Photovoice N4165


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Photovoice N4165

  1. 1. Photovoice: Mental Health Laura Booth, Michel Cormier, Terry Cormier, Margaret Doucet, Lisa Duplessis, Sabrina Legere, Lynsey MacNeil & Krista Trueman Nursing 4165 February 2010
  2. 2. <ul><li>“ People living with mental health challenges often have cognitive distortions such as black and white thinking” </li></ul><ul><li>~ Vaunna Frennette, 2010 </li></ul>
  3. 3. The Lived Experience
  4. 4. <ul><li>“ The mentally ill often feel abandoned by health care services as they fall through the ever widening gaps in service” </li></ul>
  5. 5. <ul><li>“ Mental illness and addiction are emotionally charged topics that hit close to home” </li></ul>
  6. 6. <ul><li>“ Negative attitudes and misperceptions subject people with mental illness to discrimination, rudeness and rejection” </li></ul><ul><li>~ McKee, 2009 </li></ul>
  7. 7. <ul><li>“ Uncover... Discover... Discard...” </li></ul>
  8. 8. <ul><li>Myth : </li></ul><ul><li>Addiction, like a fork in the road is a choice </li></ul>
  9. 9. <ul><li>Like waves on the ocean, the effects of mental illness have a ripple effect... </li></ul>
  10. 10. <ul><li>“ 20% of us will experience Mental illness directly the other 80% will know someone directly affected...” </li></ul>
  11. 11. <ul><li>“ ...and you know what they say about people who live in glass houses...” </li></ul>
  12. 12. <ul><li>“ ... They shouldn’t throw rocks” </li></ul><ul><li>“ Mental illness and addiction are destructive forces” </li></ul>
  13. 13. <ul><li>It could happen to you: </li></ul><ul><li>One client described losing his job as “the breaking point” and “from that point on everything started to go downhill” </li></ul>
  14. 14. <ul><li>Strong support systems are essential in healthy child development </li></ul><ul><li>“ ...the only happy memories of my father are the picnics we used to have” </li></ul>
  15. 15. <ul><li>Another client described his isolation as </li></ul><ul><li>“ standing alone, surrounded, by a world full of people” </li></ul>
  16. 16. <ul><li>“ I feel invisible in a sea of people” </li></ul>
  17. 17. <ul><li>“ I knew I was different from the other kids. So I would just isolate myself” </li></ul>
  18. 18. <ul><li>“ No support is like being alone on the ocean” </li></ul>
  19. 19. <ul><li>“ It feels like I’m spiralling deeper into isolation” </li></ul>
  20. 20. Mental health and wellbeing depends on so much...
  21. 21. <ul><li>“ Getting the right combination of medications can be a tricky balancing act” </li></ul>
  22. 22. <ul><li>One client described treatment for bipolar disorder as “taking a cocktail of pills” </li></ul>
  23. 23. <ul><li>Another stated: “I’ve had to change my sleeping patterns so that I can sleep at night. The medications make me sleepy all the time” </li></ul>
  24. 24. <ul><li>One client talked of her lost childhood due to episodes of psychosis and paranoia at the age of 10 </li></ul>
  25. 25. <ul><li>“ If I had money I could fly away somewhere” </li></ul>
  26. 26. <ul><li>... “by the time you pay your rent and buy groceries, there just isn’t much left” </li></ul>
  27. 27. <ul><li>“ I didn’t get the health care services I needed because I lived in the country” </li></ul>
  28. 28. <ul><li>“ Sometimes my depression seems overwhelming” </li></ul>
  29. 29. <ul><li>“ Some days, </li></ul><ul><li>I feel like my life is in a million pieces” </li></ul>
  30. 30. <ul><li>“ Everything in my life seems like a crisis” </li></ul>
  31. 31. <ul><li>“ Music helps me to cope when life seems overwhelming” </li></ul>
  32. 32. <ul><li>“ These are my favorite because they are so free and represent growing” </li></ul>
  33. 33. <ul><li>“ The only way to have gratitude is to live in the now, not in the past or in the future” </li></ul>
  34. 34. <ul><li>“ My journal is the only unbiased listener I know, I can say anything” </li></ul>
  35. 35. <ul><li>“ I pray a lot because it gives me hope. I even keep my prayer beads under my pillow” </li></ul>
