mental health & mental disorders california common core curricula for child welfare workers
TRANSCRIPT
MENTAL HEALTH & MENTAL HEALTH & MENTALMENTAL
DISORDERSDISORDERS
California Common California Common Core Curricula for Core Curricula for
Child Welfare Child Welfare WorkersWorkers
Outcome ObjectivesOutcome Objectives
COMPETENCIES AND COMPETENCIES AND LEARNING LEARNING
OBJECTIVESOBJECTIVES
Page 2Page 2
Adult Learning NeedsAdult Learning Needs
My brain is full!My brain is full! Tell me how and whyTell me how and why Keep it real!Keep it real! Variety is the spice of life!Variety is the spice of life!
AgendaAgenda IntroductionIntroduction Facts and StatsFacts and Stats Labeling and StigmaLabeling and Stigma Culture & Mental HealthCulture & Mental Health DefinitionsDefinitions Strength Based PerspectiveStrength Based Perspective Overview of Common Diagnoses Overview of Common Diagnoses
and Implications for Child Welfareand Implications for Child Welfare Resources, Interventions, & Resources, Interventions, &
ReferralsReferrals
Meet and GreetMeet and Greet
Write down 3 symptoms of a mental Write down 3 symptoms of a mental illnessillness
Meet at least 7 other people in the Meet at least 7 other people in the room at other tablesroom at other tables
Share with them your 3 symptoms Share with them your 3 symptoms and hear their 3 symptomsand hear their 3 symptoms
Facts and StatsFacts and Stats
23% of adults suffer from a 23% of adults suffer from a diagnosable disorderdiagnosable disorder
Only 50% of those report daily Only 50% of those report daily impairmentimpairment
3% have both mental and 3% have both mental and addictive disordersaddictive disorders
5-7% have a serious mental 5-7% have a serious mental illness (schizophrenia, major illness (schizophrenia, major depression, bipolar)depression, bipolar)
Homeless statsHomeless stats
Facts and Stats ContinuedFacts and Stats Continued Adults with serious mental Adults with serious mental
illness die 25 years younger illness die 25 years younger Leading cause of disabilities Leading cause of disabilities
for ages 15-44for ages 15-44 Less than 1/3 receive MH Less than 1/3 receive MH
services in a year services in a year Delay of 10 years from the Delay of 10 years from the
onset of symptoms until the onset of symptoms until the first contact with treatmentfirst contact with treatment
CA: 300,000 with serious CA: 300,000 with serious mental illness do no have mental illness do no have access to servicesaccess to services
Labeling and Stigmas p.6Labeling and Stigmas p.6
What are some of the labels we put What are some of the labels we put on mental illness?on mental illness?
What are the stigmas to be aware of What are the stigmas to be aware of with mental illness/disorders?with mental illness/disorders?
How does this impact CW?How does this impact CW?
Small Group DiscussionSmall Group Discussion
Answer the following questions:Answer the following questions:1.1. How did your family define How did your family define
“crazy”?“crazy”?2.2. Was this how your larger Was this how your larger
culture defined it?culture defined it?3.3. How did your culture handle How did your culture handle
parents who were mentally ill?parents who were mentally ill?4.4. Did you know someone who fit Did you know someone who fit
this description growing up? this description growing up? ExplainExplain
Bias at WorkBias at Work
Early messages become our Early messages become our templates for biases in the templates for biases in the futurefuture
What happens if you add other What happens if you add other layers of potential bias?layers of potential bias?
What should your role be in What should your role be in helping with systemic bias?helping with systemic bias?
