Week 6: Mental Health Assessment Flashcards
What is integral to mental health
recovery stigma reflection social influences social inequities health promotion
explain the mental health/illness continuum
mental health and mental illness is not the same thing, not static, and subjective
you can be healthy with a mental illness
explain the concept of you are a product of your environment and explain some factors
how the environment affects mental health INDIVIDUAL - resiliency - coping - health status - lifestyles (ex, substance use and physical activity) - childhood development FAMILY - relationships - parenting style - income - substance use COMMUNITY - community involvement - social networks - social support - school - workplace - neighbourhood/built env. SOCIETY - social media - discrimintation - inequality
how to we promote mental health
health promotion
activities
campaigns
global burden of mental illnesses
Over 1/3 of people worldwide receive care for a mental disorder at some time in their life (True prevalence estimated at closer to 2/3)
US – 45% of family doc visits related to mental health
Canada – 20% of Canadians will be diagnosed with at least one mental disorder in their lifetime
what arises in a mental illness
Durration
Frequency of symptoms :
Decreased emotional expression
Self-concept changes
Depressed mood
Occupational problems
Disorganized thoughts
Decreased motivation
Insomnia
Fatigue
Nervousness
7 Important characteristics of Mental Health
Interpret reality accurately Ex, anorexic patients see themselves as overweight
Have a healthy self-concept
Are able to relate to others
Achieve a sense of meaning in life
Demonstrate creativity/productivity
Have control over own behaviors
Can adapt/cope with change & conflict
DSM-V
Standardize diagnosis book
mental health history 101 - what is included?
Past medical history – including mental health history
Family history
Medications
Violence/trauma
Psychosocial – supports and stressors
Substance abuse
Mood
Suicidal/homicidal ideation
Hallucinations
Delusions
ASEPTIC
A - Appearance/Behaviour
S - Speech
E - Emotion (Mood and Affect)
P - Perception (Auditory/Visual Hallucinations)
T - Thought Content (Suicidal/Homicidal Ideation) and Process
I - Insight and Judgement
C - Cognition
Structural stigma
Limitations or restrictions on a population scale that disadvantage people with mental illnesses
Disrupt stigma at this level through advocacy and activism at the policy level, use your right to vote as an opportunity to advocate for healthy public policies
social stigma
Stigma changes the way a person feels about themselves, and it changes the way other people see them (CMHA, 2020).
limits the ability of people to access life opportunities;
leads to the criminalization of illness behaviours;
limits access to general health care (Corrigan & Kleinlein, 2005).
Leads to higher levels of morbidity, poverty, incarceration, and unemployment for people with mental illnesses
Disrupt stigma at this level by being informed and self-aware; educate others; look for people’s strengths; and be inclusive
self stigma
Self-stigma is an experience of some individuals with mental illnesses, and happens when the negative attitudes of the public are internalized and believed by the person living with a mental illness
Self-stigma is associated with many negative consequences
Patients who self-discriminate experience negative outcomes , including negative emotions, shame, isolation, decreased self-worth, and decreased self-efficacy (Corrigan & Rao, 2012).
Disrupting stigma at this level can be extremely challenging
Changing the way a person thinks about themselves is not an easy process
Fostering personal empowerment? (Corrigan & Rao, 2012).
A Recovery Oriented System:must acknowledge
Each person’s path is different
Recovery is a process, not an end point
Recovery as an active process where the individual takes responsibility, & success depends on supportive community
3 pillars of recovery
choice
community
integration