Arafmi Queensland

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Arafmi Queensland

  1. 1. <ul><li>What is Mental Illness ?
  2. 2. Working with people with Mental Illnesses.
  3. 3. Services and resources ARAFMI offers. </li></ul>Arafmi Queensland
  4. 4. Introducing Arafmi? You ?
  5. 5. What is Mental Illness? <ul><li>Schizophrenia
  6. 6. Bipolar Disorder </li></ul><ul><li>Depression (major depression, post-natal depression)
  7. 7. Anxiety Disorders (including phobias, obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder and social phobia)
  8. 8. Eating Disorders (anorexia, bulimia) </li></ul>PSYCHOTIC - NON-PSYCHOTIC -
  9. 9. Who gets a Mental Illness Anne Landers
  10. 10. In Australia ………. Mental Illness affects 1 in 5 people… Total Population Mental Health Problem Psychotic Disorder In any given year…. And it rotates…
  11. 11. % MALE % FEMALE % ADULT Any Anxiety Disorder 7.1 12.0 9.7 Any Substance Use Disorder 11.1 4.5 7.7 Any Depressive Disorder 4.2 7.4 5.8 Any Common Mental Disorder 17.4 18.0 17.7 In any given year
  12. 12. In any given year % MALE % FEMALE % ADULT Any Anxiety Disorder 7.1 12.0 9.7 Any Substance Use Disorder 11.1 4.5 7.7 Any Depressive Disorder 4.2 7.4 5.8 Any Common Mental Disorder 17.4 18.0 17.7 About another 1% of the Australian population will have the less common mental disorders such as Psychosis (schizophrenia and bipolar disorder) in one year.
  13. 13. Most People Recover Study Sample Size Average Length in Years % of people Recovered and/or improved significantly M. Bleuler (1972a, 1972b) 208 23 53%- 68% Huber et al. 1979 502 22 57% Ciompi Mǜller (1976) 289 37 53% Tsuang et al (1979) 186 35 46% Harding et al (1987a, 1987b) 118 32 62% - 68%
  14. 14. THINGS WE TRY IF PEOPLE ARE UNWELL <ul><li>Understanding people with mental illnesses are people first and they respond to the same of things that “people” do.
  15. 15. Using clear and straightforward language.
  16. 16. Speaking in brief sentences and checking their understanding.
  17. 17. Acknowledging the persons reality without necessarily buying into it.
  18. 18. Moving away from distractions (noise or onlookers)
  19. 19. Asking THEM and their families how you can best help.
  20. 20. Respecting the dignity of the person and their family.
  21. 21. Staying calm and speaking in as quiet a tone as possible. </li></ul>
  22. 22. THINGS WE HAVE LEARNED TO AVOID IF PEOPLE ARE UNWELL <ul><li>Arguing.
  23. 23. Agreeing with delusions to placate people.
  24. 24. Trying to get too personal or touch people when they are scared .
  25. 25. Confusing mental illness and stupidity.
  26. 26. Expecting that people who are unwell can just pull themselves together.
  27. 27. Showing (or getting) anger or irritation.
  28. 28. Lecturing people.
  29. 29. Trivialising people's issues. </li></ul>
  30. 30. Hallucinations <ul><li>Are PERCEPTIONS not linked to external reality…….
  31. 31. Which is often fine except they become overwhelming OR we can't tell them from reality </li></ul>
  32. 32. Hallucinations <ul><li>V isual </li><ul><li>Dutch people </li></ul><li>A uditory </li><ul><li>Voices
  33. 33. Command Hallucinations </li></ul><li>K inaesthetic </li><ul><li>Can be very strong </li></ul><li>O lfactory </li><ul><li>Very common – faeces, semen </li></ul><li>G ustatory </li><ul><li>Who knows? </li></ul></ul>
  34. 34. DELUSIONS <ul><li>Are BELIEFS not linked to external reality…….
  35. 35. Which is often fine except some beliefs are going to get you into trouble </li></ul>
  36. 36. Commonly Held Delusions <ul><li>Other people …. </li><ul><li>Can read my mind
  37. 37. Or I can read other peoples minds
  38. 38. Are wanting to harm me
  39. 39. Are talking about me, all of them
  40. 40. People can control me </li></ul><li>With my mind, I can control the weather or other peoples actions (clouds)
  41. 41. I am responsible for things outside of my control.