BiasBias
On page 7, write down some biases On page 7, write down some biases of which you are aware concerning of which you are aware concerning mentally ill people/parentsmentally ill people/parents
For your eyes onlyFor your eyes only
Cultural Overlay of Mental IllnessCultural Overlay of Mental Illness
Individually consider a cultural Individually consider a cultural practice within your family’s culture practice within your family’s culture that could be mistaken as a sign of that could be mistaken as a sign of mental illness (pgs. 8-9)mental illness (pgs. 8-9)
Share with small groupShare with small group Compare answers around groupCompare answers around group
Implications for PracticeImplications for Practice
Biases can shape our decision Biases can shape our decision makingmaking
Community and systemic bias can Community and systemic bias can impact our client families negativelyimpact our client families negatively
Cultural practices can be Cultural practices can be misdiagnosed and misinterpreted misdiagnosed and misinterpreted
CW has a role in preventing and CW has a role in preventing and advocatingadvocating
Ethical obligation to understand Ethical obligation to understand
AdvocacyAdvocacy
Advocacy is….Advocacy is….
AdvocacyAdvocacy
In your small groupsIn your small groups Brainstorm a list of ways CW can act Brainstorm a list of ways CW can act
as advocate for the mentally ill clientas advocate for the mentally ill client Write down listWrite down list Prepare to share with rest of classPrepare to share with rest of class
Definition Card SortDefinition Card Sort
In small groupsIn small groups Sort the cards in the envelope to Sort the cards in the envelope to
match the word/concept to the match the word/concept to the correct definitioncorrect definition
Link Link
Acute vs. ChronicAcute vs. Chronic
What are the implications for What are the implications for parenting when referring to a parenting when referring to a symptom, sign, or prognosis?symptom, sign, or prognosis?
Strengths and Protective InfluencesStrengths and Protective Influences
Symptoms manifest differently for Symptoms manifest differently for different individualsdifferent individuals
Same diagnoses are more Same diagnoses are more debilitating for some individuals than debilitating for some individuals than othersothers
Mitigating FactorsMitigating Factors
Factors that decrease severityFactors that decrease severity Factors that can help risk be less Factors that can help risk be less
severesevere Factors that can help symptoms be Factors that can help symptoms be
more bearable and increase more bearable and increase functionalityfunctionality
Strengths of the Mentally IllStrengths of the Mentally Ill
Consider factors that can help Consider factors that can help mitigate symptomsmitigate symptoms
Consider coping factors as strengthsConsider coping factors as strengths Make a list of mitigating factors and Make a list of mitigating factors and
strengths commonly seen with strengths commonly seen with mentally ill clientsmentally ill clients
Anxiety DisordersAnxiety Disorders
Panic Disorders with/without Panic Disorders with/without AgoraphobiaAgoraphobia
Obsessive Compulsive DisorderObsessive Compulsive Disorder Generalized Anxiety DisorderGeneralized Anxiety Disorder Post-Traumatic Stress DisorderPost-Traumatic Stress Disorder
Anxiety SymptomsAnxiety Symptoms Pounding heartPounding heart SweatingSweating TremblingTrembling Shortness of Shortness of
breath breath Feeling of Feeling of
chokingchoking Chest pain or Chest pain or
discomfortdiscomfort Nausea Nausea DizzinessDizziness
Excessive anxiety Excessive anxiety and worry and worry
Keyed up or on Keyed up or on edgeedge
Easily fatiguedEasily fatigued Difficulty Difficulty
concentrating concentrating IrritabilityIrritability Muscle tensionMuscle tension Sleep disturbance Sleep disturbance ParesthesiasParesthesias
Vignette OneVignette One
In small groupsIn small groups Read vignette oneRead vignette one Use the chart to consider what is Use the chart to consider what is
diagnosis, signs of escalation, risk diagnosis, signs of escalation, risk factorsfactors
Answer the questions following the Answer the questions following the vignettevignette
Process PointsProcess Points
Strengths of familyStrengths of family Implications for parentingImplications for parenting Chronic vs. acuteChronic vs. acute Your role?Your role?
