability. They are addressed in out Active case management framework.

2. An interview confirms that a plan-member is having trouble sleeping, has lost 10 pounds in the past 2 months, stays home all day, gets tired easily, is having trouble reading books like she did before, and no longer wants to cook for her family. Which DSM-IV diagnosis would you expect to see on the Attending Physician Statement (APS)?

Anxiety

Depression

These symptoms are consistent with a diagnosis of depression, but in order for her claim to be approved, functional limitations need to be confirmed and we need to assess appropriate treatment.

Explanation

These symptoms are consistent with a diagnosis of depression, but in order for her claim to be approved, functional limitations need to be confirmed and we need to assess appropriate treatment.

3. How can we assess the impact of these Other Factors?

Phone calls to the Plan-Member

Phone calls to the Plan-Sponsor

Calls to Plan-Member and Plan-Sponsor

Information that we gather form all sources can help us assess any change in functional ability from the pre-disability period.

Explanation

Information that we gather form all sources can help us assess any change in functional ability from the pre-disability period.

4. Standard contract wording states,
"The Employee is receiving, from a Physician, regular, ongoing care and treatment appropriate for the condition as determined by Manulife Financial."
This means that all Plan-Members with mental health conditions must be taking medication.

True

False

Appropriate care is different for different diagnoses. Generally, we would expect treatment to start with medication or counselling and if no change in function is seen within 4-6 weeks, additional treatment should be added.

Explanation

Appropriate care is different for different diagnoses. Generally, we would expect treatment to start with medication or counselling and if no change in function is seen within 4-6 weeks, additional treatment should be added.

5. The following indicators would suggest that counselling is not based on cognitive behavioural therapy principles.

Clear goals of counselling are stated

Homework assignments are provided

Counselling is time limited: not expected to go on indefinitely

Past issues are addressed, rather than present functional ability

CBT is a form of therapy that has been shown to be effective in reducing symptoms of depression and anxiety and improving functional ability. It is goal directed, based on present functioning, lime limited, and relies heavily on homework assignments to apply the concepts reviewed in therapy.

Explanation

CBT is a form of therapy that has been shown to be effective in reducing symptoms of depression and anxiety and improving functional ability. It is goal directed, based on present functioning, lime limited, and relies heavily on homework assignments to apply the concepts reviewed in therapy.

6. Most effective treatment for Bipolar Disorder is medication combined with counselling.

True

False

Expected treatment for Bipolar Disorder is medication. Counseling can help to understand the diagnosis and learn skills to manage symptoms.

Explanation

Expected treatment for Bipolar Disorder is medication. Counseling can help to understand the diagnosis and learn skills to manage symptoms.