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Chapter Eleven - Community Mental Health Chapter 11...

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Community Mental Health Chapter 11
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Introduction - 1 Mental illness: leading cause of disability in U.S., Canada, & Western Europe Mental illness is a major community health issue 22–23% (44 million) of American adults affected 6% have addictive behaviors 3% have both mental & addictive disorders Only 1/4 to 1/3 of those diagnosed receive treatment 5 million adults in U.S. have serious mental illness
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Introduction - 2 Number of those affected continues to rise and affects all ages Significant resources are required to meet the continuing demands for care
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Key Definitions - 1 Mental health– “state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with adversity” (HHS, 1999). People with good mental health are able to: function under adversity, change or adapt to changes around them, maintain control over their tension and anxiety, find more satisfaction in giving than receiving, show consideration for others, curb hate and guilt, and love others
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Key Definitions - 2 Mental illness– “a term that refers collectively to all diagnosable mental disorders” (HHS, 1999) Mental disorders– “health conditions characterized by alterations in thinking, mood, or behavior (or some combinations thereof) associated with distress and/or impaired functioning” (HHS, 1999). Classification Diagnostic & Statistical Manual of Mental Disorders, 4th edition, text revision ( DSM-IV-TR ) Classify: onset age; severity (mild, moderate, severe)
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Origins & Causes of Mental Disorders Origin: hereditary, environmental, or both; idiopathic (unknown origin) Causes: deficiency at birth (genetic, idiopathic, maternal exposure), physical impairment, psychological 2/3 of mental retardation cases traceable to environmental factors (i.e., no prenatal care, poor nutrition, DAT, postnatal exposure)
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Mental Illness In America - 1 Mental illness one of the most pervasive public health problems in U.S. Statistical indicators 15.4% of adults have had at least 1 incident of a mental health or substance abuse disorder in the past 30 days About 35% of the population aged 15 to 54 have had a mental disorder in their lifetime Many mental disorders are chronic
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Mental Illness in America - 2 Social indicators 30,000 suicides each year Homicides are the 2nd & suicides are the 3rd leading cause of death in the 15-24 year olds High rate of divorce Current widespread abuse DAT
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