* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download here
Mental status examination wikipedia , lookup
Outpatient commitment wikipedia , lookup
Anti-psychiatry wikipedia , lookup
Mental health in Russia wikipedia , lookup
Psychiatric rehabilitation wikipedia , lookup
Lifetrack Therapy wikipedia , lookup
Emergency psychiatry wikipedia , lookup
Involuntary commitment internationally wikipedia , lookup
Clinical mental health counseling wikipedia , lookup
Moral treatment wikipedia , lookup
Externalizing disorders wikipedia , lookup
Community mental health service wikipedia , lookup
Self-help groups for mental health wikipedia , lookup
Mental health professional wikipedia , lookup
Mental disorder wikipedia , lookup
Recovery International wikipedia , lookup
History of psychiatric institutions wikipedia , lookup
Deinstitutionalisation wikipedia , lookup
Recovery approach wikipedia , lookup
Pyotr Gannushkin wikipedia , lookup
Psychiatric survivors movement wikipedia , lookup
Abnormal psychology wikipedia , lookup
Controversy surrounding psychiatry wikipedia , lookup
Causes of mental disorders wikipedia , lookup
Presented by John Mudie, Ph.D. and David Lawrence * The Purpose of this course is to offer information which might be useful to people who want to recover some more and to allow them the opportunity to improve their recovery and to practice computer skills d * The purpose of this course is to offer participants ideas related to recovery and to improve their computer skills * You can get to the class website by typing the address http://www.rlccomputer.com into the address bar of Internet Explorer. Then click on the schedule for your location. Then find the entry for Medications and Recovery and click on it to get to this page. * You can get the slides by clicking here. * Press ESC key to stop presentation 2 * Describing the course * Leaning about mental illness and recovery. * Learning/refreshing computer skills * Learning about your medications (if any) * Press ESC key to stop presentation 3 * We are offering classes in Basic Recovery at 10:30 am in Lompoc on Tuesdays and at 10:00 am in Santa Maria on Mondays * We are offering a Recovery Group at 12:30 pm in Lompoc on Tuesdays and at 12:00 pm in Santa Maria on Mondays * We are considering offering classes in Basic Word and Smart Phones next. Comments welcomed. * Press ESC key to stop presentation 4 * Please note that covers are available for you to store your handouts in. * Please ask the Computer Tech for a cover if you want one * Press ESC key to stop presentation 5 * Want to share your name? * Want to share what’s important that’s happening in your life today? * Is having more recovery in your life important to you? * What would you like to get out of this class * Press ESC key to stop presentation 6 * Just attending classes and groups won’t be all that beneficial. * Neurons that fire together wire together * Taking new and different actions will be strange and uncomfortable and you won’t think they are going to work. * Do them anyway. * Doing more of the actions that I suggest may be very useful indeed. * Press ESC key to stop presentation 7 No Title 1 Intro to Basic Recovery. 2 Mental Illness Recovery 3 Addiction Recovery 4 Group Support 5 Taking Responsibillity 6 Get a job and more freedom 7 Getting off benefits 8 Sharing results and experiencing Serenity * Press ESC key to stop presentation 8 * Understanding mental illnesses * * * * * * * * * * understanding psychosis understanding depression understanding anxiety understanding schizophrenia understanding schizoaffective disorder understanding bipolar disorder understanding suicide understanding mental illness and violence understanding the brain and mental illness psychosis - general information From, source * Press ESC key to stop presentation 9 * A mental disorder, also called a mental illness, psychological disorder or psychiatric disorder, is mental or behavioral pattern that causes either suffering or a poor ability to function in ordinary life. Many disorders are described.[1] Conditions that are excluded include social norms. Signs and symptoms depend on the specific disorder.[1] * The causes of mental disorders are often unclear. Theories may incorporate findings from a range of fields. Mental disorders are usually defined by a combination of how a person feels, acts, thinks or perceives.[1] This may be associated with particular regions or functions of the brain, often in a social context. A mental disorder is one aspect of mental health. The scientific study of mental disorders is called psychopathology. * Services are based in psychiatric hospitals or in the community, and assessments are carried out by psychiatrists, clinical psychologists and clinical social workers, using various methods but often relying on observation and questioning. Treatments are provided by various mental health professionals. Psychotherapy and psychiatric medication are two major treatment options. Other treatments include social interventions, peer support and self-help. In a minority of cases there might be involuntary detention or treatment. Prevention programs have been shown to reduce depression.