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  • 1 Foundations of Psychiatric Mental Health Nursing &

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    Anne Lorraine Rodriguez
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    Mental health involves autonomy, self-actualization, effective coping skills and relationships, while mental illness involves dissatisfaction, ineffective coping and inability to manage life stresses. An estimated 26% of Americans have a diagnosable mental illness. Historically, asylums provided shelter but conditions were poor, while deinstitutionalization in the 1960s sought to move care to community mental health centers and less restrictive environments. Current challenges include only 1 in 4 adults receiving needed mental health services and high rates of homelessness among those with mental illness.

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    Mental health involves autonomy, self-actualization, effective coping skills and relationships, while mental illness involves dissatisfaction, ineffective coping and inability to manage life stresses. An estimated 26% of Americans have a diagnosable mental illness. Historically, asylums provided shelter but conditions were poor, while deinstitutionalization in the 1960s sought to move care to community mental health centers and less restrictive environments. Current challenges include only 1 in 4 adults receiving needed mental health services and high rates of homelessness among those with mental illness.

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    121 views8 pages

    1 Foundations of Psychiatric Mental Health Nursing &

    Uploaded by

    Anne Lorraine Rodriguez
    Mental health involves autonomy, self-actualization, effective coping skills and relationships, while mental illness involves dissatisfaction, ineffective coping and inability to manage life stresses. An estimated 26% of Americans have a diagnosable mental illness. Historically, asylums provided shelter but conditions were poor, while deinstitutionalization in the 1960s sought to move care to community mental health centers and less restrictive environments. Current challenges include only 1 in 4 adults receiving needed mental health services and high rates of homelessness among those with mental illness.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    of 8

    "Foundations of Psychiatric

    Mental Health Nursing & Clinical


    Practice
    How does Mental Health differ from
    Mental Illness?
    0,9
    utonomy/independence
    Works towards self-
    actualization
    -le to face challenges
    Self-esteem-knows
    a-ilities/limitations
    Masters environments
    Reality oriented
    Manages stress -uses
    support system
    3088
    ehavioral/ psychological
    syndrome e/-
    issatisfaction w/self
    Ineffective/non-
    satisfying relationships
    issatisfied w/place in
    world
    Una-le to cope or
    ineffective coping
    w/life stressors/events
    MENTAL ILLNESS - TODAY
    NIMH - estimates:
    26% mericans 18+ have diagnosa-le MI
    (57.7 mil /yr) (2006)
    H - 3-5% school age children diagnosed
    Great economic -urden > all types of cancer.
    In U.S. & Canada - Leading cause of disa-ility 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 su-stance a-use
    Historical Events in Mental Health
    "Period of
    Enlightenment
    Late 1700s-
    1800s
    evelopment of
    Psychopharmacolo
    gy
    1950 - present
    Protection/safe haven
    eginning of moral tx.
    orothy ix- opens
    sylum for the MI
    (provides food,
    clothes,shelter)
    agitation, psychosis
    depression
    Shorter hosp stays
    noise/violence in
    hospitals
    "einstitutionalization
    1963 Community
    Mental Health Centers
    Construction ct
    (J.F. Kennedy
    administration)
    SSI/SSI -Federal
    Legislation to provide
    income for disa-led
    "least restrictive
    environment concept
    C M H Cs -uilt
    3 components:
    1) release from state
    hosp.
    2.) diversion from
    hosp
    3) developed alternate
    services In community
    independence of MI
    Lanterman Petries
    Short ct
    ( LPS ct)
    1970s changes in
    commitment laws
    Commitment laws
    72 hr hold-14 day
    holds -30 day holds
    Conservatorships &
    Guardianships
    Can only -e held
    involuntarily if:
    %S
    %O
    G
    "Parity ct
    1996
    Eliminated
    annual/lifetime $
    amounts for mental
    health care for
    companies with > 50
    persons
    Su-stance a-use
    exempt
    SM IV -tr
    (iagnostitic Statistical Manual)
    xis I - Psychiatric iagnosis
    xis II- Personality isorder or evelopment isorder
    xis III - Medical iagnosis (that impacts on mental
    diagnosis)
    xis IV- Stressors (mild, moderate, severe,
    catastrophic - acute or enduring
    xis V - GF (Glo-al ssessment Functioning Scale)
    score

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