Mental Health-Mental Illness Lecture Outline for Dosette Bush Jones, MSN, RN-BC, CNS I. 21st century nursing care Holistic approach “Whole person” Physical wellness Psychological wellness Emotional wellness Behavioral wellness II. History little societal interest led to primitive beliefs and treatment -belief that mentally ill were possessed by witches, evil spirits, etc. -led to HORRIBLE conditions 1946 national mental health act law -coming home from war, 1 st time taken seriously - “anyone can have it” 1950’s psychopharmacology – benchmark 3 -Haldol and Thorazine introduced 1960’s de-institutionalization – benchmark 4 -case management, put back into community, residential care programs - homeless increased drastically 1990’s decade of the brain – benchmark 5 -effect of brain biology on mental illness -CAT scans, MRIs 2000’s decade of behavior -modify behavior to promote wellness (reduce risk factors, compliance to tx, med consistency) post-industrial era -TODAY- information society, increase in psychiatric casualties, increase in worried well mental and behavioral health care delivery systems -can be inpatient, outpatient, partial, community mental health centers nursing contributions -counseling, SI prevention, hospice, chemical dependency, forensics, correctional Psychiatric-behavioral health nursing is essential to meeting the challenge of holistic nursing care * May 2013- Obama: National Mental Health Awareness Month *#1 cause of disability in N. America *8-9% in Ohio III. Factors influencing mental health-mental illness
inherited characteristics: genetics
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