Do a good deed and reach out to people you know who have less social connections than you do, and check in with them. Remember you see the worst cases of COVID-19, so you have a skewed perception of the risks. I wish there were a set of … You don’t need to call 911 unless it’s an emergency. The Minister of Health and Long-Term Care is responsible for designating psychiatric facilities under the Mental Health Act and hospitals under the Mental Disorder Part of the Criminal Code (Canada).. However, if an individual’s withdrawal needs can be safely managed at the Centre, we can provide a medically supervised slow taper for opioids and benzodiazepines. The unit provides a structured environment suitable for patients with chronic mental health illnesses, such as psychotic disorders. Built by the team at the Peter Munk Cardiac Centre, the COVID-19 Clinic is supporting patients across University Health Network. A recent medical examination is required at the time of referral. You may wish to be hospitalized if you're having symptoms that are putting you or others at risk, such as suicidal urges, mania, or psychosis. Self-admitting into a psychiatric hospital or residential mental health program with acute stabilization services is the most efficient option for getting the necessary psychiatric help quickly. The Act requires that psychiatric hospitals and units be registered as approved psychiatric centres. Stay away from online chatter if you feel worse after consuming media, or consciously follow it with a “chaser” of something cheerful and positive. Comprehensive Assessment Services: the evaluation and identification of specific needs for intervention. Psychiatric Status: Individuals must be psychiatrically stable with no acute suicidal or homicidal risk. Contact your family physician and ask what they can do to help. Even healthy relationships can feel the impact of suddenly spending 24 hours of every day together. Hospital stays for mental health are usually pretty short (from a few days to a week or two). Psychiatric status. Due to environmental and staffing constraints however, the unit cannot accommodate patients who have unprovoked or unanticipated aggressive behaviour towards self or others. Medical Status: Individuals need to be medically stable and all medical conditions need to be well controlled prior to admission. It cost a lot of money to stay there. Go to your GP, tell them you need an emergency appointment. © 2020 Toronto General & Western Hospital Foundation, all rights reserved. Substance abuse with stable mental health disorders including mood disorder and/or anxiety disorder and/or personality disorders which will not prevent effective treatment. Therapeutic Environment: Patients are appropriate if they have an ability to function in an open and community-integrated setting. I went into the ER yesterday because I was afraid I might hurt myself. 6. Transitions Program Admission Application Form, © Alberta Health Services 2020 Terms of UsePrivacy Statement, Claresholm Centre for Mental Health & Addictions. Skill Development: Individuals must have the potential for skill development which will lead to increased independence. Treatment emphasizes applying recovery skills, preventing relapse, improving emotional functioning and promoting personal responsibility. During this pandemic, there are many articles and, of course, social media posts and videos with directions on what to do to keep busy and protect our mental health. Promotion of community activities which facilitate transfer of information to public at large about mental health issues; supportive networking; service integration/linkages/evaluation. 6. Keep yourself safe. The Claresholm Centre for Mental Health & Addictions is a designated facility under the Mental Health Act and accepts formal patients who are in need of rehabilitation. It serves patients with mental health diagnoses who have been assessed and approved by Transitions Services and are awaiting placement in a supported living/long term facility. Sam Dylan Finch is a leading advocate in LGBTQ+ mental health, having gained international recognition for his blog, Let’s Queer Things Up!, which first went viral in … This is challenging for those with insomnia, but following good sleep hygiene can really help. Yesterday’s blog spoke to the issue of an Application for Psychiatric Assessment (Form 1) under the Mental Health Act R.S.O. Therapeutic Environment: An ability to function in an open community-integrated setting is required. 3.Would the hospital call my parents? Psychiatric Status: Patients must be psychiatrically stable with no acute suicidal/homicidal risk. Personally I would rather go on a retreat or see a therapist than go to a mental hospital ever again or just see a movie or a concert. Be open to trying a variety of calming techniques. The assessment involves gathering information from you, and where appropriate, your family, carers, and any health care providers about your: 1. current mental state 2. risk of harm to yourself or others 3. past mental health history 4. physical health 5. alcohol and drug use 6. personal and social history 7. social situation. How can I help my kids understand what’s going on? Application Form for Extended Rehabilitation Program. It is a 6-12 week residential program for individuals 18 years and older. Outreach support to caregivers and other community agencies for mentally ill patients in crisis. The Transitions Program