YEAR 3 RESOURCES Flashcards
What classifies as “harmful use” under ICD?
A pattern of psychoactive substance use that is causing damage to health (physical or mental)
What is dependance syndrome
A strong design or sense of compulsion to take a substance
Difficulties in controlling substance-taking behaviour
A physiological withdrawal state
Evidence of tolerance, such that increased doses of the psychoactive substance are required in order to achieve effects originally produced by lower doses
Progressive neglect of alternative pleasures or interests
Persisting with substance use despite clear evidence of overtly harmful consequences
List the members of community mental health teams?
Psychiatrist – Generic and Specialist
•Medical Trainee
•Specialist Nurse – RMN or CPN / Health Care Assistant
•Social Worker (AMHP Approved Mental Health Practitioner)
•Psychologist
•Pharmacist
•Occupational Therapist / Assistant
•Community Support Workers
•Physiotherapist
•Ward Managers / Team managers
•Chaplain
What are the different mental health teams?
Inpatient Team
•Liaison Team
•Community Mental Health Team
•Early Interventions in Psychosis Team
•Assertive Outreach Team
•Crisis Team
•Home Intensive Treatment Team
•Carers Support Team
What is the mental health liaison team?
Liaison psychiatrists work at the interface between physical and psychological health, providing psychiatric care to medical patients.
They provide diagnosis, support and information to people who are in a general hospital
What is the early interventions in psychosis team?
multi-disciplinary teams set up to seek, identify and reduce treatment delays at the onset of psychosis and promote recovery by reducing the probability of relapse following a first episode of psychosis.
What is the mental health assertive outreach team?
This team works with an identified group of service users who have severe mental health problems and aren’t currently engaging effectively with mental health services.
What is the mental health crisis team?
Teams that support those who have a mental health crisis outside the hopsital E.g. suicide attempts etc
They visit you, assess your needs and help assist
They are available 24 hour a day
What is MIND?
A mental health charity in the UK
What is IAPT?
Improving Access to Psychological Therapies
Developed by the NHS to improve the delivery of, and access to, evidence-based psychological therapies for depression and anxiety disorders within the NHS
Epidemiology of depression in the UK?
Common
Average lifetime prevalence if 14.6% for adults in HIC = 1in 7
Average age of onset is 25.7 years
Female:male 2:1
After 1 episode, 50% will have another
What are the socioeconomic factors that affect the prevalence of depression
•Child trauma > rates
•Child trauma > lower socio-economic groups
•Strongly associated with socio-economic deprivation. Rates increased in social class 4.
•Rates increased with decreased educational attainment and IQ
•Stigma ie in travelling communities / Chinese population
•First degree relatives increase risk
•Bereavement, separation, loss of occupation, debt, alcohol, divorced, single parents, housing association housing or LA
•Childbirth
Risk factors for self harm?
Age — self-harm rates peak in 16 to 24-year-old women and 25 to 34-year-old men. Suicide rates are highest in both men and women aged 45–49 years.
Socio-economic disadvantage.
Social isolation.
Stressful life events, for example relationship difficulties, previous experience in the armed forces, child maltreatment, or domestic violence.
Bereavement by suicide.
Mental health problems, such as depression, psychosis or schizophrenia, bipolar disorder, post-traumatic stress disorder, or a personality disorder.
Chronic physical health problems.
Alcohol and/or drug misuse.
Involvement with the criminal justice system (with people in prison being at particular risk).
Risk factors for completed suicide?
male sex (hazard ratio (HR) approximately 2.0)
history of deliberate self-harm (HR 1.7)
alcohol or drug misuse (HR 1.6)
history of mental illness
depression
schizophrenia
history of chronic disease
advancing age
unemployment or social isolation/living alone
being unmarried, divorced or widowed
If a patient has actually attempted suicide, there are a number of factors associated with an increased risk of completed suicide at a future date:
efforts to avoid discovery
planning
leaving a written note
final acts such as sorting out finances
violent method
Epidemiology of suicide?
1 person every 2 hours in UK. 1% of all deaths
•100,000 suicide attempts per year
•30% who attempt will re-attempt within 5 years
•They are 48 times more likely than average to die by suicide
•1/3 of suicide victims have self-harmed at least once in the past
•3M:1F
•Highest rates middle aged males 40-50
