Perspectives on help-negation
|
|
- Kelly Sullivan
- 5 years ago
- Views:
Transcription
1 Perspectives on help-negation Dr Coralie Wilson Illawarra Health and Medical Research Institute & Graduate School of Medicine University of Wollongong
2 Presentation abstract Help-negation refers to the process of help avoidance or refusal that commonly occurs in clinical and non-clinical samples with varying forms and levels of psychological symptoms. In the last decade the effect has been established as an inverse relationship between the severity of symptoms and help-seeking for suicidal ideation, depression, and general psychological distress, for a variety of professional and non-professional help sources [see Wilson CJ, Bushnell JA, Caputi P. Early Intervention in Psychiatry, 2011; 5: 34-39, for a review]. Findings from now over 20 help-negation studies suggest that at least some types of psychological symptoms or processes associated with the development of specific symptom-types act as significant barriers to help-seeking. They also raise important implications for our future prevention initiatives and policies that rely on proactively seeking and accessing help. How successful can we expect future initiatives to be if a consequence of experiencing psychological distress, even in its very early stages of development, is a tendency to withdraw from specific helping opportunities or to avoid help altogether? Internationally, help-negation research has moved from establishing the help-negation phenomenon to a new phase of investigation. The new phase aims to identify the determinants of help-negation for a range of psychiatric and medical illness or disease symptoms, together with the cognitive, affective, behavioural, neurological and social variables underpinning and strengthening the help-negation process. Projects currently running and under development in my team's helpseeking research program examine help-negation in relation to a broad range of symptoms, in clinical and community samples with different demographical variables, and answer the following questions: What are the patterns of help-negation for different psychiatric and physical symptoms of illness/disease? What are the correlates and determinants of help-negation? What are the neurological and neuropsychological mechanisms involved in help-negation? What is the role of social networks in help-negation? What is the best way to inoculate different groups against help-negation? What are the implications for national and international policy? This paper describes emerging results from this new phase of help-negation research, and proposes directions for future research, prevention, intervention, and policy. 2
3 What is help-negation? First described as: the unique pattern shown by acutely suicidal clients who have reached a state of utter hopelessness concerning treatment, [to] soundlessly abandon, politely terminate, or angrily reject treatment Clark & Fawcett 1992 p40 Defined as: the process of help withdrawal or avoidance found among those currently experiencing clinical and subclinical levels of different forms of psychological distress Wilson et al EIP
4 Why focus on help-negation and helpseeking? Help-seeking is a generic protective factor Receiving appropriate help early can protect against developing serious mental disorders, and suicidal thinking Rickwood et al MJA
5 Understanding the determinants of the helpnegation process provides a potent opportunity to target intervention strategies that successfully facilitate appropriate and timely help-seeking 5
6 Samples Adolescents War veterans / refugees Emerging adults Teachers* Healthy adults Patients with a diagnosis Patients without a diagnosis 6
7 Across samples: 20 studies Symptoms ranged from low intensity to clinically relevant; majority of participants reported low symptom levels Consistent pattern of reluctance to seek help as symptom levels increase 7
8 Example I: Adolescents, mean age 15 years Intention-type Symptomtype Friends/ Family MH Professional Would not seek help Combined n Published studies Suicidal thinking -.37 *** -.26 ***.30 *** 859 JClinPsyc 2005 JOYA 2010a Depression -.27 *** -.10 **.21 *** 1497 ClinPsyc 2007 General distress NA -.09 *.30 *** 688 JOYA 2010a YSA 2011 *** Averaged Correlation p<.001, ** p<.01, * p<.05 8
9 Example II: Young adults, mean age 20 years Intention-type Symptomtype Friends/ Family MH Professional Would not seek help Combined n Published studies Suicidal thinking -.31 *** -.18 ***.30 *** 713 JClinPsyc 2001 JOYA 2010b Depression -.27 *** -.10 **.21 *** 350 ClinPsyc 2007 General distress -.20 * *** 109 AMH 2010 *** Averaged Correlation p<.001, ** p<.05, * p<.05 9
10 Intention-type Hypothesis tested Is help-negation for suicidal thinking explained by: Friends/ Family MH Prof No help # Published studies: Year Sex? no no no 5: Religious affiliation? no no no 1: 2005 Prior help? no no no 2: No current desire for help? no no no 1: 2010 Hopelessness? no no no 4: Depression and/or anxiety symptoms? no no no 1: 2010 General psychological distress symptoms? no no no 1: 2010 Attitudes towards counselling? no no no 1: 2005 Treatment fears and need for autonomy? no YES no 1:
11 Recent results among young adults 11
