Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Chapter 29 Mental Health and Illness
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Mental Health and Illness Prevalence Lack of access to mental health care Role of Community Health Nurse Outreach Enhancing access to care
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Foundations of Caring Historical foundations Moral treatment and psychoanalysis Community mental health movement
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Theories from Allied Disciplines Psychodynamic Freud Social-Interpersonal Psychotherapy Behavioral Skinner
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Neurobiological Concepts Illness of the brain Frequently caused by Lesion Toxin Abnormality of neuroanatomy Neurotransmitters
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Nursing Theories Theories applicable to mental health Emphasize caring, communication, and relationships Focus: nurse-patient relationship
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Influences on Community Mental Health Disease burden associated with mental illness Community mental health reform Deinstitutionalization Incarceration
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Influences on Community Mental Health Economic factors Consumer activism Cultural factors International trends Home care
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Factors that Contribute to the Problem Stigma associated with mental illness Treat individuals with mental illness respectfully Educate public about mental illness
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Mental Health Nursing Practice Community locations enhance access to care Common settings Home, school, job site Practice models Supervised living
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Health Promotion/Illness Prevention Goal of Prevention Decrease onset, duration, and residual disability Primary Prevention Anticipatory guidance, education, and support
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Nurse’s Role in Mental Health and Illness Care Promotion of optimal well-being Promotion of self-care Promotion of healthy relationships Symptom management
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Secondary Prevention Goals Decrease incidence Decrease duration of illness Targets high-risk individuals Nursing interventions
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Tertiary Prevention Goal Decrease morbidity associated with chronic illness Nursing interventions Education Promotion of self-care Case management
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Suicide Incidence Trends Risk Factors History of mental illness Substance abuse Family violence
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Nursing Interventions for the Suicidal Client Assess suicidal ideation Detailed plan Lethality of method Availability of rescue opportunities Referrals
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Community Health Nursing Practice Screening, assessment intake, and evaluation Nursing support interventions Communication Therapeutic relationships Psychobiological Interventions
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Community Health Nursing Practice Health teaching Case management Health care activities Home visits Community action
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 29 Advanced Psychiatric/Mental Health Nursing Master’s prepared or higher Certified in specialty Roles Consultant Educator Counselor May prescribe