Mental Health Training Juvenile Rehabilitation Jake Towle Mental
Mental Health Training Juvenile Rehabilitation Jake Towle Mental Health Program Administrator 360 -902 -0788
Why the need for Mental Health Training? Mandated by State Law and National Standards (NCCHC) Staff need to know what to do and how to act Be able to distinguish between mental health vs. volitional, manipulative, oppositional, defiant type behaviors so staff can respond appropriately and effectively
Four Objectives 1. Reduce stigma and ignorance, increase understanding of MH behaviors 2. Be able to observe and describe mental health symptoms 3. Understand residential and community treatment options and your role 4. Understand how and know when to refer to (internal and external) treatment options throughout the continuum of care
Caveat There’s a lot we WON’T be able to cover There’s a lot more you’ll need to research as you work – especially if you work in residential or extended MH units Knowledge Network Videos: http: //www. knowledgenetwork. ca/takingcare/intro. html Medline Plus: Drugs and Supplements http: //www. nlm. nih. gov/medlineplus/druginformation. html
Mental Health Needs Mental health needs are quite common – 26. 2 % in US or 1 in 5 Americans (National Institute of Health’s National Institute of Mental Health) suffer from a diagnosable mental disorder in a given year http: //www. nimh. nih. gov) Currently 65% of JRA youth met the JRA Mental Health Target population definition. 80% are diagnosed with significant mental health disorders: schizophrenia, depressive disorders, PTSD, mood disorders, bipolar disorder, anxiety disorders, psychotic disorders, Asperger’s, Autistic Disorder, pervasive developmental disorder, cognitive disorder, adjustment disorder with depressed mood, dissociative disorder, borderline, and autistic disorders. A mental health issue is not something to be ashamed of, but something to treat and address
Mental Illnesses affects 1 in 5 Americans Linda Hamilton – bipolar disorder Mel Gibson – bipolar disorder Ernest Hemingway – bipolar disorder Abraham Lincoln – major depression Lionel Aldridge (defensive lineman, Green Bay Packers) – schizophrenia Haley Berry - depression John Nash, Jr. (Nobel Prize-winning mathematician, “A Beautiful Mind”) – schizophrenia Robin Williams – depression, bipolar disorder
STIGMA “Stigmatizing mental illness is dangerous; and can be deadly. If someone as accomplished and acclaimed as Williams cannot publicly acknowledge “clinical” depression or bipolar disorder, we have a long way to go in making the world safe for people who suffer from these illnesses. When even today’s headlines about addiction and mental illness refer to struggles with ‘demons, ’ you know that stigma remains strong. ” Maia Szalavitz, Unbroken Brain: A New Way to Think About Addiction and Other Compulsive Behaviors Where does stigma come from? How is it perpetuated?
Impact of Stigma / Bias reduces access to resources leads to low self-esteem, isolation, and hopelessness deters the public from empathizing and wanting to pay for care outright discrimination and abuse deprives people of their dignity interferes with their full participation in society
Countering Stigma – What can we do? Share the facts Use the Golden Rule Don’t label with “crazy” terms Talk about having a MH problem vs. being a MH problem Support with community resources Teach hopefulness Philosophy of Resiliency and Recovery
Team Activity #1
ADVERSE CHILDHOOD EXPERIENCES (ACEs) The ACE score is the number of categories of adverse childhood experiences to which a person was exposed http: //www. fpc. wa. gov/publications. html The ACE study found that the number of categories, not necessarily the frequency or severity of the experiences within a category, determine the health outcomes across the population as a whole.
Adverse Childhood Experiences 1. 2. 3. 4. 5. 6. 7. 8. Child physical abuse Child sexual abuse Child emotional abuse Neglect Mentally ill, depressed or suicidal person in the home Drug addicted or alcoholic family member Witnessing domestic violence against the mother Loss of a parent to death or abandonment, including abandonment by divorce
Outcomes associated with ACEs Alcoholism and alcohol abuse Chronic obstructive pulmonary disease & heart disease Depression Suicide attempts Early Death Intimate partner violence Unintended Pregnancy Life dissatisfaction Obesity Cancer Liver disease High risk sexual activity Smoking Illicit drug use Sexually transmitted disease Fetal Death
Adolescent brain’s don’t develop fully until age 25
The frontal lobe is often called the CEO, or the executive of the In the teen years, this partbrain. of the brain that is helping organization, planning and strategizing is not done being built yet. It's not that the teens are stupid or incapable , and it's unfair to expect them to have adult levels of organizational skills or decision making before their brain is finished being built. It's also a particularly cruel irony of nature, at the time when the brain is most vulnerable is also the time when teens are most likely to experiment; impulsive, often dangerous, acts, drugs or alcohol; Activity affecting their brains for the next 80 years of their life.
Definition of JR Mental Health Target Population Any youth within JR that has: A current DSM-IV Axis I diagnosis, excluding a sole diagnosis of Conduct Disorder, Oppositional Defiant Disorder, Pedophilia, Paraphilia, or Chemical Dependency; or Is currently prescribed psychotropic medication; or Has demonstrated suicidal or self-harm behavior within the last six months
Team Activity 2 Mental Health Signs and Symptoms
Our focus in JR What we can impact is behavior: treating behaviors rather than the disorder For example: Treat impulsivity vs. ADHD Treat avoidance vs. depression
Treat it with what? Multidimensional, Cognitive/Behavioral approach: Behavioral interventions Structuring the environment Psycho-social education Medications when appropriate
Major Categories of Disorders Behavior Disorders Anxiety Disorders Mood Disorders Psychotic Disorders Mental Retardation, FAS, and Learning disorders
Some of the most common psychiatric disorders seen in youth with co-occurring addiction issues include: schizophrenia bipolar disorder borderline personality disorder major depression anxiety and mood disorders post traumatic stress disorder pathological gambling sexual and eating disorders conduct disorders attention deficit disorder
Youth being treated for mental health disorders also often abuse the following types of substances: alcohol nicotine opiates sedatives stimulants marijuana hallucinogens prescription drugs
How does all this impact behavior and learning? Ability to recall Ability to process information Ability to problem solve Staying focused and present in moment High arousal, easily bored High frustration level Adoption of Adaptive/Maladaptive skills
Final Project ~ Group Presentation PP
Kari’s Story Pay attention to: Symptoms Treatment Hopeful statements Knowledge Network Videos: http: //www. knowledgenetwork. ca/takingcare/intro. html
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