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Community Dialogue Goals & Objectives

Asian-American Mental Health Outreach Brian Ahuja, Jason Cho, Stella Lai, Supriya Mahajan, John Pham, Priya Sehgal, Alan Su, Yoko Takashima. Community Dialogue Goals & Objectives. Goals: To educate the Asian-American community about the definition and perception of mental health.

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Community Dialogue Goals & Objectives

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  1. Asian-American Mental Health OutreachBrian Ahuja, Jason Cho, Stella Lai, Supriya Mahajan, John Pham, Priya Sehgal, Alan Su, Yoko Takashima

  2. Community Dialogue Goals & Objectives • Goals: • To educate the Asian-American community about the definition and perception of mental health. • To foster dialogue about barriers to mental healthcare. • Objectives: • To define mental health. • To identify symptoms and treatments of common mental health disorders. • To list factors affecting the perception of mental health and/or accessing mental health. • To survey participants about attitudes toward mental health.

  3. Agenda:1. Welcome2. Did you know? Statistics in the Asian community3. Identify the Problem: You be the Agent of Change4. Close

  4. Welcome!Please complete the pre-assessment.

  5. What is mental health? “The World Health Organization defines mental health as not just the absence of mental disorders, but it is defined as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.” “The Surgeon General says that mental health is essential to health and productivity.”

  6. IcebreakerTRUE OR FALSE?

  7. Question: Children don’t suffer from mental illnesses.

  8. Answer: Children don’t suffer from mental illnesses. FALSE!

  9. Question: Mental illness is just a state of mind.

  10. Answer: Mental illness is just a state of mind. FALSE!

  11. Question: The number one reason for hospital admissions nationwide is for psychiatric disorders.

  12. Answer: The number one reason for hospital admissions nationwide is for psychiatric disorders. TRUE!

  13. Question: Mentally ill people can never fully recover.

  14. Answer: Mentally ill people can never fully recover. FALSE!

  15. Question: Severe mental illness is always a result of human choices.

  16. Answer: Severe mental illness is always a result of human choices. FALSE!

  17. Question: People with mental illnesses are very dangerous.

  18. Answer: People with mental illnesses are very dangerous. FALSE!

  19. Question: One out of five families are affected by major mental illness.

  20. Answer: One out of five families are affected by major mental illness. TRUE!

  21. Question: At a given time, 21% of all hospital beds are filled by people with mental illness.

  22. Answer: At a given time, 21% of all hospital beds are filled by people with mental illness. TRUE!

  23. Question: Mental illness and mental retardation are the same thing.

  24. Answer: Mentally illness and mental retardation are the same thing. FALSE!

  25. Question: Mental illnesses can affect anyone.

  26. Answer: Mental illnesses can affect anyone. TRUE!

  27. Utilization of Mental Health Services by Asian Populations

  28. “Regardless of age, gender or the specific Asian group they belong to, Asian Americans tend to underutilize these services.” - Dr. Stanley Sue, a psychology professor at UC Davis and one of the authors of a January study -- financed by the National Institute of Mental Health -- on immigrants' use of mental health services.

  29. “We found that the prevalence of mental service use among Asian populations was lower than that in the white participants. Among Asian participants, the Chinese participants were less likely to have used mental health service than other Asian groups.” - Dr. Suresh K. Tiwari & Dr. Jian Li Wang -- Ethnic Differences in Mental Health Service Use Among White, Chinese, South Asian and South East Asian Populations Living in Canada from Social Psychiatry and Psychiatric Epidemiology Journal

  30. In the Chinese American Psychiatric Epidemiological Study (CAPES), participants with and without mental disorders indicated whether or not they had sought help for problems with emotions, anxiety, drugs, alcohol, or mental health in the past six months. Only 17% of people experiencing problems sought care. Less than 6% of those who did seek care saw a mental health professional; 4% saw a medical doctor; and 8% saw a minister or priest. http://mentalhealth.samhsa.gov/cre/ch5_availability.asp

  31. “The majority of Asian Americans with mental health disorders did not use specialty mental health services.” “The rate of mental health service use by U.S.-born individuals was almost twice that of immigrant Asian Americans.” - Oanh Le Meyer, Nolan Zane, Young Il Cho & David T. Takeuchi -- Use of Specialty Mental Health Services by Asian Americans With Psychiatric Disorders in Journal of Consulting and Clinical Psychology

