Mental Health 101. Theresa Nguyen, LCSW America Paredes, MS

Transcription

1 Mental Health 101 Theresa Nguyen, LCSW America Paredes, MS

2 Presentation Outline Moving B4Stage4 Mental Illness 101 Recovery People not Disorders Educating the Public Lessons from Data Mental Health Policy

3 Recovery Prevention Placholder for image, chart, graph, or other graphical element Integrated Care and Treatment Early Identification and Intervention

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5 Moving Before Stage 4

6 Brain Based

7 Breaking Points

8 Interaction of Biology & Environment Stress Biology Environment

9 Major Categories of Mental Illness Psychotic Disorders Schizophrenia, Schizoaffective Disorder Bipolar Disorders Depressive Disorders Intellectual Disability and Autism Spectrum Anxiety Disorders OCD, PTSD Substance Use

10 Symptoms of Psychotic Disorders Delusions Bizarre thoughts, paranoia Hallucinations shadows, name called, animals Disorganized speech difficulty speaking or understanding speech. Disorganized behavior catatonia Memory problems, disconnection, sensitivity to stimuli, trouble focusing.

11 Psychosis and Environment

12 Prodrome, Psychosis and Insight Youth have INSIGHT Loss of Insight is a symptom NOT a choice As people get more sick, symptoms like delusions become fixed

13 #mentalillnessfeelslike This is exactly how I feel right now, trapped in my body, like I don't belong here, like I'm trapped and not safe It's driving me insane

14 Depressive Disorders Two week duration Extremely depressed mood state lasting at least 2 weeks Cognitive symptoms Feelings of worthless, guilt, indecisiveness Fatigue & loss of energy Sleep disturbances, restlessness, weight loss or gain Anhedonia Loss of pleasure/interest in usual activities Thoughts of death Youth especially feel irritation, psychomotor agitation, and are especially susceptible to self injurious behaviors.

15 #mentalillnessfeelslike As I wake every morning and look in the mirror. I slip on my mask to hide all my tears. The Mask so pretty, the mask of many smiles. To see through it may take a while. Some take the time to look a little deeper, but at the end of the day I'm My Own Reaper.

16 Elevated mood Inflated self esteem/grandiosity Decreased need for sleep Talkative Distractible Mood Instability Racing thoughts Increased goal directed activity Often experience psychosis maybe due to sleep change

17 #mentalillnessfeelslike #mentalillnessfeelslike being on a roller coaster. It feels like such a rush sometimes..slowly going up and then flying down and then spinning all around.. #mentalhealthawareness #me ntalhealth #mentalillness #bipolar#depr ession #anxiety #adhd

18 Anxiety Disorders Post Traumatic Stress Disorder Trauma Hypervigilance Nightmares Flashbacks Irritability Avoidance Generalized Anxiety Panic disorder Social Anxiety Disorder Obsessive Compulsive Disorder

19 #mentalillnessfeelslike

20 ADHD, Intellectual Disability, Autism Spectrum Communication, Motor, Learning Intellectual Delay, Autism, Asperger s, Pervasive Developmental Disorder (PDD) Intellectual delay starting in infancy Persistent deficits in social communication and social interaction across multiple contexts Restricted, repetitive patterns of behavior, interests, or activities

21 how it feels to have Body Dysmorphic Disorder. it feels this way with other eating disorders, but BDD is just a different way still of seeing yourself. it s like you ll never know what you really look... #mentalillnessfeelslike

22 Symptoms Occur on a Spectrum Sadness Young man grieves over recent loss of family member He is sleeping all day and night, has trouble getting to work and has suicidal thoughts. Suspiciousness Young woman goes to the mall and feels like people are looking at her. She refuses to go to the mall because she is certain that a specific person is out to harm her Hallucinations Hearing indistinct buzzing or whispering Hearing a voice clearly outside your head saying, You re a loser or You re a failure.

