1
Module 3
Understanding Mental Disorders,
Treatment, and Recovery
2
“Mental Disorders” - 1
• Many terms may be used, such as “mental
illness”, “mental health problems” or
“behavioral disorders.”
• Each disorder is different in each person.
• There is no “have it” or “don’t have it”.
Mental health is a continuum or spectrum.
• Mental disorders vary from person to
person and from time to time.
3
“Mental Disorders” - 2
• Most persons with identified mental disorders
respond positively to treatment.
• A person cannot “catch” a mental disorder
from another person, although genetics do
influence the development of some disorders.
• Parents with mental disorders do not
necessarily “cause” disorders in their children.
4
Impact of Mental Disorders
• Thought processes, moods and emotions are
affected by mental disorders.
• Mental disorders are biologically based.
• What matters most is the life impact.
• Disorders can be more, or less, serious, and
may change over time.
• Cause is less important than current impact.
• Violence is not associated with all disorders.
5
The Recovery Model
• Persons with mental disorders can, on their
own or with treatment, learn to function
positively and effectively in the community.
• Early identification, appropriate assessment,
effective care planning and appropriate
treatment make a difference.
• Persons with mental disorders can successfully
and safely raise their children into adulthood.
6
Module 3
Understanding Mental Disorders,
Treatment, and Recovery
Signs and Symptoms of Mental
Disorders in Adults
7
Types of Mental Disorders-1
• Affective disorders:
– Anxiety disorders
– Manic episodes
– Depressive disorders
– Panic disorders
– Phobias
– Post traumatic stress disorder
8
Types of Mental Disorders-2
• Eating Disorders
• Obsessive-Compulsive Disorders
• Personality Disorders
• Delusional Disorders
• Psychoses
• Sexual and Gender Identity Disorders
9
Mental Health Screening Form–III
• 18 “yes” or “no” questions.
• Minutes to complete.
• Self-administered or read to an adult.
• “Yes” = make a referral.
• Referral: To obtain further assessment
Does not assume a disorder
Qualified assessors
10
MHSF-III – Questions - 1
• Q.1-4: Past MH services (or need for services)
• Q.5: Schizophrenia
• Q.6: Depressive disorders
• Q.7: Post-traumatic stress disorder
• Q.8: Debilitating phobias or fears
• Q.9: Explosive disorders
• Q.10: Delusional disorders
11
MHSF-III – Questions - 2
• Q.11: Gender or sexual disorders
• Q.12: Eating disorders
• Q.13: Mania
• Q.14: Panic disorders [not phobias or fears (Q.8)]
• Q.15: Obsessive compulsive disorders
• Q.16: Pathological gambling
• Q.17: Learning disorders or MR
Module 3: Understanding Mental
Disorders, Treatment, and
Recovery:
Model Interventions and Supports
12
13
Helping Models
• Behavioral – cause is secondary; primary goal to
understand and change behaviors.
• Biological – treats the physical root cause.
• Ecological – cause and cure lie with the interaction
between the person and their environment.
• Interactive – all other models may apply.
• Psychoanalytic – internal mental life and past
experience drive a person’s reality.
14
Mental Health Treatment
• Past: Treatment in closed rooms with theoretical and
experiential support.
• Present: Evidence-Based Practices (EBPs)
EBP Resource Kits (SAMHSA/CMHS)
• Illness management and recovery
• Assertive Community Treatment
• Family psychoeducation
• Supported employment
• Co-occurring Disorders: Integrated Dual Diagnosis
Treatment
15
Mental Health Interventions
• Medication
• Education
• Counseling or Therapy
• Care Management
• Respite Care
• Assertive Community
Treatment (ACT)
Teams
• Self-Help Groups
• Residential or
Institutional Care
16
“Resistance” to Treatment
People don’t always follow recommendations:
– Treatment is the person’s choice
– Reinforcement and support helps
– Treatments effect different people differently
Don’t judge—Just find a different way.