  42. 42. I am a God (Satan) or chosen by God for a special purpose </li></ul>
  43. 43. Commonly Held Delusions <ul><li>I am in telepathic communication with the Queen.
  44. 44. People have done or made me do terrible things.
  45. 45. ASIO, Aliens or the FBI are stalking me. </li></ul>
  46. 46. MENTAL ILLNESS <ul><li>NOT a result of developmental delay or bad parenting…
  47. 47. Definitely NOT the mothers fault
  48. 48. No intellectual impairment associated with mental illness.
  49. 49. Genetic predisposition combined with environmental triggers like; </li><ul><li>Death of someone close, broken relationship, physical/sexual abuse, extreme stress, ill health, substance use. </li></ul><li>Biochemical / thinking imbalance
  50. 50. Symptoms may be episodic or constant </li></ul>
  51. 51. REMEMBER… A person experiencing a mental illness might: <ul><li>Appear to be dirty, unkempt or in poor health
  52. 52. Have slurred speech if heavily medicated
  53. 53. Appear to have low self-esteem
  54. 54. Be slower than normal to process thoughts or reply to questions.
  55. 55. Might have difficulty in understanding or remembering what you tell them.
  56. 56. Be angry or frightened for reasons that are not obvious. </li></ul>These are symptoms of an illness or its treatment…
  57. 57. ARAFMI Queensland Inc. Mission Statement To enhance the wellbeing of family, friends and others caring for people with mental illness and/or psychiatric disability by providing quality support, education and advocacy services.
  58. 58. How can ARAFMI help? <ul><li>A 24 hour phone support line for Carers
  59. 59. 1800#- outside the Brisbane area
  60. 60. Carer Support Groups throughout suburban and regional Queensland
  61. 61. Workshops; </li><ul><li>Coping Skills, Dual Diagnosis, Suicide Intervention, Loss & Grief, Effective Communication, Group Facilitation, Telephone Support Skills, Public Speaking, Carer Advocacy Skills, Recovery (Carer’s Journey) </li></ul></ul>
  62. 62. How can ARAFMI help?.. <ul><li>Face-to-face counseling for Carers.
  63. 63. Carer Key Worker (using Case Management Strategies).
  64. 64. Lending Library for the use of financial members.
  65. 65. Family Support programs offering respite for families.
  66. 66. Information packages. </li></ul>
  67. 67. Six points to take away with you today <ul><li>Language, a person with schizophrenia is NOT “A SCHIZOPHRENIC”
  68. 68. Serious mental illness can happen in any family, at any time.
  69. 69. Mental illness is just that – an illness, not a weakness.
  70. 70. In communicating with a person with serious mental illness, support the person, not the illness.
  71. 71. Again, on communication – keep clear, keep it honest, keep it real.
  72. 72. The potential for aggression is a human one, not related to mental illness.
  73. 73. Families are allies and resources. </li></ul>
  74. 74. <ul><li>“ It was knowing that there was that one person who loved me and supported me that helped me through.” </li></ul>
  75. 75. Thank you <ul><li>And all the best with your jobs
  76. 76. Might see you around the tracks </li></ul>ARAFMI [email_address] 3254 1881
  77. 77. Appendix 1: Biochemistry / Thoughts
  78. 78. Biochemical /behavioural Thoughts Behaviours Biochemistry
  79. 79. Biochemical /Behavioural/ Interventions Thoughts Behaviours Biochemistry Change thoughts and behaviours (CBT) Change Biochemistry (medication)
  80. 80. Depression <ul><li>Depression as a behaviour </li><ul><li>Demonstration exercise </li><ul><li>Depression </li><ul><li>Head down slow negative self talk </li></ul><li>Not Depression </li><ul><li>Head up, quicker positive self talk </li></ul></ul></ul></ul>
  81. 81. Appendix 2: Risk of violence predictors
  82. 82. Risk of violence - predictors <ul><li>Past Violence </li><ul><li>Best BUT depends on current situation </li></ul><li>Preexisting Vulnerabilities </li><ul><li>Male!, anti- social traits, suspiciousness, childhood abuse/neglect, youth, impulsiveness and irritability </li></ul><li>Social and Interpersonal factors </li><ul><li>Poor social networks, lack of education and skills, itinerant life style, poverty and homelessness, low socio-economic status, unemployment </li></ul></ul>
  83. 83. Risk of violence - predictors <ul><li>Mental Illness </li><ul><li>Schizophrenia increases risk of violence, depression rates high in people who commit homicide
