101 Introduction Behavioral Health and Human Growth and Development

what are the times patients disclose information that the BHT professionals and paraprofessionals are obligated to report?

a) imminent danger to themselves or othersb) UCMJ violationsc) Abused) neglect

what duty was based off of the Tarasoff case?

The duty to warn and protect is an ethical and legal mandate

What is the Tarasoff case?

A patient stated to his therapist that he had intentions to kill Tatiana Tarasoff, she did not inform the third party but informed the police. Subsequently killing her.

What is the "Need to know" and what are examples?

The need to know, is when a commander is addressed if a service members is unwell and can alter their work. EX. A personnel is so depressed that their reality around nuclear weapons is in question

Case Consultation

BHT must seek consultation/supervision on all BH cases. This includes treatment/referral planning, goal setting, needed and predicted outcomes.

Ethical Responsibilities

It is important to report violations of ethical behavior through appropriate channels, even when it is uncomfortable or inconvenient to do so


the ability of the provider to administer safe and reliable care on a consistent basis.

Professional Relationships- Unlateral

In that the patient is there for help and we are the helpers

Professional Relationships- Special

because they are not intimate or in day to day relationships and they end once the counseling ends.


means to do the right things even when no one is looking


treat all patients and coworkers with dignity and respect

Behavioral Health Tech Assignments

a) behavioral health servicesb) medical facilitiesc) operational unitsd) drug and alcohol programsf) special assignments

Patient Rights- Medical Care

Patients have the right to quality care and treatment that is consistent with available resources.

Patient Rights- Respectful treatment

Patients have the right to considerate and respectful care

Patient Rights- Privacy and Security

Patient have rights, defined by federal law, to reasonable safeguards a=for the confidentiality, integrity, and availability of their protected health information, and similar rights for other PII, in electronic, written and spoken form.

Patient Rights- Provider Information

patients have the right to receive information about the individuals responsible for as well as those providing his or her care, treatment, or services.

Patient Rights- Explanation of care

Patients have the right to an explanation concerning their diagnosis, treatment, procedures, and prognosis of illness in terms that are easily understood

Patient Rights- Filing Grievances

Patients have the right tot make recommendations, ask questions, or file complaints

Patient Rights- research projects

Patients have the right to know if the MTF/DTF proposes to engage in or perform research associated with their care or treatment

Patient Rights- Safe environment

Patients have the right to care and treatment in a safe environment

Patient Rights- MTF/DTF rules and regulations

Patients have the right to be informed of the facilities rules and regulations that relate to patient or visitor conduct

Patient Rights- Transfer and continuity of care

When medically permissible, a patient may be transferred to another MTF/DTF only after he or she has received complete information and an explanation concerning the needs for and alternative to such a transfer

Patient rights- charges for care

Patients have the right to understand the charges for their care and their obligation for paynment

Patient rights- Advance directive

Patients have the right to make sure their wishes regarding their healthcare are known even if they are no longer able to communicate or make decisions for themselves


Immediate danger to self or others


When the commander is concerned about the safety or well being of the SM, and concerns about the SMs fitness for duty

What can commanders obtain information about a SM without their contents

General health status, adherence with scheduled appointments, profile status, and medical readiness

What is the purpose of medical terms?

Allows healthcare workers to communicate in one language

Word roots

Usually indicate the part of the body involved












Indicate the procedure, condition, disorder, or disease






recording an image


the image

EX. Cardiomegaly

enlarged heart


inflammation of the kidney


imaging of the breast


X-ray of blood flow in the arteries


indicates location, time, or status


without, none




double, two, twice, both


above excessive, beyound


lack of, loss of blood cells,


both sides


high blood pressure


paralysis of one side of the body

1. Atrophy

Decrease un size or bulk of a body part

2. Dehydration

Loss of removal of fluids

3. Contusion


4. hypertension

High blood pressure

5. tachycardia

increased heart rate

6. hematology

study of blood

7. Carcinoma

Skin Cancer

8. emesis

action or process of vomiting

9. Malaise

general feeling of discomfort illness, or uneasiness

10. lethargy

lack of energy and enthusiasm

11. flaccid

lacking force or effectiveness

12. paradoxical

different from what is expected

13. prognosis

probable course or outcome of a disease

14. ulcer

open sore on an external or internal surface of the body

15. hemporrhage

an escape of blood from a ruptured blood vessel

16. hemostasis

stopping of blood flow

17. hypotension

low blood pressure

18. bradycardia

low heart rate

19. hypertrophy

increase in size or bulk of a body part

What is the purpose of medical abbreviations

helps medical professionals write quickly and efficiently

1. RX

Medication, prescription

2. Hx


3. Tx


4. HI

homicidal ideation

5. SI

suicidal ideation

c" with a ling over it


S" with a line over ut


8. PO

by mouth

9. BID

twice a day

10. TID

three times a day


four times a day


every two hours


every morning


every night


vital signs


no known drug allergies


within normal limits






gunshot qound




heart rate


naseau and vomiting


nothing by mouth






signs and symptoms




audio visual hallucinations


blood pressure


chief complaint






over the counter


as needed


alert and oriented

respirtory system

functions to distribute oxygen to the tissue and remove carbon dioxide from the tissues. consists of the upper and lower airways and the lungs

