Transcript: Impulsivity: trouble waiting his/her turn, blurts out answers and interrupts others Although it requires parental consent to start treatment, it is important to take into account what views and wishes the child expresses about their care Attention Deficit Hyperactivity Disorder (In children) Chilren who have comorbidities along with ADHD often experience a greater impact on their quality of life. They may often have a higher rate of school absences and visits to healthcare facilities The first and most important aspect to caring for a child with ADHD is to provide an accepting and supportive environment and to accept the child for who he is ADHD is the most commonly diagnosed mental health disease for children Most often detected in the early school years when children have trouble adapting and paying attention in class More prevalent in males than females Safe/Effective Care Treatments Carroll, M., & Park, A. (2007). Chapter 26. In Essential mental health nursing skills. Edinburgh: Mosby. What Is ADHD? Attention Deficit Hyperactivity Disorder Overview. (n.d.). Retrieved December 3, 2015, from http://www.webmd.com/add-adhd/guide/attention-deficit-hyperactivity-disorder-adhd ADHD Facts Legal/Ethical Care The first step in providing legal and ethical care for our paitents is by using autonomy, beneficence, non-maleficence and justice while planning care for paitents Nursing actions include giving positive reinforcement, encouraging physical activity, helping to implement a scheduled daily routine, providing referrals for therapy, and administrating medications as ordered Symptoms Comorbidities of ADHD Innattention: easily distracted, trouble following directions or finishing tasks, doesn't appear to be listening, problems organizing, often losing things, & day-dreaming Questions? Oppositional defiant disorder (ODD). (n.d.). Retrieved December 3, 2015, from http://www.mayoclinic.org/diseases-conditions/oppositional-defiant-disorder/basics/symptoms/con-20024559 Hyperactivity: squirm, fidgets or bounce while sitting, trouble playing quietly, always moving, excessive talking, trouble staying seated, & always "on the go" Sources Some key communication techniques include using simple and direct instructions, talking to them based on developmental age, and avoiding stimulating or distracting settings Medications are used in combination with a variety of therapies including special education, behavior modification, psychotherapy, social skills training and support groups Stimulant medications: work by increasing dopamine levels in the brain in a slow and steady manner that mimics the brains natural function Stimulants do not work on all patients with ADHD so specific nonstimulants medications such as Atomoxetine (Strattera), Clonidine (Kapvay), and Guanfacine (Intuniv) may be used. *ADHD cannot be prevented/cured but early detection and treatment increases the management of symptoms In order to optimize the management of symptoms, it is critical to create an individualized treatment plan for each patient ADHD Educational Institute. (n.d.). Retrieved December 3, 2015, from http://www.adhd-institute.com/burden-of-adhd/epidemiology/comorbidities/ Althought there is no cure for ADHD, early diagnosis and implementation of treatment can improve the quaility of life for these children. By determining comorbidities and other influential factors within the child's life, a personalized treatment plan that includes a combination of medication and therapy options that best meets the needs of the patient should be created. This works toward the main goal of recovery: achieving the highest possible level of functioning so they can live a healthy and positive life.
Transcript: The Impact of Mental Health Mental Health Mental Health Why is it important to talk about mental health? What is the stigma surrounding mental health? What are some common mental health struggles impacting youth today? How can mantal health struggles impact a youth's ability to succeed academically, relationally, etc.? About Me About Me My Mental Health Background Supports that Helped me in my Recovery What Makes Me Unique I have been diagnosed with: -Depression -Anxiety -PTSD I struggle with: -Self Harming Tendencies -Suicidal Tendencies -Inpatient hospitalizations at BryLin, ECMC, and Children's Psyciatric Center -Peer Support Groups and the help of Peer Mentors -support from my Family and Friends -bright pink hair and piercings -I am a twin -I am a part of the LGBT community -I make YouTube videos -helping people is my passion Peer Advocacy Peer Advocacy What is a peer advocate? What is the role of a peer advocate? Why is peer advocacy an important part of a youth's recovery? Available Supports Available Supports One-on-One Support in Area Hospitals Peer Mentors provide one-on-one support during inpatient hospitalizations. They run groups and can talk one-on-one with youth and families in multiple inpatient settings to provide resources and additional supports. Teen Peer Support Group Teen Peer Support Group This youth and teen peer support group is open to those between the ages of 13-18, giving them the opportunity to connect with peers to discuss and explore pathways to recovery. The group offers a safe place for youth to recieve support as well as to celebrate accomplishments and practice self-care skills under the facilitaion of a Youth Peer Mentor. Just Tell One Just Tell One JustTellOne.org's mission is to give Western New York youth and young adults the tools and confidence to start the conversation about their mental health or behavioral issues such as substance abuse. By helping a young person reach out for help as early as possible, we can increase the use of intervention services and decrease the likelihood of the issue turning into an emergency. Struggling? Struggling? If You or Someone You Know is Struggling CARES Team: 716-882-4357 Crisis Services: 716-831-7007 Parents, Teachers, School Counselors, Friends, etc.
