Mod 5 (Sec 3) Flashcards
Circle of Mental Health Care: Student First Contact (care options)
- Primary Care Provider
- Psychiatry
- Counselling
- Self-Help and Peer Support
- Psychological Therapy
Primary Care Provider
- central to coordinating health and mental health care
- first line for assessment of mental health concern and provide continuity
- should be kept up to date w/ any extra support being received
Psychiatry
- well-suited for assessing and treating moderate to severe mental health conditions/disorders that require combined psychological and pharmacological treatment approach
Counselling
- provided through Student Wellness Services
- short-term and problem focused
- address healthy coping during periods of stress, strengthening problem solving skills, managing emotional response to identified stressor
Self-Help and Peer Support
Peer support: being able to talk to other students about what going through
Self-help: using available resources to work through problem
- accessible and convenient
Psychological Therapy
- help support young people w/ emotional, social, mental health problems of moderate severity
Stepped Care
- aims to match individual patients to the level of service indicated based on intensity of need
Stepped Care Triangle
From Generalized to Specialized care
- Campus-based health promotion
- Student mental health care team
- Community mental health services
- Emergency & Urgent care services
Who provides mental health support
- Occupational therapist
- Counsellor
- Psychotherapists
- Clinical psychologist
- Psychiatrist
Occupational Therapists
- regulated healthcare professionals who specialize in assessment and intervention focused on helping people resume or maintain activities; work, school, recreation
- In Uni, OTs are well-suited to help w/ learning approaches and improving performance, achieving study-life balance
Counsellor
- have variable training
- can support healthy coping, emotional/behavioural regulation, healthy lifestyle choices
- most are embedded in academic programs - free of charge
Psychotherapists
- licensed healthcare professionals w/ training in ind. psychological talking therapies
- support emotional, social, mental health problems of mild to moderate severity
- different models of psychotherapy (CBT, IPT, psychodynamic psychotherapy)
Clinical Psychologist
- registered healthcare professionals regulated by College Psychologists of Ontario
- usually req. PhD, or Masters
- extensive training in psychological, cognitive, psychoeducational assessment and in providing manualized effective group and individual therapeutic approaches to help w/ mental health problems
- provide support for mild to moderate mental health problems
- work as team to support moderate to severe cases
Psychiatrist
- medical doctors w/ extensive specialty training in diagnosis and treatment of mental disorders
- integrate pharmological treatment w/ educational, psychological, social family care
- assessment routed in medical approach; takes into account family history, psychosocial context, early adversity and risk factors
- made through referral w/ family doctor
Ideal Mental Health System Model
- start w/ welcoming clinic visit to det. each student’s support need
- followed by referrals to the appropriate level of service and support (stepped care)
- ideally seamless flow between levels of service and between community-based and campus-based services
Current Campus Resources at Queen’s
- Queens Student Health and Wellness Services (QSWS)
- Queens Student Accessibility Services (QSAS) part of QSWS
- Psychology Clinic at Queens Uni
Queens Student Health and Wellness Services (QSWS) & QSAS
- supports the personal, academic, and social health dev. of students by providing range of programs and services (physical and mental healthcare)
Psychology Clinic at Queens
- provide assessments, treatment, and consultation for Queen’s students and members of Kingston community
- operates on fee-for-service model
- sliding scale offered based on family income
Community-Based Services
- Hospital-Based Services
- Publicly Funded Community-Based Services
- Private and Fee-for-Service Options
Hospital-Based Services
- emergency or urgent care walk-ins
- ## subspecialty programs (eating disorder) which have defined criteria for admission
Publicly Funded Community-Based Services
- high demand plus limited funding means there are long wait lists and prioritizes most ill people
- do not line up w/ uni student demographic
Private and Fee-for-Service Options
- some insurance companies offer coverage, and those under 25 may cover under parents coverage, but in many cases coverage is limited
Barriers to mental health care
- Stigma-related barriers
- Attitudinal barriers
- Practical barriers
- Stigma-related barriers
- stigma and fear of being evaluated negatively as a result of mental health problems presents significant barrier in accessing mental health services