  84. 84. Diagnosis does not predict violence
  85. 85. BUT resistance to treatment does predict increases in violence </li></ul><li>Substance abuse </li><ul><li>Alcohol predicts serious criminality but (McCord 2001) suggests that less evidence that alcohol predicts violence
  86. 86. Substance abuse AND mental illness increases risk </li></ul></ul>
  87. 87. Risk of violence - predictors <ul><li>State of mind </li><ul><li>Feeling (delusional or not) of anger, fear, indignation, jealousy
  88. 88. Confusion or clouding of consciousness
  89. 89. Ideas of influence, command hallucinations </li></ul><li>Situational triggers </li><ul><li>Loss, demands and expectations, confrontations
  90. 90. Availability of weapons
  91. 91. Physical illness </li></ul><li>Maybe, personality constructs </li><ul><li>Psychopathy – “callous disregard for the rights of others and a propensity for predatory behavior and violence”
  92. 92. 1% of general population, 25% of prison population
  93. 93. Social construct? </li></ul></ul>
  94. 94. Mostly from : <ul><li>Mullen, P.E. (2001). Dangerousness, risk and the prediction of probability. In M.G. Geldner, J.J. Lopez-Ibor, & N. Andreason (Eds.), New Oxford Textbook of Psychiatry London: Oxford University Press, 2066-2078. </li></ul>
  95. 95. Appendix 3 More about Arafmi
  96. 96. Arafmi Aims to…. <ul><li>Provide emotional support for family carers and friends of people who have a mental illness
  97. 97. Provide accurate information for carers and families
  98. 98. Assist carers to cope with the demands and pressures of caregiving
  99. 99. Increase community awareness and understanding of mental illness and the carers role
  100. 100. Decrease the stigma attached to mental health issues
  101. 101. Convey the needs of carers and families to health care professionals, Government and community </li></ul>
  102. 102. 24 hour telephone support for carers <ul><li>Staffed by volunteers outside of office hours – primarily carers
  103. 103. 1800 number - accessible to carers who may be isolated due to geography or caring responsibilities
  104. 104. Information and referral </li></ul>
  105. 105. Carer Support Groups <ul><li>Are held throughout Brisbane and regional Queensland
  106. 106. Peer support for carers, facilitated by volunteers who have caring experience
  107. 107. Provides a safe environment for carers to talk about their personal experience of caring. </li></ul>
  108. 108. Education and Training <ul><li>Workshops and seminars for carers </li><ul><li>Practical, interactive and respond to the needs of carers in the recovery journey
  109. 109. Held both in Brisbane and regional areas of Qld </li></ul><li>Community awareness presentations </li><ul><li>Increase knowledge and understanding within the community of mental illness and the carer’s experience
  110. 110. Decrease stigma often attached to mental illness </li></ul></ul>
  111. 111. Resources <ul><li>Handbooks and PC video CD’s
  112. 112. Lending library for members
  113. 113. Newsletter
  114. 114. Website
  115. 115. Information kits </li></ul>
  116. 116. Respite Programs <ul><li>Four programs </li><ul><li>Coolibah – Lutwyche
  117. 117. Adina – Deception Bay
  118. 118. Jerendine – Mt Gravatt
  119. 119. Karinya – Ipswich </li></ul><li>Objective </li><ul><li>To increase the viability of the family unit through providing time out
  120. 120. To increase community inclusiveness and independence for the person with a mental illness
  121. 121. To break down the isolation of the family </li></ul></ul>
  122. 122. Carer Connect Program <ul><li>Flexible support
  123. 123. Case Management model
  124. 124. Program Objectives </li><ul><li>To Maintain and enhance the viability of the caring relationship by providing support for the Carer
  125. 125. To develop individual plans and strategies to guard the social and emotional wellbeing of the Carers
  126. 126. Facilitate community links for the Carer
  127. 127. Develop community acceptance for the Carers </li></ul></ul>
  128. 128. Face to Face Counselling. <ul><li>Provided by volunteers with professional qualifications.
  129. 129. Focuses on addressing issues relating to being a carer. </li></ul>
  130. 130. Coolibah
  131. 131. Adina
  132. 132. Karinya
  133. 133. Jerendine

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