[1] * Common mental disorders include depression, which affects about 400 million, dementia which affects about 35 million, and schizophrenia, which affects about 21 million people globally.[1] Stigma and discrimination can add to the suffering and disability associated with mental disorders, leading to various social movements attempting to increase understanding and challenge social exclusion * From Wikipedia * Press ESC key to stop presentation 10 * Risk factors for mental illness include genetic inheritance, such as parents having depression, [2] repeating generational patterns,[3][4] and dispositions like personality.[5] Correlations of mental disorders with drug use include cannabis,[6] alcohol[7] and caffeine.[8] * Particular mental illnesses have particular risk factors, for instance including unequal parental treatment, adverse life events and drug use in depression,[9][10] migration and discrimination, childhood trauma, bereavement or separation in families, and cannabis use in schizophrenia and psychosis,[10][11] and parenting factors, child abuse,[12] family history (e.g. of anxiety), and temperament and attitudes (e.g. pessimism) in anxiety.[13] Many psychiatric disorders include problems with impulse and other emotional control. * In February 2013 a study found common genetic links between five major psychiatric disorders: autism, ADHD, bipolar disorder, major depressive disorder, and schizophrenia.[14] Abnormal functioning of neurotransmitter systems has been implicated[citation needed] in several mental disorders, including serotonin, norepinephrine, dopamine and glutamate systems. Differences have also been found in the size or activity of certain brain regions in some cases. Psychological mechanisms have also been implicated, such as cognitive (e.g. reasoning) biases, emotional influences, personality dynamics, temperament and coping style. Studies have indicated[citation needed] that variation in genes can play an important role in the development of mental disorders, although the reliable identification of connections between specific genes and specific categories of disorder has proven more difficult. Environmental events surrounding pregnancy and birth have also been implicated. Traumatic brain injury may increase the risk of developing certain mental disorders. There have been some tentative inconsistent links found to certain viral infections, to substance misuse, and to general physical health. * Social influences have been found to be important[citation needed], including abuse, neglect, bullying, social stress, traumatic events and other negative or overwhelming life experiences. The specific risks and pathways to particular disorders are less clear, however. Aspects of the wider community have also been implicated, [citation needed] including employment problems, socioeconomic inequality, lack of social cohesion, problems linked to migration, and features of particular societies and cultures * From wikipedia * Press ESC key to stop presentation 11 * In the 1980s, the dropout rate of participants at Kaiser Permanente’s obesity clinic in San Diego was about 50%; but what was perplexing was that all of the dropouts had been successfully losing weight before they left the clinic. [4] Dr. Vincent Felitti conducted interviews with individuals who had left the program, and discovered that a majority of 286 people he interviewed had experienced childhood sexual abuse.[4] The interview findings suggested to Felitti that weight gain might be a coping mechanism for depression, anxiety, and fear. [4] * Felitti and Dr. Robert Anda from the CDC went on to survey childhood trauma experiences of over 17,000 Kaiser Permanente patient volunteers.[4] * * * Findings[edit] * The number of ACEs was strongly associated with adulthood high-risk health behaviors such as smoking, alcohol and drug abuse, promiscuity, and severe obesity, and correlated with ill-health including depression, heart disease, cancer, chronic lung disease and shortened lifespan.[6][7][8] Compared to an ACE score of zero, having four adverse childhood experiences was associated with a seven-fold increase in alcoholism, a doubling of risk of being diagnosed with cancer, and a four-fold increase in emphysema; an ACE score above six was associated with a 30fold increase in attempted suicide.[3] * From https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Mechanisms by which Adverse Childhood Experiences influence health and well-being throughout the lifespan. The 17,337 participants were volunteers from approximately 26,000 consecutive Kaiser Permanente members. About half were female; 74.8% were white; the average age was 57; 75.2 had attended college; all had jobs and good health care, because they were members of the Kaiser HMO.[5] Participants were asked about 10 types of childhood trauma that had been identified in earlier research literature: physical abuse, sexual abuse, emotional abuse, physical neglect, emotional neglect, mother treated violently, household substance abuse, household mental illness, parental separation or divorce, and incarcerated household member.