1 / 43

Mental Health in APS

Mental Health in APS. Skill Building Session. WELCOME TO: Mental Health in APS. Please sign in and make a name tag (first name). Include your county & # of months you’ve worked with APS. Housekeeping. Schedule for the day Location of restrooms

tonyathompson
Download Presentation

Mental Health in APS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mental Health in APS Skill Building Session

  2. WELCOME TO:Mental Health in APS Please sign in and make a name tag (first name). Include your county & # of months you’ve worked with APS

  3. Housekeeping • Schedule for the day • Location of restrooms • Set cell phones to silent, but keep them available! • CE instructions

  4. Name • Your organization • County • A favorite book, movie or song about a mental health condition

  5. Learning Objectives • Identify personal and cultural experiences which influence working with clients with mental illness • Describe your experience with a thought disorder simulation • Articulate the rationale for various steps of an investigation • Identify and practice elements of a suicide assessment

  6. Team Based Learning “Team-Based Learning – A special form of collaborative learning using a specific sequence of individual work, group work and immediate feedback to create a motivational framework in which students increasingly hold each other accountable for coming to class prepared and contributing to discussion.” Michael Sweet

  7. Team Based Learning All participants are expected to have completed the Mental Health in APS eLearnings DO: • Work as a team • Identify the best answer or most accurate or complete plan • Utilize the unique skills of your teammates • Use your Smartphone (if you have one) to look up information • Vote on team decisions • Evaluate your teammates’ strengths and use them as resources • Respect privacy • Have fun!

  8. Team Based Learning DON’T: • Look for other teams to provide an answer • Work as individuals • Be afraid to be wrong • Pressure other team members to think as the majority does. Vote on team decisions • Expect the facilitator to teach during this session

  9. Outline for the day • Loosely structured Team-Based Learning model • Experiential Exercises • Learning Discussions

  10. Building Teams • Please form groups based on how long you’ve worked in APS. • Not from APS but work with older adults/adults with disabilities • 0-6 months • 7-12 months • 13-24 months • Over 24 months

  11. Common Mental Disorders • Schizophrenia • Major Depression Disorder • Bi-Polar Disorder-Type I • Dementia • Post-Traumatic Stress Disorder • Obsessive Compulsive Personality Disorder

  12. ACTIVITY I:Characteristics of the Disorders Working as a team, write as many characteristics on your assigned diagnosis. • Yes, you may use your smart phone if you like! • You have 10 minutes • Designate someone to present your team’s findings to the group • Your team will be scored by the group 5 possible points

  13. Scoring Each team has 2 minutes to present Scoring: 5= comprehensive/thorough 3= essential/most of the characteristics 1= some of the characteristics

  14. Reliable Mental Health Resources • National Institute of Mental Health (NIMH) • Substance Abuse and Mental Health Services Administration (SAMSHA) • American Psychiatric Association • American Psychological Association • Diagnostics and Statistics Manual ver 5 (DSM V)

  15. Mental Health Disorders in the US 18% of adults in US have a mental illness* 4.2% have a serious mental illness* • National Institute of Mental Health- Statistics on Prevalence • http://www.nimh.nih.gov/health/statistics/prevalence/any-mental-illness-ami-among-us-adults.shtml • http://www.nimh.nih.gov/health/statistics/prevalence/serious-mental-illness-smi-among-us-adults.shtml

  16. Stigma & Stereotypes • Persons with mental illness are violent/dangerous • Person with mental illness look different/”funny” • Persons with chronic/persistent mental illness need to be institutionalized • What other stereotypes?

  17. What has been your experience? What, if anything, were you told about mental illness by your family, culture and/or community? Have your views about mental illness changed over time? Discuss for 20 minutes.

  18. Schizophrenia • Affect 1.1 % of US adults * • Positive symptoms: • Delusions • Hallucinations • Disorganized thinking • Negative symptoms • Avolition • Diminished emotional expression * NIMH: http://www.nimh.nih.gov/health/statistics/prevalence/schizophrenia.shtml

  19. Simulation Activity • Create triads • Client • “Voices” uses tube, whisper into client’s ear the prepared script. • APS Worker interviews client. Asks him/her to complete a form • After 3 minutes, switch roles

  20. Describe the experience • Cognitively-could you accomplish what was asked of you? • Emotionally-what did you feel? • Physically-what did you feel?

  21. Major Depressive Disorder • https://www.youtube.com/watch?v=XiCrniLQGYc • Affects 6.7% of US adults (15.7 million)* * NIMH: http://www.nimh.nih.gov/health/statistics/prevalence/major-depression-among-adults.shtml

  22. Debrief • What signs and symptoms did you view in the video? • What experience have you had working with persons with depression?

