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Learn about biologically-based brain disorders, classifications of mental illnesses, symptoms of schizophrenia, depression, bipolar disorder, and PTSD, as well as the role of workers in providing support. Gain insights into worker's roles, symptoms, and resources for assisting individuals with mental health challenges.
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Working with Mental Illness in an Emergency Shelter Presented by LaTonya Murray
What is Mental Illness? • Biologically-based brain disorders • Responsive to medical treatment • Symptoms can come and go • Often difficult to diagnose and treat correctly
Classifications • Psychotic Disorders (Schizophrenia) • Mood Disorders (Depression, Bipolar Disorder) • Anxiety Disorders (PTSD) • Personality Disorders (Antisocial) • Substance Abuse Disorders (Alcohol Dependence)
Schizophrenia • Symptoms • Hallucinations: Auditory (hearing voices) are the most common • Delusions: Fixed false beliefs (i.e., paranoia or grandiosity) • Hallucinations and delusions are VERY real to the person experiencing them and this is often reflected in behavior.
Schizophrenia • Symptoms (cont’d) • Disorganized Speech • Poverty of Speech • Disorganized Behavior • Abnormal Emotions • Social Withdrawal • Cognitive Problems: Concentration, Attention, Problem Solving, Abstraction, Motivation
Worker’s Role • Accept that the psychotic beliefs are real • Provide support with concrete needs • Empathize with feelings • Exhibit patience with disorganized behaviors • May have to separate to decrease anxiety
Major Depression Symptoms must last 2 weeks (often lasting longer) • Symptoms: • Sadness and/or inability to experience pleasure • Change in weight • Change in sleep
Major Depression • Symptoms (cont’d) • Feelings of worthlessness or excessive guilt • Lessened ability to think or concentrate • Indecisiveness • Hopelessness • Recurrent thoughts of death or suicide
Worker’s Role • Alert appropriate staff, if available • Suicide prevention • Don’t try to “cheer up” • Concrete direction and encouragement • Offer support and realistic hope
Bi-Polar Disorder • Symptoms: • Fluctuation between mania and depression • Worker’s Role: • Depends on where person is in cycle
Post Traumatic Stress Disorder • A cluster of symptoms that develop as a response to extreme trauma • Examples of Traumas: • Sexual and Physical Abuse • Domestic Violence • Homelessness • Death of a Loved One • Natural Disaster
PTSD • Symptoms: • Nightmares • Flashbacks • Extreme Anxiety • Feelings of Detachment • Outbursts of Anger • Hypervigilance
Worker’s Role • Alert appropriate staff, if available • Listen with empathy, but do not “dig” • Do not minimize feelings • Understand that trauma survivors may seek ways to feel in control-including blaming others • Seek support
Resources • ADAMHS Board • 216.241.3400 • www.adamhscc.org • Mobile Crisis Team (MHS, Inc.) • Available 24/7 • 216.623.6888 • www.mhs-inc.org