This document outlines a 4-part model for screening, triaging, and treating patients based on their adverse childhood experiences (ACEs). It involves assessing patients' resiliency factors, specific ACE domains like abuse or neglect, ACEs risk level, and functional impacts. Treatment goals include supporting resilience, connecting patients to evidence-based treatments for identified ACEs, and prioritizing interventions based on risk level. Specific interventions are recommended for different ACE domains and risk levels, drawing from treatments for conditions like PTSD, depression, sleep issues, substance use, and more. The model aims to facilitate secondary and tertiary prevention of health and mental health impacts from ACEs.
Integrated Behavioral Health Care: Biopsychosocial Approach to Treatment Inte...Michael Changaris
This slide share explores the biopsychosocial determinents of health, developing an integrated care team and supporting the role of the health psychologists to be a high functionng member of the health care treatment team.
This document provides an overview of psychiatric mental health nursing. It discusses the roles of various members of the interdisciplinary treatment team, including psychiatrists, nurses, psychologists, social workers and more. It also covers topics like the history of mental illness, cultural issues, rights of patients, and psychosocial rehabilitation approaches.
Overview of international challenges faced by psychiatrists through their practice
Collaborative work of:
1-Dr Yomna Gaber Senior Registrar Psychiatrist
2- Dr Hosam Kasseb Senior Registrar Psychiatrist
3-Dr Wasem Marey Consultant Psychiatrist
Psychiatric nursing faces many challenges. These include challenges in effective care delivery due to issues like frequent patient relapse and complex symptoms, challenges associated with psychiatric nursing education like lack of clinical infrastructure and opportunities for knowledge application, and challenges to psychiatric nursing research such as ethical issues and lack of ground-level data. Stigma is also a significant social challenge to effective mental healthcare delivery. Addressing these challenges will help improve psychiatric nursing practice and the recovery of those with mental illness.
The document provides an overview of psychiatric and mental health nursing. It discusses the similarities and differences between psychiatric nursing and other fields of nursing, focusing on therapeutic relationships, interpersonal skills, and a people-centered approach in psychiatric nursing. It also outlines the knowledge, skills, career opportunities, and importance of psychiatric nursing. Psychiatric nurses work in diverse settings and play an important role as one in five people will experience a mental illness.
Patient Agency: a focus for integrated careMark Sullivan
In this presentation, I argue that patient agency is an essential goal for mental health care integrated into the primary care management of chronic disease. This model of integrated care was developed by my colleagues Wayne Katon and Jurgen Unutzer. It is now widely disseminated throughout primary care systems nationwide. But it can be implemented in many different ways, with different goals. This presentation uses the example of a patient with diabetes to argue that integrated mental health care should focus on enhancement of patient agency.
Recovery- Oriented System of Care ,Motivational Approach , in Substance Use D...احمد البحيري
This document discusses recovery-oriented treatment for substance use disorders. It defines treatment as direct medical interventions, while recovery is a sustained process of change addressing biological, psychological, social, and spiritual disturbances from addiction. Recovery aims to improve quality of life through pursuing abstinence and dealing with cravings. The document outlines motivational interviewing techniques including engaging patients, eliciting change talk, and negotiating plans for change. It emphasizes that recovery requires ongoing care beyond initial medical detoxification.
Psychiatry is a branch of medicine that deals with the diagnosis and treatment of mental disorders. It takes a holistic approach to medicine and incorporates subjects like general medicine, neurology, behavioral sciences, psychology, sociology, and anthropology. The objectives of studying psychiatry and behavioral sciences include understanding human behavior, applying psychological concepts to holistic medical practice, and utilizing a biopsychosocial model of health and illness. Students learn about topics like development across the lifespan, stress and personality, psychological factors in illness and treatment, and cultural influences on health and healthcare.
Integrated Behavioral Health Care: Biopsychosocial Approach to Treatment Inte...Michael Changaris
This slide share explores the biopsychosocial determinents of health, developing an integrated care team and supporting the role of the health psychologists to be a high functionng member of the health care treatment team.
This document provides an overview of psychiatric mental health nursing. It discusses the roles of various members of the interdisciplinary treatment team, including psychiatrists, nurses, psychologists, social workers and more. It also covers topics like the history of mental illness, cultural issues, rights of patients, and psychosocial rehabilitation approaches.
Overview of international challenges faced by psychiatrists through their practice
Collaborative work of:
1-Dr Yomna Gaber Senior Registrar Psychiatrist
2- Dr Hosam Kasseb Senior Registrar Psychiatrist
3-Dr Wasem Marey Consultant Psychiatrist
Psychiatric nursing faces many challenges. These include challenges in effective care delivery due to issues like frequent patient relapse and complex symptoms, challenges associated with psychiatric nursing education like lack of clinical infrastructure and opportunities for knowledge application, and challenges to psychiatric nursing research such as ethical issues and lack of ground-level data. Stigma is also a significant social challenge to effective mental healthcare delivery. Addressing these challenges will help improve psychiatric nursing practice and the recovery of those with mental illness.
The document provides an overview of psychiatric and mental health nursing. It discusses the similarities and differences between psychiatric nursing and other fields of nursing, focusing on therapeutic relationships, interpersonal skills, and a people-centered approach in psychiatric nursing. It also outlines the knowledge, skills, career opportunities, and importance of psychiatric nursing. Psychiatric nurses work in diverse settings and play an important role as one in five people will experience a mental illness.
Patient Agency: a focus for integrated careMark Sullivan
In this presentation, I argue that patient agency is an essential goal for mental health care integrated into the primary care management of chronic disease. This model of integrated care was developed by my colleagues Wayne Katon and Jurgen Unutzer. It is now widely disseminated throughout primary care systems nationwide. But it can be implemented in many different ways, with different goals. This presentation uses the example of a patient with diabetes to argue that integrated mental health care should focus on enhancement of patient agency.
Recovery- Oriented System of Care ,Motivational Approach , in Substance Use D...احمد البحيري
This document discusses recovery-oriented treatment for substance use disorders. It defines treatment as direct medical interventions, while recovery is a sustained process of change addressing biological, psychological, social, and spiritual disturbances from addiction. Recovery aims to improve quality of life through pursuing abstinence and dealing with cravings. The document outlines motivational interviewing techniques including engaging patients, eliciting change talk, and negotiating plans for change. It emphasizes that recovery requires ongoing care beyond initial medical detoxification.
Psychiatry is a branch of medicine that deals with the diagnosis and treatment of mental disorders. It takes a holistic approach to medicine and incorporates subjects like general medicine, neurology, behavioral sciences, psychology, sociology, and anthropology. The objectives of studying psychiatry and behavioral sciences include understanding human behavior, applying psychological concepts to holistic medical practice, and utilizing a biopsychosocial model of health and illness. Students learn about topics like development across the lifespan, stress and personality, psychological factors in illness and treatment, and cultural influences on health and healthcare.
The document provides an overview of mental health and mental illness. It defines mental health as having positive self-esteem, growth, autonomy, realistic perceptions, and environmental mastery. Mental illness is characterized by disturbances in thinking, mood, and behavior that impair functioning. The document discusses components and indicators of mental health, characteristics of mentally healthy and ill individuals, the magnitude of mental health problems in India, misconceptions about mental illness, and the roles of mental health professionals and nurses.
Consultation and liaison psychiatry meاحمد البحيري
Consultation-liaison psychiatry involves psychiatrists consulting on patients in medical settings to address intersections between physical and mental health. Issues include capacity to consent, conflicts with medical teams, and patients reporting physical symptoms due to underlying mental disorders. The consultant evaluates patients for suspected psychiatric disorders, agitation, suicidal/homicidal thoughts, and high psychiatric risk factors. Common reasons for consultations include psychiatric symptoms, lack of organic cause for symptoms, and non-compliance.
