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INTRODUCTION TO MENTAL HEALTH
NURSING
MS.DEEPALI GUPTA
FACULTY
JAMIA HAMDARD
“Health is a state of complete physical, mental and
social well-being and not merely the absence of disease
or infirmity”.(WHO)
The WHO defines mental health as a state of well-being
in which each individual is able to realize his or her own
potential, cope with the normal stresses of life, work
productively, and make a contribution to the
community. Mental health provides people with the
capacity for rational thinking, communication skills,
learning, emotional growth, resilience, and self-esteem
DEFINITIONSOF HEALTHAND
MENTAL ILLNESS
INTRODUCTION TO MENTAL HEALTH AND ILLNESS
Mental Health
involves effective
functioning in daily
activities resulting in:
•Productive activities
(work, school, caregiving)
•Healthy relationships
•Ability to adapt to change
and cope with adversity
Mental Illness refers
collectively to all
diagnosable mental
disorders : health
conditions involving
•Significant changes in
thinking, emotion and/or
behavior
•Distress and/or problems
functioning in social,
work or family activities
APA,AUG18
Mental health is the foundation for emotions, thinking,
communication, learning, resilience and self-esteem. Mental
health is also key to relationships, personal and emotional well-
being and contributing to community or society.
Mental illness does not discriminate; it can affect anyone regardless
of your age, gender, geography, income, social status,
race/ethnicity, religion/spirituality, sexual orientation, background
or other aspect of cultural identity. While mental illness can occur
at any age, three-fourths of all mental illness begins by age 24.
Mental illnesses are health conditions involving changes in
emotion, thinking or behavior (or a combination of these). Mental
illnesses are associated with distress and/or problems functioning
in social, work or family activities.
INTRODUCTION TO MENTAL HEALTH AND
ILLNESS
APA,AUG18
Psychiatry is the branch of medicine focused on the
diagnosis, treatment and prevention of mental, emotional
and behavioral disorders.
A psychiatrist is a medical doctor (an M.D. or D.O.) who
specializes in mental health, including substance use
disorders. Psychiatrists are qualified to assess both the
mental and physical aspects of psychological problems.
WHAT IS PSYCHIATRY?
Psychiatrists are
medical doctors who
are able to prescribe
medications, which
they do in conjunction
with providing
psychotherapy, though
medical and
pharmacological
interventions are often
their focus.
Though many
psychologists hold
doctorate degrees, they
are not medical
doctors, and most
cannot prescribe
medications. Rather,
they solely provide
psychotherapy, which
may involve cognitive
and behavioral
interventions.
PSYCHIATRISTS /PSYCHOLOGISTS
The words you
use to write about
mental health are
very important,
and can help
reduce stigma
around mental
illness if carefully
chosen. Focus on
the person, not
the condition.
The basic
concept is that
the mental health
condition (or
physical or other
condition) is only
one aspect of a
person’s life, not
the defining
characteristic.
Preferred: She is a
person with
schizophrenia.
Not preferred: She
is schizophrenic
CHOOSE WORDS
CAREFULLY
Be specific.
Mental illness
is a general
condition.
Specific
disorders are
types of mental
illness and
should be used
whenever
possible
Preferred: He
was diagnosed
with bipolar
disorder
Not preferred:
He was mentally
ill
Avoid
derogatory
language. Terms
such as psycho,
crazy and junkie
should not be
used. In
addition, avoid
words like
“suffering” or
“victim” when
discussing those
who have mental
health challenges
Preferred: She has
a mental health
illness. She has a
substance use
disorder.
Not
preferred: She
suffers from
mental illness.
She’s a drug
abuser
CHOOSE WORDS CAREFULLY
Following are a few facts about mental illness in the United States, as
well as key resources for the latest statistics on mental health.
 In any given year, one in five adults in the United States has a
diagnosable mental disorder.
 One in 24 adults has a serious mental illness.
 One in 12 has a substance use disorder.
 Half of all chronic mental illness begins by age 14.
 Suicide is the 10th leading cause of death for all ages. It is more
common than homicide.
 People with mental illnesses are no more likely to be violent than
those without a mental health disorder. In fact, those with mental
illness are 10 times more likely to be the victims of violent crime.
FACTS ABOUT MENTAL ILLNESS
FACT:1
Mental, neurological and substance use disorders make up 10%
of the global burden of disease and 30% of non-fatal disease
burden
FACTS BY WHO
Fact 2
Mental and substance use disorders are the leading cause of
disability worldwide
About 23% of all years lost because of disability is caused by
mental and substance use disorders
FACTS
Fact 3
About 800 000 people commit suicide every year
Over 800 000 people die due to suicide every year and suicide is the second
leading cause of death in 15-29-year-olds.. Mental disorders and harmful use
of alcohol contribute to many suicides around the world.
