1. Mental Health

2. Objectives  What is Mental Health?  Intro to Common Mental Health Disorders  Ways to keep “Mentally Healthy”  Resources inside and outside prison

3. Definition of Mental Health  A state of emotional well-being  Ability to realizes one’s own abilities, and cope with the normal stresses of life  Ability to work productively, and make a contribution to the community

4. Mental Illness  COMMON: 1/5 Canadians  Diverse: many types and causes  Range from mild to serious  Can effect physical health  Treatable

5. Common Mental health illnesses  Depression  Bipolar Disorder  Anxiety Disorders  Substance Abuse  Schizophrenia

6. Which of the Following are Signs of Depression? a. Overwhelming sad, hopeless, helpless feelings b. Sleeping and eating more or less c. Loss of interest in activities d. Avoiding people e. All of the above

7. Depression  It is normal to feel sad and hopeless sometimes  Depression: Feelings of sadness and hopelessness are:  Overpowering  Long-lasting  Effect your life and function  Very common, and often ignored in men

8. Depression: Causes  Complex, no single cause, not completely understood  Disturbance of chemicals in the brain  Genetic link: runs in families  Drugs and alcohol  Stress

9. Depression  Time Course:  Varies: Can last weeks to months  Almost everyone recovers  Faster recovery when treated

10. Depression: Treatment  Medication  Counseling  Support  But….prevention is the best method

11. Friends and Family  You can play a huge role!  Let them know they are not alone  Let them know they can talk to you  Support, listen, and be patient  Put them in contact with someone that can help

12. Bipolar Disorder  It is normal to feel a variety of moods, both happy and sad  Normally we feel in control of our mood  Bipolar (manic depression): severe uncontrolled depression followed by periods of mania

13. Bipolar Graph

14. Bipolar Disorder  Very common  More than one cause  Often misdiagnosed (Ex. Drugs)  Runs in the family  Triggered by:  Drugs  Alcohol  Stressful events

15. Bipolar Disorder: Treatment  TREATABLE  Medication to stabilize mood  Some side effects  Counseling  Trigger avoidance

16. Anxiety  Everyone feels anxious sometimes  These experiences can lead to worry and fear  Anxiety from…  Release from Prison  Jobs  Relationships  Healthcare  There are positive ways to cope

17. Anxiety disorders  Not coping well with normal stressors  Anxiety is intense, long-lasting, out of control, often for no reason  Most common mental health disorders: 1/10  Treatable and preventable

18. Anxiety disorders: Types  Panic: Sudden feelings of terror  Phobias: Irrational fears  Post traumatic stress disorder (PTSD)  Obsessive compulsive disorder (OCD)  General anxiety: Repeated and extreme worry about everyday life

19. Anxiety disorders: Treatment  Medication and counseling  In combination, or counseling alone  Learn how to:  Rationalize and control thoughts  Control fear by facing it in a safe place like the doctor’s office

20. Staying Mentally Healthy in Prison  Fitness and time outdoors  Nutrition: Vegetables, fruit; finding a balance  Don’t isolate yourself, get your yard time  Plan for life when released

21. Staying mentally healthy in the community  Life balance  Work, social, fitness, nutrition  Relax  Talk to a mental health professional  Response to stress: identify problem, try and solve problem, talk about it, stress management, reduce tension, do activities that take your mind off your worries

22. Suicide  Taking of one’s own life  Who: People with serious mental illness, drugs/alcohol abusers, people that lost loved ones (death, divorce)  Why: Feeling that life is unbearable, hopeless, helpless, and desperate.  Delusional  Call for help

23. Suicide: Prevention  Take action:  Talk to the person  Listen, don’t judge  Get the person to express why they are feeling like this  Ask if:  They have a plan  You can do anything  Offer resources  Thank them for trusting you

24. Suicide: Prevention  Talk to someone  Don’t feel bad for seeking help  You are not alone  Thoughts of suicide are not uncommon  Tell your feelings to someone you trust  This may be a family member, friend or doctor  Good resource:  1-800-suicide – Vancouver Crisis Center

25. Questions?

26. Substance Abuse  Definition  Examples  Recreational use ?  Problems  Physical problems  Psychological  Social

27. Physical Problems  Nervous system  Brain  Liver  Heart  Lungs  Infections  Cancer

28. Addiction  Can include drug and alcohol use that continues despite its adverse effect on other aspects of life, such as social life or health  Consequences  Tolerance  Psychological dependence  Physical dependence  Withdrawal  Social life  Health

29. Other Psychological Effects Short TermLong Term  Euphoria  Paranoia  Aggression  Psychosis  Mood and psychotic disorders  Examples : depression, bipolar, anxiety, schizophrenia

30. Concurrent Disorders  Substance abuse + mental health disorder Mental disorder +Substance use Short term relief Harder to treat Addiction

31. Concurrent Disorders  Substance abuse + mental health disorder  Cocaine and schizophrenia  Marijuana and schizophrenia  Alcohol and depression  Different combinations require different treatments.  Best results when mental health and substance abuse are addressed at the same time.

32. Schizophrenia  Schizophrenia is a change in the way the brain works.  It can seriously affect the way you think, feel, and relate to others.  Occurs in cycles – can last for weeks-months

33. Happens in Cycles  Lose interest  Isolation  Confusion  Trouble concentrating Delusions Hallucinations Distortion in thinking ActiveResidual

34. Symptoms (what happens)  Added  Delusions  Hallucinations  Disorganized thought  Disorganized mood  Disorganized Behaviour  Problems communicating Taken away – Physical activity – Motivation – Interest in others – Concern about personal appearance

35. Treatment  Early treatment is important  Anti-psychotic medications  Counselling  Some people will recover completely  Some require medication for entire life  Important to stay on treatment  CAN prevent or significantly decrease psychosis

36. Mental health and employment  People with mental health disorders have a harder time finding/keeping a job  Gaps in work history, limited employment experience, lack of confidence, fear/anxiety, social stigma  Support is available  Routes to Work program through CMHA Routes to Work

37. Men and Mental health  Neglected even though common  “Weak” and “unmanly” to feel grief and despair  Lots of other sickness: migraines, back pain, irritable bowel syndrome, might be because of depression

38. Men and Mental health  Dangerous that we ignore it  Can lead to crime, violence  Drug and alcohol “self medication”  Sexually risky behavior  Difficulties with relationships and work

39. Where you can find help  In the center:  Medical health liaison officers  Medical staff  In the community:  Your family doctor  Community Health Clinics  Canadian mental health association 613-745-7750  Self help groups  Suicide prevention line  Friends and family

40. Thanks! and more questions

41. Quiz 1) Depression can be cured True False

42. Quiz 2) If you think your friend is depressed, it’s best to let him deal with it on his own True False

43. Quiz 3) Treatment of schizophrenia is effective at preventing relapse and has no side effects True False

44. Quiz 4) Mental disorders can be triggered by drugs, alcohol, or stressful events True False