This document discusses ethics in psychiatry. It begins by defining ethics as principles of right conduct, as studied by philosophers since ancient Greece. For psychiatry, ethics provides guidelines for treating patients with respect while balancing care, consent, and clinical judgment. Informed consent is important but can be challenging in psychiatry given issues of competence, coercion, and lack of alternatives. Treatment should aim to restore function and autonomy while avoiding harm. Overall, psychiatry ethics seeks to uphold patient rights and welfare through principled, compassionate care.
New graduate nurses experience a significant "reality shock" as they transition from the student to professional role. Awareness of potential issues and development of preventative self-care strategies helps ensure a good foundation for life-long career satisfaction. This presentation explores common first-year practice struggles and provides methods to cope with stressors.
Creating an optimal healing environment through salutogenesis for yoga therapyK Raman Sethuraman
Optimal Healing Environment (OHE) is a post modern concept that aims to promote healing through positively influencing and supporting the four domains of OHE, viz, Personal, Interpersonal, Behavioral and External domains. Sense of coherence approach to wellbeing (Salutogenesis) fits in well with interpersonal and behavioral domains of OHE. Yoga therapy uses holistic approach to mind-body healing and can focus on promoting optimal healing as a complementary healthcare service to Evidence-based modern medicine in an integrative practice of holistic care.
The document discusses health psychology, which is the study of how psychological, behavioral, and cultural factors influence physical health and illness. The goals of health psychology include preventing illness, promoting good health, helping with treatment of illness, and investigating the psychological correlates of illness. Health psychologists are specially trained to help people deal with the psychological and emotional aspects of health and illness. They promote healthier lifestyles and ways to encourage people to improve their health, such as stress management programs. Health psychology provides an understanding of the connection between mind and body in health and illness.
This document summarizes a bio-psycho-social assessment of Doc Wayne, a non-profit organization that uses sports to help at-risk youth. It evaluated 53 youth participants using self-reports, computerized games, and physiological measurements. Results found improvements in emotion regulation, social cognition, and stress levels compared to controls, with larger effects for multi-season participants. While some outcomes improved quickly, others emerged more slowly. The effect sizes were consistent with individual psychotherapies. The assessment concluded that sports can serve as an effective therapeutic intervention for youth.
The document discusses the importance of hope in mental health nursing. It defines hope as a perception that something desired may happen. Hope plays a protective role for one's well-being and health. Mental health nurses aim to measure a client's level of hope and identify factors that influence hope or hopelessness. The nurse's role is to inspire hope through education, group therapy, humor, and addressing a client's spiritual needs. Assessing hope involves using scales like the Herth Hope Scale. Low levels of hope can indicate depression and risk of suicide. Stigma against mental illness can reduce hope, so nurses must work to reduce stigma's harmful effects.
This document outlines the key factors involved in psychosocial assessment for patients dealing with physical illness or injury. It discusses 8 factors that nurses should evaluate to understand a patient's likelihood of adapting well, including their social support system, recent stress levels, typical coping mechanisms, personality style, understanding of their illness, and the major psychosocial issues caused by the illness. Evaluating these factors allows nurses to predict a patient's ability to adapt and to provide stronger support to patients showing risks of poor adaptation.
Nursing care of clients with mental health disordersangeee2005
This document discusses nursing care for clients with mental health disorders. It defines characteristics of mental health and explains that mental disorders are caused by various genetic, biological, social and environmental factors. The document outlines the five-axis diagnosis system used in psychiatry and describes the role of nurses as part of a multidisciplinary treatment team. Key points covered include the stigma surrounding mental illness, its historical treatment, and advocacy efforts to support the vulnerable mentally ill population.
Proposal for Halfway House Facility: in Addiction Rehabilitationاحمد البحيري
The document proposes establishing a halfway house facility for addiction rehabilitation. It defines halfway houses as institutions that help people with disabilities or criminal backgrounds reintegrate into society by teaching independent living skills. The proposed halfway house would provide social, medical, psychiatric and educational services to support substance-dependent residents during their transition from treatment back into the community. The document outlines theoretical models for halfway houses, expected services, initial policies and procedures, staffing requirements, resident assessments, health provisions and more to guide the proposed facility's operations.
The document outlines principles and concepts of mental health nursing. It discusses 11 key principles of psychiatric care including accepting patients as they are, using self-understanding as a therapeutic tool, providing consistency, giving reassurance, modifying behavior through emotional experience, avoiding increasing patient anxiety, observing patients to understand their behavior, maintaining a professional relationship, avoiding verbal and physical force when possible, focusing care on the patient as a person rather than just symptoms, and allowing patients to initiate discussion of personal relationships. It also discusses problems that can arise in applying these principles such as nurse discomfort, lack of objectivity, and biases.
National mental health programm by Ritika SoniShimla
The National Mental Health Program (NMHP) was launched in India in 1982 to make basic mental healthcare services available and accessible to all. It aims to integrate mental health treatment into primary healthcare. The key components are treatment of mental illnesses, rehabilitation, and promotion of positive mental health. The District Mental Health Program (DMHP), launched in 1996, operationalizes the NMHP at district and sub-district levels through activities like outpatient and inpatient services, community outreach, training health personnel, and raising awareness. The NMHP also supports upgrading of central mental health institutes and mental health authorities.
The document outlines several challenges in mental health care including misconceptions about mental health nursing, a lack of clinical guidelines, challenges in providing care within psychiatric wards, and challenges related to the role of mental health nurses. Some key priorities of the Helsinki Declaration are also summarized such as fostering awareness of mental well-being and collectively tackling stigma. The document discusses scope and role challenges as mental health practice shifts from illness to wellness and deinstitutionalization occurs.
The document discusses the roles and functions of various members of the mental health team, including psychiatrists, psychiatric nurses, clinical psychologists, social workers, occupational therapists, counselors, and pharmacists. It also outlines the scope of practice for psychiatric nurses in different settings such as inpatient wards, outpatient clinics, psychotherapy units, and in the community. The functions of nurses are described for various treatment settings and include tasks such as assessment, medication management, psychotherapy, counseling, and providing education and support.
Psychiatric mental health nursing is a specialized area of nursing practice focused on promoting mental health through assessing, diagnosing, and treating behavioral problems, psychiatric disorders, and related conditions. The goals of psychiatric nursing are to promote mental health, prevent mental disorders, treat clients with mental disorders, and help restore their health. Psychiatric nurses work in a variety of clinical settings and perform activities like health promotion, screening and evaluation, case management, crisis intervention, and rehabilitation.
Functions of mental health nurse in various settin gsNursing Path
This document outlines the roles and responsibilities of psychiatric nurses in various clinical settings. Nurses provide assessments, medication management, therapies, education and support across inpatient, outpatient, emergency and community settings. Duties include ensuring safety, monitoring symptoms, assisting with treatments, counseling patients and families, and coordinating care.
This document describes models and processes in psychosomatic medicine and consultation-liaison psychiatry. It discusses different models including traditional consultation upon request and liaison psychiatry. It outlines the essential tasks of consultation-liaison psychiatrists including assessment, management planning, education, and facilitating understanding between medical teams and patients. The document also reviews the steps in a psychiatric consultation and elements of the written consultation note. Finally, it discusses different methods of integrated mental health care programs within medical settings.
SUBJECT: PSYCHOLOGY MENTAL HYGIENE AND MENTAL HEALTH.pptxvarsha surkar
MENTAL HYGIENE AND MENTAL HEALTH
SPECIFIC OBJECTIVE
1. Introduced Mental Hygiene and Mental Health
2. Define Mental Hygiene and Mental Health
3. Enlist nature of mental health
4. Discuss characteristics mentally healthy person.
5. Explain warning signs
6. Explain promotive and preventive methods of mental health strategies and service
7. Explain ego-defense mechanism and its implication
8. Discuss personal and social adjustment
9. Explain Guidance and counseling
10. Implement role of nurse to improve mental health.
Introduction
Health is often used to refer to a state of physical, mental, social and spiritual well- being of the individual. Thus, mental health is one of the components of the broad concept of health. It is concerned with an optimum level of emotional and behavioral adjustment of the individual. It is a state of maintaining harmony or balance between the needs, desires, aspirations and attitudes of the individual with respect to the prevailing conditions in the external environment.