FACTS
Fact 4
War and disasters have a large impact on mental health and
psychosocial well-being
Rates of mental disorder tend to double after emergencies
FACTS
Fact 5
Mental disorders are important risk factors for other diseases, as well as
unintentional and intentional injury
Mental disorders increase the risk of getting ill from other diseases such as
HIV, cardiovascular disease, diabetes, and vice-versa.
FACTS
FACT 6
Stigma and discrimination against patients and families
prevent people from seeking mental health care
FACTS
Fact 7
Human rights violations of people with mental and psychosocial disability
are routinely reported in most countries
These include physical restraint, seclusion and denial of basic needs and
privacy. Few countries have a legal framework that adequately protects the
rights of people with mental disorders.
FACTS
Fact 8
Globally, there is huge inequity in the distribution of
skilled human resources for mental health
FACTS
Fact 9
There are 5 key barriers to increasing mental health services availability
In order to increase the availability of mental health services, there are 5
key barriers that need to be overcome: 1)the absence of mental health
from the public health agenda .2) the implications for funding; 3) the
current organization of mental health services; 4) lack of integration
within primary care; inadequate human resources for mental health; 5)
lack of public mental health leadership
FACTS
Fact 10
Financial resources to increase services are relatively
modest
FACTS
A WHO report
suggests that
India is the most
depressed country
in the world. It's
time we paid
more attention.
he National Mental Health Survey 2015-16 ,
conducted by the National Institute of Mental
Health & Neurosciences (NIMHANS),
Bengaluru, under the purview of the Union
Ministry of Health and Family Welfare, reveals
that 9.8 million teenagers in the age group 13-17
years suffer depression and other mental health
disorders and are “in need of active
intervention”.
Read more at: https://yourstory.com/herstory/2019/10/world-
mental-health-day-women-suicides
REPORTS
According to a study by the Lancet, suicide deaths
ranked first among all causes of death in women
aged 15-29 years in 26 of the 31 states, and in
women aged 15-39 years in 24 states in the country.
For instance, out of 936,000 doctors in India,
there are only roughly 4,500 psychiatrists to
serve a population of 1.3 billion.
REPORTS
India is currently home to a population of over one
billion citizens. A study conducted by the Word Health
Organization in 2015 shows that one in five Indians may
suffer from depression in their lifetime, equivalent to 200
million people.(WORLD ECONOMIC FORUM)
About 450 million people live with mental disorders that
are among the leading causes of ill-health and disability
worldwide (WHO’s World Health Report, 2001).
The World Health Organization (2018) states that every
40 seconds someone dies by suicide. Annually, this
represents over 800 000 people that die by suicide, which
is more than people dying by war and homicide put
together.
REPORTS
The World Economic Forum
(2018) noted that mental
health disorders are on the
rise in every country in the
world and could cost the
global economy up to $16
trillion between 2010 and
2030 if a collective failure to
respond is not addressed.
REPORTS
According to National Crime Records Bureau 2015, the entire mental health workforce,
comprising clinical psychiatrists,
psychologists, psychiatric social workers and psychiatric nurses, stands at 7,000, while the
actual requirement is around 55,000.(Oct 10, 2018)
In January 2020, the Indian Council for Medical Research had released data that one out of
every five Indians in suffering from a mental illness
In a recent survey conducted by the Indian Psychiatry Society, the sudden rise in those
suffering from mental illness is up to 20 per cent. According to the survey, at least one out of
every five Indians is suffering from mental illness.
This comes amid the coronavirus pandemic spreading across the world like a global disease
thereby affecting the lifestyle and economy of the world. The survey reveals that an average
increase of 15 per cent to 20 per cent in such patients has happened in just a week given the
crisis which is likely one of the causes of the increase in people will mental disorders.
REPORTS
World Mental Health Day was observed for the
first time on 10 October 1992. It was started as an
annual activity of the World Federation for
Mental Health by the then Deputy Secretary
General Richard Hunter. The day is officially
commemorated every year on October 10th. At
the beginning, the Day had no specific theme.
The first theme
In 1994, at the suggestion of then Secretary
General Eugene Brody, a theme for the Day was
used for the first time. It was “Improving the
Quality of Mental Health Services throughout the
World.”