Mood DisordersMood Disorders
Major Depression: Recurrent, Single Major Depression: Recurrent, Single EpisodeEpisode
DysthymiaDysthymia Bipolar: Mixed, Manic, DepressedBipolar: Mixed, Manic, Depressed
Mood Disorder SymptomsMood Disorder Symptoms Sad or irritable moodSad or irritable mood Loss of interest in Loss of interest in
activities activities Significant change in Significant change in
appetite appetite Sleep disturbanceSleep disturbance Psychomotor agitation Psychomotor agitation
or retardationor retardation Loss of energyLoss of energy Feelings of Feelings of
worthlessness or worthlessness or inappropriate guiltinappropriate guilt
Difficulty Difficulty concentratingconcentrating
Thoughts of death or Thoughts of death or suicidesuicide
Elevated, expansive or Elevated, expansive or irritable mood, irritable mood,
Inflated self-esteem or Inflated self-esteem or grandiositygrandiosity
Excessive talkingExcessive talking Flight of ideasFlight of ideas Risk taking behavior Risk taking behavior
Vignette TwoVignette Two
In small groupsIn small groups Read vignette twoRead vignette two Use the chart to consider what is Use the chart to consider what is
diagnosis, signs of escalation, and diagnosis, signs of escalation, and risk factorsrisk factors
Answer the questions following the Answer the questions following the vignettevignette
Process PointsProcess Points
Strengths of familyStrengths of family Implications for parentingImplications for parenting Chronic vs. acuteChronic vs. acute What might be going on?What might be going on? What are other considerations?What are other considerations?
Psychotic DisordersPsychotic Disorders
SchizophreniaSchizophrenia Mood Disorders with Psychotic Mood Disorders with Psychotic
FeaturesFeatures
Signs/SymptomsSigns/Symptoms Hallucinations and Hallucinations and
delusionsdelusions Disorganized speechDisorganized speech Loss of ego boundariesLoss of ego boundaries Grossly disorganized or Grossly disorganized or
catatonic behaviorcatatonic behavior Negative symptoms:Negative symptoms:
– Flat affectFlat affect– Poverty of speechPoverty of speech– Poverty of content of Poverty of content of
speechspeech– Lack of energy or Lack of energy or
drive/apathydrive/apathy
Disorganization:Disorganization:– in personal care in personal care – in social and in social and
professional professional performanceperformance
Profound disruption in Profound disruption in cognition and cognition and emotionsemotions
Perceptions of reality Perceptions of reality strikingly different strikingly different from the reality seen from the reality seen and shared by others and shared by others around them around them
Beautiful MindBeautiful Mind
View the videoView the video Pick out signs/symptoms of psychosisPick out signs/symptoms of psychosis Small Group DiscussionSmall Group Discussion
– List signs/symptomsList signs/symptoms– Relate to identified parental risksRelate to identified parental risks– How does MSLC impact a case with a How does MSLC impact a case with a
schizophrenic parent?schizophrenic parent?
Personality DisordersPersonality Disorders
BorderlineBorderline NarcissisticNarcissistic DependentDependent AntisocialAntisocial
Unique U’sUnique U’s
As a small groupAs a small group Review the information in the chart Review the information in the chart
for each of the personality disordersfor each of the personality disorders Come up with 2 words that start with Come up with 2 words that start with
U to describe each personality U to describe each personality disorderdisorder
It can be a word to sum up, highlight It can be a word to sum up, highlight risk, point out case plan implicationsrisk, point out case plan implications
Fictitious DisorderFictitious Disorder
Attention seekingAttention seeking Heroic or martyrHeroic or martyr Exaggeration or exacerbationExaggeration or exacerbation Fabrication Fabrication
Consider:Consider:
SafetySafety RiskRisk Protective capacityProtective capacity MSLCMSLC
Case Plan InterventionsCase Plan Interventions
In small groupsIn small groups Using case plan implications Column Using case plan implications Column
for each diagnosisfor each diagnosis And Pages 27 and 28And Pages 27 and 28 Identify 3 interventions for each of Identify 3 interventions for each of
the vignettes read earlierthe vignettes read earlier Identify which aspects of the MH Identify which aspects of the MH
system of care will be utilizedsystem of care will be utilized
Questions?Questions?
Any questions about anything we Any questions about anything we discussed today?discussed today?
Any questions about anything that Any questions about anything that did not come up?did not come up?