Mental health in that How a person: looks at own’s self looks at own’s life and the others thinks, feels, and acts when faced with life's situations evaluates those challenges and problems, and explore choices. i.e. handling stress, relating to other people, and making decisions.
Definition
1. MENTAL HEALTH: The successful performance of mental function, resulting in productive activities, fulfilling relationships with other people and the ability to adapt to change and cope with adversity.
2. MENTAL HYGIENE: developing, maintaining and promoting necessary behavioral, emotional and social skills to sustain good, effective and efficient mental health.
Nature of Mental Health
1. There is nothing to be called as perfect mental health.
2. Mental health is a dynamic concept.
3. Mental health can’t be achieved without physical health.
4. Mental health can’t be achieved without physical health.
5. Mental health and efficiency are not the same thing.
6. Mental health and sociability are not the same thing.
7. Mental health differs from ethical standards/Morality.
Characteristics of a Mentally Health person
1. He knows himself such as own strength and weakness.
2. Has the ability to make adjustments.
3. Emotionally mature and stable.
4. Socially adjustable.
5. Intellectual powers are adequately developed.
6. Lives in the world of reality.
7. Courage and tolerance to face failures in his life.
8. Free from mental illness.
9. Good health habits.
10. Self-confident and optimist.
11. Has an adequate sex adjustment.
12. Healthy interest and aptitudes.
13. Well balanced life.
14. Satisfied with profession and occupation.
Warning Signs of Poor Mental Health
1. General features.
2. Bodily signs.
3. Behavioral Signs.
1. General features.
Emotionally unstable and easily upset.
Suspicious and insecure.
Self-critical.
Lack of self-confidence.
Lack of adjustment.
Frustrations and conflict.
The document discusses mental health, mental hygiene, and mental illness. It defines mental health as a state of well-being where an individual can cope with stress, be productive, and contribute to their community. Mental hygiene aims to promote and maintain good mental health through behaviors like proper nutrition, routine, recreation, and thinking. Poor mental health can lead to issues like stress, relationship problems, and mental disorders such as depression, anxiety, schizophrenia, and eating disorders. The document emphasizes the importance of mental health awareness and prevention, early intervention, and treatment of mental illness.
The document provides an overview of mental health and mental illness. It defines mental health as having positive self-esteem, growth, autonomy, realistic perceptions, and environmental mastery. Mental illness is characterized by disturbances in thinking, mood, and behavior that impair functioning. The document discusses components and indicators of mental health, characteristics of mentally healthy and ill individuals, the magnitude of mental health problems in India, misconceptions about mental illness, and the roles of mental health professionals and nurses.
Consultation and liaison psychiatry meاحمد البحيري
Consultation-liaison psychiatry involves psychiatrists consulting on patients in medical settings to address intersections between physical and mental health. Issues include capacity to consent, conflicts with medical teams, and patients reporting physical symptoms due to underlying mental disorders. The consultant evaluates patients for suspected psychiatric disorders, agitation, suicidal/homicidal thoughts, and high psychiatric risk factors. Common reasons for consultations include psychiatric symptoms, lack of organic cause for symptoms, and non-compliance.
This document discusses ethics in psychiatry. It begins by defining ethics as principles of right conduct, as studied by philosophers since ancient Greece. For psychiatry, ethics provides guidelines for treating patients with respect while balancing care, consent, and clinical judgment. Informed consent is important but can be challenging in psychiatry given issues of competence, coercion, and lack of alternatives. Treatment should aim to restore function and autonomy while avoiding harm. Overall, psychiatry ethics seeks to uphold patient rights and welfare through principled, compassionate care.
New graduate nurses experience a significant "reality shock" as they transition from the student to professional role. Awareness of potential issues and development of preventative self-care strategies helps ensure a good foundation for life-long career satisfaction. This presentation explores common first-year practice struggles and provides methods to cope with stressors.
Creating an optimal healing environment through salutogenesis for yoga therapyK Raman Sethuraman
Optimal Healing Environment (OHE) is a post modern concept that aims to promote healing through positively influencing and supporting the four domains of OHE, viz, Personal, Interpersonal, Behavioral and External domains. Sense of coherence approach to wellbeing (Salutogenesis) fits in well with interpersonal and behavioral domains of OHE. Yoga therapy uses holistic approach to mind-body healing and can focus on promoting optimal healing as a complementary healthcare service to Evidence-based modern medicine in an integrative practice of holistic care.
The document discusses health psychology, which is the study of how psychological, behavioral, and cultural factors influence physical health and illness. The goals of health psychology include preventing illness, promoting good health, helping with treatment of illness, and investigating the psychological correlates of illness. Health psychologists are specially trained to help people deal with the psychological and emotional aspects of health and illness. They promote healthier lifestyles and ways to encourage people to improve their health, such as stress management programs. Health psychology provides an understanding of the connection between mind and body in health and illness.
This document summarizes a bio-psycho-social assessment of Doc Wayne, a non-profit organization that uses sports to help at-risk youth. It evaluated 53 youth participants using self-reports, computerized games, and physiological measurements. Results found improvements in emotion regulation, social cognition, and stress levels compared to controls, with larger effects for multi-season participants. While some outcomes improved quickly, others emerged more slowly. The effect sizes were consistent with individual psychotherapies. The assessment concluded that sports can serve as an effective therapeutic intervention for youth.
The document discusses the importance of hope in mental health nursing. It defines hope as a perception that something desired may happen. Hope plays a protective role for one's well-being and health. Mental health nurses aim to measure a client's level of hope and identify factors that influence hope or hopelessness. The nurse's role is to inspire hope through education, group therapy, humor, and addressing a client's spiritual needs. Assessing hope involves using scales like the Herth Hope Scale. Low levels of hope can indicate depression and risk of suicide. Stigma against mental illness can reduce hope, so nurses must work to reduce stigma's harmful effects.
This document outlines the key factors involved in psychosocial assessment for patients dealing with physical illness or injury. It discusses 8 factors that nurses should evaluate to understand a patient's likelihood of adapting well, including their social support system, recent stress levels, typical coping mechanisms, personality style, understanding of their illness, and the major psychosocial issues caused by the illness. Evaluating these factors allows nurses to predict a patient's ability to adapt and to provide stronger support to patients showing risks of poor adaptation.
Nursing care of clients with mental health disordersangeee2005
This document discusses nursing care for clients with mental health disorders. It defines characteristics of mental health and explains that mental disorders are caused by various genetic, biological, social and environmental factors. The document outlines the five-axis diagnosis system used in psychiatry and describes the role of nurses as part of a multidisciplinary treatment team. Key points covered include the stigma surrounding mental illness, its historical treatment, and advocacy efforts to support the vulnerable mentally ill population.
Proposal for Halfway House Facility: in Addiction Rehabilitationاحمد البحيري
The document proposes establishing a halfway house facility for addiction rehabilitation. It defines halfway houses as institutions that help people with disabilities or criminal backgrounds reintegrate into society by teaching independent living skills. The proposed halfway house would provide social, medical, psychiatric and educational services to support substance-dependent residents during their transition from treatment back into the community. The document outlines theoretical models for halfway houses, expected services, initial policies and procedures, staffing requirements, resident assessments, health provisions and more to guide the proposed facility's operations.
The document outlines principles and concepts of mental health nursing. It discusses 11 key principles of psychiatric care including accepting patients as they are, using self-understanding as a therapeutic tool, providing consistency, giving reassurance, modifying behavior through emotional experience, avoiding increasing patient anxiety, observing patients to understand their behavior, maintaining a professional relationship, avoiding verbal and physical force when possible, focusing care on the patient as a person rather than just symptoms, and allowing patients to initiate discussion of personal relationships. It also discusses problems that can arise in applying these principles such as nurse discomfort, lack of objectivity, and biases.