12 Case-controlled sample I: Wilson Caputi et al 2012a First year health students (regional NSW) Total sample Male: Female 1:3 1:3 Age range years years years 70% 70% years 18% 18% years 12% 12% Age Mean (Standard Deviation) Cultural affiliation European / Australian (5.16) years (5.77) years 91% 98% 12
13 Summary: Logistic regression analyses with current suicidal ideation level predicting intention to seek help for suicidal thoughts INTENTION Friends and family no*** no*** Mental health professional / Telephone crisis line no*** no** no** no** Not seek help from anyone yes*** yes*** ***Odds Ratios within 95% Confidence Intervals, p<.001, ** p<.01; adjusted for age 13
14 Results suggest help-negation for suicidal thoughts has not changed among university students in the last decade! Adjusting for depression made no significant difference to the pattern of results To what extent is this pattern driven by sex? 14
15 Case-controlled sample II^: Wilson Caputi et al 2012b First year health students (regional NSW) Male Female Total sample Age range years years years 70% 70% years 18% 18% years 12% 12% Age Mean (Standard Deviation) Cultural affiliation European / Australian ^Subset of Case-matched sample I (5.16) years (5.77) years 91% 98% 15
16 Summary: Logistic Regressions with current symptom levels predicting intention to seek help for the matching symptomtype; male group INTENTION Stress Anxiety Depression Suicidal ideation Friends and family yes no no* no** Mental health professional / Telephone helpline yes yes no* yes no** no** no no* Not seek help from anyone yes yes*** yes** yes*** ***Odds Ratios within 95% Confidence Intervals, p<.001, **p<.01, *p<.05 ; adjusted for age and need for autonomy 16
17 Summary: Logistic Regressions with current symptom levels predicting intention to seek help for the matching symptomtype; female group INTENTION Stress Anxiety Depression Suicidal ideation Friends and family no** no no** no*** Mental health professional / Telephone helpline no yes no yes no* no* no*** no* Not seek help from anyone yes** yes yes** yes ***Odds Ratios within 95% Confidence Intervals, p<.001, **p<.01, *p<.05; adjusted for age and need for autonomy 17
18 Differences between males and females in the pattern of results INTENTION Stress Anxiety Depression Suicidal ideation Friends and family YES no no no Mental health professional / Telephone helpline YES no no no no no no no Not seek help from anyone no no no no Males intended to seek help for stress; females did not 18
19 Results across help-negation studies suggest: Help-negation occurs with low intensity symptoms of common mental disorders and suicidal thinking Patterns of help-negation different for arousal symptoms vs depression and suicidal ideation Little difference in patterns of help-negation for males vs females 19
20 Across help-negation studies for suicidal ideation: Help-negation process appears to relatively stable Help-negation process is stronger for friends and family than mental health professionals; this has not changed in 10 years Association between symptoms and intentions to not seek help from anyone remains moderate and significant; this has not changed in 10 years 20
21 Biological and neurological underpinnings are implicated (+ social and cognitive factors) 21
22 Implications for suicide prevention and early intervention: Prominent help-seeking barriers must be addressed and helpseeking must be promoted simultaneously across interpersonal and individual domains Elevated distress and low help-seeking intention are prominent barriers Key domains are: families and friends health care professionals (GPs and mental health specialists) individuals themselves Wilson et al EIP
23 Strategies to address prominent barriers: Increase emotional and mental health literacy; address negative beliefs about the help-seeking process (including negative perception of social support) Increase knowledge of the help-negation process Target low help-seeking intentions; increase help-seeking and giving skills Wilson et al EIP
24 Interventions that use these strategies must: Focus on developing integrity in delivery Focus on developing sustainable delivery methods Focus on ways to prepare and motivate contexts for delivery Rigorous research including longitudinal trials, must match design to context 24
25 In my view Mental health policy must be based on translational research that simultaneously identifies the bio-psychosocial determinants of the help-negation process; help-negation research provides opportunity for improved prevention, early intervention, and health service development 25
26 Questions? Thanks for your attention Contact: 26
University of Wollongong. Research Online
University of Wollongong Research Online Graduate School of Medicine - Papers (Archive) Faculty of Science, Medicine and Health 2012 Help-negation Coralie J. Wilson University of Wollongong, cwilson@uow.edu.au
More informationLifeline. Help-negation among telephone crisis support workers: Impact on personal wellbeing and worker performance. Ms Taneile Kitchingman
Help-negation among telephone crisis support workers: Impact on personal wellbeing and worker performance Ms Taneile Kitchingman Dr Coralie Wilson AProf Peter Caputi Mr Alan Woodward Lifeline National
More informationAdolescent barriers to seeking professional psychological help for personal-emotional and suicidal problems.
