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Foundations of Psychiatric Nursing

This document discusses the differences between mental health and mental illness. Mental health involves qualities like independence, self-actualization, managing stress through support systems, and being reality-oriented. Mental illness involves dissatisfaction with oneself and relationships, inability to cope with life stressors, and psychological or behavioral syndromes. Some key statistics provided are that 26% of American adults experience mental illness annually, and only 1 in 4 adults and 1 in 5 children receive needed mental health services. The document also outlines some major historical events in mental health care such as the development of asylums in the late 1700s-1800s, the introduction of psychopharmacology in the 1950s, and the establishment of community mental health centers through de

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44 views8 pages

Foundations of Psychiatric Nursing

This document discusses the differences between mental health and mental illness. Mental health involves qualities like independence, self-actualization, managing stress through support systems, and being reality-oriented. Mental illness involves dissatisfaction with oneself and relationships, inability to cope with life stressors, and psychological or behavioral syndromes. Some key statistics provided are that 26% of American adults experience mental illness annually, and only 1 in 4 adults and 1 in 5 children receive needed mental health services. The document also outlines some major historical events in mental health care such as the development of asylums in the late 1700s-1800s, the introduction of psychopharmacology in the 1950s, and the establishment of community mental health centers through de

Uploaded by

Loo DrBrad
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

Foundations of Psychiatric

Mental Health Nursing & Clinical


Practice
How does Mental Health differ from
Mental Illness?
Health
Autonomy/independence
Works towards self-
actualization
Able to face challenges
Self-esteem-knows
abilities/limitations
Masters environments
Reality oriented
Manages stress uses
support system

Illness
Behavioral/ psychological
syndrome e/b
Dissatisfaction w/self
Ineffective/non-
satisfying relationships
Dissatisfied w/place in
world
Unable to cope or
ineffective coping
w/life stressors/events
MENTAL ILLNESS - TODAY
NIMH estimates:
26% Americans 18+ have diagnosable MI
(57.7 mil /yr) (2006)
ADHD 3-5% school age children diagnosed
Great economic burden > all types of cancer.
In U.S. & Canada - Leading cause of disability in
persons 15-44 years-old
Only 1:4 adults & 1:5 children & adolescents receive
needed services.
Homeless est. 750,000 living in streets
1/3 with mental illness & with substance abuse

Historical Events in Mental Health
Period of
Enlightenment
Late 1700s-
1800s


Development of
Psychopharmacolo
gy
1950 - present

Protection/safe haven
Beginning of moral tx.
Dorothy Dix- opens
Asylum for the MI
(provides food,
clothes,shelter)
agitation, psychosis
depression
Shorter hosp stays
noise/violence in
hospitals

Deinstitutionalization
1963 Community
Mental Health Centers
Construction Act
(J.F. Kennedy
administration)
SSI/SSDI -Federal
Legislation to provide
income for disabled
least restrictive
environment concept
C M H Cs built
3 components:
1) release from state
hosp.
2.) diversion from
hosp
3) developed alternate
services In community
independence of MI

Lanterman Petries
Short Act
( LPS Act)
1970s changes in
commitment laws
Commitment laws
72 hr hold-14 day
holds -30 day holds
Conservatorships &
Guardianships
Can only be held
involuntarily if:
DTS
DTO
GD
Parity Act
1996
Eliminated
annual/lifetime $
amounts for mental
health care for
companies with > 50
persons
Substance abuse
exempt
DSM IV -tr
(Diagnostitic Statistical Manual)

Axis I Psychiatric Diagnosis

Axis II- Personality Disorder or Development Disorder

Axis III Medical Diagnosis (that impacts on mental
diagnosis)

Axis IV- Stressors (mild, moderate, severe,
catastrophic acute or enduring

Axis V GAF (Global Assessment Functioning Scale)
score

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