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Mental Health Awareness and Services for Veterans and Families Presenter Name and Subtopic Date ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. Member of Walgreens Boots Alliance “I’m Good” ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 2 Mental health conditions are prevalent and have far-reaching health consequences • Nearly 1 in 5 people in the U.S. have a mental health condition1 More than 50% of people with a mental health condition are not receiving treatment1 You are not alone 1. Prevention and early intervention B4stage4: The state of mental health in America 2016. Mental Health America Web site. http://mentalhealthamerica.net/sites/default/files/2016%20MH%20in%20America%20FINAL.pdf. Accessed April 12, 2016. ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 3 Mental health and chronic comorbid conditions have a significant correlation Mental health conditions, especially depression, are strongly related to the occurrence, successful treatment and course of many chronic diseases1 2x 50% 25% 2x more likely for adults with depression to also have heart disease of chronic pain patients have major depression of cancer patients have major depression more likely for diabetes patients to also have depression 1. Chapman DP, Perry GS, Strine TW. The vital link between chronic disease and depressive disorders. Prev Chronic Dis. 2005;2(1). http://www.cdc.gov/pcd/issues/2005/jan/04_0066.htm ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 4 Veterans have unique mental health needs 11% 18.5% Veterans aged 65 years and older that have a diagnosis of major depressive disorder2 Service members returning from Iraq or Afghanistan having post-traumatic stress disorder or depression 21% Higher suicide risk among Veterans when compared to U.S. civilian adults3 30% Veterans deployed to Iraq and Afghanistan will requiring treatment for a mental health condition1 60% Of Veteran suicides are among people age 50 or older3 1. Meeting the Mental Health Needs of Veterans, The National Council for Behavioral Health, 2012 2. VA National Registry for Depression 3. Suicide Among Veterans and Other Americans 2001–2014, 2016 ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 5 The five signs of emotional suffering May neglect selfcare and engage in risky behavior. Personality changes Uncharacteristically angry, anxious, agitated, or moody Withdrawal or isolation from other people Overcome with hopelessness and overwhelmed by circumstances. If you see these signs, will you know what to do? Reference: Campaign to Change Direction, http://www.changedirection.org/, Retrieved 9/6/2016 ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 6 Depression is a common problem among older adults, but it is not a normal part of aging If you know someone with depression, simple interventions can make a difference • • • • Encourage him or her to see a doctor or mental health professional Offer support, understanding, patience, and encouragement Talk to him or her, and listen carefully Never ignore comments about suicide, and report them to your loved one’s therapist or doctor • Invite him or her out for walks, outings, and other activities • Remind him or her that with time and treatment, the symptoms will lift National Institutes of Health, Older Adults and Depression, http://www.nimh.nih.gov/health/publications/older-adults-and-depression/older-adults-anddepression_141998.pdf ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 7 Where to go for help - Resources for mental health Web • • • • • http://www.mentalhealth.va.gov/ https://www.veteranscrisisline.net/ https://www.walgreens.com/health/mental-health/3200001 www.mentalhealthamerica.net (linked to Walgreens site) www.changedirection.org Telephonic • Veterans Crisis Line (800-273-8255, Press 1) Apps • PTSD Coach (VA) • Moving Forward (VA/DoD) ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 8 We can all do something • Mental health conditions are common – don’t be afraid to seek help or discuss with a friend • Be aware of the 5 signs of emotional suffering. Take action, if needed • Simple acts of kindness or empathy are important to assist someone with getting the help they need • Familiarize yourself with available mental health resources and know how to access them ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 9 Appendix ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. Depression Depression is a common but serious mood disorder. It causes severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, or working. Signs and Symptoms Treatment Options • Persistent sad, anxious, or “empty” mood • No “one size fits all” treatment solutions • Feelings of hopelessness, or pessimism • Medications • Irritability • Feelings of guilt, worthlessness, or helplessness • Several options – many generic • May take up to 4 weeks to begin working Psychotherapy • Loss of interest or pleasure in hobbies and activities • Decreased energy or fatigue • • Talk therapy • Counselling National Institute of Mental Health, http://www.nimh.nih.gov/health/topics/depression/index.shtml ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 11 Post Traumatic Stress Disorder Post Traumatic Stress Disorder (PTSD) is a disorder that develops in some people who have experienced a shocking, scary, or dangerous event Signs and Symptoms To be diagnosed with PTSD, an adult must have all of the following for at least 1 month: • • Example: Staying away from places that are reminders Medications • Several options – many generic • Prazosin may be helpful for nightmares Psychotherapy • Talk therapy • Counselling At least two arousal and reactivity symptoms • • Example: Flashbacks or bad dreams At least one avoidance symptom • • • At least one re-experiencing symptom • • Treatment Options Example: Easily startled or difficulty sleeping At least two cognition and mood symptoms • Example: Trouble remembering key events National Institute of Mental Health, http://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorderptsd/index.shtml ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 12 Heightening awareness of mental health issues • Mental health “answers” page on Walgreens.com will feature: – Informational resources and content – Links to free online screening tools through MHA • All 27,000 Walgreens pharmacists can access continuing education and training to better serve and counsel people living with mental health conditions ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 13 A strong commitment to improved mental health awareness and outcomes Walgreens has launched a comprehensive platform of services and strategic relationships with the goals of: • Improving health outcomes through early mental health screening and intervention • Heightening awareness of mental health issues and their effect on overall wellness • Connecting more people with clinical resources in the community who can help ©2016 Walgreen Co. All rights reserved. Confidential and proprietary information. 14