Transcript: REF ApproachES million Australians reported to have mental or behavioral conditions (2014-2015) 4 6 Australians die from suicide every day 15 percent of people at work are subject to some form of bullying 5 percent of Australians will experience substance abuse disorders in any 12-month period used IN the EARLY DETECtION & TREATMENT OF PEOPLE WITH MENTAL ILLNESS as outlined in National Chronic Disease Strategy by ALVIN PADILLA OVERVIEW DEFINITIONS FACTS AND FIGURES CAUSES OF COMMON MENTAL ILLNESS COMMON MENTAL ILLNESS NATIONAL CHRONIC DISEASE STRATEGY NATIONAL CHRONIC DISEASE STRATEGY (MENTAL ILLNESS) EARLY DETECTION EARLY TREATMENT MENTAL HEALTH is defined as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community (World Health Organization, 2014). MENTAL ILLNESS is a health problem that significantly affects how a person thinks, behaves and interacts with other people (Government of Western Australia, 2016). FACTS AND FIGURES (Australian Bureau of Statistics, 2017) (Australian Bureau of Statistics, 2012) (McKenna and Harrison, 2012) (Australian Bureau of Statistics, 2012; Australian Bureau of Statistics, 2012; McKenna and Harrison, 2012) WHAT RISKS FACTORS AND PROTECTIVE FACTORS INVOLVED IN MENTAL ILLNESS DETERMINANTS OF MENTAL HEALTH AND WELL-BEING According To World Health Organization 2012, “Mental health and well-being is influenced not only by individual attributes, but also by the social circumstances in which persons find themselves and the environment in which they live; these determinants interact with each other dynamically, and may threaten or protect an individual’s mental health state”. DETERMINANTS OF MENTAL HEALTH AND WELL-BEING RISK FACTORS Risks to mental health can still happen and affect people at all stages of their lifespan. Considering a ‘life-course perspective’ demonstrates how these risks in different stages of life can affect mental health well-being or put the person at risk of mental disorders even after so many years (WHO, 2012). RISK FACTORS 1. Individual Attributes and Behaviour • Low self-esteem • Cognitive or emotional immaturity • Difficulties in communicating • Medical Illness • Substance use (comorbidity) 2. Social Circumstances • Loneliness • Bereavement • Neglect • Family Conflict • Exposure to violence/abuse/ bullying – “Brodie’s Law”, Social media • Low income and poverty • Difficulties or failure at school • Work stress • Unemployment 3. Environmental Factors • Poor access to basic services • Injustice and discrimination • Social and gender inequalities • Exposure to war or disaster PROTECTIVE FACTORS Protective factors include characteristics relating to individual, family circumstances, peers, school and the broader community. PROTECTIVE FACTORS 1. Individual Attributes • Self-esteem, confidence (easy temperament) • Ability to solve problems and manage stress or adversity (good coping skills, able to control emotions) • Communication skills (resilience/positive attitude to help seeking) • Physical health, fitness 2. Social Circumstances • Social support of family & friends • Good parenting / family interaction • Physical security and safety • Economic security • Scholastic achievement • Satisfaction and success at work 3. Environmental Factors • Equality of access to basic services • Social justice, tolerance, integration • Social and gender equality • Physical security and safety COMMON MENTAL ILLNESS CMI DEPRESSION ANXIETY SCHIZOPHRENIA PERSONALITY DISORDERS BIPOLAR MOOD DISORDERS EATING DISORDERS NATIONAL CHRONIC DISEASE STRATEGY NCDS The National Strategic Framework for Chronic Conditions • Collaboration between: > the Commonwealth > all state and territory governments under the Australian Health Ministers’ Advisory Council • Vision “all Australians live healthier lives through effective prevention and management of chronic conditions”. • New approach >often similar underlying principles for the prevention and management of many chronic conditions this framework >moves away from a disease-specific focus. >The timeframe of the Framework is eight years(2017–2025), with a review proposed every three years Principles Equity Collaboration and partnerships Access Evidence-based Person-centered approaches Sustainability Accountability and transparency Shared responsibility The primary objectives of the NCDS To prevent and delay the onset of chronic disease for individual and population groups. To reduce the progression and complication of chronic disease To maximise the wellbeing and quality of life of individual living with chronic disease and their families and carers. To reduce avoidable hospital admission and health care procedures. To implement best practice in the prevention,detection and management of chronic disease. To enhance the capacity of the health workforce to
