Lecture 1 - Diversity & Difference in Mental Health Flashcards

1
Q

What is the definition of Health?

A

A state of complete physical, mental and social well-being, not merely the absence of disease

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2
Q

What is the definition of mental health?

A

State of wellbeing, cognitive functioning, ability to cope with stresses and work productively. Positive self esteem, absence of disorders.

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3
Q

What is included in the holistic approach to wellbeing?

A

Physical, emotional, psychological, self-actualisation, goals and productivity

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4
Q

What state is wellbeing?

A

A dynamic state - how people feel, function and evaluate their lives.

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5
Q

What is urbanicity?

A

Urban context - increases incidence of schizophrenia and bipolar.

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6
Q

What does the New Economics Foundation (NEF) (2012) model propose?

A

High wellbeing and functioning = positive feelings. Individuals flourish when they have good feelings about self, environment, security, and sense of contentment.

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7
Q

What does the Legislative Framework suggest about diversity and difference? (Humans Rights Act, 1998 / Equality Act, 2010)

A
  • Public sector equality duties - work places, government and public sectors have a duty to eliminate unlawful conduct (discrimination, harassment, victimisation)
  • Age, disability, gender, marriage, pregnancy, race, religion, sex, sexual orientation.
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8
Q

What is the Healthcare Policy Context? (The NHS ethos)

A
  • Universal - the same standard of health care throughout the UK
  • Comprehensive - covers all health needs
  • Free - available to all citizens equally
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9
Q

What is the Practice Context?

A
  • Epidemiology (disease prevalence)
  • Predicts patterns of illness and needs - ageing population and dementia, obesity and diabetes
  • Supports services - reduces inequalities
  • Relationship between long term physical health conditions and mental health
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10
Q

How much more risk do LGBTQ+ individuals have to mental health disorders?

A

1.5 X higher risk of depression, anxiety and substance abuse
2-4 X higher risk of suicide in gay men

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11
Q

Which ethnic minority have a higher risk of being diagnosed with psychosis?

A

Black African / Black Caribbean descent

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12
Q

How much higher is the risk of Black African descent individuals and psychosis diagnosis?

A

6-9 X greater risk of Schizophrenia than white British

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13
Q

Do African / Black Caribbean people have higher rates of common MH disorders?

A

No - lower rates of anxiety and depression

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14
Q

What has been found about South Asian individuals and mental health?

A

Lower rates of suicide and depression in men, Higher in women !

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15
Q

What is the difference in life expectancy for men with mental health problems?

A

16 years

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16
Q

What is the difference in life expectancy for women with mental health problems?

A

12 years

17
Q

How can children of parents with MH problems be disadvantaged?

A
  • Young carers - roughly 175,000
  • Greater levels of emotional, psychological and behavioural problems
  • Poorer academic attainment
  • Higher risk of mental health problems
18
Q

What is the risk of mental health problems amongst deaf children?

A
  • 40% deaf children experience MH problems compared to 25% hearing children
  • 1/3 deaf children have depression and anxiety
  • 90-95% of deaf children are born into hearing households
19
Q

What difficulties do deaf children encounter?

A
  • Can’t hear
  • Communication difficulties
  • Risk of bullying and social isolation
  • Increased suicide
  • Inequalities in access, experience and outcomes (limited BSL interpreters)
20
Q

How much can deaf people lip read?

A

Only 26% of speech
Can’t read Jargon as not standard English

21
Q

What is the Care Act (2014)?

A

Defines primary legal responsibility of authority to ensure wellbeing of individuals

22
Q

What did service users find? - the impact of stigma

A
  • Disempowerment
  • Diminished credibility
  • Avoidance by others
23
Q

What needs to change to improve mental health services?

A
  • Communication. Solutions to disempowerment and discrimination must start with mental health services
  • Poor staff retention, under funded services, over-reliance on bio- medical therapies and failures to empower and listen to consumers