works within a shared care model whereby patients are managed by the local family physicians with psychiatric consultation, as required. Explain that it is a mental health emergency, in case there is a mental health crisis response team. For someone that is a harm to themselves or others, calling 911 is the best option - no intervention needed. What is the normal procedure for admitting someone with suicidal thoughts, suicide attempts, anxiety, cutting, an eating disorder, and a few other things. I live in Canada, but, will my parents still have to pay for my stay in a pysch ward? This is difficult as it adds to our stress with financial worries. The term “psychiatric hospital” is pretty much synonymous with the term “crazy house” to a good majority of people. Medical Status. Biomedical problems, if any, need to be stable and well controlled prior to admission as evidenced by a recent medical evaluation. The Concurrent Disorders program provides treatment for individuals experiencing problems with: Concurrent Disorders Admission Application Form. Trying to pinpoint an exact price per diem for such access to crisis mental health care is hard. For some of us, the stress of the pandemic may reactivate previous mental health issues that have settled or become well-controlled. For healthcare and other essential workers – How can I cope with the risks I take daily, for myself and loved ones living with me? Usually you are taken by ambulance because of a suicide attempt, or if out side you can be taken by police under the mental health act. KA: The most high-profile mental health initiative in Canada is Bell Let's Talk Day. For healthcare workers, especially if you’re at the frontlines, try to keep the disease in perspective. I can answer from the perspective of a lawyer who has assisted mentally ill clients, but not as someone who has done it himself. The term “psychiatric hospital” is pretty much synonymous with the term “crazy house” to a good majority of people. The facility must give the applicant reasons for the refusal and the person may be able to request that the decision be reconsidered by … Remind yourself that this is an exceptional situation and apply for government support programs. What is the normal procedure for admitting someone with suicidal thoughts, suicide attempts, anxiety, cutting, an eating disorder, and a few other things. The following disorders do not fall within the program mandate of the Concurrent Disorders Program: Schizophrenia, Schizoaffective Disorder, Psychotic Disorder, Substance Induced Psychotic Disorder, Psychotic Disorder Not Otherwise Specified, Amnestic and other Cognitive Disorders. Individuals at high risk for elopement are not admitted to this program. Relapse Potential: Patients are appropriate if they have a high relapse risk in the community and need a safe residential environment thus making them unsuitable for intensive outpatient treatment. Individuals on this unit typically require an extended institutional stay (9-12 months or more and are those in need of longer term rehabilitation). The Mental Health Act provides another way, known as a “Form 2,” to have your family member assessed. Your best interests Anxiety disorders with benzodiazepine abuse. Timely intervention to deal with severe psychiatric disruptive experiences. 1990.To review, upon completion of the psychiatric assessment, the patient must either be released or admitted as an involuntary patient, a voluntary patient, or an informal patient. If you're experiencing severe depression symptoms, having thoughts of harming yourself or others, or your treatment just isn't helping, you may be considering checking yourself into a hospital. Diagnosis: Significant mental illness must be evidenced. The admission and experience of staying in the psych ward was quite an adventure. Recovery Environment: Patients whose home environment is not conducive for recovery may be declined for admission until a structured, supportive environment for discharge is determined. Try drawing together, or painting, using clay, Play-Doh – whatever feels good. economic security, secure stable living environment.). 190 Elizabeth Street While it was an unfamiliar and uncomfortable place to be, it was also the best place for me and worth it for my mental health. The Concurrent Disorders Capable Program services individuals with co-occurring disorder where conditions are sufficiently stable. I offer these pointers because knowing what I know now back then would have helped me get through the experience with less angst. Individuals must be agreeable to harm reduction/abstinence and motivated for change. Individuals admitted to this unit are usually transitioned into an enhanced supported living environment in the community. Take the elevator to Level 3 and turn right - walk to the hallway. Applications are reviewed by an Admission Committee at the Claresholm Centre for Mental Health & Addictions, and a decision about admission is made as soon as possible. For other mental health concerns (such as depression, anxiety, or suicidal tendencies), an intervention can be too embarrassing or misunderstood. For legal assistance, contact a lawyer. For more information, please visit our privacy policy. Repeat to yourself that this is not going to last forever; it will get better. While you’re at the hospital, meals are prepared for you, your laundry is done for you, and your meds are given to you by nurses at scheduled times. Try to find a balance, understanding you can’t control everything. The goal of this holistic and comprehensive treatment program is to re-integrate individuals back into a community setting within an approximate 3-6 month time frame. Try to use age-appropriate language to explain what’s happening without frightening them. COVID-19 testing / criteria and test results. Attendance at all prescribed therapies is required for continued participation in the program. This site uses cookies to provide you with a great user experience. 