Transcript: What is a mental illness? any disease of the mind; the psychological state of someone who has emotional or behavioral problems serious enough to require psychiatric intervention How do people form their attitudes towards mental illness? Everything helps to shape attitudes but social networks form these attitudes. Friends, family and the media are all behind our beliefs. The media play a very important part in the formation of our attitudes because they use propaganda to shape our views. Do the responses convey an understanding? Although majority of the samples did show a general understanding, it clearly isn't enough. A thorough understanding is needed for both mentally unwell and well individuals in the community. The younger samples showed a more extensive understanding, which shows that schools are educating the future generations about mental illness. Solutions to educate the community about Mental Illness A number of actions can be taken to educate the community about Mental Health. These include: Free lectures at the local schools for the older generations. More books about mental health in the local library. Making a mental health course compulsory in primary and secondary schooling Opening a youth centre where parents and children can go to learn more and seek help. Do you believe that an attitude can be changed? I honestly believe that knowledge can do anything. Your attitudes are based on what you know. If you have a poor understanding of mental illness then your attitude towards it will be poor. But it also comes down to the person, some people are just stuck in their own ways and don't want to learn about something that might scare them. Once you have a mental illness, you have it for life. www.blackdoginstitute.org.au www.reachout.com www.BITEBACK.org.au www.headspace.org.au www.ybblue.com.au Kids Helpline: 1800 55 1800 (free land line 24/7) Lifeline: 13 11 14 (free mobile call 24/7) Mental Illness By Stefanie Georgiadis 10F Disagreed 7 Agreed Psychotic Illness 6 Both of these people look happy, but one has a mental illness. Can you tell which one? Unsure Psychosis is a symptom or feature of mental illness typically characterized by radical changes in personality, impaired functioning, and a distorted or nonexistent sense of objective reality. 3
Transcript: Affordable Treatment for Mental Health By: Diana Luis CLAIM Mental Health Parity needs to improve so that treatment costs for mental health problems can be more affordable and available to many people. The MHPAEA requires equal coverage for both physical and mental health; insurances cannot make mental health and substance abuse coverage more difficult or more expensive to obtain than standard medical or surgical coverage. Two years later, the Affordable Care Act aimed to reduce the amount of uncompensated care the average U.S. family pays for by requiring everyone to have health insurance. MHPAEA and Affordable Care Act “Fail First”: Insurance might require a patient to try a cheaper option first before covering a more effective, expensive treatment. Hiring doctors, nurses, & specialist to review claims: This a another technique to save money on the non-prioritized mental health problems. Insurance Controls Not many therapist accept insurance. MHPAEA is not very strict; insurance doesn't have to accept all mental health claims. Restrictions Behavioral care was four to six times more likely to be provided out-of-network than medical or surgical care. Insurers paid primary care providers 20% more for the same type of care than they paid addiction and mental health care specialists. In New Jersey, 45% of office visits for behavioral health care were out-of-network. In Washington, D.C., it was 63%. *state statistics vary* Findings from a National Study Showing... What do the findings show? “This is a wake-up call for employers, regulators and the plans themselves that whatever they're doing, they're making it difficult for consumers to get treatment for all these illnesses.” -Henry Harbin These findings also show that American citizens need to demand better mental health services. Mental Health Parity needs to improve. Insurers are no longer permitted to write policies that charge higher co-pays or deductibles for mental health care Neither can they set annual or lifetime upper-limits on how much they will pay for such care. Have these laws been successful? Counterclaim: However... However... Advocates for patients say insurance companies still interpret mental health claims more strictly than for physical illness Fewer Insurance Options Health Insurance is more expensive Solutions Solutions for states to strengthen mental health Parity Better enforcement and compliance Proper