Wilson, C.J., Rickwood, D., Ciarrochi, J. & Deane, F.P. (2002). Adolescent barriers to seeking professional psychological help for personal-emotional and suicidal problems. Conference Proceedings of the
More informationHelp-seeking patterns for suicidal and non-suicidal problems in two high school samples
University of Wollongong Research Online Faculty of Health and Behavioural Sciences - Papers (Archive) Faculty of Science, Medicine and Health 2002 Help-seeking patterns for suicidal and non-suicidal problems
More informationOriginal Article Rural adolescents help-seeking intentions for emotional problems: The influence of perceived benefits and stoicismajr_
Aust. J. Rural Health (2011) 19, 64 69 Original Article Rural adolescents help-seeking intentions for emotional problems: The influence of perceived benefits and stoicismajr_1185 64..69 Janaki Rughani,
More informationThis webinar is presented by
Webinar DATE: Supporting people living with borderline personality November disorder 12, 2008 Tuesday, 21 st March 2017 Supported by The Royal Australian College of General Practitioners, the Australian
More informationHelp-negation for suicidal thoughts in sub-clinical samples of young people
University of Wollongong Research Online University of Wollongong Thesis Collection 1954-2016 University of Wollongong Thesis Collections 2003 Help-negation for suicidal thoughts in sub-clinical samples
More informationMatt Byerly, M.D. Director, Center for Mental Health Research and Recovery Professor, Cell Biology and Neuroscience Montana State University
Matt Byerly, M.D. Director, Center for Mental Health Research and Recovery Professor, Cell Biology and Neuroscience Montana State University Suicide in Montana Suicide Facts For all age groups for data
More informationSafety Connections Detecting and assessing suicidal ideation and risk in secondary care. Dr Jane Hutton & Anna Simpson
Safety Connections 2017 Detecting and assessing suicidal ideation and risk in secondary care Dr Jane Hutton & Anna Simpson Contact us: imparts@kcl.ac.ukac Find us: www.kcl.ac.uk/iop/depts/pm/research/imparts
More informationFrom Cultural Destructiveness to Cultural Proficiency: Increasing Cultural Competence in Working with African Americans
From Cultural Destructiveness to Cultural Proficiency: Increasing Cultural Competence in Working with African Americans 135 th Annual Meeting and Exposition November 3-7, 2007 Washington, DC African American
More informationbatyr: Preventative education in mental illnesses among university students
batyr: Preventative education in mental illnesses among university students 1. Summary of Impact In an effort to reduce the stigma around mental health issues and reach out to the demographics most affected
More informationNational Surveys of Mental Health Literacy and Stigma and National Survey of Discrimination and Positive Treatment
National Surveys of Mental Health Literacy and Stigma and National Survey of Discrimination and Positive Treatment A report for Prepared by Dr Nicola Reavley, Tiffany Too and Michelle Zhao June 2015 Acknowledgements
More informationThis webinar is presented by
Webinar DATE: Working together to support people November who self-harm 12, 2008 Monday, 20 th June 2016 Supported by The Royal Australian College of General Practitioners, the Australian Psychological
More informationmedical attention. Source: DE MHA, 10 / 2005
Mental Health EMERGENCIES Mental Health: Emergencies This presentation deals with teen suicide, which is a most difficult topic to consider. It is presented upon recommendations from national public and
More informationSECOND AUSTRALIAN CHILD AND ADOLESCENT SURVEY OF MENTAL HEALTH AND WELLBEING HIGHLIGHTS
The Mental Health of Children and Adolescents 3 SECOND AUSTRALIAN CHILD AND ADOLESCENT SURVEY OF MENTAL HEALTH AND WELLBEING HIGHLIGHTS A second national survey of the mental health and wellbeing of Australian
More informationDementia, Stigma and. Intentions to Help-Seek
Dementia, Stigma and Intentions to Help-Seek A pilot study of Australian adults 40 to 65 years L. Phillipson, C. Magee, S.C.Jones, S. Reis (CHI) E. Skladzien (Alz Aus) Centre for Health Initiatives University
More informationSlide 1. Slide 2. Slide 3 Similar observations in all subsets of the disorder. Personality Disorders. General Symptoms. Chapter 9
Slide 1 Personality Disorders Chapter 9 Slide 2 General Symptoms Problems must be part of an enduring pattern of inner experience and behavior that deviates significantly from the expectations of the individual
More informationUniform protocol for the assessment and treatment of acute suicide risk
Uniform protocol for the assessment and treatment of acute suicide risk STEPHANIE STEPP, PHD ASSOCIATE PROFESSOR OF PSYCHIATRY & PSYCHOLOGY AMY BYRD, PHD POST-DOCTORAL SCHOLAR OF PSYCHIATRY Suicide Risk
More information13 Reasons Why NOT: Examining Peer Networks and Barriers to Help Seeking
Providence College DigitalCommons@Providence Social Work Theses Social Work 4-2018 13 Reasons Why NOT: Examining Peer Networks and Barriers to Help Seeking Katharine Comber Providence College Follow this
More informationMODULE IX. The Emotional Impact of Disasters on Children and their Families
MODULE IX The Emotional Impact of Disasters on Children and their Families Outline of presentation Psychological first aid in the aftermath of a disaster Common reactions to disaster Risk factors for difficulty
More informationEmerging or early adulthood is the life stage
Advances in Mental Health (2011) 10(1): 29 38. The effects of need for autonomy and preference for seeking help from informal sources on emerging adults intentions to access mental health services for
More informationSuicidal Behaviors among Youth: Overview of Risk and Promising Intervention Strategies
Suicidal Behaviors among Youth: Overview of Risk and Promising Intervention Strategies David B. Goldston, Ph.D. Department of Psychiatry & Behavioral Sciences Duke University School of Medicine Goals of
More informationWinter Night Shelters and Mental Healh Barney Wells, Enabling Assessment Service London.