1990.To review, upon completion of the psychiatric assessment, the patient must either be released or admitted as an involuntary patient, a voluntary patient, or an informal patient. Increased patient and family knowledge of resource available. Try to remind yourself that the vast majority of cases don’t require people to come to hospital. If I’m out of work, how do I keep a sense of purpose? Applications are reviewed by an Admission Committee at the Claresholm Centre for Mental Health & Addictions, and a decision about admission is made as soon as possible. “I think one important message that applies to everyone is – be kind to yourself.”. She shares with us some ideas of how to cope in these times of physical distancing, but reinforces that they are just suggestions and that it is important to recognize if you need help. Yesterday’s blog spoke to the issue of an Application for Psychiatric Assessment (Form 1) under the Mental Health Act R.S.O. If your family member is agitated, threatening or aggressive, call 911 while making sure you and others are safe. Stage of Change and Willingness: Referrals for admission are preferred to be in the preparation or action stage of change. The patient must have been seen and assessed by a Psychiatrist within the past year. “These are difficult times, and it is okay to feel stressed, we need to remember that,” says Dr. Abbey. Restoration of adaptive functioning subsequent to a crisis. If an individual is diagnosed with a personality disorder(s), their behaviour must be stable enough not to be disruptive and they must be willing and able to tolerate the structure of daily programming. Emotional and cognitive functioning must be assessed as sufficiently stable to allow for individuals to fully participate and benefit from the therapeutic interventions provided. E: [email protected]. Keep yourself safe. If personality disorders are diagnosed, behaviours must be stable enough to not be disruptive and distract from treatment or recovery efforts. If you don’t know how to use technology to stay connected, Google directions or talk to young folks – they know all about new technologies and how to use them. A mental health professional will need to evaluate your friend or loved one to determine if they’re an immediate threat to themselves or others before agreeing to commit them to the hospital. The unit utilizes a patient tracking security system which can accommodate certain types of patient who have a tendency to wander or elope. One of the most important things parents can do is to focus on loving and caring for their child(ren) right now so that they came through this as emotionally healthy as possible. Connect every day with at least one person. Using a threat of suicide to gain admission to a hospital for other medical reasons is unlikely to be effective, since the patient will probably be sent to a mental-health institution for evaluation, observation and either treatment or discharge if doctors determine the suicide threat is an attempt to manipulate a hospital admission. If you develop new or pervasive feelings of sadness, anxiety or other mental health problems, most family physicians, registered psychotherapists, psychologists and psychiatrists are providing virtual care by a telehealth computer platform or phone. Disclaimer: All photos were taken either before the COVID-19 pandemic or following appropriate physical distancing guidelines. These rules apply in the same way to public and private psychiatric facilities. Below are some suggested resources for anyone facing mental health challenges in the face of this pandemic: UHN experts answer your most pressing COVID-19 questions. Below is some advice from Dr. Abbey on how to cope with isolation, and managing relationships, parenting, work and stress: How can I cope with the feeling of imprisonment? Post Traumatic Stress Disorder is a huge … In general, a hospital admission for a mental health issue is very much considered a last resort as in reality there is some loss of privacy and autonomy, and for some it can be an unpleasant experience – for instance, you might find yourself in a room with someone else experiencing severe mental health … The Act requires that psychiatric hospitals and units be registered as approved psychiatric centres. Extend your world using technology, keep connected to friends and family, and even create new connections. A good idea is to give yourself some alone time – go for a walk, a nice bubble bath, read a book in your room. Set regular sleep and wake times; sleep in a cool, quiet, dark bedroom; stop using a screen (phone, TV, computer, tablet) within an hour of winding down for bed; and if you are simply unable to sleep, or cannot fall back to sleep, get up and do something boring to try and encourage your body and mind to calm down. We all have different minds, bodies and lives and what is helpful for some is either not helpful or harmful for others. Contact