Mental Health and Disorders

1. Mental Health and Disorders Julene Clarke Steven Cortez Cindy Ip Suzan Mosha Sierra Perez

2. What is Mental Health and Disorder Mental health--is a state of well-being in which individual realizes his or her own abilities to cope with normal stresses of life. Mental Disorder--a collectively of all diagnosable mental disorders or health condition that are characterized by behavior associated with distress and impaired functioning.

3. Healthy People 2020 Goal: Improve mental health through prevention and by ensuring access to appropriate, quality mental health services Objectives 4.2: reduce the proportion of adults aged 18 years and older who experience major depressive episodes

4. Why Mental Health and Disorders • It affects both men and women • Neuropsychiatric conditions are the leading causes of disability in people all over the world. • Onset of half of the mental illnesses started by age fourteen and three-quarters by mid-20s.

5. Types of Mental Health and Disorders • Schizophrenia • Anxiety disorders • Eating disorders • Mood disorders • Tic disorders • Disruptive disorders • Personality disorders

6. Statistics on Mental Health and Disorder - 1 in 4 Americans ages 18 and older suffer from diagnosable mental disorder in a given year. - 10-20% of children and adolescents experience mental disorders. - 45% of persons with any mental disorders meet criteria for having 2 or more disorders. - 30% of college students reported feeling so depressed that made it difficult for them to function

7. Article Health Promotion Individuals with Mental Health Disorders: A Cluster Preference Randomized Controlled Trial - The study was conducted in sheltered housing organizations in the Flanders region (Belgium) - Background: Antipsychotic drugs, poor eating habits, and high prevalence of obesity and overweight - Primary outcomes were seeing changes in body weight, Body weight Body Mass Index (BMI), waist circumference and fat mass - Secondary outcomes were targeting physical activity level, eating behavior change, health-related quality of life and psychiatric symptom severity

8. Health Problems being Addressed - Mental health - Obesity

9. Target Population - People aged 18-75 years living in sheltered housing in the Flander regions (Belgium) - Persons who aged younger than 18 years of age, 75 years or older, with cognitive impairment, and fitted with a gastric ring or pacemaker were excluded

10. Intervention Approach Health Promotion on Well-Balanced Eating and Healthy Physical Activity - To look at the effectiveness of the intervention program - To see if there is a correlation between lifestyle changes, such as physical activities and eating behavior, and mental health condition. - People with mental disorders are at higher risk of being overweight and obese compared to the general population - CHANGING BAD BEHAVIOURS - Promote healthy eating (smoking, poor eating habits...etc)

11. Program Intervention - (a) Psychoeducation and behavioural group sessions +(b) supervised exercise sessions +(c) individual support=10-week intervention period, followed by a 24-week post-intervention period. - The intervention was a success in seeing changes in the study population - Group-based interventions works better in improving physical health of mentally ill patients

12. Barriers and Limitations • Wide range age group • Lack of exertion in PA • Wide variety of psychiatric diagnosis • Individual Support • only 10 minutes

13. Field Research •Telecarecorp •Target: Low income, No income, Undocumented patients •Goals: •Unclog Emergency Rooms •Decrease Psychiatric Hospitalizations •Decrease Incarcerations

14. Health Issues •Mental Illnesses •Crisis Spectrum •Emotionally Distraught (Breakup) Harming oneself/others (Jail-violent)

15. Interventions •Telecare’s Recovery-Centered Clinical System (RCCS) •Community-Based •Acute •Crisis •Long-Term Recovery •Residential

16. Final Thoughts •Having resources for the mentally ill are not just for those for the privileged (with insurance). A chance to better the lives of all mentally ill patients in need and cut down health costs in the process

18. References Centers for Diseases and Controls. (July 1, 2011). Mental Health Basics. Retrieved from http://www.cdc.gov/mentalhealth/basics.htm Hanover. “American College Health Association-National College Health Assessment II: Reference Group Executive Summary Fall 2011.” American College Health Association 2012. Web 31 Oct. 2013. National Institute Mental Health. Depression and College Students: Answers to College Students’ Frequently Asked Questions about Depression. National Institute of Health (2012). Web. 28. Oct. 2013. National Institute of Mental Health. (2013). The Number Count: Mental Health in America. Retrieved from http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-America/index.shtml#Intro Verhaeghe, N., Clays, E., Vereecken, C., Maeseneer, J. D., Maes, L., Heeringen C. V., Becquer D. D., & Annemans, L. (2013). “Health Promotion in Individuals with Mental Disorders: A Cluster Preference Randomized Control Trial.” BioMedical Central Public Health, 13:657). doi:10.1186/1471-2458-13-657. World Health Organization. (2013). Child and Adolescent Mental Health. Retrieved from http://www.who.int/mental_health/women_children/child_adolescent/en/index.html