17
Impact of Trauma on Parents in
Child Welfare
• Trauma increases risk for mental disorders.
• Parents learn to parent from their parents.
• Childhood trauma affects parenting.
• Child abuse sometimes crosses generations.
18
Stress and Mental Disorders
• Always more than meets the eye.
• Effect of current and past events.
• Poverty and mental disorders.
• Individual experience of stress.
• Co-occurring disorders.
• Addressing stress improves care of children.
19
Mental Disorders & Violence
• Less risk of violence in persons with mental
disorders.
• Psychosis and unpredictable mood and/or
behavior.
• Depression and suicide.
• Substance abuse and
• Suicide risk and antidepressants.
Module 3: Understanding Mental
Disorders, Treatment, and Recovery
Effects on Interpersonal Relationships
and Family Dynamics
20
21
Context of Mental Disorders - 1
• Mental disorders: diseases of mood,
thought, emotion or perception.
• Each disorder is different, and each person
expresses a disorder uniquely.
• Context or environment affects the way a
person expresses their disorder.
• Ask questions!
22
Context of Mental Disorders - 2
Persons with mental disorders:
• May become isolated from informal
support.
• May turn to negative sources of support.
• May not recognize their bad judgment.
• May not recognize any impact on their
children.
23
“Recovery Model”
Premises
• #1 All individuals are unique with specific needs,
goals, attitudes, and beliefs in recovery.
• #2 Persons in recovery share some similarities but
follow their own pathways.
• #3 All persons get equal access to treatment and can
participate in their own recovery.
• #4 Treatment funding should be used to support
recovery-oriented approaches and services.
24
Recovery Dimensions - 1
• Supportive Relationships
• Renewing Hope and Commitment
• Finding a Niche in the Community
• Redefining Self
• Incorporating Illness
25
Recovery Dimensions - 2
• Overcoming Stigma
• Assuming Control
• Managing Symptoms
• Becoming an Empowered Citizen

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Mod3Powerpoint.pdf

  • 1. 1 Module 3 Understanding Mental Disorders, Treatment, and Recovery
  • 2. 2 “Mental Disorders” - 1 • Many terms may be used, such as “mental illness”, “mental health problems” or “behavioral disorders.” • Each disorder is different in each person. • There is no “have it” or “don’t have it”. Mental health is a continuum or spectrum. • Mental disorders vary from person to person and from time to time.
  • 3. 3 “Mental Disorders” - 2 • Most persons with identified mental disorders respond positively to treatment. • A person cannot “catch” a mental disorder from another person, although genetics do influence the development of some disorders. • Parents with mental disorders do not necessarily “cause” disorders in their children.
  • 4. 4 Impact of Mental Disorders • Thought processes, moods and emotions are affected by mental disorders. • Mental disorders are biologically based. • What matters most is the life impact. • Disorders can be more, or less, serious, and may change over time. • Cause is less important than current impact. • Violence is not associated with all disorders.
  • 5. 5 The Recovery Model • Persons with mental disorders can, on their own or with treatment, learn to function positively and effectively in the community. • Early identification, appropriate assessment, effective care planning and appropriate treatment make a difference. • Persons with mental disorders can successfully and safely raise their children into adulthood.
