Mental Health Diversity-Kohlenburg Flashcards
About (blank) of americans will meet the criteria for a DSM diagnosis of a mental disorder over the course of their lifetime
1/2
(blank) is a common mental disorder. Globally, more than 350 million people of all ages suffer from this.
This is the leading cause of disability worldwide and is a major contributor to the global burden of disease. Women more affected than men
Depression
(blank) have associated disability, increased risk for communicable and non-communicable diseases, mental disorders contribute to injury, direct impact
Mental disorders
(blank) is the number 1 most disabling disorder worldwide measured in YLDs.
Depression
Yearly, 800,000 people commit suicide, 86% of whom are in low income and middle income countries, more than half are between (blank) years old.
15-44
India: Suicide was leading cause of death in 10-19 year olds, accounted for (blank) of all deaths in boys and up to (blank) of deaths in young women
24%
75%
What country is this:
Number of suicides in 2007 is expected to exceed 30,000, for the 10th year in a row
One suicide every 15 minutes on average. (The lancet.com, v.372, 2008)
Japan
What happened when we sent college students with 2 weeks of training to help depressed women in uganda?
it hella helped!
When community health workers went to pakistan to help with depression what happened?
infants had less diarrhea, were more immunized, mothers used birth contral, parents spent more time playing with kids. Decreased depression by half. Better functioning for a year
(blank) bear a greater burden from unmet mental health needs. Why?
Minorities
lower disparaities because of less access and lower quality of care
Who has huge amount of suicide?
American Indians> Whites>black> asian (high in the elderly)>hispanic
African Americans are under represented in (blank) settings and over represented in (blank) settings
outpatient
inpatient
AAs have (blank) disorders more than whites
somatization
In african american boys, suicide rates are increasing in boys aged (blank)
10-14
African Americans account for only (blank) of psychiatrists
More likely to use (blank) or primary care MD than a specialist
15% of those with a MI receive care
May metabolize psych meds more (blank) than Caucasians, but generally prescribed higher doses.
AA willl get talked to more (Blank)ly and it will be less patient centered.
2%
ER
slowly
dominantly
(blank) often consider expression of mental illness a personal weakness and are more likely than Westerners to express emotional distress through physical symptoms.
AA/PIs
The suicide rates of elderly (blank) women and young (Blan) women (15-24) are significantly higher than that of other women of the same age
Asian American
Asian American
Rates of substance use disorder and alcohol dependence are lower among (blank), particularly women, than among the total US population
Asian Americans
Who are most likely to tell people about their mental health issues?
white people
More (blank) youth have pervasive feeling of sadness and hopelessness than whites (36% versus 26%) and more attempted suicide (10% versus 6%)
Latino
Who are more likely to use alcohol?
hispanics
(blank) experience PTSD more than twice as often as the general population. Suicide is ver common among 10-34 year old AI/ANs
AI/ANs
(blank) use and abuse alcohol and other drugs at younger ages, and at higher rates, than all other ethnic groups.
Native Americans
What are considered strength and protective factors for the AI/AN pop?
a strong ideation w/ culture and fam
- strong connection with past
- tradional health practices
- adaptibility
- wisdon of elders
What are AI/AN challenges to health and well-being?
- alcohol misuse
- enduring spirit (stubborn, hard to accept change)
- clashes between indian and non-indian views of mental health
- long memories
- trauma is communal
a study showed that individuals w/ a (blank) orientation were half as likely to report a suicide attempt in their lifetimes
strong tribal spiritural orientation
What is ethnopsychopharamcology?
cultural and ethnic influences on responses to medications (genetic and cultural)
Asians and AAs are slow metabolizers of TCAs and SSRIs
1 in (blank) women will experience intimate partner violence. More than (blank) women a day are murdered by their current or former intimate partners.
4
3
What is the leading cause of injury to american women?
domestic violence
Young women ages (blank) have a higher incidence of partner violence than any other age group, almost triple that of the national average
16-24
What women are more likely to die of homicide than any other cause, a signif portion by their partners?
pregnant and recently pregnant women
Are men at risk for domestic abuse?
28.5% report lifetime victimization
5% in the past year
(blank ) in 5 high school students report being physically or sexually abused by a partner
1
(blank #) of kids are exposed to IPV per year
3.3-10 million
In regards to ACEs;
Persons who had experienced four or more categories of childhood exposure, compared to those who had experienced none, had (blank) fold increased health risks for alcoholism, drug abuse, depression, and suicide attempt;
a (blank) fold increase in smoking, poor self-rated health, > or = 50 sexual intercourse partners
and sexually transmitted disease; and
(blank)-fold increase in physical inactivity and severe obesity.
4- to 12
2- to 4
1.4 to 1.6
ie. be more unhealthy
80% of attempted suicides could be attributed to (blank)
adverse childhood experiences
ACEs are related to (blank X 6) besides sucide
- hepatitis
- heart disease
- fractures
- alcoholism
- occupational health
- job performance.
What is this:
Pushing, shoving, slapping, punching, kicking, choking, assault with a weapon, holding, tying down, restraining, leaving in a dangerous place, refusing to help when sick or injured.
physical abuse
What are the 2 types of aggression? and how do you treat each type?
1: emotionally induced violence, arousal then subsides-> DBT can help
2: constant calculated violence-> Only incarceration can help
What is this:
Threats of harm, falsely accusing, blaming for everything, extreme jealousy and possessiveness, deprivation, intimidation, humiliation, name calling, constantly criticizing, insulting ,ignoring, dismissal, ridiculing needs, lying to, breaking promises, behaving recklessly in order to frighten and intimidate, using money as a control method…
Emotional Abuse
What is this:
Trying to force sexual performance against the patient’s will or when not fully conscious or when afraid to say no.
Physically hurting the patient during sex or assaulting the patient’s genitals.
Use of threats
sexual abuse
SHould you screen for domestic violence?
awwww yeeeaaahh
The government will even pay for the screening and the counseling if proved positive
