Severe and Persistent Mental Illness Flashcards
Fill in the blank: Mental illness is one of the leading causes of hospital admissions in those aged ___ to ___.
20-44
How many children who are in need of mental health services actually receive care?
Only one in five children in need of mental health services receives care.
How many people in Canada live with a severe and persistent mental illness?
3%, which is approx. 1 million people.
Where do large numbers of people with mental illness tend to live?
On the street.
What are the estimated economic costs (both direct and indirect) of mental illness annually?
Moderate economic estimates suggest $4.7 billion in direct costs annually and $3.2 billion in indirect costs annually.
What is “stigma”?
Societal devaluation or demeaning of an individual or group of people by judging, labeling, alienating, or thinking them to be incapable of fulfilling valued social roles or contributing to society.
What is “marginalization”?
To relegate to an unimportant or powerless position within a society or group.
Why does stigma exist?
Lack of knowledge
Misrepresentations in the media
Fears
Vulnerability
How does stigma affect individuals?
Lower self-esteem, feelings of loneliness and/or isloation, increased risk of depression and possibly hopelessness, increased risk of suicide, potential for additional medical illness and/or concurrent disorders, interferes with ability to live and function independently, interpersonal relationships and social interactions, learning, recreation, and employment possiblity, accessible health care system and medication compliance.
How does stigma affect families?
Sorrow, sadness, shame, disappointment, guilt, loss, stress, burnout, cultural, financial, dysfunction, instability, abuse, violence
How does stigma affect society?
Increased need for community resources that provide basic necessities, rejection, isolation, violence/criminal behaviour, stigma, marginalization.
What can we do to combat stigma?
- Education programs
- Raise community awareness
- Reintegration and vocational problems ->promote back to work/school programs
- Community supports (clubhouse)
- Advocate for change in public policy re:access/flexibility/comprehensivity of programming
What is the result of deinstitutionalization of mentally ill?
Shift to community mental health support.
What is the result of the shift to community mental health support?
Community mental health model was introduced, downsizing meant a loss of inpatient beds, facilities were created (Cedar Ridge, Timber Creek), inadequate & insufficient funding resulting in staffing shortages, lack of adequately educated/trained personnel, inappropriate use & lack of community services, some patients ended up in residential care or corrections, increased number of people with mental illness became homeless, 4% of schizophrenic patients live in a care facility, 15% of jail and prison population have SPMI
What is the role of the community mental health nurse?
Empowerment, regain highest level of functioning, develop skill set: assessment skills, insight, judgement, experience, knowledge of group process and family dynamics, advocate, knowledge of community resources, team work, sense of belonging and purpose.
