Social Determinants of Health: conditions in the environment where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks
Economic stability
Education access and quality
Health care access and quality
Neighborhood and built environment
Social and community context
Special Population: Different subpopulations that may experience greater social disadvantages and/or be marginalized and oppressed
Children and adults
Any gender/racial category
Disabilities
Elderly
LGBTQAI+
Intersectionality: refers to the interconnectedness of social categories, such as race, gender, class, sexuality, and ability–all of which shape an individual’s experiences and opportunities
Ex. person who is Asian and transgender
Mental health: your general state of well-being and state of mind
Mental illness: something that disrupts your mental state and interrupts how you feel, think, communicate, and behave
William Sweetzer (1843): introduced the term mental hygiene
Mental hygiene: the art of preserving the mind against all incidents and influences calculated to deteriorate its qualities, impair its energies, or derange its movement (as defined by Issac Ray 1893)
Dorothea Dix: responsible for the mass construction of state mental hospitals in the U.S. in the 1800s
St. Elizabeth’s: opened in 1855, envisioned by Dorethea Dix to be calm, nurturing environment however overcrowding become an issue
Napa State Hospital: first hospital opened in California (1875)
Extreme therapy (lobotomy) and also overcrowded
Thorazine: first antipsychotic medication was introduced
Short-Doyle Act of 1957: first reform towards community-based treatment
Community Mental Health Act of 1963: to create a system of community-based care versus institutional care leading to the federal government providing funding to community mental health programs and start of deinstitutionalization
Deinstitutionalization: the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability
Began in 1960s-1970s
Mental Health Services Act (MHSA): passed in CA (2004), calls for the transformation of the mental health system by improving the quality of life (No Place Like Home program) and supportive housing
Recovery: a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential
Recovery Model: Lost in despair – discovering hope – recovering meaning
4 Components of Recovery
Health: overcoming or managing disease and living in a physically and emotionally healthy way
Home: a stable and safe place to live
Purpose: meaningful daily activities, such as a job, school, volunteerism, and family
Community: relationships and social networks that provide support, friendship, love and hope
10 Principles in Recovery: hope, person-driven, many pathways, holistic, peer support, relational, culture, addresses trauma, strengths/responsibility and respect
Hope: cherish a desire with anticipation, to want something to happen or be true
Strengths-Based: everyone ha a unique set of strengths that can be supported and built upon to push through mental health/life challenges
Focuses on individual’s self-determination and strength
Person-centered recovery: each person is ultimately in charge of their own recovery, setting goals and creating a path to achieve them
Holistic relating to or concerned with wholes or with complete systems rather than with the individual parts, attempts to treat both the mind and body
In recovery person must address every aspect of their life, from mental and physical health to income and house to seeking support and maintaining medication if needed
Increasing resilience by strengthening protective factors:
Identifying sources of strengths: family friends, faith
Envisions positive outcomes
Keep a sense of humor
Remember for the self and people you work with
Cultural identity: describes an individuals’s affiliation or identification with a particular group or groups
Cultural Competency: awareness of your own cultural beliefs and values and how these may be different from other cultures—including being able to learn about and honor the different cultures of those you work with
Cultural Awareness: understanding of the importance of race, ethnicity, and culture and being sensitive to the similarities and differences
Cultural sensitivity: refers to the awareness and appreciation of the values, norms, and beliefs characteristic of a cultural, ethnic, racial, or other group that is not one’s own, accompanied by a willingness to adapt one’s behavior accordingly
Cultural stereotypes: oversimplified assumptions people make about an entire cultural group
Explicit bias: attitudes and beliefs held on a conscious level and we are aware of
Implicit bias: attitudes and beliefs held on a unconscious level that we are aware of
Developmental theories: provide a framework for thinking about human growth, learning and development throughout the lifespan
Erik Erikson lifespan development theory: as you progress through life, each stage has a natural crisis (18-40)
Infancy (trust vs. mistrust)
Early Childhood (autonomy vs. shame and doubt)
Preschool (initiative vs. guilt)
School Age (industry vs. inferiority)
Adolescence (identity vs. role confusion)
Young Adulthood (Intimacy vs. isolation)
Middle Adulthood (generosity vs. stagnation)
Maturity (ego integrity vs. despair)
Emerging Adult (Arnett 2000): in-between stage where adults 18-25 are not fully mature
Age of Identity Exploration: Who am I?
Age of Instability: residence changes (colleges)
Age of self focus: what do I want to do
Age of feeling in between: independent but don’t feel like a full adult
Age of possibilities: highly optimistic
Transitional aged youth: a broad span of development from older adolescence to young adulthood (16-26)
Too old for pediatric/child services and often not ready or eligible for adult services
Trauma: defined as a person’s emotional response to a distressing experience
Acute: single event
Chronic: repeated exposure to event
Complex: multiple events that may or may not be related
Vicarious or secondary: witnessing
Adverse childhood: potentially traumatic events that occur in childhood (up to 17)
Goal of Foster Care: provide safe and stable out-of-home care for children and youth until they are safely returned home, placed permanently with adoptive families or legal guardians, or placed in other planned arrangements for permanency
Transitional age youth program: prevent homelessness and secure and maintain housing for young adults aged 18 to 24 years, inclusive
Goal of Juvenile Court: skill development, rehabilitation, addressing treatment needs, and successful reintegration of youth into the community
Elevate Justice Act: would raise the age of juvenile jurisdiction from 17 to 19, producing effective changes for youth in the adult justice system
Older Americans Act: foundation of support for people over 60 years old including meal delivery, information and referral, health and wellness programs, in-home care, transportation, elder abuse prevention, caregiver support and adult daycare
Mandated reporter: health care professionals required to report abuse under 18 and over 65
Differential diagnosis: process of differentiating between two or more conditions that share similar signs or symptoms
Ex. fatigue can be caused by anemia, depression, heart disease, etc.
Young-old (60-74): golden years, good health social engagement, similar to midlife
Old-Old (75-84): living independently, increased physical impairment, chronic disease increase
Oldest-old (85-99): more chronic ailments, most hospitalizations, fastest growing
Juvenile delinquency: violation of a law committed by a person before his 18th birthday