Transcript Gareth Walton Clinical Manager/Matron

22nd April 2009
Common Mental Health
Problems
Gareth Walton
Clinical Manager/Matron
Overview
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Local service provision
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Prevalence of mental health problems
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Types of mental health problems
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Getting help or advice in a crisis
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Keeping yourself safe
Local Mental Health Service Provision - Adults
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Adult services cover ages 17-65, but age is not an exclusion criteria
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Aim of the service is to provide the least restrictive treatment option
appropriate to meet assessed needs
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One inpatient unit (36 beds) The Lakes, CGH
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One inpatient unit (17 beds) at Clacton Hospital
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Crisis Resolution and Home Treatment team, Duty Team, and Trust Line
(formerly crisis line)
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CMHTs based in Colchester, Halstead, Clacton and Harwich
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Outpatient clinics in Colchester, Halstead, Clacton and Harwich
Local Mental Health Service Provision – OA
and CYPS
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60 OA beds in Clacton and Colchester
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Developing CRHT service for older adults
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Locality CMHTs in Colchester and Clacton
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Brand new building – St Aubyn Centre for CYPS
inpatient care (25 beds in two wards)
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CMHT and crisis services in place
Prevalence of mental health problems
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1 in 4 will experience mental health problems
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2 million people visit their GP with mental health
problems a year
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1 in 100 diagnosed with a severe mental illness
Schizophrenia
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Episodes during which reality is perceived
differently
Hallucinations and/or delusions
Acute phase often accompanied lack of
insight
Acute episode can be marked by intense
panic, paranoia, anger, depression, elation
or over activity
30-40% attempt suicide -1in10 eventually
succeed
Bipolar Disorder
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Dramatic mood swings- “high” and/or
irritable to low, sad and hopeless and back
again
Periods of normal mood
High – mania. Mild to moderate-hypomania
Low - depression
Hallucinations and/or delusions
When high- denial that anything is wrong
When low- suicide ideation often present
Anxiety Disorders
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Manageable level of anxiety normal &
healthy
Severe anxiety effects an individual’s
quality of life and ability to function
Anxiety disorders mostly commonly
reported in the UK
Specific symptoms; fear, heart palpitations,
rapid breathing, fainting, indigestion,
feelings of dread and doom
Dementia
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Dementia is the name for a group of
diseases that affect the normal working of
the brain
The changes in the brain slowly lead to
memory loss and confusion, and affect
people’s personality and behaviour.
Progress lose the ability to carry out normal,
everyday activities for themselves.
Depression
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Most likely to be managed by GP
Severity of symptoms varies with individuals
Low mood, lack of energy and motivation,
reduced appetite and sleep problems
Physical symptoms – fear of being seriously
ill
Suicidal ideation
Personality disorders
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“a severe disturbance in the character-logical
condition and behavioral tendencies of the
individual, usually involving several areas of
the personality and nearly always associated
with considerable personal and social
disruption”
Many types – narcissistic, emotionally
unstable, dependent
Getting help or advice in a crisis
Trustline (Crisis line) – 0845 038 0800
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Operates 24/7
Access to urgent assessments
Samaritans – 0845 790 9090
NERIL – 0845 0900 909
Keeping yourself safe
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A person with mental health problems poses more risks to
themselves than others
What do you know about the person and their problems?
Has the person been drinking or appear under the influence
of drugs?
Does the person appear irritable/hostile?
Does the person seem to be responding to hallucinations?
Always keep your exit route clear
Be aware of your environment – what could be used as a
weapon?
Keeping yourself safe
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Keep money/collections/valuables out of sight and
securely stored
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Ensure someone knows where you are, and when
you are due to be finished