WEEK EIGHT Flashcards
the reform directions are
- Mapping the reform directions
- Having strategic direction of services that are needed
- Having action areas
Three reform directions for WA
Person centred support & services
connected approaches
balanced investment
Consequences of not providing better care of individuals mental health
- Extended hospital stays
- More frequent admissions and readmissions to mental health inpatient units
- Increased burden to families, community and individuals
- Increased repetition and involvement with the justice system.
- Delays in access to mental health care, alcohol and drug treatment (criminal system, poor employment, housing and relationships
What is hoped to be achieved by future plan
Prevention and lowering of trends
Provision of services
Provision of therapeutic care
Define schizophrenia
A long-term mental disorder of a type involving a breakdown in the relation between thought, emotion, and behaviour, leading to faulty perception, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation
Symptoms of schizophrenia
Hallucinations : “hearing, seeing, smelling, sensing or tasting things not experienced by others”
Delusions: strong beliefs are contrary to the evidence around them
Disturbances in speech: speech not understandable, or disconnected from present discussion
Other: lack of energy, apathy, failure to initiate speech, inappropriate or blunted responses
Causes of schizophrenia
Genetic disposition Exposure to intrauterine infection Birth trauma Head injury in childhood Communication patterns in the family Environmental stress Drug use
PRODROMAL Phase - before symptoms
General loss of interest in activity Withdraws from social interaction Work or school difficulties Develop odd beliefs Start talking to themselves Develop odd ritualistic behaviours
Active phase- onset of symptoms
Hallucinations Delusions Highly anxious Depressed Can’t think through activities Don’t trust
residual phase- lessoning of active symptoms
Residual symptoms may remain Symptoms not responsive to medication Lack of interest Failure to initiate interest and engagement Lack of motivation Have little confidence of their mind Recovery style may be Integrative style Sealing over style Integrative/mixed style
Physcosocial effects of schizophrenia
Impacts activities of daily living
Symptom management
Medication management
Suffering isolation, loneliness
Decision making is affected
Employment issues
Issues with disclosure of condition leading to discrimination for housing, health care and relationships
Stigmas associated with poor self-image, lack of self-esteem and self-stigmatism.
Poor practical or social skills to build relationships
Recovery of schizophrenia
Accept that recovery is different for everyone
The recovery paradigms are hope, self-determination, self-management, empowerment and advocacy.
A person has a right to full inclusion
A person has a right to a meaningful life of their own choosing,
A person has the right to be free of stigma and discrimination.
Recovery is an ongoing experience
Recovery is a journey rarely taken alone
Recovery is interspersed with achievements and setbacks
Depression symptoms
Significant weight loss – 5% body weight in a month or weight gain
Insomnia nearly every day
Psychomotor agitation/retardation 2nd daily
Fatigue every day
Feeling worthless or guilty daily
Can’t concentrate, indecisive nearly every day
Recurrent thoughts of death/ suicide ideation
Thinking about death
depression complications
Violence and suicide occurs in 25% of severe cases
Treatment halves the risk of suicide
Affects persons capacity to work and is associated with occupational dysfunction
Suicide checklist if something is not right
Stop talking to family and friends Become afraid or suspicious for no reason Sleep poorly Develop strange ides Hear voices Feel they have special powers Can’t concentrate They say things that don’t make sense Abuse drugs or alcohol
