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32 Cards in this Set

  • Front
  • Back
What is a Mood Disorder?
Disorders that include:

Major depressive disorder

Dysthymic disorder
Bipolar disorder
Major Depressive Disorder
Leading cause of disability 15-44 yr

More prevalent in women

14.8 mill
6.7 %
Anxiety
40 mill
18.1%
Mood Disorder
20.9 %
9.5%
Panic
6 mill
2.7 %
Bipolar
5.7 mill
2.6 %
Dysthymic
3.3 mill
1.5 %
Schizophrenia
2.4 mill
1.1 %
Suicide
White men over 85 yr higher rate

11/100,000
National & Global Burden
Mental disorders rank top 10 illness causing disability

Depression is leading cause among 15yr and up

World's mental health care needs are largely unmet
What is normal?
Normal is based on who is defining it & the situation/environment/circumstance
How do you test for mental disorders?
No simple test for mental illness
What is a mental disorder?
Abnormal behaviors, feelings, thoughts, and functional impairments
What are the basis for mental disorder?
Cultural and ethnic norms

Length and/or severity of symptoms
Public attitudes about Mental Health
People with mental health:

can't make day to day decisions
are dangerous
are evil
are easy to identify
How do some cultures view mental health disorders?
Hearing voices:
normal for some cultures

Mad people:
have a place of honor and have been touched by a GREAT SPIRIT
What are some Health Facilities
(5)
Outpatient
Day treatment
Psychiatric Ward
Psychiatric Hospital
Community/residental
What are some optimal services that mental health facilities can provide?
Individual appointments
Crisis stabilization (acute setting)
Chemical detox
Dual diagnosis

Group therapy
Family therapy

Med follow ups and evaluations
Relapse prevention (RPh)
Healthy People 2020
Mental Health Objectives
"reduce"
Reduce:
suicide rate
suicide attempts by adolescents
major depressive
eating disorders
Healthy People 2020
Mental Health Objectives
"Increase"
Increase:
depression screening
treatment for chemical dependencies (& mental health)
mental health treatment for homeless
employment for people with SMI
Healthy People 2020
Mental Health Objectives
"facilites"
Increase:
primary care facilities that provide mental health
number of juvenile residential facilities that do screenings prior to admittance
number of children with MH problems who get treatment
What are the Sectors of Mental Health?
General med (primary care)
Human services (social workers)
Volunteer support (self help)
Specialty (psychiatrists, etc.)
Where can these Sectors be located?
Home
community
institutional
acute care
long term care
Factors that may influence use of mental health facilities
Accessibility
Finances
Health beliefs (misdiagnosis)
Parental influences
Socio-cultural
Socio-culture factors that may influence use of mental health facilities
Racism/discrimination
Breaches of confidentiality
Fear of stigmatization
Some cultures don't like group therapy
religious/spiritual beliefs
How to meet community AND individual needs for mental health
Increase public awareness
Teach (schools and family members) early on
Discuss inaccurate portrayals
Review employment opportunities
Equitable treatment by health care:
insurance, programs, providers
How to meet community AND individual needs for mental health
Provide more educational resources for professionals
Improve support & intervention treatment services
Support research toward understanding origins
Improve mental health curricula in health schools
Support legislation
Develop strong advocacy policy and programs
Barriers to Seeking help

only 50% with serious mental health illness seek treatment
Cultural/Ethnic differences
Mistrust
Stigma of mental health

Lack of:
insight into their own disease
access to services
insurance
treatment effectiveness
seamless communication between primary and mental health providers
What are the Costs of mental illness?
Exceedingly high
Costs society billions a year
Significant impairment to function at work
Who pays for mental disorders
Private insurances
Medicaid, Medicare, SSI
Mental health care for Veterans
Community mental health centers
Pastoral counseling (church)
Mental Health Global Policies
What do countries have?
Dedicated mental health policy mentioned in general health policy
Dedicated mental health policy not mentioned in general health policy
No separate dedicated mental health policy, but mental health is part of general health policy
No mental health policy
Pharmacists role in mental health care
Better training for those Rph that don't specialize in psychiatric
Provide accurate information on illness and treatment (expectations)
Familiarize with patient assistance programs for psych meds
Counseling and monitoring of therapy to improve adherence