HSPH PBL 2: Mental Health Care in East London Flashcards
What is the WHO definition of health?
A state of complete, physical, mental and social well-being, and not merely the absence of disease or infirmity
How may social risk factors affect mortality and morbidity?
Directly through physiological processes, and indirectly through social and behavioural pathways
Name some protective factors for mental health.
Social capital and welfare protection, healthy prenatal and childhood environmental, healthy workplace and living, healthy lifestyle
Name some risk factors for poor mental health
Poverty, poor education, deprivation, high debt, poor prenatal nutrition, abuse, learning disabilities, unemployment, job insecurity, job stress and alcohol/drug use
What are some risk factors for poor mental health Tower Hamlets?
Poverty, deprivation, being in care, high rates of violent crime, drug/alcohol misuse, LGBT, offenders and being older in income-deprived households
What are some protective factors for mental health in Tower Hamlets?
Employment, physical activity, green spaces, proficient in English language/literacy and having religion
What is the prevalence of depression in England?
2009: 2.6%
2014: 3.8%
What is the prevalence of depression in Tower Hamlets?
~10%
What is the prevalence of anxiety and depression in England?
About 9.7%
What is public health?
The science and art of promoting and protecting health and well-being, preventing ill-health and prolonging life through the organised efforts of society
What are the three main functions of public health in the UK?
Monitoring health of communities to identify health problems and priorities, make public policies to solve the identified problems, assure all populations have access to appropriate and cost-effective care via health promotion and disease prevention services
What is a health and wellbeing board?
Mayor run-board which works to collate data about disease patterns and wider determinants of health to develop a JSNA from which they are JHWS which helps guide the CCG
Who is on the health and wellbeing board?
A board ran by a mayor that includes housing providers, community leaders, volunteers, social care workers, GPs, councillors, HealthWatch and a public heath spokesperson
What are the key features of national mental health policy (no health without mental health?
> More people will have good mental health
More people with mental health problems will recover
More will have good physical health
More will have positive experience of care and support
Fewer will suffer avoidable harm
Fewer will experience stigma and discrimination
What are the key points of the current mental health strategy set out by Tower Hamlets
> tackle stigma and discrimination
Improve info about available services
Improve mental health awareness (communities, schools and employers)
Enabling access to preventative and health promotion services
Support family/carers
Make transitions between services smoother
Target at-risk communities with preventive support
What is a life course approach to mental disorders?
Concerns the interplay of social and biological factors in the production of mental illness over the life span - from the postnatal period to later life.
What specialist NHS services are provided in Tower Hamlets for people with mental health problems?
Community mental health teams, crisis teams, emergency, liaison and home treatment teams, housing link service, psychological therapies service and specialist addiction unit.
What community health services does Tower Hamlet commission to support mental health?
London Buddhist centre (mindfulness courses), Mind (provides advocacy, case work and group activities for people with mental illness.
What community health services does Tower Hamlet commission to support mental health?
London Buddhist centre (mindfulness courses), Mind (provides advocacy, case work and group activities for people with mental illness.
What is stigma?
A powerful discrediting label that changes the way individuals see themselves and how they are viewed as people.
What is felt (indirect) stigma?
The expectation of shame or discrimination that prevents people from talking about mental health or seeking help
What is enacted (direct) stigma?
Where an individual actively experiences discrimination and unfair treatment by others which may lead to the restriction of social support
What are the key themes in a patient’s experience of depression?
Low mood that won’t go away, loss of interest, lack of energy, social isolation, difficulties in getting and keeping a job and finding it difficult to find appropriate help
Identify resources which can be used for those suffering from depression
Big white wall, MoodGym, books, healthtalk online, NHS choices
