Test Bank + Answers Ch2 A Policy Framework For Mental Health

Chapter 2

A Policy Framework for Mental Health Practice in Canada

Multiple Choice Questions

1. Who or what defines the powers of government in Canada?
2. The Charter of Rights and Freedoms
3. Federal or provincial legislatures
4. Federal policymakers
5. The Canadian constitution
6. The Charter of Rights and Freedoms (1982) identifies fundamental freedoms for Canadians. Which of the following is NOT included in these freedoms?
7. Freedom of association
8. Freedom of thought
9. Freedom of intention
10. Freedom of conscience
11. In what year was Jordan’s Principle passed in the House of Commons?
12. 1982
13. 2015
14. 2018
15. 2007
16. What percentage of COVID-related deaths in Canada occurred in long-term care homes, according to a June 2020 report?
17. 31%
18. 27%
19. 28%
20. 81%
21. Andreae (2002) identified seven core values of Canadians related to health and health care. Which of the following is NOT among these values?
22. Equal opportunity to receive services based on individual needs
23. Informed consent
24. Informed choice
25. Citizen participation
26. In 1962, which provincial government created the nation’s first universal health care system?
27. Ontario
28. Saskatchewan
29. British Columbia
30. Quebec
31. The Kirby Report (2002) focused on three areas related to health care services. Which of the following is NOT one of those three key areas?
32. Adequate funding
33. Adequate human resources
34. Adequate dispensing fees
35. Systemic reform of service delivery
36. In Box 2.1, the principles of the Canada Health Act are outlined. Which of the following is NOT one of its principles?
37. Universality
38. Comprehensiveness
39. Portability, including coverage for Canadians living in other countries
40. Accessibility
41. In 2019, health care spending in Canada reached $264 billion, translating to what amount per person?
42. Over $7,000
43. $6,000
44. $2,500
45. $1,200
46. Which of the following is NOT identified as one of the primary factors influencing Canadians’ health?
47. Gender
48. Religion
49. Education
50. Income
51. According to Chen et al. (2019), Indigenous people in Quebec are at ________ risk of diabetes, compared to non-Indigenous people.
52. 1-2 times higher
53. 0.5 times higher
54. 2-4 times higher
55. 5 times higher
56. The first Canadian hospital for mental health patients was opened in New Brunswick in ________.
57. 1836
58. 1830
59. 1850
60. 1894
61. In 1850, over half of the patients in the Toronto Lunatic Asylum were admitted from ________.
62. other hospitals in the region
63. halfway houses
64. skid row
65. local jails
66. Sigmund Freud introduced what model of understanding mental illness?
67. Transactional analysis
68. Gestalt
69. Psychoanalysis
70. Transpersonal psychology
71. The era of deinstitutionalization began in the ________.
72. 1980s
73. 1960s
74. 2000s
75. 1950s
76. Which of the following is NOT included in the text as a rationale for deinstitutionalization?
77. Cost of inpatient treatment
78. New psychiatric medications
79. Belief in the benefits of community-based treatment
80. Returning patients to the care of their families
81. “Psychiatric ghettos” is a term that describes the result of ________.
82. the consumer movement
83. deinstitutionalization
84. institutionalization
85. medicalization
86. Mental health reform included increasing community-based services for individuals with serious mental illness. Which of the following was NOT used to determine access to these services?
87. Compliance
88. Disability
89. Duration of illness
90. Diagnosis
91. By 1998, community mental health programs included ________.
92. more psychiatric facilities
93. free medication
94. drop-in centres
95. art therapy groups
96. In the 1980s, the Graham Report proposed a reduction in the number of psychiatric beds in Ontario to 30 per 100,000 population by 2003. By 2015, the number of beds was at ________.
97. 81 per 100,000
98. 219 per 100,000
99. 58 per 100,000
100. 34.2 per 100,000
101. Corrections Canada (2015) reported that what percentage of newly admitted federal male offenders met the criteria for a mental disorder?
102. 25%
103. 50%
104. 65%
105. Over 70%
106. The 2002 report The Time Is Now, released by Ontario’s Ministry of Health and Long-Term Care, suggested several areas of reform for mental health services. Which of the following is NOT one of the suggested areas of reform listed in the text?
107. An increase in sheltered workshops
108. Enhanced family support
109. Public education
110. Consumer-driven mental health planning
111. The national mental health strategy is based on the belief that it is essential for programs to address social dimensions of mental health, including ________.
112. housing
113. food banks
114. recreational facilities
115. legal services
116. The Canadian Alliance on Mental Illness and Mental Health (2006) reported that many Canadians had a negative view of those with mental illness. At what level of society does stigma NOT exist?
117. Individual
118. Professional
119. Social
120. Stigma exists at every level of society
121. The Standard on Psychological Health and Safety for Post-Secondary Students (2020) includes several areas for reform to better support students. Which of the following is NOT included in this list?
122. Promoting life skills
123. Providing safer learning environments
124. Reducing tuition fees
125. Raising mental health awareness

True or False Questions

1. The 1867 Constitution Act defined three main areas of government: the executive, the legislature, and the judiciary.
2. “Jordan’s Principle” states that responsibility for payment for health care services to Indigenous children must be determined before service is provided.
3. The Kirby Report (2002) was an extensive review of mental health care services in Canada.
4. Social workers licensed in one province can immediately practice under that license in any province.
5. When funding cuts are made to health care, mental health care is often impacted.
6. When it comes to health care legislation, mental health care takes precedence over other health care concerns.
7. Steele et al. (2007) reported a positive correlation between education and access to health care.
8. Substance abuse is not related to mental health outcomes.
9. Fuller-Thomson et al. (2012) reported that intimate partner violence is marginally associated with mental health status.
10. British Columbia’s Colony Farm hospital site used patient labour as a means of treatment.
11. Between 1965 and 1981, as a result of deinstitutionalization, the number of beds in provincial psychiatric hospitals across Canada dropped by 30 per cent.
12. The consumer movement was always well received by the mental health care system.
13. Transinstitutionalization is a term referring to the increased number of mental health patients who end up incarcerated.
14. In 2002, Ontario’s Ministry of Health and Long-Term Care released a report based on the philosophy that recovery from mental illness is possible for all people who are medication compliant.
15. The 2006 report Out of the Shadows at Last stated that Canada was the only G8 country that did not have a national mental health strategy.

Short Answer Questions

1. What are some examples of conflicts between federal and provincial health care systems and legislation?
2. What are some of the strengths and challenges of a pluralistic society?
3. Describe the rationale for the deinstitutionalization movement.
4. What are some of the strategic directions set out by the Mental Health Commission of Canada’s mental health strategy?
5. What does the text say about stigma?