Winter Night Shelters and Mental Healh Barney Wells, Enabling Assessment Service London. Introduction goals of session - What is mental health - What is interaction between poor mental health and CWS -
More informationThe Difficult Patient. Psychiatric Dilemmas in the Primary Care Setting. No Disclosures. Objectives 10/12/17. Erick K. Hung, MD
Psychiatric Dilemmas in the Primary Care Setting No Disclosures Erick K. Hung, MD Associate Professor of Clinical Psychiatry University of California, San Francisco Objectives Describe approaches to the
More informationYouth Worker Practice Network Self Harm and Mental Health
Youth Worker Practice Network Self Harm and Mental Health Nat Oliver, Youth Mental Health Worker & Community Engagement Coordinator, headspace Queanbeyan Camille Rowston, Intake Worker & Counsellor, headspace
More informationChallenging Phone Calls in the Workplace: Listening, understanding and responding to people at risk of suicide
Challenging Phone Calls in the Workplace: Listening, understanding and responding to people at risk of suicide Prof Ella Arensman Jacklyn McCarthy National Suicide Research Foundation Department of Epidemiology
More informationThe Role of the Psychologist in an Early Intervention in Psychosis Team Dr Janice Harper, Consultant Clinical Psychologist Esteem, Glasgow, UK.
The Role of the Psychologist in an Early Intervention in Psychosis Team Dr Janice Harper, Consultant Clinical Psychologist Esteem, Glasgow, UK. Ferrara, Italy, 5 th May 2017 Overview Essential Components
More informationPrevention First (Adapted): A Framework for Suicide Prevention
Prevention First (Adapted): A Framework for Suicide Prevention Preferred citation: Everymind. (2015). Prevention First (adapted): A Framework for Suicide Prevention. Newcastle, Australia. ISBN: 978-0-9924461-8-5
More informationCan Animals Experience Emotions? Model Diagnostics Demographic variable Companion Animal. Deviance
1 2 3 Table 1: Table showing significant demographic influences on responses to the question can animals experience the following emotions? Significance of odds ratios: * p
More informationCOUNSELING FOUNDATIONS INSTRUCTOR DR. JOAN VERMILLION
COUNSELING FOUNDATIONS INSTRUCTOR DR. JOAN VERMILLION LEARNING OBJECTIVE #1 Apply principles of sensation and perception, motivation theory, & learning theory to the development of emotions, thoughts,
More informationSuggested Protocol for Resident Verbalizing Suicidal Ideation or Plan
Suggested Protocol for Resident Verbalizing Suicidal Ideation or Plan Rationale: In the event a [resident] verbalizes suicidal thoughts or even a plan, the carer will know what steps to take for safety
More informationHelp-seeking behaviour for emotional or behavioural problems. among Australian adolescents: the role of socio-demographic
Help-seeking behaviour for emotional or behavioural problems among Australian adolescents: the role of socio-demographic characteristics and mental health problems Kerry A. Ettridge Discipline of Paediatrics
More informationUnderstanding the Stages of Change in the Recovery Process
Understanding the s of Change in the Recovery Process STAGES OF CHANGE Pre- Contemplation Contemplation PERSON WHO HAS DEVELOPED AN EATING DISORDER The person does not believe they have a problem. Refusal
More informationChapter 10 Suicide Assessment
Chapter 10 Suicide Assessment Dr. Rick Grieve PSY 442 Western Kentucky University Not this: Suicide is man s way of telling God, You can t fire me, I quit. Bill Maher 1 Suicide Assessment Personal Reactions
More informationThe Therapeutic Impact of Outward Bound Veterans Research Summary
The Therapeutic Impact of Outward Bound Veterans Research Summary Outward Bound for Veterans Psychosocial Outcomes Study Summary David E. Scheinfeld, University of Texas- Austin Chad Spangler, Outward
More informationSUICIDE RISK IN PALLIATIVE/ EoL SETTINGS
SUICIDE RISK IN PALLIATIVE/ EoL SETTINGS M A R C K I N G S L S E Y C. P S Y C H O L C O N S U L T A N T C L I N I C A L P S Y C H O L O G I S T / P S Y C H O -ON C O L O GI S T SUICIDE RISK IN PALLIATIVE/
More informationFocus of Today s Presentation. Partners in Healing Model. Partners in Healing: Background. Data Collection Tools. Research Design
Exploring the Impact of Delivering Mental Health Services in NYC After-School Programs Gerald Landsberg, DSW, MPA Stephanie-Smith Waterman, MSW, MS Ana Maria Pinter, M.A. Focus of Today s Presentation
More informationAppendix G: Safe Helpline Data
Appendix G: Safe Helpline Data Appendix G: Safe Helpline Usage and User Satisfaction Data The Department of Defense (DoD) Safe Helpline supports the Department s Sexual Assault Prevention and Response
More informationExplainer: what are personality disorders and how are they treated?