WORLD MENTAL HEALTH
DAY
1996 Women and Mental Health
1997 Children and Mental Health
1998 Mental Health and Human Rights
1999 Mental Health and Ageing
2000-2001 Mental Health and Work
2002 The Effects of Trauma and Violence on Children & Adolescents
2003 Emotional and Behavioural Disorders of Children & Adolescents
THEMES
2004 The Relationship Between Physical & Mental Health: co-occurring disorders
2005 Mental and Physical Health Across the Life Span
2006 Building Awareness – Reducing Risk: Mental Illness & Suicide
2007 Mental Health in A Changing World: The Impact of Culture and Diversity
2008 Making Mental Health a Global Priority: Scaling up Services through Citizen Advocacy
and Action
2009 Mental Health in Primary Care: Enhancing Treatment and Promoting Mental Health
2010 Mental Health and Chronic Physical Illnesses
THEMES
2011 The Great Push: Investing in Mental Health
2012 Depression: A Global Crisis
2013 Mental Health and Older Adults
2014 Living with Schizophrenia
2015 Dignity in Mental Health
2016 Psychological and Mental Health First Aid
2017 Mental Health in the Workplace
THEMES
2018 Young People and Mental
Health in a Changing World
2019 Mental Health Promotion
and Suicide Prevention
THEMES
World Mental
Health Day 2020
will be:
Mental Health for All
Greater Investment –
Greater Access
WORLDMENTALHEALTH DAY
World Mental Health Day aims
to raise awareness in the global
community about the critical
mental health agendas – with a
unifying voice through
collaboration with various
partners – to take action and to
create lasting change through
the messages we promote.
We are all in this together and
together we can bring about
mental health for all.
(Dr Ingrid DanielsPresident:
World Federation for Mental
Health)
WORLD MENTAL HEALTH DAY

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Introduction to Mental Health and Illness (39

  • 1. . INTRODUCTION TO MENTAL HEALTH NURSING MS.DEEPALI GUPTA FACULTY JAMIA HAMDARD
  • 2. “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”.(WHO) The WHO defines mental health as a state of well-being in which each individual is able to realize his or her own potential, cope with the normal stresses of life, work productively, and make a contribution to the community. Mental health provides people with the capacity for rational thinking, communication skills, learning, emotional growth, resilience, and self-esteem DEFINITIONSOF HEALTHAND MENTAL ILLNESS
  • 3. INTRODUCTION TO MENTAL HEALTH AND ILLNESS Mental Health involves effective functioning in daily activities resulting in: •Productive activities (work, school, caregiving) •Healthy relationships •Ability to adapt to change and cope with adversity Mental Illness refers collectively to all diagnosable mental disorders : health conditions involving •Significant changes in thinking, emotion and/or behavior •Distress and/or problems functioning in social, work or family activities APA,AUG18
  • 4. Mental health is the foundation for emotions, thinking, communication, learning, resilience and self-esteem. Mental health is also key to relationships, personal and emotional well- being and contributing to community or society. Mental illness does not discriminate; it can affect anyone regardless of your age, gender, geography, income, social status, race/ethnicity, religion/spirituality, sexual orientation, background or other aspect of cultural identity. While mental illness can occur at any age, three-fourths of all mental illness begins by age 24. Mental illnesses are health conditions involving changes in emotion, thinking or behavior (or a combination of these). Mental illnesses are associated with distress and/or problems functioning in social, work or family activities. INTRODUCTION TO MENTAL HEALTH AND ILLNESS APA,AUG18
  • 5. Psychiatry is the branch of medicine focused on the diagnosis, treatment and prevention of mental, emotional and behavioral disorders. A psychiatrist is a medical doctor (an M.D. or D.O.) who specializes in mental health, including substance use disorders. Psychiatrists are qualified to assess both the mental and physical aspects of psychological problems. WHAT IS PSYCHIATRY?
