Foundations of Behavioral Health Policy
and Social Work Final Exam Fall 2023
Solved 100% Correct
In 2017, the past year prevalence of mental illness determined by epidemiology studies
ranges from 12 to 30 percent of adults, depending on how it is measured. Ans- True
What is a co-occurring disorder? Ans- An individual with a mental illness and
substance addiction.
What percentage of deaths among working adults are attributed to alcohol misuse?
Ans- 1 in 10
Behavioral health encompasses chronic illness care, physical symptoms associated
with stress, and substance abuse treatment. Ans- True
People suffering from schizophrenia tend to be extremely violent. Ans- False
What U.S. policy has improved access to treatment for substance abuse? Ans-
Controlled Substances Act
Which edition of DSM was the first to feature detailed definitions of mental disorders?
Ans- DSM lll
Which of the following is true about the evolution of DSM editions? Ans- All of these
The most recent edition is the DSM-V
Asperger's Disorder was dropped as a diagnostic category in the latest edition.
There are studies that show that there is a lot of inaccuracy in psychiatric diagnosing
The original DSM classified homosexuality as a "sexual deviation disorder"
The typical measures epidemiologist use to define the rate of mental illness in the
population include: Ans- All of these
Symptoms and signs of mental illness
The level of difficulties a persons with a mental health condition has in filling their social
roles
, Foundations of Behavioral Health Policy and Social Work Final Exam
Whether a person has sought treatment for mental illness
Which of the following is NOT true about mental illness today? Ans- The number of
people with mental illness has declined significantly over the last couple of decades
thanks to scientific breakthroughs
Public policy that supported the reductions of numbers of inmates of state hospitals
included several different policy developments which enabled psychiatric patients to live
in the community. Match the policy/program with what it did. Ans- Mental Retardation
and Community Mental Health Centers Construction Act: Subsidies for construction of
community mental health centers
Medicare: Paid for health care for the disabled and elderly
Medicaid: Paid for health care for persons with poverty-level income
Social Security Disability Insurance: Provided income for disabled persons
Omnibus Reconciliation Act: Provided block grants to states to pay for mental health &
substance abuse programs
What was the purpose of the Omnibus Budget Reconciliation Act (OBRA) of 1981?
Ans- It was to remove the direct part of the federal government when it came to mental
health.
Deinstitutionalization is.. Ans- Was primarily enabled by the introduction of thorazine
in the 1950s
When Dr. Allen Frances refers to the DSM-V as having created "diagnostic inflation," he
is referring to how the newest edition of the DSM has expanded psychiatric diagnoses
into areas that used to be considered normal behavior, such as adult ADHD. Ans-True
Why was DSM III revised in 1987? Ans- It was revised because the criteria(s) that
were listed in the previous edition, it was more subjective than objective.
What percentage of homeless single adults have a serious mental illness (SMI)? Ans-
30%
The number of mentally ill in jails and prisons Ans- Is the reason that the criminal
justice system is called the "de facto" mental health system,
Which of the following gives the best explanation of the brain model of addiction? Ans-
Addictive drugs activate dopamine release, and over time this response desensitizes
the reward circuits, creating increased cravings and lessening the person's ability to
self-regulate
, Foundations of Behavioral Health Policy and Social Work Final Exam
What was the primary purpose of the Mental Health Parity Act passed by congress in
1996? Ans- The primary purpose was to remove annual and lifetime limits on getting
mental health coverage, hoping to mental health access and services which were as
good as in terms of providing, with other types of medical issues.
What are some goals of involuntary commitment? Ans- All of these
Protecting the individuals with mental illness from hurting themselves
Relieving families and communities from persons who disrupt daily life
Protecting the society as mentally ill people are deemed dangerous
What are the four possible outcomes of an individual who is "Baker Acted"? Ans- 1)
Liberating the individual and letting them be in the community or another community
placement.
2) A petition may be needed for involuntary inpatient placement
3) Involuntary outpatient placement
4) Treatment that is voluntarily decided by the person if he/she is competent to consent.
Which of the following statement about access to care is correct? Ans- Uninsured or
underinsured is one of the major barriers to mental health services.
Andersens' behavioral model is one of the most influential and widely used model to
understand the factors that may influence health service use. The model divide the
influencing factors into three major categories. Connect the following terms with the
correct matching definition. Ans- Predisposing factors:
Characteristics that are independent of personal circumstances and experiences
Enabling factors:
Resources available to the individuals in obtaining care
Need factors:
Actual and perceived need for services
Name three barriers to access to mental health care. Ans- 1) Not enough availability
of mental health professionals
2) The level of affordability is restricted, with inadequate insurance coverage, and the
cost to pay for services is high being some of the reasons.
3) The stigma that is attached to seeking/receiving care.
Which of the following statement is not true? Ans- Asian American high school males
and females are at the similar rate of attempting suicide.
Which of the following statement about disparity is incorrect? Ans- None of these.:
, Foundations of Behavioral Health Policy and Social Work Final Exam
Health disparities result in direct and indirect costs, such as lost work productivity and
premature death.
Disparities in health and health care limit continued improvement in overall quality of
care and population health.
30% of national health care expenditure is related to preventable healthcare needs
related to disparities in health or care.
As the population becomes more diverse and heterogeneous, it is increasingly
important to address health disparities.
List the two types of health disparities and give an example of each. Ans- 1) One
health disparity relates to how diagnosing and treatment of mental health disorders
have been done amongst people of color
Ex: African Americans have been over-diagnosed with schizophrenia and other types of
psychotic disorders than individuals coming from the non-Latinx Whites population.
2) Another health disparity relates to how health outcomes are reported amongst
women and males.
Ex: It has been said that women report their health issues more, and report more
serious and chronic issues as well, compared to men, although there is research that
has shown that women live longer.
Historically, there are no differences in how men and women with mental illness have
been treated. Ans- False
Which of the following statement is correct? Ans- Overall, men and women
experience comparable prevalence of mental illnesses.
There are persistent findings that rates of mental illness are highest among the lowest
S E S groups in the U.S Ans- True
What are some of the criticisms about the DSM-5? Ans- All of these.
The DSM-5 exacerbates the medicalization of normal behavior.
It promotes the globalization of the diagnosis of adult ADHD.
There are serious concerns about the reliability and validity of DSM-5 diagnoses.
It has led to the increasing and excessive use of psychotropic medications
If Angie, who is a new freshman at college and is having extreme anxiety and difficulty
sleeping at night, is told by her therapist that her parents did not teach her strategies to