Ch 2 Mental Health & Mental Illness

mental health and mental illness is on a _________

depending on where the patient falls on the spectrum, it may depend if they can be managed in an outpatient setting, home or have to be hospitalized

continuum

true or false

mental disorders are real health conditions w/ enormous consequences for individuals, families, communities, and the nation

someone w/ a mental illness is a distressing to themselves, families, and their communities

true

true or false

effective treatments for mental disorders are available; most combine psychosocial interventions

most combine psychosocial interventions like counseling and therapy w/ medications

true

a state of complete physical, mental, and social well being

health (WHO)

the successful performance of mental function, resulting in productive activities, fulfilling relationships, and the ability to adapt to change and cope w/ adversity

mental health

true or false

people who are mentally UNhealthy function in society and generally are satisfied w/ their achievements

have great capacity for rational thinking, communication skills, learning, emotional growth, resilience, and self esteem

false (it should be mentally HEALTHY)

attributes of what?
- accurate appraisal of reality
- ability to play and laugh and maintain healthy self concept and self value
- ability to work and be productive
- negotiate each developmental task
- attain self defined spirtuality
- relate to others, form relationships
- think clearly problem solve use good judgement
- ability to control one's own behavior ability to take responsibility, for one's own actions
- ability to live w/ out fear guilt or anxiety
- ability to love and experience joy

mental health

medical condition that affect a person's thinking, feeling, mood, ability to relate to others, and daily functioning

must result from brain function or dysfunction and must cause distress, impairment or both
(can't just be a cultural syndrome or a normal reaction to a life event)

mental illness

is there an obvious and consistent line b/w mental illness and mental health

NO

what kind of influences on mental health?

- things like prenatal, perinatal, and neonatal events
- physical health status
- nutrition
- hx of injuries
- neuroanatomy and physiology

biological (influences)

what kind of influences on mental health?

- interactions a person has w/ other individuals
- self concept
- skills creativity
- emotional developmental levels

psychological (influences)

what kind of influences on mental health?

- variations in family stability
- ethnicity
- housing
- child wearing patterns- how they were raised
- economic levels
- religion
- values and beliefs

sociocultural (influences)

this model is the most accepted explanation for mental illness- mental illness comes from a combo of levels including our stress levels and a biological predisposition

ex: certain mental illnesses run in families

diathesis stress (model)

biological predisposition

diathesis

environmental stress or trauma

stress

true or false

people may have a diagnosis of a mental illness but may not be incapacitated by it

true

DSM IV or V?

axis I: mental disorder that is the focus of treatment

axis II: personality disorders and mental retardation

axis III: general medical disorder relevant to the mental disorder in

axis IV: psychosocial and environmental problems

axis V: global assessment of functioning (GAF)

DSM IV

diagnostic and statistical manual 5th edition: provides a list of requirements that a person must meet in order to be diagnosed w/ a certain illness. helps clinicians to maintain balance; takes out a lot of subjective and provides an objective means for diagnosing

Axis I-III: collapsed into a combined write up on mental and physical illness

Axis IV: replaced w/ a symptom checklist

Axis V: replaced with WHODAS (world health organization disability scale)

DSM V

this is a ______ related issue in treating people w/ mental illness

people may not have the insurance or the money for the copays

cost

this is a problem in treating people w/ mental illness

some people don't want people to know that they're talking an antipsychotic or an antidepressant but we don't have a problem w/ people knowing we take a med like insulin to take diabetes

stigma (there is a strong stigma associated w/ having mental illness)

this is a problem in treating people w/ mental illness

ex: people w/ schizophrenia gets admitted, starts to get better in hospital and starts taking their med, goes home and starts to get a little better and then they don't feel like they have to take meds, start to act bizarre and end up back at the ER

revolving door treatment

lack of __________: A problem in treating mental illness

the concept that mental healthcare costs should be reimbursed as the same manner as a physical health condition

parity

insurance plans w/ ________ provide unlimited doctor visits for chronic conditions (DM, heart disease)

parity

limited _______ to services: a problem in treating mental illness

depending on where you live sometimes it's hard to get psychiatric help (ex: rural area where they may not be a psychiatrist or if you live in an urban area where there's a a lot of patients and doctors may not be taking new patients)

access

acknowledged to be a major barrier to mental health treatment and recovery over the last several yeras

stigma

_________ attitudes toward individuals who are mentally ill have harmful effects on the individual and family

stigmatizing

a collection of negative attitudes belifs thoughts and behaviors that influence the individual and general public

stigma

this can all lead to ____________

- stereotyping
- labeling
- separating
- status loss
- discrimination in a context of power imbalance
- social isolation
- reduced opportunities

stigmatization

basic responsibilities of who?
- assessment of functioning
- case management
- milieu design and management (environment whether it's the home or the hospital environment)
- med administration and teaching
- crisis intervention
- supportive counseling

RN

responsibilites of who?
- all of the basic responsibilities
- formulating clinical diagnoses
- ordering and interpreting labs
- prescribing and managing medication regimen
- connecting therapy w/ individuals groups and families (can do 1 on 1 therapies

NP (MSN or advanced practice)

true or false

every person is worthy of dignity and respect

true

true or false

all behavior has meaning and can be understood from the client's perspective

don't try to guess and figure out why a person does a certain behavior or thing. to them it might make sense

true