1What do mental illness disorders affect?
mood -> depression
behavior -> substance abuse
thinking -> schizophrenia
2What do mental disorders often cause?
Mental disorders often cause significant distress and/or impaired functioning
almost always impairs your functioning
if it doesn't impact daily functioning -> not called a disorder
3What are the factors contributing to mental illness? (3)
Individual
Interpersonal
Social/cultural
4What is individual factor?
biological makeup (runs in families)
intolerable or unrealistic worries or fears
5What is interpersonal factor?
ineffective communication (too much dependency on relationships or withdraw from relationships)
inadequate social support
6What is social/cultural factor?
negative view of the world
discrimiation (stigma, racism, classism, agism, sexism, etc)
7Who is Dorthea Dix?
Nurse that was the first to treat psych patients as humans/ people
8Psychopharmacology
single biggest change in mental health !!
(1950s) development of psychotropic drugs
9Out of the 51.5 million adults in the US with a mental illness, how many recieve treatment?
23 million recieve treatment
10Economic burden of mental illness exceeds what?
the economic burden caused by ALL TYPES of cancer
11What is the "revolving door" effect?
going in and right back out of institutions
effect due to deinstitutionalization
often "boarded" in emergency depattment while awaiting inpatient beds
12What is dual diagnosis?
substance abuse disorder AND mental health disorder
don't know which is causing signs and symptoms
13Healhty People 2030 Objectives
Reduce the suicide rate (most important one)
increase # of children and adolescents who get treatment
reduction # of people who experience major depressive episodes
increase # of adults with MH disorders that recieve treatment
increase # of homless adults with MH problems who recieve MH services
14What is comunity-based care?
development of community support programs
availablity, quality of services highly variable
despite flaws, positive aspects make them ** preferable for treatment **
15What is the issue with community-based care?
lack of appropriate number of community mental health centers to provide services
16Who is Linda Richards?
first American psychiatric nurse
17What is significant about the McLean Hospital, Belmont, MA?
site of first training for nurses to work with persons with mental illness
18When was the first psychiatric nursing textbook published?
1920
19What is significant about Johns Hopkins?
first school of nursing to include psychiatric nursing course (1913)
20What did National League for Nursing start requiring?
requiring schools to include an experience in psychiatric nursing (1950)
21RN level functions *important*
counseling (stress management, crisis therapy, communication technique)
milieu therapy (surroundings, teach skills, maintain therapeutic environment)
self-care activities (encourage independence, increase self-esteem
psychobioloigcal interventions
health teaching
case management
health promotion and maintenance
22APRN level functions *important*
psychotherapy
prescriptive authority for drugs
consultation and liaison
evaluation
program development, management
clinical supervision
23What is self-awareness?
the recognition of one's own feelings, beliefs, and attitudes
everyone has unique and different values, ideas, and beliefs
possible conflict between personal values/ beliefs
acceptanace of differences
self-awareness through reflection