your managed care plan (or contact the Health Care Authority (HCA) if R. Fraser Elliott Building 4. I’m on board with the people suggesting going to the ER. This is a relatively demanding rehabilitation program. Practice the “STOP” mnemonic when you are stressed: Prioritize getting a good night’s sleep. Meaningful leisure activities based on client interest. And although a lot of it is useful, a good idea is to take in only what works for us. 8. strengths and goals. Their medical conditions need to be well controlled prior to admission. Ask them to share what they think and how they feel. Kids Help Phone (now taking calls for kids and adults): First Nations and Inuit Hope for Wellness, 10 Per Cent Happier Coronavirus Sanity Guide. Involuntary Admission to Hospital – “Committed” When you are involuntarily admitted or “committed” to a hospital for your mental illness, you come under the Mental Health Act of British Columbia. During this time, it is important to keep in touch with the people in your life. Designated Psychiatric Facilities under the Mental Health Act There is reduced stigma attached to a voluntary hospitalization versus an involuntary admission. 5th Floor, 5S-801 This is considered a non-emergency commitment. Recent psychiatric assessment must be completed and accompanied by a referral letter from the attending psychiatrist. A world leader in Alzheimer's disease is focused on slashing the impact of COVID-19. If you are currently an Apple Health client and are seeking mental health services, you have coverage. In Washington, the name of Medicaid is Washington Apple Health. If your family member is agitated, threatening or aggressive, call 911 while making sure you and others are safe. In Canada you can make arrangements to enter into an inpatient facility voluntarily ahead of time when there is space for any mental health reason, including intense anxiety. Art can be a very helpful avenue for them to express their feelings. Applications must be completed with supporting documents and include when the patient was assessed by Transition Services, who the Transition Services Worker is and where they are waitlisted for (Transition). Physically distance yourself from others by staying two metres (six feet) apart, but don’t socially distance. Remind yourself that everyone is doing the best they can so you’re kinder to yourself and others. The Centre for Addiction and Mental Health (CAMH). Hospital stays for mental health are usually pretty short (from a few days to a week or two). The Extended Rehabilitation Program is designed for individuals over 18 years of age, experiencing difficulties in functioning due to ongoing mental health problems. Explain that it is a mental health emergency, in case there is a mental health crisis response team. For everyone this is important, but especially if you are out of work, try to keep a routine. By continuing on our site, you accept use of cookies. The Mental Health Act provides another way, known as a “Form 2,” to have your family member assessed. Enhancement of adaptive functioning within the short term (e.g. If you don’t have a window that opens, perhaps just looking out the window might help. Mental health and mental illnesses are sensitive subjects. The focus of this program is to provide treatment and education for adults who are coping with a mental health illness and an addiction (substance/behavioral) in order to reach and maintain their overall mental health and well-being. Registered Canadian Charitable Organization Number: 12386 4068 RR0001. Detox need: We do not provide acute detox. Patients at high risk for elopement or wandering are not admitted. Individuals are provided with rehabilitation support and/or maintenance and an individualized care plan. Mental Health Crisis Line: available 24/7, call: 1-866-996-0991; Crisis Service Canada: 1-833-456-4566; residents of Quebec: 1-866-277-3553; text #45645 (English only) from 4:00 p.m. to 12:00 a.m. A mental health professional will need to evaluate your friend or loved one to determine if they’re an immediate threat to themselves or others before agreeing to commit them to the hospital. Create a list of two or three different people you can check on every day, so you have a social routine and also feel helpful to others. In front of you will be the Inpatient Mental Health Unit and to your left, the Day Hospital. Individuals must be psychiatrically stable with no acute suicidal risk, active psychosis or propensity for aggression. It sounds like something you’d only do if you were dying, but that’s actually how you do it. Have your step-by-step safety routine to “decontaminate” yourself at work and upon returning home, it will help you feel in control and know you’re doing your part to mitigate the risks. How should I deal with loneliness, especially if I live alone? Patients referrals are accepted provincially from acute care psychiatric and medical inpatient units, community mental health clinics, public and private and family physicians’ offices. Go to your backyard or balcony, or even put your head out the window a little bit. The rules about admission to psychiatric hospitals or units are set out in the Mental Health Act 2001. Or alternatively, go to accident and emergency, tell them that you are severely depressed and you need to be seen by a mental health … 5. I thought I might have to stay but the social worker talked me through it and told me to call the mental health hotline