National mental health programm by Ritika SoniShimla
The National Mental Health Program (NMHP) was launched in India in 1982 to make basic mental healthcare services available and accessible to all. It aims to integrate mental health treatment into primary healthcare. The key components are treatment of mental illnesses, rehabilitation, and promotion of positive mental health. The District Mental Health Program (DMHP), launched in 1996, operationalizes the NMHP at district and sub-district levels through activities like outpatient and inpatient services, community outreach, training health personnel, and raising awareness. The NMHP also supports upgrading of central mental health institutes and mental health authorities.
The document outlines several challenges in mental health care including misconceptions about mental health nursing, a lack of clinical guidelines, challenges in providing care within psychiatric wards, and challenges related to the role of mental health nurses. Some key priorities of the Helsinki Declaration are also summarized such as fostering awareness of mental well-being and collectively tackling stigma. The document discusses scope and role challenges as mental health practice shifts from illness to wellness and deinstitutionalization occurs.
The document discusses the roles and functions of various members of the mental health team, including psychiatrists, psychiatric nurses, clinical psychologists, social workers, occupational therapists, counselors, and pharmacists. It also outlines the scope of practice for psychiatric nurses in different settings such as inpatient wards, outpatient clinics, psychotherapy units, and in the community. The functions of nurses are described for various treatment settings and include tasks such as assessment, medication management, psychotherapy, counseling, and providing education and support.
Psychiatric mental health nursing is a specialized area of nursing practice focused on promoting mental health through assessing, diagnosing, and treating behavioral problems, psychiatric disorders, and related conditions. The goals of psychiatric nursing are to promote mental health, prevent mental disorders, treat clients with mental disorders, and help restore their health. Psychiatric nurses work in a variety of clinical settings and perform activities like health promotion, screening and evaluation, case management, crisis intervention, and rehabilitation.
Functions of mental health nurse in various settin gsNursing Path
This document outlines the roles and responsibilities of psychiatric nurses in various clinical settings. Nurses provide assessments, medication management, therapies, education and support across inpatient, outpatient, emergency and community settings. Duties include ensuring safety, monitoring symptoms, assisting with treatments, counseling patients and families, and coordinating care.
This document describes models and processes in psychosomatic medicine and consultation-liaison psychiatry. It discusses different models including traditional consultation upon request and liaison psychiatry. It outlines the essential tasks of consultation-liaison psychiatrists including assessment, management planning, education, and facilitating understanding between medical teams and patients. The document also reviews the steps in a psychiatric consultation and elements of the written consultation note. Finally, it discusses different methods of integrated mental health care programs within medical settings.
SUBJECT: PSYCHOLOGY MENTAL HYGIENE AND MENTAL HEALTH.pptxvarsha surkar
MENTAL HYGIENE AND MENTAL HEALTH
SPECIFIC OBJECTIVE
1. Introduced Mental Hygiene and Mental Health
2. Define Mental Hygiene and Mental Health
3. Enlist nature of mental health
4. Discuss characteristics mentally healthy person.
5. Explain warning signs
6. Explain promotive and preventive methods of mental health strategies and service
7. Explain ego-defense mechanism and its implication
8. Discuss personal and social adjustment
9. Explain Guidance and counseling
10. Implement role of nurse to improve mental health.
Introduction
Health is often used to refer to a state of physical, mental, social and spiritual well- being of the individual. Thus, mental health is one of the components of the broad concept of health. It is concerned with an optimum level of emotional and behavioral adjustment of the individual. It is a state of maintaining harmony or balance between the needs, desires, aspirations and attitudes of the individual with respect to the prevailing conditions in the external environment.
Mental health in that How a person: looks at own’s self looks at own’s life and the others thinks, feels, and acts when faced with life's situations evaluates those challenges and problems, and explore choices. i.e. handling stress, relating to other people, and making decisions.
Definition
1. MENTAL HEALTH: The successful performance of mental function, resulting in productive activities, fulfilling relationships with other people and the ability to adapt to change and cope with adversity.
2. MENTAL HYGIENE: developing, maintaining and promoting necessary behavioral, emotional and social skills to sustain good, effective and efficient mental health.
Nature of Mental Health
1. There is nothing to be called as perfect mental health.
2. Mental health is a dynamic concept.
3. Mental health can’t be achieved without physical health.
4. Mental health can’t be achieved without physical health.
5. Mental health and efficiency are not the same thing.
6. Mental health and sociability are not the same thing.
7. Mental health differs from ethical standards/Morality.
Characteristics of a Mentally Health person
1. He knows himself such as own strength and weakness.
2. Has the ability to make adjustments.
3. Emotionally mature and stable.
4. Socially adjustable.
5. Intellectual powers are adequately developed.
6. Lives in the world of reality.
7. Courage and tolerance to face failures in his life.
8. Free from mental illness.
9. Good health habits.
10. Self-confident and optimist.
11. Has an adequate sex adjustment.
12. Healthy interest and aptitudes.
13. Well balanced life.
14. Satisfied with profession and occupation.
Warning Signs of Poor Mental Health
1. General features.
2. Bodily signs.
3. Behavioral Signs.
1. General features.
Emotionally unstable and easily upset.
Suspicious and insecure.
Self-critical.
Lack of self-confidence.
Lack of adjustment.
Frustrations and conflict.
The document discusses mental health, mental hygiene, and mental illness. It defines mental health as a state of well-being where an individual can cope with stress, be productive, and contribute to their community. Mental hygiene aims to promote and maintain good mental health through behaviors like proper nutrition, routine, recreation, and thinking. Poor mental health can lead to issues like stress, relationship problems, and mental disorders such as depression, anxiety, schizophrenia, and eating disorders. The document emphasizes the importance of mental health awareness and prevention, early intervention, and treatment of mental illness.
This document discusses mental health and mental illness. It defines mental health according to the WHO and others. It outlines historical perspectives on mental health from ancient Greece to the modern era. It discusses current concepts in psychiatry including the DSM classification system and multi-axial assessment. It then summarizes the current state of mental health services in India, noting limited facilities especially in rural areas. Finally, it discusses future directions and challenges in psychiatric research, treatment, and facilities.
This document discusses cultural diversity in nursing practice. It states that knowledge of culture and cultural diversity is vital for nurses in meeting the needs of diverse clients. It also discusses how cultural concepts of illness, wellness, and treatment come from a cultural perspective. Cultural diversity in nursing derives from various disciplines including nursing, anthropology, sociology, and psychology. Cultural diversity refers to differences between people based on shared beliefs, norms, customs, and meanings that make up a way of life.
The document provides information on Utah's Health Education Core Standards for the strand on Mental and Emotional Health. It discusses the goal of developing students' knowledge around positive mental health. The standards focus on stress management, mental health disorders, seeking help for self and others, and facts around self-harm and suicide prevention. Key concepts covered include risk and protective factors, signs and symptoms of mental illnesses, advocating for mental health, and reducing stigma.
1. mental hygiene by S.Lakshmanan PsychologistLAKSHMANAN S
Mental hygiene aims to promote and preserve mental health through prevention, early treatment, and cure of mental illnesses. It focuses on preventive measures like developing individuals' potential, emotional maturity, personal security, and healthy relationships. Preservative measures provide knowledge of mental disorders and therapies. Curative measures suggest rehabilitation and readjustment for maladjusted or mentally ill persons. The overall goal is to help people develop essential abilities to be socially adequate and emotionally stable individuals.
Psychiatric nursing is a specialized area of nursing that employs theories of human behavior and uses self as a therapeutic tool. It includes promoting mental health as well as preventing, managing, and treating mental disorders. Key principles include accepting clients unconditionally, limiting inappropriate behaviors but not the individual, and encouraging expression of feelings in a non-judgmental environment. The multidisciplinary team includes psychiatrists, psychologists, psychiatric nurses, social workers, occupational therapists, recreation therapists, and vocational rehabilitation specialists, each with distinct roles. Psychiatric nursing involves primary, secondary, and tertiary levels of care focused on promotion and prevention, screening and treatment, and rehabilitation, respectively.
counselling psychology special areas in counselingSaalini Vellivel
This document discusses various areas of counseling psychology including counseling in medical contexts, counseling in educational settings, career counseling, and workplace counseling. It provides details on:
- The roles of psychologists in medical settings such as diagnostic testing, counseling patients, and staff support.
