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38 Cards in this Set

  • Front
  • Back
Indian Health Service: 4 goals for success
assist indian tribes in developing HLTH programs. facilitate and assist indian tribes in coordinating health insurance. provide comprehensive health care services. serve as federal advocate
refugees
people who want to flee their home from danger
immigrants
migrate from other countries to set up residence in another country
aliens
people owing allegiance to another country. people who were not born in a particular country
illegal aliens
enter the country w/o permission
concerns of immigrants
poor, lower levels of edu, fewer work skills, serious health problems
SES
relating to a combination of social and economic factors. has been considered the most influential single factor to premature morbidity and mortality
3 types of powers
social-info, knowledge and skills, participation.
psychological-individual sense of potency demonstrated in selfconfident behavior.
political- vote, voice and collective action.
mental illness
major cause of disability. 1/4 of pop affected. 6% have addicted behaviors. 3% have both mental and addictive. only 1/4-1/3 of those diagnosed receive treatment.
mental health
state of successful performance of mental functions resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and cope with adversity
people with good mental health...
function under adversity, adapt to change, control anxiety, and more satisfaction in giving than receiving.
DSM
diagnostic and statistical manual of mental disorders. classifys mild moderate of severe.
origin of mental health problems
hereditary, environmental, or both, idiopathic (unknown)
causes mental health problems
deficiency at birth, genetic, idiopathic, maternal exposure, physical impairment, psychological
mental retardation cases
2/3 traceable to environmental factors (no prenatal care, poor nutrition, postnatal care)
how many adults have had at least on incident of a mental health or substance abuse disorder in 30 days
15.4%; 35% in their lifetime
many disorders are
chronic
indicators
suicide/homicide#
high divorce rate
current widespread of abuse
stress "fight or flight"
GAS-general adaptation syndrome-alarm reaction, resistance, exhaustion
15-24 leading cause of death
suicide is 3rd leading cause of death
homicide is 2nd
stress
impacts health via psychological or behavioral changes.
relationship btwn stress and hlth is complicated.
avoiding stressful situations is better than managing stress.
serious mental health illness in..
in people who are homeless, more than 1/2 of inmates have mental health issues
people at high risk for mental health illness
post traumatic stress disorder and major depression
citizens exposed to disaster
soldiers returning from combat- 20%
prevention of mental health problems
primary- efforts aimed at forestalling the onset of mental illness (voluntary agencies)
secondary- reducing prevalence by shortening episodes (private clinics, ERs, social service providers.
tertiary- after diagnosed (psychotherapy and psychopharmacology)
treatment approaches
goals: reduce symptoms, develop and strengthen coping skills, and promote behaviors that improve life.
deinstitutionalization
discharging of patients from state owned mental hospitals to less restrictive community settings. began in 1950s propelled by economics, idealism, legal considerations, and anti psychotic drugs.
Joint commission on mental illness and health
recommended acute mental illness be treated in community based settings. initiation of community support and program to promote recovery.
Health literacy
understand and apply written and oral info in a healthcare setting. patients with lower health lit skill increase the cost of healthcare.
how many people do not have health lit
1 in 5
avg adult reading level
8th-9th
what groups have the lowest percent of health lit?
elderly and minorities
white/non hispanic
2/3 of pop
largest minority group
hispanic. 14%. lowEST edu levels. lower income, higher poverty. "good health is seen as a gift or reward from god"
why native hawiian/ pacific islanders split from asian
their living patterns are different.
order of race percents
white 66.9
hispanic 14.4
black 13.4
asian 4.9
2 or more 1.6
american indian/alaskan 1.5
native hawiian/PI .3
Black americans
second largest minority
13%
lowEST income
lower edu, higher poverty
"curing illness with roots, herbs, barks, and tea"
Asian
4.9%
higher edu
higher income
lower poverty
"balance=health, imbalance= disease."
pacific islander
.3%
lower edu
lower income
higher poverty
"the healer cannot be reimbursed directly for his or her theraputic work."
american indian/alaskan native
1.5% of population
lower edu
lower income
higher poverty
"strive for a close integration within the family clan and tribe and live in harmony with their environment"