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22nd April 2009 Common Mental Health Problems Gareth Walton Clinical Manager/Matron Overview • Local service provision • Prevalence of mental health problems • Types of mental health problems • Getting help or advice in a crisis • Keeping yourself safe Local Mental Health Service Provision - Adults • Adult services cover ages 17-65, but age is not an exclusion criteria • Aim of the service is to provide the least restrictive treatment option appropriate to meet assessed needs • One inpatient unit (36 beds) The Lakes, CGH • One inpatient unit (17 beds) at Clacton Hospital • Crisis Resolution and Home Treatment team, Duty Team, and Trust Line (formerly crisis line) • CMHTs based in Colchester, Halstead, Clacton and Harwich • Outpatient clinics in Colchester, Halstead, Clacton and Harwich Local Mental Health Service Provision – OA and CYPS • 60 OA beds in Clacton and Colchester • Developing CRHT service for older adults • Locality CMHTs in Colchester and Clacton • Brand new building – St Aubyn Centre for CYPS inpatient care (25 beds in two wards) • CMHT and crisis services in place Prevalence of mental health problems • 1 in 4 will experience mental health problems • 2 million people visit their GP with mental health problems a year • 1 in 100 diagnosed with a severe mental illness Schizophrenia • • • • • Episodes during which reality is perceived differently Hallucinations and/or delusions Acute phase often accompanied lack of insight Acute episode can be marked by intense panic, paranoia, anger, depression, elation or over activity 30-40% attempt suicide -1in10 eventually succeed Bipolar Disorder • • • • • • • Dramatic mood swings- “high” and/or irritable to low, sad and hopeless and back again Periods of normal mood High – mania. Mild to moderate-hypomania Low - depression Hallucinations and/or delusions When high- denial that anything is wrong When low- suicide ideation often present Anxiety Disorders • • • • Manageable level of anxiety normal & healthy Severe anxiety effects an individual’s quality of life and ability to function Anxiety disorders mostly commonly reported in the UK Specific symptoms; fear, heart palpitations, rapid breathing, fainting, indigestion, feelings of dread and doom Dementia • • • Dementia is the name for a group of diseases that affect the normal working of the brain The changes in the brain slowly lead to memory loss and confusion, and affect people’s personality and behaviour. Progress lose the ability to carry out normal, everyday activities for themselves. Depression • • • • • Most likely to be managed by GP Severity of symptoms varies with individuals Low mood, lack of energy and motivation, reduced appetite and sleep problems Physical symptoms – fear of being seriously ill Suicidal ideation Personality disorders • • “a severe disturbance in the character-logical condition and behavioral tendencies of the individual, usually involving several areas of the personality and nearly always associated with considerable personal and social disruption” Many types – narcissistic, emotionally unstable, dependent Getting help or advice in a crisis Trustline (Crisis line) – 0845 038 0800 • • Operates 24/7 Access to urgent assessments Samaritans – 0845 790 9090 NERIL – 0845 0900 909 Keeping yourself safe • • • • • • • A person with mental health problems poses more risks to themselves than others What do you know about the person and their problems? Has the person been drinking or appear under the influence of drugs? Does the person appear irritable/hostile? Does the person seem to be responding to hallucinations? Always keep your exit route clear Be aware of your environment – what could be used as a weapon? Keeping yourself safe • Keep money/collections/valuables out of sight and securely stored • Ensure someone knows where you are, and when you are due to be finished