- Areas of counseling in medical contexts including grief counseling, counseling terminally ill patients, and pain management counseling.
- The differences between high school and college counseling and the skills required for educational counseling.
- Theories of career choice and development and the role of career counselors in helping people make career decisions.
- The benefits of workplace counseling for both employees and employers, and the basic requisites of effective employee counseling.
The document discusses the philosophy and practice of clinical outpatient therapy. It begins with a disclaimer about the purpose of improving therapy practice through a deeper understanding of methods. It then discusses the background and training of the author with various clinicians over 12 years. It also discusses training with Richard Belson in an innovative live supervision practicum employing solution-focused team therapy for chronic problems.
This document summarizes strategies that workplaces can implement to support the mental health and wellbeing of employees, with a focus on anaesthetists. It discusses how work can impact mental health and identifies anaesthetists as being at high risk of suicide. Barriers to help-seeking are outlined. The document then covers approaches workplaces can take, including promoting mental health, preventing issues, early intervention, and supporting recovery. Specific strategies are provided, like developing policies, creating supportive environments, and building resilience in employees from students to experienced practitioners. Factors for successful workplace mental health programs are also presented.
This document discusses stress, coping, and elder abuse in elderly patients. It defines stress as mental tension caused by problems, and coping as processes to overcome difficulties. Many factors can influence coping in elderly, including health, social support, and resources. Poor coping may be caused by poor health, weak social support, or lack of skills. The document also defines elder abuse and lists its main types. Elder abuse cases are often invisible, and risk factors include impaired cognition or aggressive behaviors. Comprehensive nursing assessment is needed to identify stressors, coping abilities, and potential abuse in elderly patients.
Douglas Ziedonis M.D. -
Member, RiverMend Health Scientific Advisory Board for Addiction & Psychiatry
Department of Psychiatry, University of Massachusetts Medical School & UMass Memorial Health Care
Dr. Ziedonis addresses the RiverMend Health Scientific Advisory Board on co-occurring addictions and processes to help treat them.
To watch lecture visit :http://vimeo.com/100314352
For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html
This document provides an overview of mental health and mental illness. It discusses definitions of mental health from the WHO, components and indicators of good mental health, characteristics of mentally healthy people, and risk factors for mental illness. It also covers the biological foundations of mental health including the central nervous system, neurotransmitters, and the interaction between physical and mental health problems. Major theories of psychology and development are summarized, including Freud's psychosexual stages, Erikson's psychosocial theory, Piaget's cognitive development stages, and Sullivan's interpersonal theory. Common mental disorders, their impacts, and approaches to prevention and treatment are outlined. Key figures in the field like Freud and concepts such as defense mechanisms are explained.
This document provides an overview of trauma-informed care training. It defines trauma and discusses how adverse childhood experiences (ACEs) like abuse, neglect, and household dysfunction can negatively impact health and development. The ACEs study found strong correlations between early life stressors and poor physical, mental, and social outcomes later in life. Trauma can alter brain development, especially in children and teens. Becoming trauma-informed requires understanding how trauma affects individuals and systems in order to minimize further harm and support recovery. The training discusses trauma responses, resilience factors, and practical strategies for applying trauma-informed approaches.
This document outlines content related to concepts of health, disease, illness and wellness. It discusses definitions of these terms and models of health including the health-illness continuum model and agent-host-environment model. It also addresses factors that affect health beliefs and status, such as internal factors like age and external factors like socioeconomic status. The document outlines levels of prevention as primary, secondary and tertiary. It also discusses the impact of illness on patients and families, including changes to behaviors, emotions, roles and family dynamics. Finally, it addresses the role of nurses in promoting and maintaining patient health.
dentistry APPLIED COMMUNITY HEALTH.pptxAyshaAlrawi1
This document defines health as a state of complete physical, mental and social well-being, rather than just the absence of disease. It identifies heredity, environment, lifestyle, socioeconomic conditions and access to health services as key determinants of health. Health is described as multidimensional, including physical, mental, social, spiritual, emotional and vocational dimensions. Common indicators of health are then outlined, such as mortality rates, morbidity rates, disability rates, nutritional states, and socioeconomic and environmental indicators.
This document defines counseling and outlines its key aspects. It begins by discussing how counseling has emerged since World War II in economically advanced countries as a way to help people address life problems in the absence of traditional community support systems. It then provides several definitions of counseling that emphasize assisting clients to resolve personal and social issues through a trained professional relationship. The document proceeds to discuss common counseling approaches, techniques, objectives, principles, and applications to specific conditions. It concludes that counseling is a rapidly growing part of psychiatry that helps people develop inner strengths, cope with difficulties, and solve problems through an empathetic relationship and addressing thoughts, feelings, and behaviors.
Practical approaches to doing a primary care psychiatric assessmentpsyhimanshu
This document discusses the importance of conducting psychiatric assessments in primary care settings. It notes that approximately 60% of patients with diagnosable psychiatric disorders initially seek care from primary care physicians rather than mental health professionals. However, primary care physicians often underdiagnose and undertreat mental disorders. The document advocates that primary care physicians should screen patients for common mental disorders like depression and anxiety through brief psychiatric assessments. This is important as untreated mental illness can have significant health, social, and economic impacts. The document provides guidance on effective communication skills and approaches for conducting concise yet informative psychiatric assessments in time-constrained primary care consultations.
This program is part of a comprehensive School Mental Health and High School Curriculum Guide.
Find out more about the guide by visiting:
teenmentalhealth.org
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ACEs Screening to Treatment - Integrated Primary Care and Behavioral Health Model
1. ACEs Screening and Triage
to Treatment Model
Treatment and Triage of
Health and Mental
Health Impacts of ACEs.
Secondary and Tertiary
Prevention.
2. Primary Care ACEs Treatment Response Big Picture
1. STRESS REDUCTION/
MANAGEMENT &
2. RESILIENCY
ENHANCEMENT
A
1. HEALTH
BEHAVIORS &
2. TREAMENT
ENGAGMENT
B
1. ACE SPECIFIC RISK
REDUCTION &
2. ACE SPECIFIC DISEASE
TREATMENT.
C
A + B + C = Secondary & Tertiary ACEs Prevention
STRESS & RESLIENCY HEALTH BEHAVIORS ACE SPECIFIC Tx.
3. Four Part ACEs Screening to Triage and
Treatment Model
1
2
3
4
Resiliency Factors: Assess for what helps someone survive and
thrive. Identify strengths that are resources on the path to transform
adversity.
ACE Domains: The three main ACEs domains are Neglect,
Abuse and Household Dysfunction. Develop a treatment pathway that
focuses on these three domains using existing evidenced based
treatments.
ACEs Risk Level: There is an increased risk at each level of increased
ACE score. Assessing for risk levels can help you prioritize intensity of
treatment, need for treatment and help define when watchful waiting
is the best solution.
ACEs Functional Impacts (Triangle): ACEs can manifest in three
levels 1. Social emotional and cognitive impairment; 2. Negative
health behaviors, self-care and life-functioning; 3. Disease, Disability
and Social Problems.
Support existing
resilience and develop
increased resiliency
promoting skills.
Treatment
Goal
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
Develop interventions at
primary, secondary or
tertiary prevention e.g.
change health behaviors
before they manifest as
disease.
Treatment
Goal
4. Four Part ACEs Screening to Triage and
Treatment Model
1
2
3
4
Resiliency Factors & Personal Strengths
(8 Resiliency Factors)
ACE Domains/Specific ACEs Tx.