recognition of conditions More consumer advocacy Designate a lead Many people are denied health care, however, parity can help people get the care they need without worrying about coverage. Works Cited Amadeo, Kimberly. "See for Yourself if Obamacare Increased Health Care Cost." The Balance, The Balance, 25 June 2019, www.thebalance.com/causes-of-rising-healthcare-cost-4064878. Dangor, Graison. “'Mental Health Parity' Is Still An Elusive Goal In U.S. Insurance Coverage.” NPR, NPR, 7 June 2019, www.npr.org/sections/health-shots/2019/06/07/730404539/mental-health-parity-is-still-an-elusive-goal-in-u-s-insurance-coverage Gold, Jenny. “Health Insurers Are Still Skimping On Mental Health Coverage.” NPR, NPR, 30 Nov. 2017, www.npr.org/sections/health-shots/2017/11/29/567264925/health-insurers-are-still-skimping-on-mental-health-coverage Kennedy, Patrick J., et al. "We Mustn't Let the Mental Health Parity and Addiction Equity Act Languish." STAT, 4 October 2018, www.statnews.com/2018/10/05/mental-health-parity-law-languish/. “mhpaea_factsheet.” CMS.gov Centers for Medicare & Medicaid Services, 27 Oct. 2016, www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/mhpaea_factsheet.html. “NAMI.” NAMI, www.nami.org/find-support/living-with-a-mental-health-condition understanding-health-insurance/what-is-mental-health-parity “What Is the Mental Health Parity and Addiction Equity Act?” Findlaw, healthcare.findlaw.com/patient-rights/what-is-the-mental-health-parity-act.html.
Transcript: Mental Health Awareness Introduction I have made this presentation to spread my idea and awareness for mental health and specifically in a group of people where their mental health gets overlooked: Athletes. I hope this can make you aware of the things people go though everyday which we overlook. Introduction Overview of the Issue OVERVIEW OF THE ISSUE Many people do not realize the lack of empathy that athletes receive in sports and the emotional and physical detriment that many athletes of all ages experience. The Cause THE CAUSE I think the cause of this is attributed to the idea that athletes are not to show weak traits and always be strong. This causes many to brush away their problems and bottle them up. This ultimately causes a detriment to the person having to hide there pain. I think the coaches have a part in this as they do not always look at their players as people but just as an athlete but, They are way more then a person who partakes in sports. Positive Aspect I think athletics can also cause habits of good mental health, You are bale to focus on only a single sport and not your daily life and you get to have fun. The Effect THE EFFECT I think there is a big effect that plays into this, Many athletes that deal with a lack of mental help and especially when they do not play sports, many athletes feel empty without any sports and due to them never getting any help, Many of their problems go untreated and many have to struggle with no help. The Positive Effect Even though quite a few athletes struggle with mental health, Many athletes find playing sports to clear their mind and the more you can get your mind off your troubles the better you'll feel in the short and long term mentally and physically. The Solution SOLUTION I think we can fight this problem with addressing it. Coaches should think about how their player is feeling and put their mental health on the same level of importance to their ability to play the game. The sterotype of all athletes are strong and nothing can hurt them have to be eliminated, They are human also and should be treated that way. Let's Fix It LET'S FIX IT! Make sure that you lifting teammates with your words not putting them down, Try to help and show sympathy to people. We all do not know what the other person truly goes though and feels in their day to day life. Spread the World SPREAD THE WORLD The best way to get support for anything is gaining awareness and I think we all know an athlete in our lives and I think you should always check up on them and check up on anyone for that reason alone. Make sure to spread what you have leraned. It benefits everyone. How you can help! HOW YOU CAN HELP Donate to a cause or fund Spread awareness on the situation Try to improve and help the situation anyway you can
Transcript: Mental Health It Is The Surroundings That We Grow up in That Directly Effect Our Mental Health. Depression effects 14 million americans today. Medications Are needed to treat some of these mental problems, but are they really helping or just making the condition worse? 1 in 4 Americans have mental health problems We are not attacking the real problem by over medicating our children and giving adults placebos We are harming more then helping. Step 1 Step 2