  32. ADHD(Attention Deficit Hyperactivity Disorder)

  33. ADHD: Definition • Definition: • ADHD is a behavioral condition that makes focusing on everyday requests and routines challenging. • 3 Subtypes: • Hyperactive-impulsive: Trouble sitting still during dinner, school, and story time • Inattentive: Difficulty focusing attention on organizing and completing a task or learning something new • Combined hyperactive-impulsive and inattentive: Most common form of ADHD

  34. Who does ADHD effect? • ADHD mostly affects children. • Of children diagnosed with ADHD, approximately 25% are girls and 75% are boys. • As much as 50% of the children diagnosed with ADHD continue to show symptoms into adulthood.

  35. ADHD: Causes • No Specific Causes • Contributing Factors: Genetic, Environmental, Social • Those affected by ADHD often show slight abnormalities in brain function and size. For example, the frontal lobe of the brain, which controls attention and activity.

  36. ADHD: Symptoms • Predominantly inattentive • Makes careless mistakes in schoolwork or in other activities • Has trouble paying attention on tasks • Easily distracted • Forgetful

  37. ADHD: Treatment • Medication • Stimulants • Methylphenidate (Ritalin) • Dextroamphetamine-amphetamine (Adderall) • Dextroamphetamine (Dexedrine) • Non-stimulants • Atomoxetine (Strattera) Non-Medication • Counseling • Psychotherapy • Behavioral Therapy • Social Skills Training

  38. Major Depressive Disorder(MDD)

  39. MDD: Definition Serious illness that negatively affects how you feel, think, and behave. It includes having a depressed mood and/or loss of interest or pleasure in normally enjoyable activities.

  40. MDD: Symptoms • Changes in appetite that result in weight losses or gains unrelated to dieting • Insomnia or oversleeping • Loss of energy or increased fatigue • Restlessness or irritability • Feelings of worthlessness or inappropriate guilt • Difficulty thinking, concentrating or making decisions • Thoughts of suicide or attempts at suicide

  41. MDD: Treatment • Medication • Tricyclic Antidepressants (TCAs) • Selective Setotonin Reuptake Inhibitors (SSRIs) • Monoamine Oxidase Inhibitors (MAOIs) Non-Medication • Psychotherapy • Cognitive-Behavioral Therapy (CBT) • Interpersonal Therapy (IPT) • Electroconvulsive Therapy (ECT)

  42. Generalized Anxiety Disorder (GAD)

  43. GAD: Definition A pattern of excessive, uncontrollable, and sometimes irrational worry and anxiety that affects daily function. Life stressors can contribute to this condition and it is seen in people of all ages, including children. Females tend to be affected more than males.

  44. GAD: Symptoms • Constant sense of worry and anxiety, even if there is little or no cause. • Difficulty concentrating • Irritability • Sleep problems • Restlessness • Easily startled • May be aware that they are overreacting and yet may still not be able to control their excessive worrying. • Physical symptoms such as muscle pain or headaches. • May also have a history of depression and substance abuse.

  45. GAD: Treatment • Medication • Antidepressants • Benzodiazepines • Buspirone Non-Medication • Cognitive-Behavioral Therapy (CBT) • Avoidance of caffeine, illicit drugs, and some cold medicines. • Exercise, adequate rest, and proper nutrition can reduce the negative impact of anxiety.

  46. Group Discussion

  47. Asian and Pacific Islanders (A&PIs) have the lowest rates of utilization of mental health services among all ethnic populations, according to the U.S. Surgeon General's 2001 Report on Mental Health. Research indicates that A&PIs dramatically under-utilize mental health services -- at both the national and local levels. According to researchers, this under-utilization does not mean that A&PI communities have fewer mental health problems. Rather, it points to specific barriers to access and use of mental health services.

  48. Why?

  49. Asian-Americans and Model Minority Myth The model minority myth derives from the perception that Asian cultural values of hard work, family cohesion, self-sufficiency and a drive for success propelled recent immigrants into and beyond the American middle class within a generation or two. • Chronicle online, Cornell University. http://www.news.cornell.edu/stories/April07/modelminority.html

  50. Discussion:How does the model minority myth affect accessing mental health care?

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