foundations of mental health Flashcards
(30 cards)
mental health status improvement
-reduce the suicide rate
-reduce suicide attempts
-reduce proportion of adolescents w/ eating disorders to control weight
-reduce proportion of people who have a major depressive episode
treatment expansion- healthy people expansion
increase in..
-primary care facilities that provide MH tx onsite or by paid referral
-children & adults with MH who receive tx
-people with substance abuse and mental disorders who get tx for both disorders
-juvenile residential facilities that screen admissions for MH problems
-people with serious MH probs that are employed
-depression screening by PCP
-PCP office that screen 12-18yo for depression
-homeless adults with MH problems who receive MH services
Richards
-first trained nurse in U.S
-developed school that recruited students to be psych nurses
Freud
-developed neurosis, psychosis, and Id, Ego, & Superego theory
neurosis
-less severe mental illness but has emotional distress
psychosis
-severe mental illness that impairs daily function due to breaks in contact with reality
-hallucination, delusions, disorganized thoughts, speech, or behavior
Id, Ego, & Superego
-Id: impulsive part of our psyche that responds directly and immediately to basic urges, needs, and desires
-Ego: what a person is aware of when they think about themselves & what they try to project on others
-superego: part of the unconsciousness that’s the voice of the conscience and the source of self-critisism
institutionalism
forced confinement of individuals for long periods of time in large facilities
de-institutionalism
release of pts with severe and persistent mental illness from state mental hospitals into the community for tx, support, and rehabilitation
mental health
emotional and physiological well-being of an individual who has the capacity to interact with others, deal with ordinary stress, and perceive one’s surrounding realistically
wellness
-being in good physical and mental health
-includes mental, emotional, physical, occupational, intellectual, and spiritual aspect of a person’s life
mental disorders
-disturbance in cognition, emotional regulation, or behavior that reflect a dysfunction
-usually associated with distress or impaired functioning
DMS-5
-used to dx mental disorders
-there are no boundaries separating one disorder from another; disorders often have different manifestations at different times
public stigma
-stereotypes developed and believed by the public
-“all schizophrenics are dangerous”
self stigma
-when one develops a negative stereotype about oneself and internalizes it
-ex: “i have a mental illness, so i must be incompetent”
label avoidance
avoiding tx or care in order to not be labeled mentally ill
recovery
-process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential
-most important goal for pts with mental illness
the four dimensions that support recovery
-health
-home
-purpose
-community
things to consider for recovery oriented care
-Empowerment: encourage/support to be independent
-Person-centered care: pt actively involved in care, making their own decisions
-Shared – decision: helping individual learn how to make decisions
-Employment/Housing: give them resources to help
-Peer support: get pt involved for support; ex: AA meetings
-Barriers to recovery: stigma, poverty, homelessness, lack of services
cultural syndromes
specific disorders found within a particular culture
trauma
-physically or emotionally harmful or life threatening
-has lasting adverse effects on individual
cultural identity
a set of cultural beliefs with which one looks for standards of behavior; may consider themselves to have multiple cultural identities
cultural competence
-the ability to recognize and interact effectively with people of different cultures
-what needs to be done to meet patient’s needs?
rural disadvantages
-limited access to care
-higher suicide rates due to use of firearm