(1. Neglect, 2. Abuse and 3. Household Dysfunction)
ACEs Risk Level
(Level I, Level II, Level III, Level IV)
ACEs Functional Impacts (Triangle)
(e.g. Social/Emotional/Cognitive Functioning,
Health Risk Behaviors, Disease & Disability)
Support existing
resilience and develop
increased resiliency
promoting skills.
Treatment
Goal
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
Develop interventions at
primary, secondary or
tertiary prevention e.g.
change health behaviors
before they manifest as
disease.
Treatment
Goal
5. Resiliency Factors and
Personal Strengths
1
Support existing
resilience and develop
increased resiliency
promoting skills.
Treatment
Goals
6. 1 Resiliency Factors and Personal
Strengths
Support existing
resilience and develop
increased resiliency
promoting skills.
Treatment
Goal
(8) Mental Health Resilience
(7) Trauma Understanding & Resilience
(6) Values, Vision & Meaning
(5) Health Behaviors & Treatment Engagement
(4) Cognitive Capacity & Problem Solving
(3) Emotional Regulation & Coping Skills
(2) Family Resiliency, Social Support & Social Skills
(1) Community, Connection, Cultural Value
BuildingCapacityand
Long-TermHealth
7. 1 Resiliency Factors and Personal
Strengths
Support existing
resilience and develop
increased resiliency
promoting skills.
Treatment
Goal
Medical Provider
Case Management &
Community Health Worker
Community
Mental Health Referral
Health Education & Nutritionist
Wrap Around Support Services
Medical Home Team
Members Community, Connection,
Cultural Empowerment
Social Support & Social Skills
Emotional Regulation & Coping Skills
Cognitive Capacity &
Problem Solving
Health Behaviors & Treatment
Engagement
Values & Meaning
Trauma Informed Resilience
Mental Health Resilience
Resiliency FactorsInterventions
ACEs Screening
Family Health & Parenting Skills
ACEs Education & Beh. ACEs
Session Menu
Community & Social Support
Enhancement
Social & Emotion Learning Emotion
Regulation Skills
Problem Solving & Cognitive Skills
Trauma Informed Understanding
and Guidance
Health Promotion Behaviors
(e.g., Exercise, Diet, Sleep)Health Psychology
Social Worker
Group Session Provider
Consult Liaison Psychiatry
8. 3 ACE Domains
Abuse: Physical, Emotional, Sexual
2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goals
9. 2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
3 ACE Domains – Abuse (Assessment)
Physical, Emotional, Sexual
Assessment Factor Specific Assessment Risk for ACE Domain
Mental Health
PTSD, Depression (Severity), Anxiety Symptoms, Impulsivity, Substance Use Disorders,
Suicide Risk/Safety Planning
Health Behaviors and
Treatment Impacts
Health Promotion Behaviors (diet, food coping); Treatment Impacting Behaviors
(Missed appointments, treatment avoidance, affect instability/aggression in treatment
relationship); Poorly managed chronic illness or illness promoting behaviors.
Sleep Sleep Disruption, Nightmares, Sleep Avoidance.
Social Support Social Isolation, Social Support, Boundaries and Limits
Learning/Cognitive
Challenges
Learning Disorders, Cog. Fx, Traumatic Brain Injury, Problem Solving, Internal & External
Locus of Control.
Family Functioning
(Adults & Children)
Parenting skills, family rhythms and organization, expressed affect/emotional
dysregulation.
10. 2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
Health Factor ACE Specific Treatment
Mental Health
1. PTSD Positive: SSRI/SNRI, Mood Stabilizer, Individual Therapy, Seeking Safety Group,
Consult Liaison Psychiatry
2. Depression Positive: SSRI/SNRI, Individual Therapy, Mood and Emotions Group,
Seeking Safety Group
3. Anxiety: SSRI/SNRI, Buspirone, Atarax, Individual Therapy, Stress and Anxiety,
AVOID BENZOs
4. MH Factors: Anger management, Mood and Emotions Group, Individual therapy, Mood
Stabilizer/SSRI.
5. Suicide Risk Present: Safety Planning, Hospitalization, Therapy Referral and Group Skills, Consult
Liaison Psychiatry. Consider referral to MH ACCESS for Psychiatry, Consider walk in apt in Miller.
Health Behaviors &
Treatment
1. Health Beh: Referral to Health Psych to develop self-care, address neg cognitions, diet, exercise,
health risks, health related grief, and treatment adherence, poor management of chronic illness.
2. Treatment Impacting: Refer to Health Psych to develop plan of care, address anxiety/avoidance
in relationship, limit setting/behavioral contract, health psych attend session.
3 ACE Domains – Abuse
ACEs Specific Treatment (Part 1)
11. 2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
3 ACE Domains – Abuse
ACEs Specific Treatment (Part 2)
Health Factor ACE Specific Treatment
Sleep
Disruption
1. Medication: Prazosin, Trazadone/Remeron, SSRI/SNRI to manage anxiety or depression
2. Health Psych/BH: CBT-I, Sleep Hygiene, Sleep Assessment,
SUDs Substance
Risk
1. SUD: Referral to Health Psych - Develop a treatment plan and connect to care; 12 Step Groups,
Outpatient, Inpatient, ACCESS Line, Medication assistance.
2. Substance Risk: Health behavior counseling addiction prevention
Social Support
1. Family Health: Family therapy, parenting skills classes, parenting behavioral health referral, CPS
report, STAND! (Family Violence)
2. Counseling/Individual: Interpersonal Therapy (evidenced based for depression), Health
Coaching: Co-dependency, boundaries and assertiveness.
12. 2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
3 ACE Domains – Neglect (Assessment)
Physical and Emotional
Assessment Factor Specific Assessment Risk for ACE Domain
Child &
Adolescence
1. Behavioral: Internalizing or externalizing behavior., conduct problems
2. Emotional Regulation: Lower affect regulation and emotional resiliency, Age
specific delays in emotional development.
3. Cog and Learning: Age specific delays in cognitive development.
Adults &
Families
1. Mental Health: Substance use disorder (SUD) and risker substance use, PTSD,
Assess for disruptions in attachment style (Avoidant, Anxious, Disorganized
attachment style), Risk of violence and aggression, Depression and Anxiety
Disorders, Suicide risk.
2. Work/Economic: Economic challenges, lower-financial literacy, lower economic
well-being
3. Health Behaviors: Sexual health challenges and risky sexual behavior, Self-neglect
behaviors and poor self-care (health care behaviors).
4. High-Risk: Risk of suicide
13. 2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
3 ACE Domains – Neglect (Part 1)
Treatments & Interventions
Health Factor ACE Specific Treatment
Mental Health
1. Children/Teens Internalizing/Externalizing Behavior: Parenting skills groups, Individual Evidenced
Based Practice (Brief Strategic Family Therapy – BSFT), EBP Internalizing Treatment – e.g.
Adolescent Coping with Stress Course; PENN Resiliency Program.
2. MH Factors: PTSD Positive (SSRI/SNRI, Mood Stabilizer, Individual Therapy, Seeking Safety Group,
Consult Liaison Psychiatry), Depression Positive (SSRI/SNRI, Individual Therapy, Mood and
Emotions Group, Seeking Safety Group), Anxiety (SSRI/SNRI, Buspirone, Atarax, Individual Therapy,
Stress and Anxiety., Seeking Safety. AVOID BENZOs), Other (Anger management, Mood and
Emotions Group, Individual therapy, Mood Stabilizer/SSRI)
3. Suicide Risk Present: Safety Planning, Hospitalization, Therapy Referral and Group Skills, Consult
Liaison Psychiatry. Consider referral to MH ACCESS for Psychiatry, Consider walk in apt in Miller.
Health Behaviors &
Treatment
1. Health Beh. & Treatment Impacting: Referral to Health Psych to develop self-care, address neg
cognitions, health related grief, and treatment adherence, poor management of chronic illness.
2. Sexual Health/Risk: Evidenced based therapy; Counseling/Health Education on Sexual Health;
Assertiveness Skills; Sex and Love Addicts Anonymous (SLAA).
