lecture 6: mental health assessment Flashcards
what is mental health? good mental health?
state of well being
- realizes their own potential
- can cope with normal stresses of life
- can work productively, good quality of life
- able to make a contribution to their community
Mental health continuum
just because you have a mental illness, does not mean you can’t have good mental health
- changes overtime
- individual, society, community, family impact mental health
Global impact of mental health & major health disorders in Canada
around 2/3 of people worldwide receive care for a mental disorder
- Anxiety disorders 12.2%
- Mood disorders 8.3%
- Personality disorders 7%
Characteristics of positive mental health
- interpret reality accurately
- healthy concept of themselves (self-confidence)
- achieve sense of meaning in life
- control over own behaviours
- can adapt/cope with change & conflict
- demonstrate productivity
what are mental health disorders?
illnesses with symptoms related to thinking & cognition, mood & affect, or behaviour
- can be due to genetic, biological, social, chemical, or psychological influences
what is the DSM 5
source for diagnosing mental disorders
- standardize assessment data and outcomes to prevent indiscriminate (wrong) diagnoses
- used to get broad understanding of client, not focus on one specific diagnosis
mental health nursing: domains
- biologic
- psychological
- social
- spiritual
mental health nursing: biologic domain
- theories that explain neurobiologic changes related to mental health disorders (ex. health status, physical exam)
mental health nursing: psychological domain
- theories related to psychological processes of thoughts and feelings
- how they influence one’s emotion, cognition, behaviour (ex. mental status, stress and coping, response to mental health problems)
mental health nursing: social domain
- theories that account for the influence of social forces encompassing the patient, family, and community (family, quality of life, community, functional status)
mental health nursing: spiritual domain
- core of who we are and the connections between ourselves and our universe (what gives life meaning?, participation in religious activities)
personal mental health history (relevant)
- past medical history (including mental health)
- psychological trauma
- substance use
- family history
mental health assessment: physical exam (ASEPTIC)
Appearance
Speech
Emotion
Perception
Thought
Insight
Cognition
thought process disturbances vs. thought content disturbances
- thought processes disturbances is more being all over the place during conversation
- thought content disturbances is more delusions
tools/tests for screening for mental disorders
- PHQ-9: used for all, commonly for depression
- GAD-7: used for anxiety
- CAGE: used for alcoholism
- suicide assessment
stigma - relationship with discrimination
stigma is “mark of disgrace associated with a person/group” in this case
- stigma is the negative stereotype, discrimination is the behaviour resulted from this negative stereotype
STOP criteria: what does it stand for? what is it?
how to identify stigmatizing language/behaviours in ourselves and others
- Stereotypes people with mental health conditions (assumes they’re all alike)
- Trivializes or belittles people with mental health conditions
- Offends people with mental health conditions by insulting them
- Patronizes people with mental health conditions by treating them on a lower level
Recovery oriented care
“recovery means living a satisfying, hopeful, meaningful life, even when there may be ongoing limitations related to mental health problems/illnesses”
- focus on pursuing recovery, not achieving recovery, recovery is a process
- the patient is the expert in their own care (they experience their own life)
- individualized, each person’s path is different
- individual takes responsibility, requires supportive community
recovery oriented care: 3 pillars of recovery
- Choice - many publicly funded services and different models of care
- Community - connection to the recovery community (social aspect)
- integration - across all levels of government & society