  36. 36. <ul><li>“ There’s no speeding in the trudging zone” </li></ul>
  37. 37. <ul><li>“ Recovery and renewal is a long and winding road” </li></ul>
  38. 38. <ul><li>“ Living with a mental illness is an uphill battle” </li></ul>
  39. 39. <ul><li>“ There is no elevator, you have to take the steps” </li></ul>
  40. 40. <ul><li>The Lived Experience </li></ul>
  41. 41. The Determinants of Health
  42. 42. <ul><li>Each determinant of health ultimately impacts another and often has a domino effect on the person's life and health </li></ul>
  43. 43. <ul><li>Living with a mental health challenges affect all determinants </li></ul>
  44. 44. Income & Social Status <ul><li>“ What could I expect, I grew up being poor” </li></ul>
  45. 45. Social Support Networks <ul><li>“ Without friends and family, life is empty” </li></ul>
  46. 46. Healthy Childhood Development <ul><li>“ My dad drank and abused my mom. Social Services came and took my brothers, sisters and me and placed us in foster care” </li></ul>
  47. 47. Education <ul><li>“ I dropped out of school at 17. I left to find work”... “I wish I had never dropped out of school”... “I would like to get my GED, then maybe find a job” </li></ul>
  48. 48. Gender <ul><li>When intoxicated he had the “courage” he needed to socialize... Drinking was his way of “being outgoing around people” </li></ul>
  49. 49. Biology & Genetic Endowment <ul><li>“ Mental illness is a family affair...” as stated by one client who had 3 immediate relatives living with schizophrenia </li></ul>
  50. 50. Physical Environment <ul><li>“ What people with mental illness say they need for their recovery: a place to live and belong, with privacy, choice and control” </li></ul><ul><li>~ Mckee, 2009 </li></ul>
  51. 51. Health Services <ul><li>“ We need to be building bridges instead of walls” </li></ul><ul><li>~ McKee, 2009 </li></ul>
  52. 52. Personal Health Practices & Coping Skills <ul><li>“ Exercise helps keep the weight off. One of the side effects of my medication is weight gain. Plus I feel better when I exercise” </li></ul>
  53. 53. Culture <ul><li>“ Society often hides mental illness... People are afraid of it... Sometimes you don’t want to admit you have a problem” </li></ul>
  54. 54. Social Environment <ul><li>“ Support, especially family support is an invaluable contribution” </li></ul>
  55. 55. Employment & Working Conditions <ul><li>“ My job gives me stability and a purpose” </li></ul>
  56. 56. <ul><li>The Determinants of Health </li></ul>
  57. 57. The Principles of Primary Health Care
  58. 58. Health Promotion <ul><li>“ Sometimes it’s difficult to get the services you need” </li></ul>
  59. 59. Appropriate Technology <ul><li>“ Sometimes the most appropriate technology is simple human interaction” </li></ul>
  60. 60. Public Participation <ul><li>“ I yell, but no one is listening to my cries” </li></ul>
  61. 61. Intersectoral Collaboration <ul><li>“ Experts in the health care sector working WITH experts in education, housing, employment, immigration, etc... Collaborating.... Functioning interdependently to meet needs of ALL Canadians” </li></ul>
  62. 62. Accessibility Mental health services need to be an integrated and responsive primary health care network where “every door is the right door” ~ McKee, 2009
  63. 63. <ul><li>Principles of PHC & Gaps in Service </li></ul>
  64. 64. Parting Thoughts
  65. 65. <ul><li>“ This means eternity to me because it is never ending” </li></ul>
  66. 66. <ul><li>“ ... I know it’s a long road... </li></ul><ul><li>But ....” </li></ul>
  67. 67. <ul><li>“ ...I’m starting to get back on track, one day at a time...” </li></ul>
  68. 68. <ul><li>“ ...Someday I hope to find...” </li></ul>
  69. 69. <ul><li>“ ...Peace of Mind.” </li></ul>
  70. 70. <ul><li>“ The miserable have no other medicine, but only hope” </li></ul><ul><li>~ Shakespeare </li></ul>
  71. 71. <ul><li>Nursing Therapeutics, Interventions, Social Actions </li></ul><ul><li>& </li></ul><ul><li>Future Research </li></ul>
  72. 72.
  73. 73. The End