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Chapter One - Mental Health and Mental Illness➔Mental Health - state of well-being in which each individual is able to realize his or her potential, cope with the normal stresses of life, work productively, and make contribution to the community➔Mental Illness - all mental disorders with a definable diagnosis◆Significant impairment of…●Cognition or thinking (autism, dementia)●Emotions (bipolar)●Behavioral changes (schizophrenia)➔Contributing Factors◆Resilience - ability and capacity for people to secure the resources they need to support their well-being; being able to recognize the feelings, deal with them,and learn from the experience (abused children reaching out for help)●If your emotional regulation is below average: deep breathing, relax muscles, positive imagery◆Culture - based on interpretations of effective functioning according to societal norms●Cultural competence - nurses need to increase this; sensitivity to different cultural views regarding health, illness, and response to treatment➔Mental health vs Physical health➔Nature vs Nurture➔Social Influences on Mental Health Care◆Consumer Movement and Mental Health Recovery●National Alliance on Mental Illness - began to resist care from providers who didn’t take input from patients; promoted the notion of recovery◆Decade of the Brain●Goal was to make legislators and the public aware of advances that had been made in research with the brain and neurotransmitters◆Surgeon General’s Report●Mental health is fundamental to overall health●There are effective treatments for mental health◆Human Genome Project●Strengthened biological and genetic explanations for psychiatric conditions◆President’s New Freedom Commission on Mental Health●Called for a streamlined system with less fragmented delivery of care; advocated for early diagnosis and treatment◆Institute of Medicine●Highlighted effective treatments for mental illness◆Legislation and Funding Mental Health●ACA (Medicare, Medicaid)●Wellstone-Domenici Parity - required that any plan providing mental health coverage must do so in the same manner as med/surg coverage➔Diagnosing Mental Illness◆Diagnostic and Statistical Manual (DSM V)●Classifies disorders NOT people●Organized by hierarchy - occur youngest to oldest ◆International Classification of Diseases (ICD 9-CM)●Divided into 2 broad classifications with subclassifications➔Psychiatric Mental Health Nursing◆Promoting mental health through the assessment, diagnosis, and treatment of human response such as confusion, low self-esteem, impaired ability to function in job or family situations. Etc.➔Levels of Psychiatric Nursing◆Basic level (RN-PMH)●Diploma, AD, BS◆Advanced (APRN-PMH)●MSN, DNP, PhDChapter 4 - Settings for Psychiatric Care
➔Outpatient ◆PCPs,specialty care providers, patient centered medical/health homes, community clinics➔Inpatient◆Hospitals●