BORE DA - GOOD MORNING. FACTS AND MYTHS ABOUT MENTAL ILLNESS Jayne Anderson / Bleddyn Lewis. Facts and Myths about Mental Illness. 1.Mental health problems only happen to other people
Jayne Anderson / Bleddyn Lewis
1.Mental health problems only happen to other people
2. People with mental illness are violent and dangerous
3. People with mental illness are poor and/or less intelligent
4. People who self-harm are attention-seekers
5. People with poor mental health are weird
6. Mental illness is caused by emotional weakness
7. Once you’ve had a mental illness, you never recover
8. Since ‘care in the community’ was started, people with mental health problems have been left to roam the streets
9. All people who suffer from depression are suicidal
10. If I seek help for my mental health problem, others will think I am "crazy"
Risk Factors: Certain factors can indicate an increased risk of physically violent behaviour . The following lists are not intended to be exhaustive and these risk factors should be considered on an individual basis.
Reference:Violence - The short-term management ofdisturbed/violent behaviour inpsychiatric in-patient settingsand emergency departmentsNICE 2005
are many more!
HHOW BALANCED IS THIS?
On Tuesday 23 September 2003, The Sun published the offensive headline "Bonkers Bruno Locked Up". For later editions, this was toned down to "Sad Bruno in mental home". The coverage was roundly condemned by the main groups in the mental health field. At SANE, chief executive Marjorie Wallace said it was "ignorant reporting" and that "it did both the media and the public a huge disservice".
THE life of troubled BRITNEY SPEARS appears to be unravelling before the eyes of the world. On the surface it seems the pressures of fame have pushed the former Pop Princess to the brink. But today The Sun can reveal that the seeds of the star’s dramatic downfall may well have been sown in her troubled childhood.
The demons of suicide, mental and emotional instability, addiction, homelessness and violence all lurk within the multi-millionairess’s dark past. Even her great-uncle, Earnest, has said of Britney: “She didn’t have a hope of turning out normal.” In a chilling parallel to her situation, The Sun can today reveal that Britney’s own GRANDMOTHER committed suicide aged just 31, after her baby son died.
And some fear sad Britney’s own sad life could come to a tragic end, just like her poor grandmother’s.
Britney Spears appears to be locked in a downward spiral which, we're reliably informed, is a result of bipolar disorder. Strangely enough Kerry Katona is also a sufferer.
This, apparently, accounts for the way these young mothers end up in desperate domestic brawls splashed all over the front pages.
The path to self-destruction is not, as we might have imagined, due to an excess of mind-bending drugs, alcohol or general self-indulgence, but in Britney and Kerry's case, the mental disorder, bipolar.
So much sexier and hip than manic depression - as it was called until it became trendy.
Addict slashes own throat after police zap him with Taser.
A mental patient slit his own throat after being shot by police with a 50,000-volt Taser.
Disturbed Justin Perry suffered massive blood loss which led to a heart attack and he died despite efforts to save him.
The drama happened after officers rushed to the home of crack addict Perry when he threatened to kill his mum June.
Paul Gascoigne, pictured here in 2006, has been arrested and sectioned after his allegedly menacing behaviour at the Malmaisonhotel in Gateshead.
He became wired and unpredictable and would flip and turn violent over nothing. He was uncontrollable.
14 December 2007
27 September 2007
Monday December 4 2006
Key findings and recommendations from the study on homicide (data collected from April 2000 to December 2003) include:
We all have a duty to:
ONE STEP AT A TIME …
beyond symptoms and deficits…
“Today I wanted to die. Everything was hurting. My body was screaming. I saw the doctor. I said nothing. Now I feel terrible. Nothing seems good and nothing seems possible.”
Written in a patient’s diary
Flat. Lacking in motivation, sleep and appetite good. Discussed aetiology. Cont. LiCarb 250mg qid. Levels next time.
Written in medical notes
from Repper & Perkins (2003)
Heads are shaking
Yes, I am behaving strangely
But have they asked me WHY?
No-one will come near me
They all seem so afraid
Yes, I know that I am shouting
But no-one asks me WHY?
I am really hot and bothered
My head it hurts like hell
I feel disorientated
I want to know the reason WHY?
O’Caithan et al 2007
Improving the management of patients with mental ill health in emergency care settings. Department of Health Checklist 2004
Managing urgent mental health needs in the Acute Trust. Academy of Medical Royal Colleges 2008.
Who Care Wins, RCPsych, 2005.
There were concerns about current out of hours unscheduled care arrangements from the following stakeholders:
Delays in accessing
Lack of skills / support.
Patients not clerked in to
Lack of clinical/risk info.
Having to care for patients
waiting for MH assessment.
Feeling under skilled.
Delays in accessing
OUT OF HOURS GP
Having to manage
single –handedly until MH
Exposure to risks related to
Poor clinical risk
Lack of medical access for
Joint decision making /
The “out of hours service” activities of the mental health services across the three counties of Carmarthenshire, Ceredigion and Pembrokeshire.
The main findings summarised:
Implement a care pathway, assessment tool and comprehensive training programme:-
0CT ‘07 OCT ‘08FEB ‘09
MULTI FUNCTIONAL MULTI DISCIPLINARY PROVISION FOR UNSCHEDULED CARE
24 HOURS OF CARE
09.00 CMHT 17.00
MH PRACTITIONER 08.30
16.30 MH PRACTITIONER
08.30 CRHTT 22.00
09.00 LIAISON PRACTITIONER 17.00
INPATIENT UNITS 24HRS
Definition of the concept of health
‘A state of complete physical, mental and social well being and not merely an absence of disease.’ – WHO (1991)
The analysis of data on people with learning disabilities in Wales shows that –
People with bi-polar disorder, depression or schizophrenia have higher rates of:
People with schizophrenia:
(Disability Rights Commission Formal Investigation Report 2006)
Local Developments: (amongst others)
People with mental health problems are not interested in their physical health
“Health promotion is not a priority in a 10 minute GP appointment with people with mental health problems. Getting by day to day is often a major challenge for the people and support regarding this is a priority.”
(Quoted in the Disability Rights Commission Report ‘Equal Treatment: Closing the Gap’ 2006)
(‘Neuroleptic Weight Gain’, Tweedell, Sutter, Dolan 2004)
(‘Mum I used to be good looking, look at me now’, Dean, Todd, Morrow, Sheldon 2001)
Our aim is to improve the physical health of mental health service users in Ceredigion by
“We introduced no smoking on our premises even before the ban was introduced and would not have done it without Mind Your Heart”
(Staff member at drop-in)
“I could back up information I was giving with facts…I felt sure of what I was saying”
(Staff member after Food and Mood training)