Engage Mental Health PPT Continuum PDF

Engage Mental Health TM Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. This resource is copyright protected material of ATI and is provided fo...

Engage Mental Health TM Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. This resource is copyright protected material of ATI and is provided for use solely under license by ATI. Copying, distributing, or posting this material on the Internet or social media is strictly prohibited. 1 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Posting on institution LMS requires ATI’s prior written permission.  Important ATI Legal Notice and Permitted Uses This ATI Engage material is the sole and exclusive copyrighted property of Assessment Technologies Institute, L.L.C. (“ATI”) and is provided under license to ATI’s clients, solely for use by each such client’s nursing program utilizing ATI Engage resources under license by ATI. As a client of ATI, you are permitted to post this material on your institution’s LMS for the duration of your institution’s license to use of ATI’s Engage with its faculty and students. You must ensure that all copyright notices and other proprietary ATI marks herein legibly appear when posted to your LMS. This is provided under license to your institution and not to you, personally, so you may not use this for any purpose outside of your responsibilities with the institution to whom the license was granted by ATI. If your institution terminates its use of ATI Engage, your right to use this material immediately ceases and you will promptly remove this material from your institution’s LMS and make no further use of this material for any purpose. You must not let any third party outside your institution access or use this material. You agree not to post this material on any social media platform. Your right to use and post this material on your institution’s LMS is subject to this notice. 2 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Continuum of Treatment 3 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Learning Objectives Describe the continuum of care for clients experiencing mental health concerns. Identify the mental health care settings, types of programs, and treatments available. Explore the concepts and applications of the public health model for mental health care. Describe the disparities in mental health care, treatments, and accessibility. ​ 4 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Mental Health Continuum (1 of 2) Mental health Disruptions in mental health Difficulty in daily living Varying levels of distress Mental health is impacted by Health disparities Stigma Lack of knowledge Lack of awareness 5 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Mental Health Continuum (2 of 2) Range: Excellent well-being to mental illness All persons are on the continuum Each person's experience is their own - individual Fluctuation throughout life Reflects daily functioning (Franken et al., 2018) 6 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Five Zones of Mental Health Continuum (Delphis, 2020) 7 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Mental Health Continuum Self-Check Tool (Chen, 2020) 8 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Mental Health Continuum and Mental Health Care Settings Outpatient Primary care providers Outpatient mental health clinic Case management Home-based services: assertive community treatment Telehealth Mobile mental health crisis teams Day treatment Family services Peer services (Fuller and Pinals, 2020: NAMI, 2017, 2021) 9 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Mental Health Continuum and Mental Health Care Settings (1 of 2) Inpatient Crisis stabilization beds Community-based hospital facilities State hospital facilities Transitional or respite facilities Long-term facilities Substance use disorder treatment centers Detoxification Acute residential treatment (Fuller and Pinals, 2020; NAMI, 2021) 10 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Mental Health Continuum and Mental Health Care Settings (2 of 2) Specialty care and treatment Military veteran care Pediatric and adolescent care Geriatric care Forensic care 11 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) Mental health care initiative Adequate access Promote well-being Affordable care Prevent mental health disorders (CDC, 2020) Community-based process Provide recovery support Lower incidents of disease, disability, and death (WHO, 2019) 12 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Incidence and Prevalence of Mental Prevalence Illnesses Any Mental Illness (AMI) Serious Mental Illness National Mental Health Act of 1946 Improvement in Mental Health of U.S. Citizens National Institute of Mental Health (NIMH) Community Mental Health Act (CMHA) of 1963 Deinstitutionalization Enhanced care within community Unintentional effect (National Institutes of Health, 2021; Fulone et al., 2021; American Psychiatric Association, 2014; Erickson, 2021) 13 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Populations at Risk for Mental Illness Underserved individuals Social determinants of health Adverse childhood experiences Geographic or environmental settings Marginalized social or ethnic groups Incarcerated individuals People experiencing houselessness (American Psychiatric Association, 2017) 14 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Public Health Nursing Interventions Population health Prevention 15 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Mental Health Prevention for School-Aged Children 16 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Disparities in Mental Health Care Social determinants of mental health (SDoMH) Resulting disparities are associated with Social inequities Discrimination Adverse early life experiences Inadequate education Unemployment or underemployment Poverty or income inequity Inadequate living environment Reduced quality of life Reduced social well-being (Wile and Goodwin, 2018; Kirby and Slone, 2021; University at Buffalo, 2021) 17 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Accessibility of Mental Health Care and Treatment What is accessibility? Distance to provider Adequate, safe or available transportation Rural settings Urban settings (Alegria et al., 2010; Ghorbanzadeh et al., 2020) 18 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Lack of Culturally Competent Care Factors effecting Culturally Competent Care Race/ethnicity/nation of origin Gender identification Understanding or shared language or culture Providers from cultural/racial/language group Resulting Impact Lack of access Lack of quality Perceived discrimination Discouragement or discontinuing mental health care and treatment (Rice and Harris, 2021; Wile and Goodwin, 2018; Myers, 2018) 19 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Economic Factors: Affordability of Mental Health Care Impact of disparity and affordability Lack of adequate Insurance High costs of mental health care High deductibles or lack of coverage Employment Low income Economic hardship Inadequate housing (Guerrero et al., 2019; Alegria et al., 2019) 20 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved. Availability of Mental Health Care and Treatment Lack of mental health workforce Mental health providers Interprofessional Access to mental health services Lack of services (Wile and Goodwin, 2018: Ghorbanzadeh et al., 2020; Guerrero et al., 2019 21 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Reducing Disparities Provide culturally sensitive client-centered care. Increase workforce diversity. Improve awareness of disparities related to mental health care and treatment. Promote cultural and language competence. Provide education during nursing school on the social determinants of health and mental health. Advocate for system and legislative changes to reduce disparities. (NSSEM, 2021; Wile and Goodwin, 2018) 22 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.  Race and Gender: Disparity Racism-based disparities Discrimination, stereotyping, and bias Cultural differences Communication barriers Gender-based disparities Discrimination, stereotyping, labeling, denial of access, harassment, and abuse Transgender, nonbinary individuals Gender-based violence, inequality, and gender-based stressors Role of nurse (NeMoyer et al., 2020; Perzichilli, 2020; WHO, 2021 23 Copyright 2022 Assessment Technologies Institute, L.L.C. All rights reserved.