Mental Health Gap Flashcards
a state of successful performance of mental
function, resulting in productive activities,
fulfilling relationships with other people, and
the ability to adopt to change and to cope with
adversity.
Mental Health (DOH)
A state of social well-being in which every
individual realize his/her own potential (self
image):
● Can cope with the normal stresses of life
(resiliency)
● Can work productively and fruitfully
(productivity and creativity and is
● Able to make a contribution to her/his
community (sense of purpose)
Mental Health (WHO)
Factors that affect the mental state and
well-being
of an individual:
- Genetics
- Socioeconomic factors
a. Poverty
b. Low levels of education
c. Poor living conditions
d. Hopelessness - Chemical imbalance in the brain
due to:
a. Trauma
b. Infectious diseases
c. Toxic substance - Behavioral problems like:
a. Substance abuse
b. Violence
c. Abuse of women & children - HIV/AIDS
Are health conditions that adversely
affect cognition, emotion & behavior & that significantly reduces the child’s
capacity to learn and an adults ability to
function in their families, at work or in
society.
Mental Disorders (DOH)
any
illness
experienced by a person that interfere with
his/her thinking, feeling or social activities and
even
daily functioning.
Mental Illness or Mental Disorders -
Conditions that can lead to Mental Illness
(M.I.)
- Stressful life events
- Difficult family background
- Brain diseases
- Heredity
- Medical problems
true or false WHO recently launched the Mental
Health Gap Action Programme for
low-and middle – income countries with
the objectives of scaling up care for
mental, neurological & substance use
disorders.
true
Purpose of mhGAP Intervention Guide
For use in non-specialized health – care
settings
It is aimed at health – care providers
working at first – and second – level
facilities.
or the Mental Health
Law is an act establishing the national
mental health policy for the purpose of:
○ Enhancing the delivery of
integrated mental health services
○ Promoting and protecting the
rights of persons utilizing
psychiatric, neurologic and
psychosocial health services in
the Philippines
○ Specifically, the law calls for the
implementation of the following:
Republic Act 11036
Key Actions
Communication with people
seeking care and their carers
Assessment
Treatment and Monitoring
Mobilizing and providing social support
Protection of human rights
Attention to overall well-being (AOW)
In typical depressive episodes, the
person experiences a depressed mood,
loss of interest and enjoyment, and
reduced energy leading to diminished
activity for at least 2 weeks.
i. Depressed mood (most of
the day, almost every
day), (for children and
adolescents either
irritability or depressed
mood)
ii. Loss of interest or pleasure
in activities that are
normally pleasurable
iii. Decreased energy or easily
fatigued.
Moderate - Severe Depression
Psychosocial/Non-Pharmacological
Treatment and Advice
Psychoeducation
Addressing current psychosocial
stressors
Reactive Social networks
Structured Physical Activity
Programme
Offer regular follow – up
Initiating antidepressant medication
Antidepressant from the WHO Formulary and
are on the WHO model List of Essential
Medicines
- Selective Serotonin Reuptake
Inhibitors (SSRIs)
Example: Fluoxetine - Tricyclic Antidepressants (TCA)
Example: Amitriptyline
If symptoms of mania emerge during
treatment: immediately stop
antidepressant and assess for and
manage the mania and bipolar disorder
● If people on SSRIs show
marked/prolonged akathisia
Monitoring people on antidepressant
medication
● Serious side-effects
○ Marked/prolonged akathisia
○ Bleeding abnormalities
● Common side-effects of SSRIs
○ Restlessness, nervousness,
insomia, anorexia and other
gastrointestinal disturbances,
headache, sexual dysfunction.
○ Cautions: Risk of inducing mania
in people
Information on SSRIs and TCAs
Selective Serotonin Reuptake Inhibitors