  • 6. 6 Module 3 Understanding Mental Disorders, Treatment, and Recovery Signs and Symptoms of Mental Disorders in Adults
  • 7. 7 Types of Mental Disorders-1 • Affective disorders: – Anxiety disorders – Manic episodes – Depressive disorders – Panic disorders – Phobias – Post traumatic stress disorder
  • 8. 8 Types of Mental Disorders-2 • Eating Disorders • Obsessive-Compulsive Disorders • Personality Disorders • Delusional Disorders • Psychoses • Sexual and Gender Identity Disorders
  • 9. 9 Mental Health Screening Form–III • 18 “yes” or “no” questions. • Minutes to complete. • Self-administered or read to an adult. • “Yes” = make a referral. • Referral: To obtain further assessment Does not assume a disorder Qualified assessors
  • 10. 10 MHSF-III – Questions - 1 • Q.1-4: Past MH services (or need for services) • Q.5: Schizophrenia • Q.6: Depressive disorders • Q.7: Post-traumatic stress disorder • Q.8: Debilitating phobias or fears • Q.9: Explosive disorders • Q.10: Delusional disorders
  • 11. 11 MHSF-III – Questions - 2 • Q.11: Gender or sexual disorders • Q.12: Eating disorders • Q.13: Mania • Q.14: Panic disorders [not phobias or fears (Q.8)] • Q.15: Obsessive compulsive disorders • Q.16: Pathological gambling • Q.17: Learning disorders or MR
  • 12. Module 3: Understanding Mental Disorders, Treatment, and Recovery: Model Interventions and Supports 12
  • 13. 13 Helping Models • Behavioral – cause is secondary; primary goal to understand and change behaviors. • Biological – treats the physical root cause. • Ecological – cause and cure lie with the interaction between the person and their environment. • Interactive – all other models may apply. • Psychoanalytic – internal mental life and past experience drive a person’s reality.
  • 14. 14 Mental Health Treatment • Past: Treatment in closed rooms with theoretical and experiential support. • Present: Evidence-Based Practices (EBPs) EBP Resource Kits (SAMHSA/CMHS) • Illness management and recovery • Assertive Community Treatment • Family psychoeducation • Supported employment • Co-occurring Disorders: Integrated Dual Diagnosis Treatment
  • 15. 15 Mental Health Interventions • Medication • Education • Counseling or Therapy • Care Management • Respite Care • Assertive Community Treatment (ACT) Teams • Self-Help Groups • Residential or Institutional Care
  • 16. 16 “Resistance” to Treatment People don’t always follow recommendations: – Treatment is the person’s choice – Reinforcement and support helps – Treatments effect different people differently Don’t judge—Just find a different way.
  • 17. 17 Impact of Trauma on Parents in Child Welfare • Trauma increases risk for mental disorders. • Parents learn to parent from their parents. • Childhood trauma affects parenting. • Child abuse sometimes crosses generations.
  • 18. 18 Stress and Mental Disorders • Always more than meets the eye. • Effect of current and past events. • Poverty and mental disorders. • Individual experience of stress. • Co-occurring disorders. • Addressing stress improves care of children.
  • 19. 19 Mental Disorders & Violence • Less risk of violence in persons with mental disorders. • Psychosis and unpredictable mood and/or behavior. • Depression and suicide. • Substance abuse and • Suicide risk and antidepressants.
  • 20. Module 3: Understanding Mental Disorders, Treatment, and Recovery Effects on Interpersonal Relationships and Family Dynamics 20
  • 21. 21 Context of Mental Disorders - 1 • Mental disorders: diseases of mood, thought, emotion or perception. • Each disorder is different, and each person expresses a disorder uniquely. • Context or environment affects the way a person expresses their disorder. • Ask questions!
  • 22. 22 Context of Mental Disorders - 2 Persons with mental disorders: • May become isolated from informal support. • May turn to negative sources of support. • May not recognize their bad judgment. • May not recognize any impact on their children.
  • 23. 23 “Recovery Model” Premises • #1 All individuals are unique with specific needs, goals, attitudes, and beliefs in recovery. • #2 Persons in recovery share some similarities but follow their own pathways. • #3 All persons get equal access to treatment and can participate in their own recovery. • #4 Treatment funding should be used to support recovery-oriented approaches and services.
  • 24. 24 Recovery Dimensions - 1 • Supportive Relationships • Renewing Hope and Commitment • Finding a Niche in the Community • Redefining Self • Incorporating Illness
  • 25. 25 Recovery Dimensions - 2 • Overcoming Stigma • Assuming Control • Managing Symptoms • Becoming an Empowered Citizen