Crisis intervention

HHSC & LMHAs defines severe mental illness (SMI) as

schizophrenia (psychotic disorders), bipolar disorder, major depressive disorder, and PTSD

Stigma

1. a mark of disgrace or shame it is made up of various components:

   1. Labeling: someone with a condition

   2. Stereotyping: people with that condition; creating a division (us vs them)

   3. Discriminating against someone on the basis of their label

Suicidal Ideations

Serious thoughts of suicide

Senate bill 1849 (Sandra bland act;85th legislative session)

Outlines the leg mandates that result in "each law enforcement agency SHALL make a good faith effort to divert persons suffering from mental health crisis or substance abuse to proper treatment”

Good faith effort

do your best with what you know/have as a reasonable person

Four important factors strongly affect the current mental health situation in America

1. Deinstitutionalization

2. Criminalization

3. Medicalization

4. Privatization

Deinstitutionalization

The policy of moving people with serious mental illness (SMI) out of large, state-run psychiatric hospitals (asylums) and into community-based care, a process that accelerated in the 1960s–70s. Released these individuals in mass without proper resources to help them

Criminalization

1. The process by which individuals with untreated mental illness are arrested and incarcerated for behaviors stemming from their symptoms (e.g., trespassing, disorderly conduct) rather than receiving mental health treatment.

Medicalization

The process by which non-medical problems, behaviors, or experiences—such as homelessness, non-violent distress, or social maladjustment—come to be defined and treated as medical conditions, primarily relying on medication and psychiatric labels rather than social services

Privatization

The shift in funding, ownership, and management of mental health services from public, government-run entities to private (both for-profit and non-profit) entities. Results in low paid staff

Clinical definition for mental ill

health conditions involving changes in emotions, thinking, or behavior (or a combination of these). Associated with distress and/or problems functioning in social, work, or family activities

TX health and safety code definition Mental illness

1. illness , disease, or condition, other than epilepsy, dementia, sub abuse, or intellectual disability that:

   1. Substantially impairs persons thoughts, perceptions of reality, emotional process, or judgement OR

   2. Grossly impairs behavior as demonstrated by recent disturbed behavior

Insanity

refers to the mental state (ability to distinguish between right and wrong) of the defendant at the time of the crime (ie criminal responsibility) (Legal term ONLY, not diagnosis) (incompetent to stand trial)

Personality disorder

paranoid, anti-social, borderline

Intellectual/Developmental disability

PTSD effects only veterans

FALSE

People with ptsd persistently reexperience the event through recurrent events, intrusive thoughts, and ______

Flashbacks

Competency

defendants capacity to comprehend the allegations

Major depressive disorder

 five or more of the symptoms listed for a period of at least 2 weeks long and occur most of those days all day long and interfere with functioning. Symptoms: depressed mood, loss of interest, significant weight gain/loss, insomnia/hypersomnia, psychomotor agitation/retardation, fatigue, feelings of worthlessness, excessive or inappropriate guilt, decreased concentration, thoughts of death/suicide, HOPELESSNESS

In the most extreme of circumstances some doctors will use ______

Electroconvulsive treatment (shock therapy)

Bipolar I Disorder

You must experience at least 1 manic episode and have depressive symptoms, and the symptoms must interfere with functioning. Symptoms of mania: inflated self-esteem or grandiosity, decreased need for sleep, more talkative, flight of ideas/racing thoughts, distractibility, increase in goal-oriented activity, excessive involvement in activities that have a high potential for painful consequences

Bipolar II Disorder

A less severe type of bipolar disorder, you have the lows of depression and hypomania (symptoms of mania but not as severe). Harder to diagnose than Bipolar I because it appears that during the hypomanic phase the depression is getting better.

If a bipolar person is NOT taking drugs they will usually only have a max of ____ cycles per year

Four

People who have bipolar disorders are _____ likely to die by suicide during depressive phases or manic phases

equally