INTERNATIONAL ASSOCIATION OF PSYCHIATRIC NURSES OF NIGERIA 12th Scientific Conference, Dubai, May 2018

Average or above average

intelligenceSelf-awareness

Motor clumsiness

Odd postureRepetitive

movementsSocial drive

Language development?

Triad of Impairments

1. Social relationships

2. Social communication

3. Imagination

DSM-V

1. Social communication & interaction

2. Restricted repetitive patterns of behaviour, interests or activities

Theory of Mind

Theory of Central

Coherence

2 Sensory

•Chromacsthesia: sound = colour

•Coloured/Olfaction: smell = colour

•Coloured/Gustation: taste = colour

•Tactile/Gustation: taste = shapes

•Audiomotor: sound = body position

Multiple Sensory

•Coloured/Number: numbers = colours

•Coloured/Letters: letters = colours

•Coloured/Graphemes: words = colours

•Shaped/Numbers: numbers = shapes

Sensory Agnosia

Auditory

Auditory Verbal

Tonal

Topographical

Open facilities

Minimal security

Local Units

Low security

Regional Secure Units

Medium security

Special Hospitals

High to Maximum security

Violent Conduct 81%

Threatening Behaviour 75%

Property Destruction 50%

Drug Offences 25%

Theft 25%

Sexual Offences 19%

Fraud 6%

Motoring Offences 6%

(Allen, D et al, 2008)

Lack of concern for outcome 94%

Lack of awareness of outcome 82%

Impulsivity 63%

Social naivety 88%

Misinterpretation of rules 63%

Overriding obsessions 44%

(Allen, D et al, 2008)

Bullying 50%

Social Rejection 69%

Sexual Rejection 50%

Family Conflict 50%

Mental Health Onset/Deterioration 31%

Domicile Change 25%

Professional Support Change 19%

Bereavement 13%

(Allen, D et al, 2008)

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Severe Anxiety

Depression

Single psychotic episodes in response to stress

Obsessive Compulsive Disorder

Self-injury

Affective Disorders

ADHD

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My Morning Routine

Identify Behaviour

Identify Trigger

Proactive Response

Reactive Response

Physical Activity Relaxation Social

Reflective Sensory

Stand in a natural posture or sit comfortably

Place the soles of your feet flat on the floor

Breathe naturally & do nothing

Think of an incident that made you angry: stay with the anger

You’re feeling angry. Angry thoughts flow through your mind. Let them flow without restriction

Shift all attention to the soles of your feet

Slowly, move your toes; feel your shoes covering your feet, the texture of your socks, the curve of your arch & the heels of your feet against the back of your shoes. If you don’t have shoes on, feel the floor or carpet

Keep breathing naturally & focus on the soles of your feet until you feel calm

Practice until you can use it wherever you are & whenever an incident occurs that might otherwise lead to verbal or physical aggression

Once you’re calm, you can walk away with a smile on your face because you controlled your anger. Or, if you need to, you can respond with a calm & clear mind without verbal threats or physical aggression

Access to information & services

Understanding sensory experience

Explain how the body works & develops

Understanding Sexual Expression

Rights & Responsibilities

Social Beliefs, Attitudes & Laws

Commitment

Safe Sex

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