Mental Health Diversity-Kohlenburg

Question 1

About (blank) of americans will meet the criteria for a DSM diagnosis of a mental disorder over the course of their lifetime

Answer 1

1/2

Question 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

Answer 2

Depression

Question 3

(blank) have associated disability, increased risk for communicable and non-communicable diseases, mental disorders contribute to injury, direct impact

Answer 3

Mental disorders

Question 4

(blank) is the number 1 most disabling disorder worldwide measured in YLDs.

Answer 4

Depression

Question 5

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.

Answer 5

15-44

Question 6

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

Answer 6

24%

75%

Question 7

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)

Answer 7

Japan

Question 8

What happened when we sent college students with 2 weeks of training to help depressed women in uganda?

Answer 8

it hella helped!

Question 9

When community health workers went to pakistan to help with depression what happened?

Answer 9

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

Question 10

(blank) bear a greater burden from unmet mental health needs. Why?

Answer 10

Minorities

lower disparaities because of less access and lower quality of care

Question 11

Who has huge amount of suicide?

Answer 11

American Indians> Whites>black> asian (high in the elderly)>hispanic

Question 12

African Americans are under represented in (blank) settings and over represented in (blank) settings

Answer 12

outpatient

inpatient

Question 13

AAs have (blank) disorders more than whites

Answer 13

somatization

Question 14

In african american boys, suicide rates are increasing in boys aged (blank)

Answer 14

10-14

Question 15

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.

Answer 15

2%
ER
slowly

dominantly

Question 16

(blank) often consider expression of mental illness a personal weakness and are more likely than Westerners to express emotional distress through physical symptoms.

Answer 16

AA/PIs

Question 17

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

Answer 17

Asian American

Asian American

Question 18

Rates of substance use disorder and alcohol dependence are lower among (blank), particularly women, than among the total US population

Answer 18

Asian Americans

Question 19

Who are most likely to tell people about their mental health issues?

Answer 19

white people

Question 20

More (blank) youth have pervasive feeling of sadness and hopelessness than whites (36% versus 26%) and more attempted suicide (10% versus 6%)

Answer 20

Latino

Question 21

Who are more likely to use alcohol?

Answer 21

hispanics

Question 22

(blank) experience PTSD more than twice as often as the general population. Suicide is ver common among 10-34 year old AI/ANs

Answer 22

AI/ANs

Question 23

(blank) use and abuse alcohol and other drugs at younger ages, and at higher rates, than all other ethnic groups.

Answer 23

Native Americans

Question 24

What are considered strength and protective factors for the AI/AN pop?

Answer 24

a strong ideation w/ culture and fam

• strong connection with past
• tradional health practices
• adaptibility
• wisdon of elders

Question 25

What are AI/AN challenges to health and well-being?

Answer 25

• alcohol misuse
• enduring spirit (stubborn, hard to accept change)
• clashes between indian and non-indian views of mental health
• long memories
• trauma is communal

Question 26

a study showed that individuals w/ a (blank) orientation were half as likely to report a suicide attempt in their lifetimes

Answer 26

strong tribal spiritural orientation

Question 27

What is ethnopsychopharamcology?

Answer 27

cultural and ethnic influences on responses to medications (genetic and cultural)
Asians and AAs are slow metabolizers of TCAs and SSRIs

Question 28

1 in (blank) women will experience intimate partner violence. More than (blank) women a day are murdered by their current or former intimate partners.

Answer 28

4

3

Question 29

What is the leading cause of injury to american women?

Answer 29

domestic violence

Question 30

Young women ages (blank) have a higher incidence of partner violence than any other age group, almost triple that of the national average

Answer 30

16-24

Question 31

What women are more likely to die of homicide than any other cause, a signif portion by their partners?

Answer 31

pregnant and recently pregnant women

Question 32

Are men at risk for domestic abuse?

Answer 32

28.5% report lifetime victimization

5% in the past year

Question 33

(blank ) in 5 high school students report being physically or sexually abused by a partner

Answer 33

1

Question 34

(blank #) of kids are exposed to IPV per year

Answer 34

3.3-10 million

Question 35

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.

Answer 35

4- to 12
2- to 4
1.4 to 1.6
ie. be more unhealthy

Question 36

80% of attempted suicides could be attributed to (blank)

Answer 36

adverse childhood experiences

Question 37

ACEs are related to (blank X 6) besides sucide

Answer 37

• hepatitis
• heart disease
• fractures
• alcoholism
• occupational health
• job performance.

Question 38

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.

Answer 38

physical abuse

Question 39

What are the 2 types of aggression? and how do you treat each type?

Answer 39

1: emotionally induced violence, arousal then subsides-> DBT can help
2: constant calculated violence-> Only incarceration can help

Question 40

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…

Answer 40

Emotional Abuse

Question 41

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

Answer 41

sexual abuse

Question 42

SHould you screen for domestic violence?

Answer 42

awwww yeeeaaahh

The government will even pay for the screening and the counseling if proved positive