if I found myself in trouble. Understanding life insurance and what is best for you can be overwhelming. Mental evaluation is an examination to check the integrity of someone’s mental status if he is exhibiting signs of being mentally unstable. Provide realistic reassurance that they are safe, as are you, and that the situation will improve with time. Toronto ON  M5G 2C4 Personally I would rather go on vacation, see a museum for the cost of it. 5. Online networking platforms are great for holding virtual dinners, coffee or drinks with friends or family. Parents working from home have a particularly challenging time, especially if they are trying to support online education of their kids. Medical status: Individuals need to be medically stable and have the physical capacity to be able to participate and engage in all aspects of the program. Having a consistent wake up time and bedtime is a good idea. If this is the case, then reaching out to a professional to see what can be done to help re-stabilize is essential. This commitment can be voluntary if the person consents to getting a mental evaluation, or involuntary if you go against the person's will and place him for mental evaluation in compliance with the mental health rules and regulations. Also remember to be kind and forgiving with yourself as a parent. I live in Canada, but, will my parents still have to pay for my stay in a pysch ward? This means that you do not have a choice about staying in hospital. What happens when you admit yourself to psychiatric care at the hospital? Diagnosis: Significant mental illness must be evidenced. 2. Under the Mental Health … Can you tell me about your expierience in a psych ward? A recent medical examination is required to ensure stability. It was a locked mental hospital (can only go out 30 minutes a day for physical activity). We all need that social safety net at some point in our lives. The rules about admission to psychiatric hospitals or units are set out in the Mental Health Act 2001. It is not that easy just to walk into a mental unit and be taken in. While you’re at the hospital, meals are prepared for you, your laundry is done for you, and your meds are given to you by nurses at scheduled times. Limit your exposure to social media and news if it has a negative effect on you. Mental Health Adult Inpatient Unit and Day Hospital Locations. The Centre for Addiction and Mental Health (CAMH): COVID-19 resources page Big White Wall: online 24/7 support Pre-Admission Discharge Planning: Patients requiring identification documents, housing, guardianship, trusteeship, financial assistance should have these applications already made prior to referral so that treatment is focused on patient wellness. This is considered a non-emergency commitment. For more information regarding involuntary hospital admission and the mentally ill, visit the Canadian Mental Health Association (CMHA) website. Knowing when to commit yourself or a loved one to the hospital to be treated for severe depression can be a very gray area. A good starting point might be the. Scroll to the bottom of this post for some suggested resources that are available across Canada. Search on Google or YouTube to check out a variety of different practices and see what works to calm your mind and body. A thorough assessment of your needs will be undertaken by a team of mental health specialists which include medical experts and allied health professionals. Tell the doctor how severe the situation is, and that you want to be admitted to a mental health unit. Home, Community and Residential Care Services for Seniors Designated Psychiatric Facilities and Hospitals. For other mental health concerns (such as depression, anxiety, or suicidal tendencies), an intervention can be too embarrassing or misunderstood. Patients are generally not admitted if they require levels of care that present a risk due to the open therapeutic environment of the Centre. “Don’t let yourself get caught up in comparisons on social media – who reads more, who takes better care of their kids, who exercises the most,” says Dr. Abbey. Enhancement or maintenance of adaptive functioning. We’re all trying our best and these are exceptional times, so if you feel like you need to give them some more screen time to get through the day for example, that’s okay too. Applications are reviewed by an Admission Committee at the Claresholm Centre for Mental Health & Addictions, and a decision about admission is made as soon as possible. Several free videos online can help you exercise at home. While much is still unknown about COVID-19, one thing is certain: it is an unparalleled situation for everyone around the world. In Canada you can make arrangements to enter into an inpatient facility voluntarily ahead of time when there is space for any mental health reason, including intense anxiety. Exercise is of great help: it reduces stress hormones and helps with a healthy routine. Although it is not at all easy to admit that one has a mental illness, the stigma of mental illness is still alive and rampant. There is no “one-size-fits-all” approach to finding virtual resources to encourage relaxation, meditation, or mindfulness. As much as society would like to pat itself on the back for being more open-minded these days, the undeniable fact is that mental illness still carries a heavy stigma. Take a moment once a day to remind yourself why we are all staying inside – to protect others, our loved