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Mental Health - "a state of successful performance of mental function,
resulting in productive activities,
fulfilling relationships with people, and
the ability to adapt to change and
to cope with adversity"
Surgeon General David Satcher, 1999.
Mental disorder as latent or hypothetical disorder - As opposed to many medical
syndromes that can be identified via objective means, mental illness syndromes are
inferred/interpreted using information derived from various sources.
Implications of mental disorder as hypothetical - Time, place, tradition, culture,
power stratification (e.g. race, age and gender) are among the important variables
,in determining whether a particular behavior or set of behaviors is regarded as
'disordered'.
Syndrome - a set of symptoms that tend to co-occur within individuals, which are
defined as a specific illness/condition.
key characteristic of mental disorder as syndrome - Internal dysfunction
Clinically significant dysfunction in cognition, emotional regulation, behavior
This dysfunction is presumed to reflect problems in underlying biological,
psychological or developmental processes
Associated with distress or disability
It is not an expectable/culturally approved reaction to a stressor or loss
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,It is not primarily deviant behavior (sexual, political, religious, etc.) that relates to
a conflict/tension between the individual and society (e.g. violation of social
norm).
SMI - serious mental illness
Results in serious functional impairment, which substantially interferes with or
limits one or more major life activities.
Typically includes diagnoses that involve psychosis (experiencing delusions,
hallucinations) or a need high levels of care (i.e. hospital treatment).
Mental health care points of access - Specialty sector--psych hospitals, inpatient,
outpatient, day treatment etc
Primary Care
Voluntary Support Network/Groups
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, Human services sector--housing, employment, criminal justice, schools
Issues faced my multicultural communities - less access, poor quality of care,
higher stigma, culturally insensitive care, language barriers, low rates of health
insurance
Percent of Adults/Children with condition who received care in US 2016 - 41%
adults/ 50% children
Main issues with access to care for MH - -community treatment not fully funded
and coordinated since deinstitutionalization in 1963
-jails, prisons-- high populations of ppl w MH, homelessness not receiving proper
treatment
-insuffcient MH professionals
-costs/health insurance
MH as Social Justice issue - Toxic stress in poor, minoritized communities
disparities in health and mental health that begin at a early age.
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