  • 6. Psychiatrists are medical doctors who are able to prescribe medications, which they do in conjunction with providing psychotherapy, though medical and pharmacological interventions are often their focus. Though many psychologists hold doctorate degrees, they are not medical doctors, and most cannot prescribe medications. Rather, they solely provide psychotherapy, which may involve cognitive and behavioral interventions. PSYCHIATRISTS /PSYCHOLOGISTS
  • 7. The words you use to write about mental health are very important, and can help reduce stigma around mental illness if carefully chosen. Focus on the person, not the condition. The basic concept is that the mental health condition (or physical or other condition) is only one aspect of a person’s life, not the defining characteristic. Preferred: She is a person with schizophrenia. Not preferred: She is schizophrenic CHOOSE WORDS CAREFULLY
  • 8. Be specific. Mental illness is a general condition. Specific disorders are types of mental illness and should be used whenever possible Preferred: He was diagnosed with bipolar disorder Not preferred: He was mentally ill Avoid derogatory language. Terms such as psycho, crazy and junkie should not be used. In addition, avoid words like “suffering” or “victim” when discussing those who have mental health challenges Preferred: She has a mental health illness. She has a substance use disorder. Not preferred: She suffers from mental illness. She’s a drug abuser CHOOSE WORDS CAREFULLY
  • 9. Following are a few facts about mental illness in the United States, as well as key resources for the latest statistics on mental health.  In any given year, one in five adults in the United States has a diagnosable mental disorder.  One in 24 adults has a serious mental illness.  One in 12 has a substance use disorder.  Half of all chronic mental illness begins by age 14.  Suicide is the 10th leading cause of death for all ages. It is more common than homicide.  People with mental illnesses are no more likely to be violent than those without a mental health disorder. In fact, those with mental illness are 10 times more likely to be the victims of violent crime. FACTS ABOUT MENTAL ILLNESS
  • 10. FACT:1 Mental, neurological and substance use disorders make up 10% of the global burden of disease and 30% of non-fatal disease burden FACTS BY WHO
  • 11. Fact 2 Mental and substance use disorders are the leading cause of disability worldwide About 23% of all years lost because of disability is caused by mental and substance use disorders FACTS
  • 12. Fact 3 About 800 000 people commit suicide every year Over 800 000 people die due to suicide every year and suicide is the second leading cause of death in 15-29-year-olds.. Mental disorders and harmful use of alcohol contribute to many suicides around the world. FACTS
  • 13. Fact 4 War and disasters have a large impact on mental health and psychosocial well-being Rates of mental disorder tend to double after emergencies FACTS
  • 14. Fact 5 Mental disorders are important risk factors for other diseases, as well as unintentional and intentional injury Mental disorders increase the risk of getting ill from other diseases such as HIV, cardiovascular disease, diabetes, and vice-versa. FACTS
  • 15. FACT 6 Stigma and discrimination against patients and families prevent people from seeking mental health care FACTS
  • 16. Fact 7 Human rights violations of people with mental and psychosocial disability are routinely reported in most countries These include physical restraint, seclusion and denial of basic needs and privacy. Few countries have a legal framework that adequately protects the rights of people with mental disorders. FACTS
  • 17. Fact 8 Globally, there is huge inequity in the distribution of skilled human resources for mental health FACTS
  • 18. Fact 9 There are 5 key barriers to increasing mental health services availability In order to increase the availability of mental health services, there are 5 key barriers that need to be overcome: 1)the absence of mental health from the public health agenda .2) the implications for funding; 3) the current organization of mental health services; 4) lack of integration within primary care; inadequate human resources for mental health; 5) lack of public mental health leadership FACTS
  • 19. Fact 10 Financial resources to increase services are relatively modest FACTS
  • 20. A WHO report suggests that India is the most depressed country in the world. It's time we paid more attention. he National Mental Health Survey 2015-16 , conducted by the National Institute of Mental Health & Neurosciences (NIMHANS), Bengaluru, under the purview of the Union Ministry of Health and Family Welfare, reveals that 9.8 million teenagers in the age group 13-17 years suffer depression and other mental health disorders and are “in need of active intervention”. Read more at: https://yourstory.com/herstory/2019/10/world- mental-health-day-women-suicides REPORTS
  • 21. According to a study by the Lancet, suicide deaths ranked first among all causes of death in women aged 15-29 years in 26 of the 31 states, and in women aged 15-39 years in 24 states in the country. For instance, out of 936,000 doctors in India, there are only roughly 4,500 psychiatrists to serve a population of 1.3 billion. REPORTS
