Intro to Mental Health Flashcards
What is a mental health disorder defined as?
psychiatric diagnosis, mental illness
results in significant changes in a persons thinking, emotional state and behaviour and ability to function in social and occupational settings
meets defined diagnostic criteria
What is a mental health problem defined as?
poor mental health, minimal mental well-being
broad term that includes mental health disorders and less severe mental health sx that do not meet diagnostic criteria but may disrupt personal, social and occupational functioning
What is the purpose of MHSA?
assist people suffering from serious mental illness in receiving treatment
What is the MHSA definition of a mental disorder?
a disorder of thought, perception, feelings or behaviour that seriously impairs a persons judgment, ability to recognize reality, ability to associate with others or ability to meet the ordinary demands of life with respect to which treatment is advisable
What are the criteria for someone to be voluntarily admitted for mental health serivces?
person requires care that can be provided in a mental health center and the person consents to the admission
does not have to meet the “mental disorder” definition
what are the 3 methods for involuntary hospitalization?
physician or prescribed health professional: form A completed
Peace officer
Provincial court judge: form C
T or F
non mental health medical treatment can be authorized in an involuntarily admitted patient?
False
What criteria must be met for someone to be involuntarily admitted?
being found to be a person with a mental health disorder who needs inpatient care
not being fully capable of making an admission or treatment decision
likely to harm self or others or suffers substantial mental or physical deterioration
How many form G’s must be completed for someone to be involuntarily admitted?
2
What does a psychiatrist do?
trained to examine emotions, thoughts and behaviours at a biological level in addition to understanding mental processes
what does a psychologist do?
trained to focus on how mental processes can coincide with emotions, thoughts and behaviours
what does a therapist do?
trained in various practices to help people vaginate challenging emotions, thoughts and behaviours
T or F
diagnosis of mental conditions is largely subjective?
True
What is the DSM-5?
handbook used as a guide to diagnose mental disorders
contains descriptions, Sx, and other criteria for diagnosing mental disorders
what is a clinical psychiatric interview?
a dialogue between HCPs and patient that is designed to diagnose and determine a treatment plan
what is the aim of a clinical psychiatric interview?
to collect information about the revealed (behaviour, intentions, prospects) as well as concealed (emotions, drives, conflicts) aspects of the interviewees world
What is involved in a clinical psychiatric interview?
pt demographics
chief complaint
history of presenting illness
past psychiatric/substance use/legal history
medical history
family psychiatric history
social history
medication history
risk assessment: suicide, homicide
differential diagnosis
impression
treatment plan
what is a mental status exam?
observation of pt throughout the clinical psychiatric interview
questions about pts thoughts, beliefs, perceptions and cognition
what is looked for in the mental status exam?
general observations: appearance, speech, behaviour, cooperativeness
thinking: thought process and form, thought content, perceptions
emotions: mood, affect
cognition: orientation/attention, memory, insight/judgement
what is the difference between mood and affect?
mood: subjective emotional tone over a period of time, patient describes in own words and often rates
affect: immediately expressed and observed emotional state, interviewer describes
what questions are asked in the Columbia protocol suicide risk assessment?
have you wished you were dead or wished you could go to sleep and not wake up?
have you actually had any thoughts about killing yourself?
have you actually thought about how you might do this?
have you had any intention of acting on these thoughts of killing yourself, as opposed to you have the thoughts but you definitely would not act on them?
have you started to work out or worked out the details on how to kill yourself? do you intend to carry out this plan?
have you done anything, started to do anything, or prepared to do anything to end your life?
what is measurement based care in mental health?
systematic use of measurement tools, such as validated scares to monitor outcomes and support clinical decision making
what is stigma?
a mark or sign of disgrace which distinguishes someone from the rest of society and diminishes their worth as a person
what are the 4 distinct components of stigma?
labelling someone with a condition
stereotyping people who have that condition
creating a division
discriminating against someone on the basis of their label(s)
What is MHFA?
mental health first aid
the help provided to a person developing a mental health problem or experiencing the worsening of a mental health problem
What is MHFA 5 step action plan>
Assess for risk of suicide or harm
Listen nonjudgmentally
Give reassurance and information
Encourage appropriate professional help
Encourage self-help and other support strategies