Upper airway

Nose, pharynx, larynx- upper airway structures filter, warm, and moisten air

Lower airway

Trachae and bronchi-the lower airway gets the air to the lungs


where oxygen/carbon dioxide exchange occurs

cardiovascular system

composed of the heart and blood vessels. its purpose is to bring oxygen and other nutrients to the cells via. blood and remove metabolic waste products


A hallow, fist sized, muscular organ.

blood vessels

arteries carry blood away from the heart and connect smaller vessels called capillaries to distribute blood to tissue


composed of several components, plasma, RBC, WBC, platelets


liquid part of blood and is mostly water

red blood cells

also known as erythrocytes, these cells transport oxygen from the lungs to the tissues and take carbon dioxide from the tissues back to the lungs to be expelled

White blood cells

also known as leukocytes, WBC are responsible for defending the body from viruses, bacteria, and other foreign particles


essential rollin blood clotting and in plugging blood vessel breaks

lymphatic system

serves as the second circulatory system and one of the body primary defenses against invasion by harmful organisms and chemical toxins. it is composed of the lymph fluid, lymphatic vessels, lymph nodes, thymus gland, and spleen.


A clear fluid containing WBCs. it bathes tissues and helps filter and transport substances

lymphatic vessels

they resemble veins and transport the lymph

Lymph Nodes

They are located along lymphatic vessels and act as filters for lymph where foreign substances can be recognized and destroyed


A mass of lymph tissue located near the base of the heart. it okays a role in defending against harmful substances in the infant, but not in the adult


a fist sized structure in the upper left portion of the abdomen the spleen functions as a filter for the blood. special cells destroy worn out RBC and bacteria and other foreign substances

the immune system

refers to all the cells, tissues, organs, and processes that protect an organism from invasion by pathogens. this is the system that is responsible for the symptoms we experience with allergies as out bodies work

Gastrointestinal system

source of nutrients responsible for energy, building materials, and repair for the body. it contains structures that ingest, digest, and absorb food. it consist of the oral cavity, pharynx, esophaguses, stomach, small intestine, and large intestine.

oral cavity

prepares food for swelling through chewing and salivation


cavity that extends from the base of the skull to the esophagus, it aids swallowing by grasping food and moving it toward the esophagus


a muscular tube that conveys food from the pharynx to the stomach


churns ingested food and mixes it with gastric juices. it serves as a temporary storage area for food, which remains ther until it is partially digested

small intestine

complete digestion

large intestine

absorb water and eliminate digestive waste


aids in digestion of fats, carbs, and protiens


moves bile into the intestines to help break down material


secretes enzymes for breaking down particular food items

Reproductive system

union of male and female sex cells

musculoskeletal system

a muscle contraction permits movement, maintains posture, and generates heat.

voluntary muscle

attaches to the skeleton and permits voluntary movements

involuntary muscle

lines he visceral organs and urinary bladder and surrounds blood vessels, bronchi, and various ducts

cardiac muscle

Makes up the mass of the heart well

skeleton system

forms the framework that supports and protects the body. acts as levers for the skeleton muscles to move the body and permit locomotion and other movement

axial skeleton

consists of the skull, the vertebral colun, and the bony thorax


protects the brain

vertebral column

provides primary axial support for the body

bony thorax

forms a protective enclosure for the heart, lungs, and large blood vessels

appendicular skeleton

consists of the shoulder grille the bones of the upper limb, the pelvic grille, and the bones of the lower limbs

shoulder gridle

forms an attachment o the upper limbs

bones of the upper limbs

each limb contains 30 bones the largest and longest being the humorous or upper arm bone

pelvic girdle

attatches the lower limbs to the axial skeleton

bones of the lower limbs

thicker and stronger than the upper limbs. the longest, thickest, and strongest bones in the body is the femur

Nervous system

allows for communication among different parts of the body and between the body and external environment.

central nervous system

consists of the brain and spinal cord

peripheral nervous system

consists of all the nerves outside the CNS such as those that go from the spinal cord to skeletal muscles

autonomic nervous system

controls involuntary actions, such as cardiac and smooth muscle

sympathetic nervous system

helps the body cope with events in the external environment through flight or fight response.

