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38 Cards in this Set
- Front
- Back
Indian Health Service: 4 goals for success
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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
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refugees
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people who want to flee their home from danger
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immigrants
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migrate from other countries to set up residence in another country
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aliens
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people owing allegiance to another country. people who were not born in a particular country
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illegal aliens
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enter the country w/o permission
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concerns of immigrants
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poor, lower levels of edu, fewer work skills, serious health problems
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SES
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relating to a combination of social and economic factors. has been considered the most influential single factor to premature morbidity and mortality
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3 types of powers
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social-info, knowledge and skills, participation.
psychological-individual sense of potency demonstrated in selfconfident behavior. political- vote, voice and collective action. |
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mental illness
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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.
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mental health
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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
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people with good mental health...
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function under adversity, adapt to change, control anxiety, and more satisfaction in giving than receiving.
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DSM
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diagnostic and statistical manual of mental disorders. classifys mild moderate of severe.
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origin of mental health problems
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hereditary, environmental, or both, idiopathic (unknown)
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causes mental health problems
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deficiency at birth, genetic, idiopathic, maternal exposure, physical impairment, psychological
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mental retardation cases
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2/3 traceable to environmental factors (no prenatal care, poor nutrition, postnatal care)
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how many adults have had at least on incident of a mental health or substance abuse disorder in 30 days
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15.4%; 35% in their lifetime
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many disorders are
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chronic
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indicators
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suicide/homicide#
high divorce rate current widespread of abuse stress "fight or flight" GAS-general adaptation syndrome-alarm reaction, resistance, exhaustion |
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15-24 leading cause of death
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suicide is 3rd leading cause of death
homicide is 2nd |
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stress
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impacts health via psychological or behavioral changes.
relationship btwn stress and hlth is complicated. avoiding stressful situations is better than managing stress. |
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serious mental health illness in..
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in people who are homeless, more than 1/2 of inmates have mental health issues
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people at high risk for mental health illness
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post traumatic stress disorder and major depression
citizens exposed to disaster soldiers returning from combat- 20% |
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prevention of mental health problems
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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) |
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treatment approaches
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goals: reduce symptoms, develop and strengthen coping skills, and promote behaviors that improve life.
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deinstitutionalization
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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.
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Joint commission on mental illness and health
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recommended acute mental illness be treated in community based settings. initiation of community support and program to promote recovery.
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Health literacy
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understand and apply written and oral info in a healthcare setting. patients with lower health lit skill increase the cost of healthcare.
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how many people do not have health lit
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1 in 5
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avg adult reading level
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8th-9th
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what groups have the lowest percent of health lit?
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elderly and minorities
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white/non hispanic
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2/3 of pop
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largest minority group
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hispanic. 14%. lowEST edu levels. lower income, higher poverty. "good health is seen as a gift or reward from god"
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why native hawiian/ pacific islanders split from asian
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their living patterns are different.
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order of race percents
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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 |
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Black americans
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second largest minority
13% lowEST income lower edu, higher poverty "curing illness with roots, herbs, barks, and tea" |
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Asian
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4.9%
higher edu higher income lower poverty "balance=health, imbalance= disease." |
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pacific islander
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.3%
lower edu lower income higher poverty "the healer cannot be reimbursed directly for his or her theraputic work." |
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american indian/alaskan native
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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" |