Intro to mental health nursing
1. common abbreviations: PMH: mental health
D/O: disorder
NOS: not otherwise specified
WHO: World health org
sign that looks like the end of a triton: psych
2. statistics: 1 in 5 Americans have a mental disorder, 5% have a severe persistent
mental illness
depression is the leading cause of disability world wide
3. mental health definition: state of well being in which every individual realizes
their own potential, can cope with the normal stresses of life, can work
productively, and able to make a contribution to their community
4. what is mental illness?: clinically significant syndromes associated with:
1. persistent distress
2.impairment in an important area of functioning(work, parenting)
3. significantly increased risk of death, pain, disability or loss of freedom
5. Historical perspective of mental illness (pre 1700s): result of demonic
possession, witchcraft or moral weakness. The mentally ill were banished, jailed,
confined or put on display, considered subhuman and immune to biological
stressors
6. 5 benchmarks in psychiatric history: 1.the enlightenment 1790s- Pinel and
Tuke determined the mentally ill should be treated humanly and with dignity. THE
ASYLUM MOVEMENT (In the US, Dorothea Dix)
2. Scientific Study 1870s-pioneers in psych: Freud, Kraepelin, Bleuler studied the
mind to give us language to define psychiatric phenomenon, propose treatment and
cures
3. psychotropic medication 1950s- antipsychotics, antidep and mood stabilizers
allowed for shorter hospitalizations
4. Community mental Health Act of 1963- lead to the deinstitutionalization of
mental ill indiv and shifted focus to prevention and community based continuum of
care. Created prolems due to lack of community center funding, not enough beds,
sent to hospitals where they don't get the care they need, creates a cycle
5. Pharmacogenomics- based on genomics, pharmacogenomics, personalized
medicine(based on genes), cytochrome p450 system(liver enzymes that metab sub
in body)
, Intro to mental health nursing
7. Contributing factors to mental illness: 1. physiological-genetics,
psychobiology(brain/body connection with stress)
2. environmental-exposure to trauma
3. psychological-way they think of things, can just be a negative person 4.
sociocultural/spiritual
8. Theoretical Framework- Hildegard Peplau: interpersonal relations in
nursing-1952
first theoretical framework describes
nurse patient relationship introduces
therapeutic communication develops
the states of anxiety
9. Advocacy for the mentally ill: 1979 National Alliance for the Mentally ill
(NAMI). 1980 Mental Health System Act establishes bill of rights for persons
receiving MH treatment.
1990 Americans with Disabilities Act prohibits discrimination.
1999 Surgeon General.
2001 Mental Health Parity Act-medical coverage for MH
10. Therapeutic Milieu: environment:
inpatient unit, outpatient, intensive outpatient partial (IOP) hospital program (PHP),
day program, halfway house, peer support center, clubhouse, home
11. essential elements of MH: safety, structure, norms, limit setting(rules),
balance, environmental modification, patient rights
12. legal/ethical issues: "Mental Health Bill of Rights"--Patient Self Determination
Act-Patient Rights (p. 84)
Right to least restrictive environment.
What qualifies a patient to be admitted to a psychiatric unit? -harm
to self or others
Typical Diagnoses?
-sub abuse, dep, PTSD, BP,schizo.
What about confidentiality?
give zero info, written verification, "I can neither confirm nor deny they are here".
1. common abbreviations: PMH: mental health
D/O: disorder
NOS: not otherwise specified
WHO: World health org
sign that looks like the end of a triton: psych
2. statistics: 1 in 5 Americans have a mental disorder, 5% have a severe persistent
mental illness
depression is the leading cause of disability world wide
3. mental health definition: state of well being in which every individual realizes
their own potential, can cope with the normal stresses of life, can work
productively, and able to make a contribution to their community
4. what is mental illness?: clinically significant syndromes associated with:
1. persistent distress
2.impairment in an important area of functioning(work, parenting)
3. significantly increased risk of death, pain, disability or loss of freedom
5. Historical perspective of mental illness (pre 1700s): result of demonic
possession, witchcraft or moral weakness. The mentally ill were banished, jailed,
confined or put on display, considered subhuman and immune to biological
stressors
6. 5 benchmarks in psychiatric history: 1.the enlightenment 1790s- Pinel and
Tuke determined the mentally ill should be treated humanly and with dignity. THE
ASYLUM MOVEMENT (In the US, Dorothea Dix)
2. Scientific Study 1870s-pioneers in psych: Freud, Kraepelin, Bleuler studied the
mind to give us language to define psychiatric phenomenon, propose treatment and
cures
3. psychotropic medication 1950s- antipsychotics, antidep and mood stabilizers
allowed for shorter hospitalizations
4. Community mental Health Act of 1963- lead to the deinstitutionalization of
mental ill indiv and shifted focus to prevention and community based continuum of
care. Created prolems due to lack of community center funding, not enough beds,
sent to hospitals where they don't get the care they need, creates a cycle
5. Pharmacogenomics- based on genomics, pharmacogenomics, personalized
medicine(based on genes), cytochrome p450 system(liver enzymes that metab sub
in body)
, Intro to mental health nursing
7. Contributing factors to mental illness: 1. physiological-genetics,
psychobiology(brain/body connection with stress)
2. environmental-exposure to trauma
3. psychological-way they think of things, can just be a negative person 4.
sociocultural/spiritual
8. Theoretical Framework- Hildegard Peplau: interpersonal relations in
nursing-1952
first theoretical framework describes
nurse patient relationship introduces
therapeutic communication develops
the states of anxiety
9. Advocacy for the mentally ill: 1979 National Alliance for the Mentally ill
(NAMI). 1980 Mental Health System Act establishes bill of rights for persons
receiving MH treatment.
1990 Americans with Disabilities Act prohibits discrimination.
1999 Surgeon General.
2001 Mental Health Parity Act-medical coverage for MH
10. Therapeutic Milieu: environment:
inpatient unit, outpatient, intensive outpatient partial (IOP) hospital program (PHP),
day program, halfway house, peer support center, clubhouse, home
11. essential elements of MH: safety, structure, norms, limit setting(rules),
balance, environmental modification, patient rights
12. legal/ethical issues: "Mental Health Bill of Rights"--Patient Self Determination
Act-Patient Rights (p. 84)
Right to least restrictive environment.
What qualifies a patient to be admitted to a psychiatric unit? -harm
to self or others
Typical Diagnoses?
-sub abuse, dep, PTSD, BP,schizo.
What about confidentiality?
give zero info, written verification, "I can neither confirm nor deny they are here".
