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1

Mental Health

WHO: STATE OF WELLBEING in which the individual realizes his or her own abilities, can cope with life's normal stressors, can work productively and can make a contribution to society

2

Mental Health is the successful performance of what 4 mental functions

1. Results in Productivity

2. Fulfilling Relationships

3. Ability to adapt to change

4. Ability to cope with adversity, life's events

3

Mental health provides the capacity for what?

rational thinking

learning

emotional growth

resilience

self esteem

4

Elements of Mental Health

1. self governance ability to act independently, dependently, or interdependently without losing autonomy

2. progress toward growth or self realization

3. tolerance of the unknown - coping ability

4. reality orientation

5. master of environment

6. stress management

*some degree of variance exists but inability leads to mental illness

5

3 Areas that Influence/Drive Mental Health

Biologic Influences

Psychological Influences

Sociocultural Influence

6

Examples of Biologic Influence of Mental Health

prenatal, perinatal, and neonatal events

physical health status

nutrition

history of injuries

neuroanatomy

physiology

7

Examples of Psychological Influence of Mental health

Interactions

intelligence quotient

self concept

skills

creativity

emotional developmental level

8

Mental Disorders

APA: Clinically significant disturbances in cognition, emotional regulation, or behavior that reflects a dysfunction in the physiological, biological, or developmental processes underlying mental dysfunction.

They are usually associated with distress or impaired functioning.

9

How can mental health be viewed?

as an illness continuum

it can be viewed on end points of a continuum with movement back and forth during life (like a pendulum swinging back and forth)

10

What are the 4 levels of Mental Health?

Physical

Personal

Interpersonal

Societal

*All four of these impact your mental health on a continuum)

11

Can mental health and illness be used interchangeably?

NO they cannot be defined completely in terms of one another

Individuals and families are complex

12

Incidence and Prevalence of Mental Illness is ____

non-discriminatory (can happen to anyone at any time)

13

At any given time how many Americans could be diagnosed with mental illness 18 yo and older?

1 in 4 Adults

26% of 18+

57.7 Million Americans

14

How many with mental illness will never seek treatment?

1/2

15

Dual Diagnosis

A diagnosed mental disorder co-occurring with substance abuse problems

15% of adults with MI have this

16

___% of homeless people have schizophrenia or bipolar disorder

25%

17

___ is the most often missed and under diagnosed mental health problem

depression

18

What group has the highest depression leading to suicide rates?

People 65+

19

What is the etiology for Mental illness?

IT is largely identified, and it is believed to be caused by complex interactions among genetics and environmental influences

A combination of biological and environmental factors with exact definitions unknown

20

What is the one common thread of mental illness etiology?

Many mental illnesses are undefined/we largely do not know the precise causes - individual aspects can play a big role in MI

21

The experience and consequences of Mental Illness are ...

much more complicated than a list of symptoms and diagnosis

22

___ ___ of mental illness are elusive

precise definitions

23

___ in and of itself is not sufficient to produce a mental illness

Stress

24

What are the 2 main diagnostic tools for classifying Mental Illness?

ICD-10 (WHO)

DSM-5 (APA)

25

ICD-10

WHO’s Classification of Mental and Behavioral Disorders, ICD-10 international diagnostic standard for general epidemiological and many health management purposes monitoring and analysis of the general health of a population and the incidence and prevalence of diseases.

26

DSM-V

APA developed Diagnostic and Statistical Manual of Mental Disorders ( DSM ) multi-axial classification system groups disorders by symptom clusters and differentiates between normality and psychopathology based on duration and severity of symptoms.

27

In 2015, the DSM V...

moved away from the multi-axial system to a more unified approach aimed at improving diagnostic care

28

5 Axis of DSM

Axis I - Clinical Disorder

Axis II - Personality Disorders and Mental Retardation

Axis III - General Medical Conditions

Axis IV - Psychosocial and Environmental Problems

Axis V - GAF - Global Assessment Scale # system meaning current functioning/highest level of functioning in the past year

29

Each disorder has ___ that describes behaviors, symptoms, or signs; duration and other qualifiers, the ___ do NOT determine ___.

each disorder has criteria that describes behaviors, symptoms, or signs; duration and other qualifiers, the criteria do NOT determine diagnosis

30

Many clients have ___ dx on the first 3 axes

1+