  23. The Case of Caroline Carson Client Name: Caroline Carson Age: 65 Ethnicity: African-American Language: English Employment: Retired bank teller Marital Status: Widowed Living Situation: Lives in own home Allegations: Self-neglect Reporting Party: Physician’s office

  24. Caroline Carson • Has been diagnosed with breast cancer 6 months ago • RP unable to contact client for follow-up • Husband died 12 months ago • Client retired from bank when husband died

  25. At the Door At 11:00AM, you make an unannounced visit to client’s home which is an upper middle class neighborhood. The garden is overgrown. A neighbor watches you from across the street as you approach the house. You knock several times at the door, and call out, asking to be let in. After two minutes, a woman’s voice calls out from behind the door, “Whatever it is, I’m not interested-go away.”

  26. ACTIVITY II:ACCESSING THE HOME 10 possible points (5 for correct answer, 5 for correct rationale) As a team, discuss which is the best response and why it is the best response. You must agree as a team on the answer and the rationale. You have 10 minutes before reporting out as a group. Leave immediately, leaving your card in the door, plan on coming back the next day. Call the mental health crisis assessment team in your area. Call the police to assist getting in the door. Knock on the door again and try again. Go over the neighbor and enlist her help in getting into the see the client.

  27. INTERVIEWING THE CLIENT • Alert, cooperative • One-word answers • States “I’m fine” • Has telephone calls from daughters weekly • Attends church weekly, otherwise doesn’t leave the house • Sleeps most of the time • Doesn’t feel like eating when she’s up

  28. ACTIVITY IIIWhat should you do next and why? 10 possible points (5 for correct answer, 5 for correct rationale) At your tables, discuss which is the best action and why. You must agree as a team on the answer and the rationale for the answer. You have 10 minutes before reporting out as a group. Tell her you know about the breast cancer diagnosis and explore her treatment options with her. Get consent to speak with Mrs. DeLa Cruz, conclude the visit and interview Mrs. DeLa Cruz for additional information. Assess client for depression and possible suicide risk. Refer the client to community resources for bereavement counseling and conclude the interview. Recommend the client go see her doctor to find out why she has no energy and conclude the interview.

  29. SUICIDE ASSESSMENT • IDENTIFY RISK FACTORS • IDENTIFY PROTECTIVE FACTORS • SUICIDE INQUIRY • Thoughts • Intention • Plan • Means • LEVEL OF RISK

  30. Risk Factors and Protective Factors What protective factors does Ms. Carson appear to have? What risk factors does she have?

  31. ACTIVITY IV-Questions to ask Write the specific questions you would need to ask the client to assess her suicide risk. Use the SAFE-T form as your guide. Up to 10 possible points

  32. ROLE PLAY-Scenario 1 Client-Read background-don’t share this information with teammates Social Worker-Ask questions developed by your team Observer(s)-What was most effective, what might the social worker done differently

  33. Scenario 1 Debrief What is Caroline’s risk for suicide: Low, moderate or high? What resources might you include in your Service Plan?

  34. ROLE PLAY-Scenario 2 Client-Read background-don’t share this information with teammates Social Worker-Ask questions developed by your team Observer(s)-What was most effective, what might the social worker done differently

  35. Scenario 2 Debrief What is Caroline’s risk for suicide: Low, moderate or high? What resources might you include in your Service Plan?

  36. ROLE PLAY-Scenario 3 Client-Read background-don’t share this information with teammates Social Worker-Ask questions developed by your team Observer(s)-What was most effective, what might the social worker done differently

  37. SCENARIO 3 DEBRIEF • What is Caroline’s risk for suicide: Low, moderate or high? • If someone is seen as a high risk, what is your agency’s policy on accessing the appropriate mental health providers? • What was it like to ask about suicide?

  38. And the winners are…

  39. What did you learn? • Write down one thing you learned that was meaningful for your work with APS. • Please share this with your supervisor or manager

  40. Questions & Evaluations Questions? Comments? Please complete you evaluations. Thank you for your hard work!

  41. On-Line Mental Health Resources National Alliance on Mental Illness (NAMI) https://www.nami.org/ National Institute of Mental Health https://www.nimh.nih.gov/ Substance Abuse and Mental Health Services Administration (SAMHSA) http://www.samhsa.gov/ U.S. Department of Health & Human Services https://www.mentalhealth.gov/

  42. References American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: Author. National Institute of Mental Health. (2015). Any Mental Illness Among U.S. Adults. 2015 SAMHSA NSDUH Mental Health Findings. Retrieved from https://www.nimh.nih.gov/health/statistics/prevalence/any-mental-illness-ami-among-us-adults.shtml. Sweet, M., & Michaelsen, L. K. (Eds.). (2012). Team-Based Learning in the Social Sciences and Humanities: Group Work That Works to Generate Critical Thinking and Engagement. Sterling, VA: Stylus Publishing, LLC.

More Related