[6] About two-thirds of individuals reported at least one of these Adverse Childhood Experiences (ACE); 87% of individuals who reported one ACE reported at least one additional ACE.[6] The prevalence of emotional abuse was 10.6%, physical abuse 28.3%, sexual abuse 20.7%, emotional neglect 14.8%, physical neglect 9.9%, mother treated violently 12.7%, household substance abuse 26.9%, household mental illness 19.4%, parental separation or divorce 23.3%, incarcerated household member 4.7%. * Press ESC key to stop presentation 12 * * Based on Gabor Maté’s two decades of experience as a medical doctor and his groundbreaking work with the severely addicted on Vancouver’s skid row, In the Realm of Hungry Ghosts radically reenvisions this much misunderstood field by taking a holistic approach. Dr. Maté presents addiction not as a discrete phenomenon confined to an unfortunate or weak-willed few, but as a continuum that runs throughout (and perhaps underpins) our society; not a medical "condition" distinct from the lives it affects, rather the result of a complex interplay among personal history, emotional, and neurological development, brain chemistry, and the drugs (and behaviors) of addiction. Simplifying a wide array of brain and addiction research findings from around the globe, the book avoids glib self-help remedies, instead promoting a thorough and compassionate selfunderstanding as the first key to healing and wellness. In the Realm of Hungry Ghosts argues persuasively against contemporary health, social, and criminal justice policies toward addiction and those impacted by it. The mix of personal stories—including the author’s candid discussion of his own "high-status" addictive tendencies—and science with positive solutions makes the book equally useful for lay readers and professionals. From Amazon.com * Press ESC key to stop presentation 13 * * Main articles: Treatment of mental disorders, Services for mental disorders and Mental health professional * Treatment and support for mental disorders is provided in psychiatric hospitals, clinics or any of a diverse range of community mental health services. A number of professions have developed that specialize in the treatment of mental disorders. This includes the medical specialty of psychiatry (including psychiatric nursing),[124][125][126] the field of psychology known as clinical psychology,[127] and the practical application of sociology known as social work.[128] There is also a wide range of psychotherapists (including family therapy), counselors, and public health professionals. In addition, there are peer support roles where personal experience of similar issues is the primary source of expertise.[129][130][131][132] The different clinical and scientific perspectives draw on diverse fields of research and theory, and different disciplines may favor differing models, explanations and goals.[29] * In some countries services are increasingly based on a recovery approach, intended to support each individual's personal journey to gain the kind of life they want, although there may also be 'therapeutic pessimism' in some areas. * There are a range of different types of treatment and what is most suitable depends on the disorder and on the individual. Many things have been found to help at least some people, and a placebo effect may play a role in any intervention or medication. In a minority of cases, individuals may be treated against their will, which can cause particular difficulties depending on how it is carried out and perceived. * * * Compulsory treatment while in the community versus non-compulsory treatment does not appear to make much of a difference except by maybe decreasing victimization.[133] * Some psychotherapies are based on a humanistic approach. There are a number of specific therapies used for particular disorders, which may be offshoots or hybrids of the above types. Mental health professionals often employ an eclectic or integrative approach. Much may depend on the therapeutic relationship, and there may be problems with trust, confidentiality and engagement. * * Medication * Despite the different conventional names of the drug groups, there may be considerable overlap in the disorders for which they are actually indicated, and there may also be off-label use of medications. There can be problems with adverse effects of medication and adherence to them, and there is also criticism of pharmaceutical marketing and professional conflicts of interest. * * Other * Counseling (professional) and co-counseling (between peers) may be used. Psychoeducation programs may provide people with the information to understand and manage their problems. Creative therapies are sometimes used, including music therapy, art therapy or drama therapy. Lifestyle adjustments and supportive measures are often used, including peer support, self-help groups for mental health and supported housing or supported employment (including social firms). Some advocate dietary supplements.