  • 22. India is currently home to a population of over one billion citizens. A study conducted by the Word Health Organization in 2015 shows that one in five Indians may suffer from depression in their lifetime, equivalent to 200 million people.(WORLD ECONOMIC FORUM) About 450 million people live with mental disorders that are among the leading causes of ill-health and disability worldwide (WHO’s World Health Report, 2001). The World Health Organization (2018) states that every 40 seconds someone dies by suicide. Annually, this represents over 800 000 people that die by suicide, which is more than people dying by war and homicide put together. REPORTS
  • 23. The World Economic Forum (2018) noted that mental health disorders are on the rise in every country in the world and could cost the global economy up to $16 trillion between 2010 and 2030 if a collective failure to respond is not addressed. REPORTS
  • 24. According to National Crime Records Bureau 2015, the entire mental health workforce, comprising clinical psychiatrists, psychologists, psychiatric social workers and psychiatric nurses, stands at 7,000, while the actual requirement is around 55,000.(Oct 10, 2018) In January 2020, the Indian Council for Medical Research had released data that one out of every five Indians in suffering from a mental illness In a recent survey conducted by the Indian Psychiatry Society, the sudden rise in those suffering from mental illness is up to 20 per cent. According to the survey, at least one out of every five Indians is suffering from mental illness. This comes amid the coronavirus pandemic spreading across the world like a global disease thereby affecting the lifestyle and economy of the world. The survey reveals that an average increase of 15 per cent to 20 per cent in such patients has happened in just a week given the crisis which is likely one of the causes of the increase in people will mental disorders. REPORTS
  • 25. World Mental Health Day was observed for the first time on 10 October 1992. It was started as an annual activity of the World Federation for Mental Health by the then Deputy Secretary General Richard Hunter. The day is officially commemorated every year on October 10th. At the beginning, the Day had no specific theme. The first theme In 1994, at the suggestion of then Secretary General Eugene Brody, a theme for the Day was used for the first time. It was “Improving the Quality of Mental Health Services throughout the World.” WORLD MENTAL HEALTH DAY
  • 26. 1996 Women and Mental Health 1997 Children and Mental Health 1998 Mental Health and Human Rights 1999 Mental Health and Ageing 2000-2001 Mental Health and Work 2002 The Effects of Trauma and Violence on Children & Adolescents 2003 Emotional and Behavioural Disorders of Children & Adolescents THEMES
  • 27. 2004 The Relationship Between Physical & Mental Health: co-occurring disorders 2005 Mental and Physical Health Across the Life Span 2006 Building Awareness – Reducing Risk: Mental Illness & Suicide 2007 Mental Health in A Changing World: The Impact of Culture and Diversity 2008 Making Mental Health a Global Priority: Scaling up Services through Citizen Advocacy and Action 2009 Mental Health in Primary Care: Enhancing Treatment and Promoting Mental Health 2010 Mental Health and Chronic Physical Illnesses THEMES
  • 28. 2011 The Great Push: Investing in Mental Health 2012 Depression: A Global Crisis 2013 Mental Health and Older Adults 2014 Living with Schizophrenia 2015 Dignity in Mental Health 2016 Psychological and Mental Health First Aid 2017 Mental Health in the Workplace THEMES
  • 29. 2018 Young People and Mental Health in a Changing World 2019 Mental Health Promotion and Suicide Prevention THEMES
  • 30. World Mental Health Day 2020 will be: Mental Health for All Greater Investment – Greater Access WORLDMENTALHEALTH DAY
  • 31. World Mental Health Day aims to raise awareness in the global community about the critical mental health agendas – with a unifying voice through collaboration with various partners – to take action and to create lasting change through the messages we promote. We are all in this together and together we can bring about mental health for all. (Dr Ingrid DanielsPresident: World Federation for Mental Health) WORLD MENTAL HEALTH DAY

Notes de l'éditeur

  1. RESILIENCE : ABILITY TO RECOVER FROM DIFFICULT TIMES SELF ESTEEM: CONFIDENCE ON HIS OWN WORTH AND CAPACITY
  2. Misunderstanding and stigma surrounding mental ill health are widespread. Despite the existence of effective treatments for mental disorders, there is a belief that they are untreatable or that people with mental disorders are difficult, not intelligent, or incapable of making decisions. This stigma can lead to abuse, rejection and isolation and exclude people from health care or support. Within the health system, people are too often treated in institutions which resemble human warehouses rather than places of healing.
  3. Shortages of psychiatrists, psychiatric nurses, psychologists and social workers are among the main barriers to providing treatment and care in low- and middle-income countries. Low-income countries have 0.05 psychiatrists and 0.42 nurses per 100 000 people. The rate of psychiatrists in high income countries is 170 times greater and for nurses is 70 times greater. Shortages of psychiatrists, psychiatric nurses, psychologists and social workers are among the main barriers to providing treatment and care in low- and middle-income countries. Low-income countries have 0.05 psychiatrists and 0.42 nurses per 100 000 people. The rate of psychiatrists in high income countries is 170 times greater and for nurses is 70 times greater.