University of Wollongong Research Online Faculty of Social Sciences - Papers Faculty of Social Sciences 2015 Explainer: what are personality disorders and how are they treated? Brin F. S Grenyer University
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE. Personality Disorder: the clinical management of borderline personality disorder
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Personality Disorder: the clinical management of borderline personality disorder 1.1 Short title Borderline personality disorder
More informationYouth Suicide Prevention: What Works
Youth Suicide Prevention: What Works Youth Suicide 1. Death by suicide Second cause of death among 15 to 24 year-olds 80-90% comorbid psychiatric disorder Males: 5 times female rates FN,I & M youth: 5
More informationHelp Seeking: Ubiquitous Barriers Across the Life Span
Help Seeking: Ubiquitous Barriers Across the Life Span Madelyn S. Gould, Ph.D., M.P.H. Professor of Epidemiology in Psychiatry Columbia University Medical Center/ msg5@columbia.edu The Vermont Suicide
More informationFamily Conflict and Chronic Illness Management
ECOSCIM Family Conflict and Chronic Illness Management H. Soubhi, Ph.D Groupe de Recherche Interdisciplinaire en Santé Department of Family Medicine University of Montreal ECOSCIM CONTEXT OF THE STUDY
More informationSchool- Based Prevention Programs
Universal Prevention Programs School- Based Prevention Programs Zuni / American Indian Life Skills Development curriculum (AILSD; Lafromboise & Lewis, 2008) The AILSD curriculum targets Native American
More informationResponding Effectively to BPD Challenges for the Service System. Katerina Volny Peter McKenzie
Responding Effectively to BPD Challenges for the Service System Katerina Volny Peter McKenzie Borderline Personality Disorder A common mental illness characterised by poor control of emotions and impulses,
More informationBreaking Down Barriers and Creating Partnership in Diabetes Self-Management
Breaking Down Barriers and Creating Partnership in Diabetes Self-Management Addressing Diabetes-related distress and burnout Tziporah Rosenberg, PhD, LMFT Assistant Professor, URMC Depts of Psychiatry
More informationOpen Access Formal and Informal Help-Seeking for Mental Health Problems. A Survey of Preferences of Italian Students
Clinical Practice & Epidemiology in Mental Health, 2012, 8, 47-51 47 Open Access Formal and Informal Help-Seeking for Mental Health Problems. A Survey of Preferences of Italian Students Barbara D Avanzo
More informationFuture Trend of Crisis Intervention in the Human Services Delivery System
Future Trend of Crisis Intervention in the Human Services Delivery System Introduction Strategies of crisis intervention are the methods through which short term and prompt support are offered to people
More informationS o u t h e r n. 2-4 Tea Gardens Avenue Kirrawee NSW 2232 Ph: Fx: Deliberate Self Injury Information
S o u t h e r n Community Welfare 2-4 Tea Gardens Avenue Kirrawee NSW 2232 Ph: 02 9545 0299 Fx: 02 9521 6252 W: w w w. s c w. o r g. a u Southern Community Welfare 2005 Self Injury 1 In an emergency: Ring
More informationSuicide.. Bad Boy Turned Good
Suicide.. Bad Boy Turned Good Ross B Over the last number of years we have had a few of the youth who joined our programme talk about suicide. So why with all the services we have in place is suicide still
More informationAlberta Alcohol and Drug Abuse Commission. POSITION ON ADDICTION AND MENTAL HEALTH February 2007
Alberta Alcohol and Drug Abuse Commission POSITION ON ADDICTION AND MENTAL HEALTH POSITION The Alberta Alcohol and Drug Abuse Commission (AADAC) recognizes that among clients with addiction problems, there
More informationManagement of Depression and Anxiety in Cancer 2018
Management of Depression and Anxiety in Cancer COURSE SYLLABUS 2018 Course Facilitator: Self Directed Learning Course Author: Dr. Madeline Li, MD PhD FRCP(C) Course Offering: de Souza Institute Course
More informationConnecting Suicide and Substance Use Preventio. Kristin Vernon, LSCSW Monica Kurz, BA