14. 2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
3 ACE Domains – Neglect (Part 2)
Treatments & Interventions
Health Factor ACE Specific Treatment
Cognitive &
Emotional
Functioning
1. Cognitive/Developmental: IEP/504 Plan; Tutoring; Parenting skills cognitive delayed child;
Parental mental health; Caregiver skills; Academic testing; Cognitive testing, Treat learning
difference (ADHD/Dyslexia/Dyscalculia); Academic Enrichment.
2. Emotional Developmental Delay: Social and emotional learning curriculum; parental therapy;
family therapy; Child therapy; School readiness/emotional regulation skills; Mindfulness based
programs.
SUDs Substance
Risk
1. SUDs/Substance Risk: SBIRT Counseling about risk in use; Health Psych: develop a treatment
plan and connect to care; 12 Step Groups,
2. Other Referrals: Outpatient, In Patient, ACCESS Line, Medication assistance, Co-dependency,
boundaries and assertiveness.
Social Support
1. Family Health, Parenting Skills & Coping Promotion;
2. Anticipatory Guidance (Children/Adolescence); Increased social support.
15. 2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
3 ACE Domains – Household Dysfunction
Assessment (Parental Incarceration, Mental Health, SUD, Divorce and IPV)
Assessment Factor Specific Assessment Risk for ACE Domain
Mental Health
(Adults and Children)
PTSD, Behavioral/Conduct Problems, Substance Use Disorders, anxiety disorders,
relational/attachment challenges, ADHD), Externalization/Internalization.
Learning & Cognitive
Challenges
Assess for cognitive delays, learning disorders and their impact on school or work
functioning
Health Behaviors and
Treatment Impacts
Health care treatment avoidance dental care, T.V./internet, sugary drinks, cigarette
smoking, Using ED or urgent care not primary care, sexual health risk behaviors
High Risk ACEs
Household Disfunction:
Cholesterol, Asthma, Migraines, HIV/AIDS, Higher health complaints, eating challenges,
sleeping challenges, pain problems
Impact of Bias and Stigma
(Family and Children)
Mental health bias, bias against incarceration,.
Family Functioning
(Adults & Children)
Patterns of conflict promote disfunction and increased risk of ACEs, Parenting skills,
family rhythms and organization, expressed affect/emotional dysregulation.
16. 2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
3 ACE Domains – Household Dysfunction
Treatments & Interventions (Part 1)
Health Factor ACE Specific Treatment
Mental Health
1. PTSD Positive: SSRI/SNRI, Mood Stabilizer, Individual Therapy, Seeking Safety Group,
Consult Liaison Psychiatry
2. Depression Positive: SSRI/SNRI, Individual Therapy, Mood and Emotions Group,
Seeking Safety Group
3. Anxiety: SSRI/SNRI, Buspirone, Atarax, Individual Therapy, Stress and Anxiety., Seeking Safety.
AVOID BENZOs
4. MH Factors: Anger management, Mood and Emotions Group, Individual therapy,
Mood Stabilizer/SSRI.
5. Suicide Risk Present: Safety Planning, Hospitalization, Therapy Referral and Group Skills,
Consult Liaison Psychiatry. Consider referral to MH ACCESS for Psychiatry, Consider walk in apt
in Miller.
Health Behaviors &
Treatment
1. Health Beh: Referral to Health Psych to develop self-care, address neg cognitions, health
related grief, and treatment adherence, poor management of chronic illness.
2. Treatment Impacting: Refer to Health Psych to develop plan of care, address anxiety/avoidance
in relationship, limit setting/behavioral contract, health psych attend session.
17. 2
Connect the individual
(child/adult), family to
existing evidenced
based interventions for
Identified ACE
Treatment
Goal
3 ACE Domains – Household Dysfunction
Treatments & Interventions (Part 2)
Health Factor ACE Specific Treatment
Sleep
Disruption
1. Medication: Prazosin, Trazadone/Remeron, SSRI/SNRI to manage anxiety or depression
2. Health Psych/BH: CBT-I, Sleep Hygiene, Sleep Assessment,
SUDs Substance Risk
1. SUD: Referral to Health Psych - Develop a treatment plan and connect to care; 12 Step Groups,
Outpatient, Inpatient, ACCESS Line, Medication assistance.
2. Substance Risk: Health behavior counseling addiction prevention
Social Support
1. Services/Groups: Connect to treatment groups, 12 step programs, support groups,
church/religious, refer to health coaching to develop social support plan for trauma/chronic
illness/health behavior/health,
2. Counseling/Individual: Interpersonal Therapy (evidenced based for depression), Health
Coaching: Co-dependency, boundaries and assertiveness.
18. ACEs Risk Level & Interventions
Level I, Level II, Level III, & Level IV
3
Prioritize interventions based
on risk level e.g. treat
diabetes at an earlier stage
more aggressively.
Treatment
Goals
19. 3
ACEs Risk Level & Interventions
Level I, Level II, Level III, Level IV
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
ZONE I Low Risk
0 ACEs
ZONE II Mild Risk
1 ACEs
ZONE III Mod Risk
2 – 3 ACEs
ZONE IV High Risk
4 + ACEs
No Action
ACEs Patient Education, Promotion of Stress Management, Increase
Health Behaviors and Resiliency Factors, Screen and Treat for Illness
ACEs Patient Education, Promotion of Stress Management, Increase
Health Behaviors and Resiliency Factors, Screen and Treat for Illness,
Team Based Care, Enhanced Primary Care I, Health Promotion
Focus/Resiliency Goals, Strengthen Social Support.
ACEs Patient Education, Stress Management, Increase Health Behaviors and
Resiliency Factors, Risk Assessment, Lower Threshold Screening, More
Aggressive Treatment, Team Based Care, Enhanced Primary Care II, Health
Promotion Focus/Resiliency Goals, ACEs Focused Care
38%
22%
23%
16%
20. 3 ACEs Risk Level & Interventions
Level I, Level II, Level III, & Level IV
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
RISK ZONE CLINICAL ACTIONS ASSESSMENT AND INTERVENTION
ZONE I - 0 ACEs
Low Risk
• No actions
ZONE II - 1 ACEs
Mild Risk
• Assess presence of PTSD or other Common Mental Health, Assess treatable resilience factors, Assess and treat individual
ACEs, Children: Family support needs assessment, Adults: Health risk behaviors, problem solving and social connection,
Trauma informed clinical relational skills.
ZONE III - 2-3 ACEs
Mod. Risk
• Individual ACE specific treatment pathway referral, ACEs education and collaboration PCP with patient, Risk assessment
for suicide, CVD, Stroke, Addiction, Sexual health assessment and Health Psych referral, Addiction risk and prevention,
Psychiatry referral and medication management, Resiliency assessment and setting resiliency goals, ACEs Chronic Illness
assessment and aggressive care (including team-based care), Family support services (BH referral, Case Management,
PHN, enhanced pregnancy care), ACEs Health Psychology Menu of Health Promotion Sessions and Activities
• Zone III Enhanced Primary Care: (Lower threshold screening, more aggressive treatment)
ZONE IV – 4+ ACEs
High Risk
• Individual ACE specific treatment pathway referral, ACEs education and collaboration PCP with patient, Risk assessment
for suicide, CVD, Stroke, Addiction, Sexual health assessment and Health Psych referral, Addiction risk and prevention,
Psychiatry referral and medication management, Resiliency assessment and setting resiliency goals, Family support
services (BH referral, Case Management, PHN, enhanced pregnancy care), ACEs Health Psychology Menu of Health
Promotion Sessions and Activities (ACEs Health Ed, Resiliency Enhancement, Diet and Exercise Enhancement, Self-Care
and Stress Management for ACEs, Mental Health First Aid for ACEs, Trauma 101 Session).
• Zone IV Enhanced Primary Care: (BH Team Based Care, Lower threshold screening, more aggressive treatment).
