Mental Health and Substance Use Flashcards

1
Q

Define mental health

A

State of well-being in which every individual can
o Realize their own potential
o Cope with normal stresses of life
o Work productively and fruitfully
o Contribute to their community

Was not previously recognized in the definition of health but is now an integral part of health

It is not the absence of mental illness

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2
Q

Describe mental illness

A
  • Specific ailments that affect thinking, mood, or behaviour
  • Associated with significant distress and impaired functioning
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3
Q

What is important to remember about using substance substances and substance use disorder?

A

It is important to keep in mind that not everyone who uses substances has a substance use disorder.

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4
Q

What is a concurrent disorder in the context of mental health?

A

Substance use disorder and mental illness within the same person at the same time

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5
Q

What is mental health promotion?

A

Programs, policies, and other interventions that enable people to
o Gain control over their lives and their mental health in particular
o Work towards creation of an environment that supports recovery

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6
Q

Why is promoting mental health as important as promoting physical health?

A

o It is better to prevent mental health issues than to correct them

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7
Q

What levels might mental health promotion exist?

A

Individual level
 In clinical or other settings
 Rehabilitation facility

Population based
 Creation of policies
 Supportive physical and social environments
 Address stigma

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8
Q

In the past, patients with mental illnesses were sent to institutions. What are some of the major initiatives to improve mental health treatment?

A

1960s – Deinstitutionalization

2006 – Out of the Shadows at Last - created mental health commission of Canada a year later

2008 – At Home - housing initiatives

2009 – Opening Minds - 10 year anti-stigma campaign

2017-2022 – Advancing The Mental Health Strategy for Canada - specific objectives for taking action

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9
Q

Describe the deinstitutionalization of mentally ill Canadians

A

1960s – Deinstitutionalization
* Individuals with mental illness were moved out of hospitals with care shifted to the communities
* Not very successful with concurrent mental health disorders and PDD
* Unable to meet their more complex needs in rural/remote areas
* Most recently a push to treat most on an outpatient basis but long-term care patients moved to residential care facilities
* Revolving door syndrome

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10
Q

Describe Out of the Shadows at Last

A
  • Produced in Canada and led to several report publications
  • Created momentum that formed the Mental Health Commission of Canada in 2007
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11
Q

Describe the At Home initiative

A
  • Mental health and housing initiatives
  • Provided housing to those with mental illness and homelessness
  • Addressed the difficulty for mentally ill to obtain safe housing
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12
Q

Describe the opening minds initiatives

A
  • 10-year anti-stigma campaign
  • Awareness and change public attitudes toward mental illness
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13
Q

Describe the Advancing The Mental Health Strategy for Canada

A
  • A framework for action outlines the specific objectives in taking action
  • Federal government announced targeted $5 billion over 10 years to target mental health initiatives
  • Framework to help transform mental health in Canada and positively impact the lives of all Canadians
  • It sounds like a lot but we are spending way more than this
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14
Q

About how many Canadians will experience a mental health problem or illness each year?

A

1 in 5

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15
Q

About how many people by the age of 40 have had a mental illness at at least one point in their life?

A

> 50%

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16
Q

What are the major mental illnesses in Canada?

A

Mood disorders (major depression 5.4%, to a lesser extent bipolar disorder 1%)

Anxiety disorders - 4.5%

Schizophrenia 1%

Substance use disorder 6%

17
Q

While everyone can suffer from mental health issues, ___________ can worsen mental health and symptoms of mental illness, especially if supports are difficult to access

A

systemic inequalities

18
Q

Describe suicide and suicidal behaviour. Who is most at risk in Canada?

A

Not considered a mental illness

They are serious consequences of mental illness

Men 3x more likely to commit than women

Women
o 3x more likely than men to self-harm
o More likely to be hospitalized from self-harm

> 4000 died in 2019

Disproportionately affects Indigenous Canadians

19
Q

What is the revolving door syndrome of mental health in Canada?

A
  • Results in admissions and readmissions
  • Illnesses are often chronic, debilitating, and refractory
  • Increases cost
20
Q

What are the basic risk factors for mental illness?

A
  • Genetics
  • Stress
  • Adverse childhood experiences
21
Q

What are the risk factors of depression?

A
  • Family history of mood disorders
  • History of early child loss
  • Stress
  • Chronic and debilitating illness
21
Q

What are the risk factors of anxiety?

A
  • Female
  • Genetics
  • Family history
  • Chronic illness
  • Stress
  • Lower socioeconomic status
  • Depression
  • History of self-harm
22
Q

What are the risk factors of schizophrenia?

A

Genetics

Environmental factors
o Perinatal stressors
o Infectious agents
o Childhood and adult trauma
o Substance use including regular cannabis use particularly for those with family history

23
Q

Describe the public health approach to suicide prevention and health promotion?

A
  • Improve identification, treatment and referral
  • Treat underlying risk factors
  • Decrease individual vulnerability to suicide
  • Improve accessibility of self-referral resources for suicidal people
  • Limit access to lethal means of suicide
24
Q

According to national-level population health surveys, nearly __% of Canadians will meet criteria for substance use disorders at some point during their lives

A

22%

25
Q

A greater proportion of _____ meet criteria (12%) compared to __________, although their number is coming down recently though.

A

youth

adults > 45 years