[136] * Reasonable accommodations (adjustments and supports) might be put in place to help an individual cope and succeed in environments despite potential disability related to mental health problems. This could include an emotional support animal or specifically trained psychiatric service dog. * From https://en.wikipedia.org/wiki/Mental_disorder#Management "Haus Tornow am See" (former manor house), Germany from 1912 is today separated into a special education school and a hotel with integrated work/job- and rehabilitationtraining for people with mental disorders Psychotherapy A major option for many mental disorders is psychotherapy. There are several main types. Cognitive behavioral therapy (CBT) is widely used and is based on modifying the patterns of thought and behavior associated with a particular disorder. Psychoanalysis, addressing underlying psychic conflicts and defenses, has been a dominant school of psychotherapy and is still in use. Systemic therapy or family therapy is sometimes used, addressing a network of significant others as well as an individual. A major option for many mental disorders is psychiatric medication and there are several main groups. Antidepressants are used for the treatment of clinical depression, as well as often for anxiety and a range of other disorders. Anxiolytics (including sedatives) are used for anxiety disorders and related problems such as insomnia. Mood stabilizers are used primarily in bipolar disorder. Antipsychotics are used for psychotic disorders, notably for positive symptoms in schizophrenia, and also increasingly for a range of other disorders. Stimulants are commonly used, notably for ADHD. Electroconvulsive therapy (ECT) is sometimes used in severe cases when other interventions for severe intractable depression have failed. Psychosurgery is considered experimental but is advocated by certain neurologists in certain rare cases.[134][135] * Press ESC key to stop presentation 14 * he act or process of becoming healthy after an illness or injury : the act or process of recovering * : the act or process of returning to a normal state after a period of difficulty * : the return of something that has been lost, stolen, etc. * From Merriam Webster * Press ESC key to stop presentation 15 * Life is less than ideal due to excessive behavior (the disease) e.g. drinking alcohol, using drugs, over-eating, gambling etc. * Excessive behavior stops. * Life becomes “Normal” due to the absence of side effects caused by the excessive behavior. * Known as “Being in Recovery from ….” * Press ESC key to stop presentation 16 * Disease is present. Symptomsof disease cause less than ideal life (bad decisions, manic, hallucinations, loss of energy(depression, suicide) * Measures are applied to reduce symptoms , (medications, exercise, ECT, CBT,job etc) * With reduction of symptoms, life becomes more “Normal” and functional. * Press ESC key to stop presentation 17 * Since the mid-1980s, a great deal has been written about mental health recovery from the perspective of the consumer (client), family member and mental health professional. The amount of research of various aspects of recovery continues to grow. Early research by Courtney Harding (1987) and others challenged the belief that severe mental illness is chronic and that stability is the best one could hope for. They discovered there are multiple outcomes associated with severe mental illness and that many people did progress beyond a state of mere stability. As such, the concept of recovery began to obtain legitimacy (Sullivan 1997). * Taken from http://www.mhrecovery.com/definition.htm * Press ESC key to stop presentation 18 * Although there are many perceptions and definitions of recovery, * William Anthony, Director of the Boston Center for Psychiatric Rehabilitation seems to have developed the cornerstone definition of mental health recovery. Anthony (1993) identifies recovery as " a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and/or roles. It is a way of living a satisfying, hopeful, and contributing life even with limitations caused by the illness. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness." Ultimately, because recovery is a personal and unique process, everyone with a psychiatric illness develops his or her own definition of recovery. However, certain concepts or factors are common to recovery. * Taken from http://www.mhrecovery.com/definition.htm * Press ESC key to stop presentation 19 * Hope is a desire accompanied by confident expectation. Having a sense of hope is the foundation for ongoing recovery from mental illness. Even the smallest belief that we can get better, as others have, can fuel the recovery process. * Early in the recovery process, it is possible for a treatment provider, friend, and/or family member to carry hope for a consumer. At some point, however, consumers must develop and internalize their own sense of hope. * * Taken from http://www.mhrecovery.com/definition.htm * Press ESC key to stop presentation 20 * While many people are frustrated by the process of