Mental Health Diversity-Kohlenburg Flashcards

1
Q

About (blank) of americans will meet the criteria for a DSM diagnosis of a mental disorder over the course of their lifetime

A

1/2

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2
Q

(blank) is a common mental disorder. Globally, more than 350 million people of all ages suffer from this.
This is the leading cause of disability worldwide and is a major contributor to the global burden of disease. Women more affected than men

A

Depression

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3
Q

(blank) have associated disability, increased risk for communicable and non-communicable diseases, mental disorders contribute to injury, direct impact

A

Mental disorders

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4
Q

(blank) is the number 1 most disabling disorder worldwide measured in YLDs.

A

Depression

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5
Q

Yearly, 800,000 people commit suicide, 86% of whom are in low income and middle income countries, more than half are between (blank) years old.

A

15-44

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6
Q

India: Suicide was leading cause of death in 10-19 year olds, accounted for (blank) of all deaths in boys and up to (blank) of deaths in young women

A

24%

75%

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7
Q

What country is this:
Number of suicides in 2007 is expected to exceed 30,000, for the 10th year in a row
One suicide every 15 minutes on average. (The lancet.com, v.372, 2008)

A

Japan

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8
Q

What happened when we sent college students with 2 weeks of training to help depressed women in uganda?

A

it hella helped!

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9
Q

When community health workers went to pakistan to help with depression what happened?

A

infants had less diarrhea, were more immunized, mothers used birth contral, parents spent more time playing with kids. Decreased depression by half. Better functioning for a year

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10
Q

(blank) bear a greater burden from unmet mental health needs. Why?

A

Minorities

lower disparaities because of less access and lower quality of care

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11
Q

Who has huge amount of suicide?

A

American Indians> Whites>black> asian (high in the elderly)>hispanic

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12
Q

African Americans are under represented in (blank) settings and over represented in (blank) settings

A

outpatient

inpatient

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13
Q

AAs have (blank) disorders more than whites

A

somatization

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14
Q

In african american boys, suicide rates are increasing in boys aged (blank)

A

10-14

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15
Q

African Americans account for only (blank) of psychiatrists
More likely to use (blank) or primary care MD than a specialist
15% of those with a MI receive care
May metabolize psych meds more (blank) than Caucasians, but generally prescribed higher doses.
AA willl get talked to more (Blank)ly and it will be less patient centered.

A

2%
ER
slowly

dominantly

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16
Q

(blank) often consider expression of mental illness a personal weakness and are more likely than Westerners to express emotional distress through physical symptoms.

A

AA/PIs

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17
Q

The suicide rates of elderly (blank) women and young (Blan) women (15-24) are significantly higher than that of other women of the same age

A

Asian American

Asian American

18
Q

Rates of substance use disorder and alcohol dependence are lower among (blank), particularly women, than among the total US population

A

Asian Americans

19
Q

Who are most likely to tell people about their mental health issues?

A

white people

20
Q

More (blank) youth have pervasive feeling of sadness and hopelessness than whites (36% versus 26%) and more attempted suicide (10% versus 6%)

A

Latino

21
Q

Who are more likely to use alcohol?

A

hispanics

22
Q

(blank) experience PTSD more than twice as often as the general population. Suicide is ver common among 10-34 year old AI/ANs

A

AI/ANs

23
Q

(blank) use and abuse alcohol and other drugs at younger ages, and at higher rates, than all other ethnic groups.

A

Native Americans

24
Q

What are considered strength and protective factors for the AI/AN pop?

A

a strong ideation w/ culture and fam

  • strong connection with past
  • tradional health practices
  • adaptibility
  • wisdon of elders
25
Q

What are AI/AN challenges to health and well-being?

A
  • alcohol misuse
  • enduring spirit (stubborn, hard to accept change)
  • clashes between indian and non-indian views of mental health
  • long memories
  • trauma is communal
26
Q

a study showed that individuals w/ a (blank) orientation were half as likely to report a suicide attempt in their lifetimes

A

strong tribal spiritural orientation

27
Q

What is ethnopsychopharamcology?

A

cultural and ethnic influences on responses to medications (genetic and cultural)
Asians and AAs are slow metabolizers of TCAs and SSRIs

28
Q

1 in (blank) women will experience intimate partner violence. More than (blank) women a day are murdered by their current or former intimate partners.

A

4

3

29
Q

What is the leading cause of injury to american women?

A

domestic violence

30
Q

Young women ages (blank) have a higher incidence of partner violence than any other age group, almost triple that of the national average

A

16-24

31
Q

What women are more likely to die of homicide than any other cause, a signif portion by their partners?

A

pregnant and recently pregnant women

32
Q

Are men at risk for domestic abuse?

A

28.5% report lifetime victimization

5% in the past year

33
Q

(blank ) in 5 high school students report being physically or sexually abused by a partner

A

1

34
Q

(blank #) of kids are exposed to IPV per year

A

3.3-10 million

35
Q

In regards to ACEs;
Persons who had experienced four or more categories of childhood exposure, compared to those who had experienced none, had (blank) fold increased health risks for alcoholism, drug abuse, depression, and suicide attempt;
a (blank) fold increase in smoking, poor self-rated health, > or = 50 sexual intercourse partners
and sexually transmitted disease; and
(blank)-fold increase in physical inactivity and severe obesity.

A

4- to 12
2- to 4
1.4 to 1.6
ie. be more unhealthy

36
Q

80% of attempted suicides could be attributed to (blank)

A

adverse childhood experiences

37
Q

ACEs are related to (blank X 6) besides sucide

A
  • hepatitis
  • heart disease
  • fractures
  • alcoholism
  • occupational health
  • job performance.
38
Q

What is this:
Pushing, shoving, slapping, punching, kicking, choking, assault with a weapon, holding, tying down, restraining, leaving in a dangerous place, refusing to help when sick or injured.

A

physical abuse

39
Q

What are the 2 types of aggression? and how do you treat each type?

A

1: emotionally induced violence, arousal then subsides-> DBT can help
2: constant calculated violence-> Only incarceration can help

40
Q

What is this:
Threats of harm, falsely accusing, blaming for everything, extreme jealousy and possessiveness, deprivation, intimidation, humiliation, name calling, constantly criticizing, insulting ,ignoring, dismissal, ridiculing needs, lying to, breaking promises, behaving recklessly in order to frighten and intimidate, using money as a control method…

A

Emotional Abuse

41
Q

What is this:
Trying to force sexual performance against the patient’s will or when not fully conscious or when afraid to say no.
Physically hurting the patient during sex or assaulting the patient’s genitals.
Use of threats

A

sexual abuse

42
Q

SHould you screen for domestic violence?

A

awwww yeeeaaahh

The government will even pay for the screening and the counseling if proved positive