Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Schizophrenia

No description
by

Mia Kim Williams

on 7 June 2016

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Schizophrenia

Schizophrenia
By Brandon Williams, MSW, LCSW
Weld County Sheriff's Office

1. Description of schizophrenia

2. Historical perspective of diagnosis & treatment

3. Diagnostic criteria of schizophrenia

4. Treatment & management of schizophrenia

Description of
Schizoprenia

Definition of Schizophrenia:
A psychotic disorder characterized mainly by gross distortions of reality; withdrawal from social interactions; disorganization and fragmentation of perception, thought, and emotion
General Statistics about Schizophrenia
Occurs in all societies, regardless of class, color, religion, culture, etc.
Ranks among the top 10 causes of disabilities in developed countries
Prevalence rate is 1.1%
of the global population
over age 18, or 51
million people world
wide

An estimated 356,268 people with mental illness including bipolar and schizophrenia are in prisons and jails compared to 35,000 in state hospitals (2014)
increase from 5% in 1970 to 20% in 2014

Vast majority of people with Schizophrenia who are in jail are charged with misdemeanors

APA estimates 1 in 5 prisoners are mentally ill

Rates are higher for female inmates
29% White, 22% Hispanic, 20% Black

Schizophrenia in Jails and Prisons
Genetics
Not one single gene attributed to the cause
Predisposition
Environmental
Exposure to virus or malnutrition before birth
Early childhood trauma
Substance abuse
Brain Chemistry and Structure
Faulty neurotransmitter connections
Physical structural differences in brain
Causes of Schizophrenia?
1550 BC Book of Hearts
1887 AD Emile Kraepelin
Dementia praecox
First to identify schizophrenia as
a disease of the brain
1911 Eugene Bleuler
Coined the term Schizophrenia
1952 Formalization of modern day psychiatry
Introduction of the “miracle drug”
DSM I published
1970’s Community Metal Health ACT
Deinstitutionalization
1990’s Introduction of the atypical antipsychotics
History
of Schizophrenia
Evolution of Treatments
Diagnotic
Criteria

Negative Symptoms
Lack of emotional expression
Lack of interest or enthusiasm
Seeming lack of interest in the world
Speech difficulties and abnormalities
Affective (or Mood) Symptoms
Depression, accounting for a very high rate of attempted suicide

Anxiety can also be present and may be a direct result of the psychosis or come and go during a psychotic episode

DSM V
A. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated)
At least one of these should include 1- 3
1. Delusions
2. Hallucinations
3. Disorganized Speech
4. Grossly disorganized or catatonic behavior
5. Negative symptoms
B. Social/occupational dysfunction

C. Duration

D. Schizoaffective and major mood disorder
exclusion.

E. Substance/general mood/medical condition exclusion

*F. Relationship to Global Developmental Delay or Autism Spectrum.


Thorazine
Haldol
Prolixin
Navane
Loxapine
Stelazine
Trilafon
Mellaril
Neuroleptics (1950's)
Good at treating the
positive symptoms

Side effects include
- Cognitive Dulling
- Tardive Dyskinesia
- NMS
- Sedation
- Prolonged Erection

Atypical Antipsychotics (1990's)
Abilify
Risperdal*
Zyprexa*
Seroquel*
Clozaril
Geodon
Fluoxetine
Good at treating the
positive symptoms

Side effects include
- Tardive Dyskinesia
- Weight Gain
- Sedation
- Drooling

Management and Treatment
Psychosocial
Educational
Modeling
Reality testing
Limit setting
Milieu Therapy
Psychosocial Rehabilitation
Family Support

Other Treatments
Your treatment of schizophrenic inmates
Dangerous
Persons with mental illness are no more dangerous than anyone else when treated

Best single indicator of future behavior is past behavior

Generally, men are 10 times more likely to become violent than women

Acutely mentally ill women are equally as likely to become violent as mentally ill men

Substance abuse increases violence risk even when not intoxicated or withdrawing
What NOT to Do:
Do not lie or deceive
Do not get drawn into an argument
Do not say, “I know how your feel”
Avoid violating personal space
Avoid raising your voice
Remember
It is frightening to be psychotic.
Be calm, patient and understanding.
Treat each person with respect.
Stress that you are there to help.
Full transcript