finding the right medications and the side effects of medications, most persons with a psychiatric disorder indicate that medications are critical to their success (Sullivan, 1997). For many, the goal is not to be medication-free, but to take the least amount necessary. * Likewise, mental health consumers often report that mental health professionals and treatment programs are valuable to their recovery. Especially when consumers feel they are engaged in a partnership with their treatment provider and are involved in their treatment planning. * Taken from http://www.mhrecovery.com/definition.htm * Press ESC key to stop presentation 21 * Empowerment is the belief that one has power and control in their life, including their illness. Empowerment also involves taking responsibility for self and advocating for self and others. As consumers grow in their recovery journeys, they gain a greater sense of empowerment in their lives. • Taken from http://www.mhrecovery.com/definition.ht m * Press ESC key to stop presentation 22 * Support from peers, family, friends and mental health professionals is essential to recovery from mental illness. It is especially beneficial to have multiple sources of support. This not only reduces a consumer’s sense of isolation, but also increases their activity in the community, allowing them to obtain an integral role in society. * In addition to support from individuals, participation in support groups is an important tool for recovery. Consumers frequently report that being able to interact with others who understand their feelings and experiences is the most important ingredient for their recovery. * Taken from http://www.mhrecovery.com/definition.htm * Press ESC key to stop presentation 23 * In order to maximize recovery, it is important to learn as much as possible about our illnesses, medications, best treatment practices and available resources. It’s also important to learn about ourselves, including our symptoms so that we can gain better control over our illnesses. * Consumers can educate themselves by speaking with health care professionals, attending workshops and support groups, reading books, articles and newsletters, browsing the internet and participating in discussion * Taken from http://www.mhrecovery.com/definition.htm * Press ESC key to stop presentation 24 * While most consumers recognize the value of professional treatment, self-help is often viewed as the conduit to growth in recovery. Self-help can take many forms including learning to identify symptoms and take actions to counteract them, reading and learning about an illness and its treatment, learning and applying coping skills, attending support groups and developing a support system to rely on when necessary. * Taken from http://www.mhrecovery.com/definition.htm * Press ESC key to stop presentation 25 * A broad definition of spirituality is that it’s a partnership with one’s higher power. For many consumers spirituality provides hope, solace during their illness, peace and understanding and a source of social support. * Taken from http://www.mhrecovery.com/definition.htm * Press ESC key to stop presentation 26 * Frequently, when we meet new people, they ask • "what do you do?" Whether it is fair or not, what we do shapes others' opinions of who we are. As a result, it is common for a person's identity to be significantly impacted by what they do. Likewise, what a person does influences his/her confidence, esteem, social role, values, etc. Simply put, employment/meaningful activity affords most consumers the opportunity to regain a positive identity, including a sense of purpose and value. Taken from http://www.mhrecovery.com/definition.htm * Press ESC key to stop presentation 27 Press ESC key to stop presentation 28 Press ESC key to stop presentation 29 * Take action on your own behalf * Doing these assignments will support you * Neurons that fire together, wire together. * This is where the learning and recovery is. * Press ESC key to stop presentation 30 * Select a the medications you (or a friend of yours) is taking * Search on the web for a Patient Information Leaflet (PIL) for the medication. * This is the piece of paper that usually comes with the bottle of pills. * * Now print out your file by typing Ctrl-P (Hold down Ctrl key and press P), then press Print. Please print your name and date on it and turn it into the instructor by the end of next week. * You can now get more knowledge about your medications and knowledge is power. * Press ESC key to stop presentation 32 * Find a story about recovery from mental illness on the web and read it. * You can check out the recovery stories section of the National Empowerment Center at http://power2u.org/ * You can search for Mental Illness Recovery Stories on Google. * You can search for John’s story by searching for Living life on the Bipolar ride on Google. * Print it out and turn it in by next week. * Press ESC key to stop presentation 33 *Thanks for being part of this *Did you learn anything ? *What did you enjoy about it? * Press ESC key to stop presentation 34 class.