parasympathetic nervous system

supports restorative, resting body functions. bring you back to normal


ridges in the brain


valleys in the brain

longitudinal fissure

divides the left and right side of the brain


Largest part of the brain, responsible for perception, thought, and voluntary motor activity

corpus callosum

largest fiber bundle, connects the two cerebral hemispheres and passes information from one to the other

cerebral cortex

a sheet of neurons containing 100 billion neurons interconnected by mode pf connecting fibers

frontal lobes

mood, emotions, speech, and motor function

parietal lobes

reception and evaluation of most sensory information

temporal lobes


occipital lobes



receives input from all senses except smell


regulates the autonomies nervous system thereby influencing reactions


contains your midbrain, pons, and medulla


contains primitive centers for vision and hearing


sensory and motor information pass through on their way to other brain areas


regulates basic bodily functions such as breathing, heart rate, blood pressure, coughing, and sneezing

reticular activating system

internal to the brainstem, arousal

basal ganglia

controls muscle tone, activity and posture, damage may cause Parkinson's disease

limbic system

important role in emotions and motivated behavior


regulation of basic motor activities, damage can lead to ataxia

cell body

main portion of the neuron


part of neuron that transmits information from other cells to the cell body


part of the neuron that conducts information from the cell body to other neurons

axon terminal

the part of the neuron that contains and releases the neurotransmitter

myelin sheath

a covering made from cells that surround the axon and provide protection, but more importantly allow information to travel down the axon more rapidily


primary role in controlling alertness and wakefulness, implicated in depressive and anxiety disorders


involved in movement, attention, and learning, too much can lead to schizophrenia and too little can lead to Parkinson's disease


regulation of mood and control of eating, sleep, and arousal


located in the brain, spinal cord, and neurons muscler junction of skeletal muscles


message is excitatiry

gamma amino butyric acid

most neurons of the CNS have receptors

gross motor skills

physical skills involving large body movements

fine motor skills

physical skills that usually involve the hands and fingers


old sight, loss of near vision


old hearing, loss of hearing


cessation of menstruation


loss of bone density

infant stage

birth to a year, head control at 2 months, roll over at 4 months, hold head up at 6 months, sit alone at 7 months, crawl at 9 months , standing at 8 months, walking 12-15 months. reaching at 5 months, hold a bottle at 6 months, transferring from hand to hand at 7 months, drink from a cup at 9 months, hold a writing object at 12 months


1-3 years, run at 18 months, kick a ball at 24 months, stand on one foot at 24 months, undressed at 24 months, normal grab at 3 years, and put together puzzles at 3 years.


3-6 years, walk on a tiptoe at 4 years, climb, jump, jumprope, at 5 years, using buttons, zippers, snaps, at 5 years

school age

6-11 years, muscle mass and strength increase, print letters at 6-7 years, prefer pencils at 8-9, learning of musical instruments at 8


12-19 years, puberty starts at 10-11 for girls and 11-12 for boys

early adulthood

20-40 years, physical efficiency peak, presbyopia may begin

middle adulthood

40-60 years

late adulthood

60 years and up

Jean Piaget

development of children's understanding through observing them.


children incorporate new information into existing knowledge structures known as schemas


involves changing the schemas when exposed to new information

sensorimotor stage

birth to two years- children learn the relationship between their actions and the external world

preoperational stage

2-7 years, language develops, symbolic play, egocentrism

concrete operational

7-11 years, think logically about concrete objects and events,

formal operational stage

11 years and up- they begin to think abstractly

Erik Erikson

focused on social processes in the development of personality, eight stages of the life cycle.

trust vs. mistrust

birth to 18 months, forming of basic trust

autonomy vs. shame and doubt

18 months to 3 years, gain self- control and independence, learning a sense of self

initiative vs. guilt

3-6 years, develop a sense of purpose and the ability to initiate and direct ones own activity

industry vs. inferiority

6-12 years, development of self confidence by learning, competing, preforming successfully, and receiving recognition from significant others

identity vs. role confusion

12-20 years, to integrate the previous tasks into a secure sense of self. this is a time for the development of ideologies, morals, and values

intimacy vs. isolation

20-30 years, form an intense, lasting relationship or commitment to another person, cause, institution, or creative effort.

generatively vs. stagnation

achieve the life goals established for oneself while also considering the welfare of future generations

Ego Integrity vs. Despair

65-death, review ones life and derive meaning from it and achieving a positive sense of self


developed the Ecological system theory to describe the complex interplay of multiple environmental systems upon childhood development


your immediate enviroment


social settings that a person may not experience firsthand but that still influence development


provides connections across microsystems


ideological patterns of a particular culture or subculture; social policy, shared assumptions.


in the bioecological model, historical changes that influence the other systems