Connecting Suicide and Substance Use Preventio Kristin Vernon, LSCSW Monica Kurz, BA Headquarters, Inc National Suicide Prevention Lifeline Crisis Center Open since 1969 Student Clinic providing therapy
More informationDepressive disorders in young people: what is going on and what can we do about it? Lecture 1
Depressive disorders in young people: what is going on and what can we do about it? Lecture 1 Professor Alasdair Vance Head, Academic Child Psychiatry Department of Paediatrics University of Melbourne
More informationThe Ideation-to-Action Framework and the Three-Step Theory New Approaches for Understanding and Preventing Suicide
The Ideation-to-Action Framework and the Three-Step Theory New Approaches for Understanding and Preventing Suicide E. David Klonsky, PhD @KlonskyLab Department of Psychology University of British Columbia
More informationSECTION 1. Children and Adolescents with Depressive Disorder: Summary of Findings. from the Literature and Clinical Consultation in Ontario
SECTION 1 Children and Adolescents with Depressive Disorder: Summary of Findings from the Literature and Clinical Consultation in Ontario Children's Mental Health Ontario Children and Adolescents with
More informationPSYCHOSOCIAL ASPECTS OF RENAL DISEASE
PSYCHOSOCIAL ASPECTS OF RENAL DISEASE Anastasia Anastasiou Palliative care symposium Aug 13 They ll be fine What we will cover Grief and loss Emotional Reactions Sex/sexuality Non-Compliance CALD Quality
More informationLINEHAN RISK ASSESSMENT AND MANAGEMENT PROTOCOL (LRAMP)
Client: Person Completing: LINEHAN RISK ASSESSMENT AND MANAGEMENT PROTOCOL (LRAMP) Date Contacted: Date Created: SECTION 1: REASON FOR COMPLETION LRAMP 1. Reason for completing: History of suicide ideation,
More informationAttachment disorders: classroom strategies to identify cases, limit emotional outbursts and
Attachment disorders: classroom strategies to identify cases, limit emotional outbursts and reduce the barriers to learning RajVinder Singh Gill, Senior Ed. Psychologist Children s Support Service (rajvinder.singhgill@essex.gov.uk)
More informationPopontopoulou Christina Psychologist Médecins Sans Frontières
Popontopoulou Christina Psychologist Médecins Sans Frontières International, independent organisation with medical and humanitarian action Delivers emergency aid to people affected by armed conflict, epidemics,
More informationSuicidal Ideation and Help-Negation: Not Just Hopelessness or Prior Help
Suicidal Ideation and Help-Negation: Not Just Hopelessness or Prior Help Frank P. Deane, Coralie J. Wilson, and Joseph Ciarrochi University of Wollongong Few distressed young people seek professional psychological
More informationChapter 20 Psychosocial Nursing of the Physically Ill Client Psychosocial Assessment Interactive process that involves gathering data and evaluating
Chapter 20 Psychosocial Nursing of the Physically Ill Client Psychosocial Assessment Interactive process that involves gathering data and evaluating the past and current level of functioning of the client
More informationPSYCHOSOCIAL EVALUATION AND TREATMENT IN CHRONIC RESPIRATORY DISEASES
PSYCHOSOCIAL EVALUATION AND TREATMENT IN CHRONIC RESPIRATORY DISEASES Prof Behcet Coşar M.D. Gazi Uni. School of Med. Psychiatry Dep Consultation Liaison Psychiatry Unit HUMAN Bio Psycho Social 11/6/2009
More informationPain-related Distress: Recognition and Appropriate Interventions. Tamar Pincus Professor in psychology Royal Holloway University of London
Pain-related Distress: Recognition and Appropriate Interventions Tamar Pincus Professor in psychology Royal Holloway University of London Remit (and limitations) of presentation Mostly, research in low
More informationPersonality Disorders. Mark Kimsey, M.D. March 8, 2014
Personality Disorders Mark Kimsey, M.D. March 8, 2014 Objectives Understanding personality disorders using criteria from DSM-5. Learn approaches for separating personality disorders from other major illnesses.