Transcript: How many of you have experienced anxiety or stage fright before? Can you imagine feeling like that every time you had to intereact with others? True of False: Anxiety Disorders are highly treatable, yet only half of those afflicted recieve treatment. False: While anxiety disorders are highly treatable, only 1/3 of those afflicted recieve treatment. Obsessive Compulsive Disorder (typically shorted to OCD) has to be the most normalized, misused mental disorder in the book. However, real OCD can be crippling without treatment, preventing sufferers from living normal lives. True or False: OCD is suffered by 1% of the adult population OCD often centers around themes, such as a fear of getting contaminated by germs. To ease your contamination fears, you may compulsively wash your hands until they're sore and chapped. Despite efforts to ignore or get rid of bothersome thoughts, the thoughts or urges keep coming back. This leads to more ritualistic behavior — and a vicious cycle that's characteristic of OCD. Physical Be very self-conscious in front of other people and feel embarrassed. https://socialanxietyinstitute.org/what-is-social-anxiety http://www.nimh.nih.gov/health/topics/social-phobia-social-anxiety-disorder/index.shtml http://socialanxietydisorder.about.com/od/overviewofsad/a/history.htm http://www.adaa.org/about-adaa/press-room/facts-statistics Stay away from places where there are other people. Closing Have a hard time making friends and keeping friends. Social Anxiety Disorder can be a debilitating illness that interrupts daily life. However, with proper treatment it can be managed and the symptoms can be greatly reduced. Feel nauseous or sick to their stomach when with other people. Commentary on exceedingly shy people dates as early as Hippocrates in 400BC. However, it wasn't until the 1900s that psychiatrists began to use the term social phobia and classified it as its own distinct category or phobias. In 1980, social phobia was included as an official psychiatric diagnosis. It was described as a fear of performance situations, and did not include fears of less formal situations such as casual conversations. From 1995 on, large amounts of research has been conducted and focused on Social Anxiety Disorder as well as safe and effective medication to treat SAD. OCD can't be cured, but treatment may help. The most effective treatments for OCD are Cognitive Behavioral Therapy (CBT) and/or medication. More specifically the most effective treatment is a type of CBT called Exposure and Response Prevention which has the strongest evidence supporting its use for treating OCD and/or a class of medications called serotonin reuptake inhibitors or SRIs. Mental Health Social Anxiety Disorder Life With OCD Obsessive Compulsive Disorder (OCD) is an anxiety disorder that affects about 1-2% of the population. People with OCD experience both obsessions and compulsions. Obsessions are unwanted and disturbing thoughts, images, or impulses that suddenly pop into the mind and cause a great deal of anxiety or distress. With OCD, you may or may not realize that your obsessions aren't reasonable, and you may try to ignore them or stop them. But that only increases your distress and anxiety. Ultimately, you feel driven to perform compulsive acts in an effort to ease your stressful feelings. Do you know anyone with an Anxiery Disorder? Consider the fact that, anxiety disorders are the most common mental disorders, affecting 18% of the US population, with SAD affecting 7% of the population. Fear of being contaminated by shaking hands or by touching objects others have touched Doubts that you've locked the door or turned off the stove Intense stress when objects aren't orderly or facing a certain way Images of hurting yourself or someone else Thoughts about shouting obscenities or acting inappropriately Avoidance of situations that can trigger obsessions, such as shaking hands Distress about unpleasant sexual images repeating in your mind Obsessive Compulsive Disorder (OCD) A disease recognizable as OCD appeared in the 17th Century, known as religious melancholy. Later, obsessional doubting was described as "scruples" in 1660. Modern concepts of OCD began in the 19th century. Obsessions were distinguished from delusions and compulsions were distinguished from "impulsions". As the twentieth century dawned, Pierre Janet and Sigmund Freud identified OCD as separate from other disorders. With the 21st century came a more therapeutically useful definition of OCD. Worry for days or weeks before an event where other people will be. “In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach—it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.” Bibliography History Medication:
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