Mental Health on Campus Practical Ways to Help. Dr Jan Orman GP Services Consultant Black Dog Institute and emhprac
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1 Mental Health on Campus Practical Ways to Help Dr Jan Orman GP Services Consultant Black Dog Institute and emhprac
2 Acknowledgement Artwork by Bronwyn Bancroft Djanbun Clan, Bundjalung Nation
3 Black Dog Institute Mood Disorders research tertiary clinical services professional education lobbying
4 emhprac
5
6 What drives me? A little story about me
7 We need to do more to improve mental health
8 AIWH % of Australians with mental health problems got some sort of professional help
9 We need to do more to improve mental health We?
10 My Goals Today Reinforce knowledge of prevalence and impact mental health problems on campus Underscore the importance of early intervention in mental health Encourage you to see yourself as part of the care team Help you to discover some resources you might use and how you might use them
11 Some figures: One in five Australians experience mental health problems in any given year
12 WHO says: 10 20% of children and adolescents experience mental health disorders Half of all mental illnesses begin before the age of 14 and 75% by the mid twenties
13 Mental Health Problems severe and enduring Schizophrenia 1% (onset late teens in males, mid twenties in females) Bipolar Disorder 3-4% of year olds (onset any time but most commonly in teens and twenties)
14 Common mental health problems In the general population: Anxiety Depression Stress Drug and alcohol related problems And on especially campus: Eating disorders PTSD (childhood abuse and neglect) Suicidality can occur in all these conditions
15 Consequences of failure to recognise and treat early: Underperformance or academic failure Interpersonal difficulty Development of secondary problems: - drugs and alcohol - other self harming behaviours Stigma, isolation and discrimination Deterioration in mental health Poor physical health
16 Prevention and Early Intervention Psychotic Illness (Patrick McGorry) Bipolar disorder Eating Disorders Anxiety and Depression Stress
17 WHO says: Health workers who work with young people need to have the competencies to: relate to young people to detect mental health problems early to provide effective counselling to use medication where necessary
18 BUT Where are these health workers? How can we encourage people to see them? What can we do if there are no such health workers available or people in need of care will not go to see them?
19 Step 1: Are you OK? More than suicide prevention Why don t we say it more often?
20 Are we afraid of the answer?
21 Lou 28 Severe eating disorder since 14 years of age Unstable mood and recent psychotic episode Retrospective diagnosis of (untreated) bipolar disorder since early adolescence
22 What Lou says about Are you OK? It would have been a great relief to me if someone had asked me if I was OK but even when I was stick thin nobody said a word BUT they needed to have asked the question in private they needed to understand that I might be defensive and reject them in the first instance they just needed to leave the door open for me to come back
23 What Lou says about what they could have done next: They only needed to acknowledge that I was not OK and encourage me to seek some help. It would have made a big difference
24 What could you suggest to someone like Lou? (after you check what she has done already) Seek professional help: GP Psychologist\Counsellor Try seeking help online
25 Who would you see if you thought you had a psychological problem? 1. Friends 2. Family member 3. Nobody 4. GP 5. Psychologist
26 What stops people from seeking help? stigma: from social stigma: you don t have any problems think about all the starving Africans what would my mates think if they knew I needed a shrink to impact on career time, cost, distance, inappropriateness of available services lack of a perceived need for help - there s nothing wrong with me that a bit of rain wouldn t fix being unaware of services scepticism about treatment effectiveness
27 Getting help online the place of online resources Online resources are not a substitute for face to face care (though they can be in some circumstances) Prevention and early intervention Introduction to face to face care Adjunct to face to face care
28 Crisis Help Lifeline Suicide Callback Service Mensline Australia Qlife E-Headspace Kids Helpline
29 Websites for Psychoeducation beyondblue Black Dog Institute Blue Pages BiteBACK Reach Out E-headspace Centre for Clinical Interventions
30 Head to Health Digital gateway to mental health Open access Screening Advice about treatment options
31 Mental health treatment online!!
32 Online CBT the evidence: As effective as manualised face-to-face CBT in specific anxiety disorders and depression Helpful in resilience building and stress management in psychologically vulnerable populations
33 Online Treatment Programs Australia is a world leader in the development of online treatment programs: Australian programs are federally funded and evidence based Most are available free of charge
34 Developing institutions:
35 Overview Australian Evidence based both for prevention and treatment of common mental health conditions Online delivery of CBT (i-cbt/ccbt) with a little positive psychology, mindfulness based therapy and ACT. Mostly unguided self-help
36 Online Self Help Programs Mostly free (except for This Way Up) Available without referral
37 ANU Programs
38 QUT Programs (OnTrack) Unique modules for specific problems
39 Swinburne UT - Mental Health Online Linear Diagnosis specific for a range of anxiety disorders and depression Free in the self guided form
40 Black Dog Institute - MyCompass Non-linear (14 X 30 minute modules) Transdiagnostic Free
41 MyCompass features
42 Inside mycompass
43 THISWAYUP from UNSW/St Vincents/CRUFAD Linear NOT FREE (~$60 per program) But The most research evidence that it works Available as an app as well as for desk/laptop Programs for specific anxiety disorders as well as depression, insomnia, chronic pain and mindfulness based therapy
44 Virtual Clinic Mindspot (Macquarie University) GUIDED SELF- HELP Linear, transdiagnostic wellbeing programs for adults, older adults, indigenous people and adolescents. Specific programs for OCD and PTSD 5 lessons over 8 weeks
45 SO..Where do these programs fit into mental health care?: Prevention Early intervention As a introduction to face-to-face care As an adjunct to face to face care To fill the gap when no face to face care is available or accessible
46 Models for using emh adapted from Reynolds et al JMIR (1) e6 Promotion Case Management Coaching Treatment of specific symptoms Integration emh into comprehensive treatment Recommending self-help resources where appropriate Initial and final assessment and crisis management where necessary Actively and regularly supporting someone as they work through a program Extending face-to-face therapy using emh to address specific symptoms Full integration of emh into face-to-face therapy programs
47 Learn more: emh resource guide search/projects/emhprac/ resources
48 Professional training: GP training Allied Health training prac/resources
49 We ALL need to do more to improve mental health
50 Let s work together towards a mentally healthier world (Mental health is everybody s business)
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