More information-Attitude- Abdullah Nimer
-Attitude- Abdullah Nimer Attitude refers to evaluation of things. The things can be concrete objects like cars or ideas like Marxism. Attitudes have: an affective component a cognitive component a behavioral
More informationGEPIC. An Introduction to Guide for the Evaluation of Psychiatric Impairment for Clinicians. Dr Michael Duke Senior Forensic Psychiatrist
GEPIC An Introduction to Guide for the Evaluation of Psychiatric Impairment for Clinicians Dr Michael Duke Senior Forensic Psychiatrist What is psychiatric impairment? A psychiatric impairment is any loss
More informationEarly Intervention and Psychological Injury
Early Intervention and Psychological Injury SISA Conference 22 July 2008 Dr Peter Cotton FAPS Clinical & Organisational Psychologist Session Overview Key drivers of psychological injury The difference
More informationAssessment and management of selfharm
Assessment and management of selfharm procedure Version: 1.1 Consultation Approved by: Medical Director, CAMHS Director, Director of Quality, Patient Experience and Adult services Medical Director Date
More informationChapter 2--The Counselor as a Person and as a Professional
Chapter 2--The Counselor as a Person and as a Professional Student: 1. Rhonda is a counselor at a drug and alcohol treatment center. She grew up in an alcoholic home and is not fully aware of the "unfinished
More informationCAMPAIGN BRIEF: WHY DO WE NEED ACTION ON DEMENTIA?
CAMPAIGN BRIEF: WHY DO WE NEED ACTION ON DEMENTIA? Changes in Government Policy The Government has terminated the Dementia Initiative and risks squandering 6 years of investment. The Dementia Initiative
More informationA persistent and difficult problem Working with complex issues with asylum seekers and refugees
A persistent and difficult problem Working with complex issues with asylum seekers and refugees Gina Sembrano Clinical Psychologist Refugee Trauma Recovery Wellington New Zealand Psychological Society
More informationAFSP College Student Initiatives
AFSP College Student Initiatives SAMHSA s Suicide Prevention Grantee Orientation Meeting Washington, D.C. December 14, 2005 Ann Pollinger Haas, Ph.D. American Foundation for Suicide Prevention Risk Factors
More informationObjectives: Increase number of campus gatekeepers. Provision of evidence based methodology. Identify resources. Reduce liability
Suicide Prevention 2015 1 Goal: To prevent suicide Objectives: Increase number of campus gatekeepers Provision of evidence based methodology Identify resources Reduce liability 2 Resource Ready can save
More informationMSc Psychological Research Methods/ MPsych Advanced Psychology Module Catalogue / 2018
MSc Psychological Research Methods/ MPsych Advanced Psychology Module Catalogue - 2017 / 2018 PSY555: Communication of Research for Psychology (Semester 2) 10 credits core PRM, option MPsych This module
More informationResearch on Mental Health Gatekeeper-Trainings on College and University Campuses 2014 GLS Combined Annual Prevention Grantee Meeting
Research on Mental Health Gatekeeper-Trainings on College and University Campuses 2014 GLS Combined Annual Prevention Grantee Meeting Sarah Ketchen Lipson, University of Michigan Assistant Director, The
More informationMissed opportunities for early intervention in first episode psychosis in methamphetamine users. Dr Julia Lappin, NDARC & UNSW School of Psychiatry
Missed opportunities for early intervention in first episode psychosis in methamphetamine users Dr Julia Lappin, NDARC & UNSW School of Psychiatry Today s talk: Methamphetamine & Psychosis What is psychosis?
