Mental Health in Teens & Children: Tertiary Prevention the importance of early identification and intervention
Learning Objectives Increase your understanding of prevention in mental health Understand why early identification is important Increase your understanding of tertiary prevention efforts
Mental Health State of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of every day life, can work productively and fruitfully, and is able to make a contribution to his or her community. - World Health Organization
Mental Illnesses Disrupt a person s thinking, feelings, mood, ability to relate to others and daily functioning Treatable medical conditions Biological in nature, affects brain structure & chemistry Causes include genetics, environmental, negative life experiences
Mental Illnesses Very Common 1 in 4 adults (1 in 10 for serious) 1 in 5 children 50% by age 14 & 75% by age 26 Specifically: Depression (7%) Bipolar Disorder (3%) Schizophrenia (1%) Anxiety (18%)
Mental Illnesses World-wide most disabling condition Depression alone accounts for 4.3% of the global burden of disease 40-60% chance of premature death Global economic cost of mental illness Estimated $2.5 trillion in 2010 Rising to $6.0 trillion by 2030
Poor Outcomes Higher suspension rates Higher drop out rates Higher unemployment 70% in juvenile justice system have one or more diagnoses High percentage of homeless youth have a mental illness Suicide
Primary Prevention Preventing mental illnesses from developing Protective factors Livable wage Food security Stable housing Healthy stress Clean water and air Effective parental bonding
Primary Prevention Health and wellness Early childhood programs Social and emotional learning Parent education
Secondary Prevention Preventing mental illnesses in youth at risk At Risk Trauma exposed (violence, abuse, disasters, deaths) Genetics Environment Racism, historical trauma Parent with a mental illness, PPD Substance use disorders Chronic stress (poverty, etc.) Bullying
Secondary Prevention Screening Training of adults who work with youth School-linked mental health Meditation, mindfullness training Early childhood mental health Parent education and support Intergenerational mental health Mother baby programs
Tertiary Prevention Preventing mental illnesses from becoming a disabling condition Early identification 72 weeks before seeking treatment Early intensive treatment Waiting until stage 4 Keeping trajectory moving forward Goal setting
What is psychosis? Psychosis is loss of contact with reality through Confused thinking and communication Delusions (false beliefs) Hallucinations (sensing things that others do not sense)
Who gets psychosis? Up to 6% of people Found in all cultures Affects males and females equally Can occur at any age but typically occurs in late teens/early adulthood
Causes of Psychosis Diseases such as Parkinson s, HIV and Huntington s Certain medications Extreme stress Brain tumors and cysts Drug and alcohol use and withdrawal Depression Bipolar Disorder Schizophrenia
What works? First Episode Programs: Person oriented treatment Therapy Family psychoeducation Cognitive remediation Social skills training Support groups Medication School and Work
Questions?
NAMI Minnesota s Mission NAMI Minnesota s mission is to champion justice, dignity, and respect for all people affected by mental illnesses. Through education, advocacy, and support, we strive to eliminate the pervasive stigma of mental illnesses, affect positive changes in the mental health system, and increase the public and professional understanding of mental illness.
What We Do Education classes, booklets and fact sheets Suicide prevention Support groups, Helpline Public awareness presentations Legislative advocacy NAMIWalks
Support NAMI Minnesota Advocate for a better Mental Health System Attend an event Sign up for a newsletter Join an affiliate Be a sponsor Volunteer Become a donor
Contact Information NAMI Minnesota 800 Transfer Road, Suite 31 St. Paul, MN 55114 651-645-2948 1-888-NAMI-HELPS www.namihelps.org May 2016
Effects of Childhood Trauma Attachment problems Difficulty regulating emotions Immune and stress systems compromised Impairs brain development Sense of hopelessness Lack sense of self worth Long-term health consequences