Chapter 11: Responding to Mental Health Crisis, Emergency, and Disaster Flashcards
What is coping?
- how people deal with life challenges
- need to remain adequately fed, clothed, and sheltered
What are coping styles?
unique ways of accomplishing goals inlcuding habitual behaviours, modes of problem solving, forms of social interaction
What are the 5 levels of maslow hierarchy of needs?
- physiological needs (food, water)
- safety (security and shelter)
- love/belonging (friends, family)
- esteem (achievement, recognition)
- self-actualization
How does maslows hierarchy of needs work?
you must achieve the most basic of needs first (physiological, safety) before rising up to achieve self-actualization
what is stress?
occurs when the demands and challenges of your life situation exceed your capacity to manage them
- this “imbalance” between environmental challenges and coping capacity
if stress becomes unmanageable, we may enter a state of crisis. true or false
true
What is a “state of crisis”?
when attempts to regain balance in one’s life fails
typical turning point in development of mental disorders
What are the 2 key elements of crisis states?
- usual coping style doesn’t work in new situation
- do “more of the same” –> exaggerated form of usual coping style
Stressful situations may increase a pre-existing mental health condition, making symptoms worse during crisis state. true or false
true
What type of cycle is present with crisis? is it tough to break?
Vicious cycle
YES!
What is a vicious cycle?
- crisis
- newly triggered mental health problems, increase already exiting problems
- reduce coping ability
- increased situational stress
THE CYCLE JUST KEEPS REPEATING
If a crisis state is not resolved what could happen?
- becomes more intense
- lead to poor self care or self harm
Who are first-contact providers?
- police officers and paramedics
- trained to de-esculate the situations
What is the Mental Health Act?
regulates the involuntary transportation and admission to psychiatric services for individuals suspected of suffering from mental illness
What is a “commital”?
- someone who gets hopsitalized
- balance the goal of ensuring safety with the goal of ensuring the rights are respected
What is a community treatment order?
indiduval required to accept specific treatment or support in the community for a specific period of time
What are Hospital Emerg departments like?
- for immediate protection and urgent care
- geared to more dealing with physical emergencies –> however that is changing to add mental health!
What are crisis lines?
- provide quick access to advice, info, and referral over the telephone
- redirect to appropriate help and de-escalate crisis
- big with suicide
What are Mobile services in mental health?
delivered by individuals or a small team of mental health profs who travel to meet with an individual in crisis
What are shelters?
provide short-term accommodation for people who are homeless or experiencing a crisis that has interupted their living situation
What is acute hospitalization?
- in-patient treatement for an acute mental health problem
What are in-patient units designed to do in mental health?
address the need for safety and the patient’s specific needs
treatment includes: meds management, crisis management, counselling or therapy
tends to be brief, but may require follow up
What are Acute Withdrawl Management and Detoxification Services?
- withdrawl management: addressed the physical health probelms experienced by people going through a withdrawl
- detoxifcation = some type of substance that needs to be removed through care (meds, support, therapy, etc…)
What are the 7 things we use to determine the level of suicide risk in an emergency?
- active plan to commit suicide
- how dangerous is plan
- does person ahve access to lethal means of self harm
- previous self-harming behaviour
- situational factors
- presence/absence of mental health disorders or substance use problems
- social supports
What are the 3 characteristics of suicidal thoughts about their life?
- intolerable
- interminable
- inescapable
How do we help a person become less suicidal?
- strengthen coping mechanisms!
- treatment of outstanding mental health or substance use problems
What is the “psychotic emergency”?
severe disturbance of the capacity to distinguish reality an to think in a rational manner
confused and frigthening thoughts
How do we manage a psychotic emergency?
- calm the individual
- provide a safe environment
- antipsychotic or sedative meds
- use non-restrictive management
How do we deal with a substance use emergency?
- provide a safe envrionemnt
- administer meds to diminish agitation
depression, psychosis or other symptoms of mental disorder may occur as part of withdrawl process. true or false
true
what are some downsides to substance use and getting help?
- may not be covered by public health insurance plans –> therefore do not go because it is not available
- do not want to receive treatment
- many resume patterm of substance use dependence
What is trauma?
experience extremely stressful events
What is PTSD?
- have an ongoing crisis
- flashbacks, frightening dreams, outbursts, etc..
How do we treat PTSD? (2 ways)
- exposure therapy
- critical incident stress debriefing
what are the 3 stages of responding to disasters?
- mitigation/preparedness
- response
- recovery
What is the mitgation/preparedness phase?
plan and prepare actions, communication and leadership roles
WHat is the response phase?
period immediately following the disaster
What is the recovery phase
extended period following the disaster
Do most disasters have transitory symptoms and do not require formal intervention?
YES