More informationTwo year follow-up of a community gatekeeper suicide prevention program in an Aboriginal community
University of Wollongong Research Online Faculty of Health and Behavioural Sciences - Papers (Archive) Faculty of Science, Medicine and Health 2006 Two year follow-up of a community gatekeeper suicide
More informationAU TQF 2 Doctoral Degree. Course Description
Course Description 1. Foundation Courses CP 5000 General Psychology Non-credit Basic psychological concepts and to introduce students to the scientific study of behavior. Learning and Behavior, Altered
More informationDeterminants of Health
Determinants of Health Understanding the Australian Institute of Health and Welfare Conceptual Framework for the Determinants of Health Learning goal By the end of today s session you will have an understanding
More informationSuicide: Starting the Conversation. Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support
Suicide: Starting the Conversation Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support What We Do Know About Suicide Suicidal thoughts are common. Suicidal acts, threats
More informationUser Experience: Findings from Patient Telehealth Survey
User Experience: Findings from Patient Telehealth Survey Sarah Gorst University of Sheffield NIHR CLAHRC for South Yorkshire MALT WS3: User experience Overcoming the Barriers to Mainstreaming Assisted
More informationCore Competencies for Peer Workers in Behavioral Health Services
BRINGING RECOVERY SUPPORTS TO SCALE Technical Assistance Center Strategy (BRSS TACS) Core Competencies for Peer Workers in Behavioral Health Services OVERVIEW In 2015, SAMHSA led an effort to identify
More informationCHAPTER 5: SUMMARY AND CONCLUSION
CHAPTER 5: SUMMARY AND CONCLUSION Menopause, as part of a woman's aging process, does not warrant the definition of an estrogen deficiency disease against which a full-scale battle needs to be waged for
More informationProblem Gambling Demystified: Prevalence, Signs, and Support. Jonas Ogonowski Helen Tometzki Relationships Australia Queensland
Problem Gambling Demystified: Prevalence, Signs, and Support Jonas Ogonowski Helen Tometzki Relationships Australia Queensland Outline Definition Gambling as an Addiction Prevalence Impact What is the
More informationPredictors of Cigarette Smoking Behavior Among Military University Students in Taiwan. Wang, Kwua-Yun; Yang, Chia-Chen
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationWALES MENTAL HEALTH in PRIMARY CARE (WaMH in PC) Bursary Bid 2010 AUDIO-BASED MEAL SUPPORT FOR INDIVIDUALS WITH EATING DISORDERS
WALES MENTAL HEALTH in PRIMARY CARE (WaMH in PC) Bursary Bid 2010 North Wales Community Adult Eating Disorders Service (CAEDS), Betsi Cadwaladr University and Powys Teaching Health Boards CAEDS will make
More information1 Non-clinical interventions
1 Non-clinical interventions How effective and cost effective are non-clinical interventions to reduce the rate of suicide? Approximately 6,000 people take their own life each year in the UK. Many are
More informationRisk and Protective Factors for Youth Marijuana Use: Preliminary Findings
Risk and Protective Factors for Youth Marijuana Use: Preliminary Findings Analysis from the July 10, 2013 1 Purpose Examine youth marijuana use prevalence and frequency Identify the most salient risk and
More informationMENTAL HEALTH IN THE WORKPLACE
MENTAL HEALTH IN THE WORKPLACE Donal Scanlan MHFA Ireland Project Manager Health Promotion Nurse Specialist at Saint John of God Hospital See Change Mental Health in Workplace Facilitator Suicide or Survive
More informationProblem gambling and family violence: findings from a population representative community study
Problem gambling and family violence: findings from a population representative community study Supervisor: A/Prof Nicki Dowling, Dr Aino Suomi Carrie Ewin Why does it matter? Problem gambling in one individual
More informationTutorial: Depression and Depression Management
Tutorial: Depression and Depression Management WHAT IS DEPRESSION? Depression is the most common mental health disorder in both adults and children/adolescents. A depressed person experiences intense emotional
More informationUncomplicated Grief Reactions
1 Uncomplicated Grief Reactions In uncomplicated grief, there is a process in which the duration and intensity of the grief response gradually decreases over time. However, it is NOT a linear process and
More informationMouth care for people with dementia. Managing anxiety and depression in a person living with dementia
Mouth care for people with dementia Managing anxiety and depression in a person living with dementia 2 Dementia UK What is it? Anxiety is a feeling of fear or unease. It is a normal feeling for all of
More informationAdele Fabrizi. University of Rome Sapienza Institute of Clinical Sexology FISS
Psychological impact in patients with failed hypospadias repair Adele Fabrizi University of Rome Sapienza Institute of Clinical Sexology FISS www.sessuologiaclinicaroma.it it 1 Male Psychological Fragility
More informationDepression among Older Adults. Prevalence & Intervention Strategies
Depression among Older Adults Prevalence & Intervention Strategies Definition Depression is a complex syndrome complex characterized by mood disturbance plus variety of cognitive, psychological, and vegetative
More informationSuicide Assessment Treatment & Management - Revised
Suicide Assessment Treatment & Management - Revised 1) CDC estimates attempted suicides occur per every suicide death. a) 4 b) 7 c) 11 d) 18 2) Suicide is the leading cause of death among teenagers. a)
More informationAbility to work with difference (working in a culturally competent manner)
Ability to work with difference (working in a culturally competent manner) There are many factors that need to be considered in the development of culturally competent practice, and finding a language
More informationPostnatal anxiety and depression
What Dads and Mums need to know Postnatal anxiety and depression What Dads and Mums need to know 1 Postnatal anxiety and depression Feelings and emotions after birth Having a baby can be an exciting time,
More informationSusan G. Keys, Ph.D. Laura Pennavaria, MD Elizabeth Marino, Ph.D. Oregon Suicide Prevention Conference, 2019
How to Address Firearm Safety with the Rural Suicidal Patient (or Family Member) Susan G. Keys, Ph.D. Laura Pennavaria, MD Elizabeth Marino, Ph.D. Oregon Suicide Prevention Conference, 2019 Objective s
More information