ones and all the hard-working healthcare professionals and essential workers. COVID-19 info for Albertans & Health Professionals and about Family Support & Visitation. Individuals must have sufficient mobility to attend programming which occurs throughout a large facility as well as offsite. Meaningful leisure activities based on patient interest. Dr. Susan Abbey, Psychiatrist-in-Chief at UHN’s Centre for Mental Health, says it is important that we all take some time to remember that these are exceptional times. There’s a difference between telling people you suffer from a mental illness and telling people you have spent time in the hospital for said illness. But if your day-to-day life is stressing you out, a short break can go a long way for your mental health. Although this can be a frightening thought, you may find it less intimidating if you know what to expect from the process. Medical Status: Patients must be medically stable, Psychiatric Status: No acting out or physical aggression. Take time to check in with people living with you, talk about your feelings, fears and anxieties. Can you tell me about your expierience in a psych ward? The Mental Health Commission of Canada (“The Commission”) was created in response to a 2007 report called “Out of the Shadows,” which called for greater government intervention in rising mental health concerns. Individuals are generally not admitted if they require levels of care that present a risk due to the open therapeutic environment of the Centre. Yes you can admit yourself, just go to your nearest accident and emergency department and tell them how you feel and your having suicidal thoughts.They will then inform the mental health crash team who will come and have a talk to you and assess you. Outreach support to caregivers and other community agencies for mentally ill patients. How can I protect my close relationships, with a partner, parent, or children living with me? Discharge to alternative community placements with appropriate support services. time limited) utilizing appropriate interventions. 2. Voluntary commitment is the act or practice of a person admitting themself to a psychiatric hospital, or other mental health facility, voluntarily.Unlike in involuntary commitment, the person is free to leave the hospital against medical advice, though a period of notice, or the requirement that the leaving take place during daylight hours, is sometimes required. This pandemic is taking a toll on lives, the economy, our social lives and also on our mental health. They must have sufficient mobility to attend programming which occurs throughout a large facility and offsite, as well. Enter the Main Entrance and proceed to the public elevator. An application must be submitted with supporting documents and a referral letter from patient’s psychiatrist is required. Your best interests These rules apply in the same way to public and private psychiatric facilities. For someone that is a harm to themselves or others, calling 911 is the best option - no intervention needed. 3.Would the hospital call my parents? To apply for Apple Health coverage, visit Washington Healthplanfinder. Get help from a life insurance advisor. Toll free: 1-877-846-4483 (UHN-GIVE) The Active Rehabilitation Program is a 40 bed unit designed for individuals over 18 years of age who are considered able to participate in rehabilitative activities and treatment. If you’re not required to be in isolation, go for a short walk outside (keeping the six-feet distance from others). Pre-Admission Discharge Planning: Individuals requiring identification documents, housing applications, guardianship, trusteeship, and financial assistance should have these applications already made prior to referral so that treatment is focused on patient wellness and reintegration. Services to provide for and support basic needs of patients at discharge (e.g. Hospitalization can also be helpful if you're finding yo… Both units are located in Wing A, level 3. But if your day-to-day life is stressing you out, a short break can go a long way for your mental health. Get directions, T: 416-603-5300 Admission inquiries and referrals are directed to the Admission Coordinator. Increased patient and family knowledge of resources available. Try to build some small pleasure into every day that you can share. How do I get Apple Health (Medicaid) mental health services? Admission to a mental health care facility can be refused if its management or doctors believe hospitalization is not urgent or necessary. If You Are an Indian:- If you are an Indian, the best treatment for madness is available in Agra city … Patients need to be medically stable. 4. There’s a difference between telling people you suffer from a mental illness and telling people you have spent time in the hospital for said illness. Using a threat of suicide to gain admission to a hospital for other medical reasons is unlikely to be effective, since the patient will probably be sent to a mental-health institution for evaluation, observation and either treatment or discharge if doctors determine the suicide threat is an attempt to manipulate a hospital admission.
Red Sea Meaning In Urdu, Louisville Slugger Select 719 Usa Drop 8, Business Game Online, Oana Outdoor 5 Seater, Hottest Month In New Jersey, Taco Lab Food Truck Rochester, Mn, Gibson Sg Custom For Sale, Organic Vegetable Delivery, God Of War Muspelheim, Joe Biden Astrotheme, Vocabulary Test With Answers,