23 Above all else, I want my life to have meaning apart from my diagnosis. Dykstra, T., First person account: How I cope, Schizophrenia Bulletin. 23(4):697 9, 1997

24 #mentalillnessfeelslike Embrace your progress, no matter how small! #mentalillnessfeelslike #recovery

25 Is Recovery Possible? Recovery is Self Defined Recovery is not a Switch Recovery is not Linear Failure vs Learning Dance Don t Wrestle

26 Public Education and Campaigns May is Mental Health Month Back to School Mental Illness Awareness Week Life on Campus National Observance Months Partnerships and co branded materials

27 May is Mental Health Month MHA leads observance since 1949 Unique theme developed each year: o #B4Stage4 o #mentalillnessfeelslike Toolkit includes: o Key Messages o Sample Press Release o Drop In Article o May is Mental Health Month Proclamation o Social Media and Web Components o Fact Sheets and Handouts Outcomes o 8,668 toolkit downloads o 22.3 million people participants/people reached o Nearly 150 million media impressions.

28 #mentalillnessfeelslike 28

29 Other Campaigns 29

30 MHAScreening.org September 2016: 1,670,322 Screens Depression Screen (PHQ9) Anxiety Screen (GAD7) Bipolar Screen (MDQ) PTSD Screen (PC PTSD) Youth Screen (PSC) Parent Screen (PSC) Alcohol & Sub Use Screen (CAGE AID) Psychosis Screen (PQB)

31 Results Overview Depression screen is most popular (54.13%) close to 1 million. Even psychosis 2.10%; 44,760 screens Race/Ethnicity close to Census 36% are 11 17; 29% Negative Positive 66% 30% report chronic pain, 12% lung problems, 12% diabetes. Special Pop Caregivers, LGBT, Mothers, Students, and Vets. Been Diagnosed Never Been Diagnosed 65%

32 Youth Screening Youth screeners feel Anxiety/Depression effects Often, but half Never experience Conduct Problems. Attention Problems Conduct Problems Anxiety/ Depression Problems Have trouble concentrating Distract easily Daydream too much Act as if driven by motor Fidgety, unable to sit still Refuse to share Take things that do not belong to you Blame others for your troubles Fight with other children Tease others Do not understand other people's Do not listen to rules Seem to be having less fun Worry a lot Down on yourself Feel hopeless Feel sad, unhappy 8% 9% 6% 7% 10% 3% 13% 17% 10% 36% 28% 49% 52% 44% 47% 25% 27% 43% 38% 35% 59% 61% 39% 34% 48% 74% 49% 53% 52% 46% 18% 35% 32% 9% 21% 6% 37% 14% 29% 10% 36% 11% 38% 17% 40% 12% 50% 69% 66% 56% 68% Never Sometimes Often

33 Psychosis Clusters By State Cluster: More Hallucinations and Communication Challenges Healthiest Least Healthy Fewer Hallucinations More Hallucinations

34 What People Want Information about mental health Use at home worksheets or coping skills to Online or mobile program that can help you track or manage your symptoms Referrals to those that can help Phone number for immediate support 48.55% 46.16% 45.25% 18.80% 13.74% Screening to Supports User Driven and Customizable Information and Education Referral to Care and Services DIY: Selfhelp Tools Engagement with People Like Me (Peers)

35 16 Indicators Exploring the Following Factors: How many adults and youth have mental health issues? How many adults and youth have substance use issues? How many adults and youth have access to insurance? How many adults and youth have access to adequate insurance? How many adults and youth have access to mental health care? Which states have higher barriers to accessing mental health care?

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37 Workforce Development Problems The state rate of mental health workforce ranges from: Low (Massachusetts) 216:1 High 1289:1 (Alabama) Nationally, there is only one mental health provider for every 529 individuals. The term mental health provider includes: psychiatrists, psychologists, licensed clinical social workers, counselors, marriage and family therapists and advanced practice nurses specializing in mental health care.

38 Mental Health Policy Issues Funding especially important at state level Privacy HIPAA Early Intervention psychosis and screening Least Restrictive Care communities first Psychosocial Rehabilitation people first Heroin Epidemic Abuse and Care conversion therapy, tx regulation Seclusion and Restraints including in schools Incarceration juvenile justice Mental Health in Schools IDEA and IEP services Homeless Youth especially foster care

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