21. 3 ACEs Risk Level & Interventions
Zone II – Provider Focused
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
Risk Level Provider ACEs Assessment Provider ACEs Interventions
ZONE II
1 ACEs
Mild Risk
22% of Patient
Population
1. Resiliency Assessment (See attached resiliency
checklist)
2. Social Functioning/Support (see attached).
3. Health Behaviors (see attached).
4. Individual ACEs Treatment: Individual ACE specific
treatment pathway referral (see attached)
5. ACE Related Assessment of High-Risk Factors: e.g.,
Risk assessment for suicide, CVD, Stroke, Addiction.
6. Mental Health: Common ACEs mental health
assessment (Anxiety, Depression and PTSD).
1. ACEs Patient Ed: PCP patient ACEs education and
collaborative goal setting.
2. Resiliency Goals: Consider setting resiliency goals.
3. BH ACEs Sessions from Menu: Referral to BH warm
handoff ACEs Session, social support assessment
and triage, other ACEs menu of treatments.
22. 3 ACEs Risk Level & Intervention
Zone II – Health Psychology
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
Risk Level Health Psych. ACEs Assessment Provider ACEs Interventions
ZONE II
1 ACEs
Mild Risk
22% of Patient
Population
1. Individual ACEs Treatment: Individual ACE specific
treatment pathway referral (see attached).
2. Behavioral Health & Resiliency Assessment: Brief
mental health and resiliency assessment (short
assessment see attached).
3. Social Support Assessment (short assessment see
attached)
1. Individual ACEs Treatment Plan: Develop
treatment plan with patient and triage pathway.
2. Behavioral Health Interventions: ACEs Health
Psychology Menu of Health Promotion Sessions
and Activities.
3. Social Support Interventions: Targeted assessed
social support intervention see list.
23. 3 ACEs Risk Level & Interventions
Zone III – Provider Focused
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
Risk Level Provider ACEs Assessment Provider ACEs Interventions
ZONE III
3-4 ACEs
High Risk
23% of Patient
Population
1. Resiliency Assessment (See attached resiliency
checklist)
2. Individual ACEs Treatment: Individual ACE specific
treatment pathway referral
3. ACE Related Assessment of High-Risk Factors: e.g.,
Risk assessment for suicide, CVD, Stroke, Addiction)
4. Health Behaviors: Health promoting behaviors
assessment (see attached)
5. Mental Health: Common mental health assessment
(Anxiety, Depression and PTSD).
6. Social Functioning/Support (High impact targets):
Family functioning and conflict, Loneliness &
engagement, Access to time of need social network
support, Emotional support, Communication and
1. ACEs Patient Ed: PCP patient ACEs education and
collaborative goal setting.
2. Resiliency Goals: Setting resiliency goals.
3. Enhanced primary care (Zone III): BH Team Based
Care activated, consider case management or other
services for support, lower threshold screening
common health conditions, more aggressive/early
treatment treatment for common associated ACEs
health conditions).
4. BH ACEs Sessions from Menu: Referral to BH warm
handoff ACEs Session, social support assessment
and triage, other ACEs menu of treatments.
24. 3 ACEs Risk Level & Intervention
Zone III – Health Psychology
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
Risk Level Health Psych. ACEs Assessment Provider ACEs Interventions
ZONE III
3-4 ACEs
High Risk
23% of Patient
Population
1. Individual ACEs Treatment: Individual ACE specific
treatment pathway referral
2. Behavioral Health Assessment: 1. Common mental
health condition; 2. Health behaviors assessment;
3. Sexual health assessment; 4. Addiction risk,
treatment and prevention; 5. Sleep; 6. Exercise and
health; 7. Resiliency assessment.
3. Social Support Assessment: Family functioning and
conflict, Loneliness risk assessment, time of need
social network support assessment, Emotional
support assessment, Communication skills and
conflict management.
1. Individual ACEs Treatment Plan: Develop
treatment plan with patient and triage pathway.
2. Behavioral Health Interventions: ACEs Health
Psychology Menu of Health Promotion Sessions
and Activities (e.g. ACEs Health Ed; Resiliency
enhancement session; Diet and exercise
enhancement; Self-Care and stress management
for ACE; Mental health first aid for ACEs; Trauma
101 session for self-care and treatment).
3. Social Support Interventions: Family support
services; Family therapy; BH referral individual
treatment (see attached referrals list); BH group
treatment (see attached referrals list); Case
Management (PHN, CCHS, Medical Social Work);
Enhanced pregnancy care, Couples communicate
and conflict skills class).
25. 3 ACEs Risk Level & Intervention
Zone IV – Provider Focused
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
Risk Level Provider ACEs Assessment Provider ACEs Interventions
ZONE IV
4+ ACEs
High Risk
16% of Patient
Population
1. Resiliency Assessment (See attached resiliency
checklist)
2. Individual ACEs Treatment: Individual ACE specific
treatment pathway referral
3. ACE Related Assessment of High-Risk Factors: e.g.,
Risk assessment for suicide, CVD, Stroke, Addiction)
4. Sexual health assessment (see attached)
5. Health Behaviors: Health promoting behaviors
assessment (see attached)
6. Mental Health: Common mental health assessment
(Anxiety, Depression and PTSD).
7. Social Functioning/Support (High impact targets):
Family functioning and conflict,
Loneliness/engagement, Access to time of need social
network support, Emotional support, Communication
and conflict skills.
1. ACEs Patient Ed: PCP patient ACEs education and
collaborative goal setting.
2. Resiliency Goals: Setting resiliency goals.
3. Addiction Treatment/ACEs Addiction Risk
4. Enhanced primary care (Zone IV): BH Team Based
Care activated, consider case management or other
services for support, lower threshold screening
common health conditions, more aggressive/early
treatment treatment for common associated ACEs
health conditions).
5. BH ACEs Sessions from Menu: Referral to BH warm
handoff ACEs Session, social support assessment
and triage, other ACEs menu of treatments.
26. 3 ACEs Risk Level & Intervention
Zone VI – Health Psychology
Prioritize interventions
based on risk level e.g.
treat diabetes at an
earlier stage more
aggressively.
Treatment
Goal
Risk Level Health Psych. ACEs Assessment Provider ACEs Interventions
ZONE IV
4+ ACEs
High Risk
16% of Patient
Population
1. Individual ACEs Treatment: Individual ACE specific
treatment pathway referral
2. Behavioral Health Assessment: 1. Common mental
health condition; 2. Health behaviors assessment;
3. Sexual health assessment; 4. Addiction risk,
treatment and prevention; 5. Sleep; 6. Exercise and
health; 7. Resiliency assessment.
3. Social Support Assessment: Family functioning and
conflict, Loneliness risk assessment, time of need
social network support assessment, Emotional
support assessment, Communication skills and
conflict management.
1. Individual ACEs Treatment Plan: Develop
treatment plan with patient and triage pathway.
2. Behavioral Health Interventions: ACEs Health
Psychology Menu of Health Promotion Sessions
and Activities (e.g. ACEs Health Ed; Resiliency
enhancement session; Diet and exercise
enhancement; Self-Care and stress management
for ACE; Mental health first aid for ACEs; Trauma
101 session for self-care and treatment).
3. Social Support Interventions: Family support
services; Family therapy; BH referral individual
treatment (see attached referrals list); BH group
treatment (see attached referrals list); Case
Management (PHN, CCHS, Medical Social Work);
Enhanced pregnancy care, Couples communicate
and conflict skills class).
27. ACEs Functional Impacts
1. Social/Emotional/Cognitive; 2. Health Risk Behaviors;
3. Disease and Disability
4
Develop interventions at
primary, secondary or tertiary
prevention e.g. change health
behaviors before they
manifest as disease.
Treatment
Goals
28. 4
ACEs Functional Impacts (Triangle)
1. Social/Emotional/Cognitive; 2. Health Risk Behaviors; 3. Disease
and Disability
Develop interventions at
primary, secondary or
tertiary prevention e.g.
change health behaviors
before they manifest as
disease.
Treatment
Goal
Level 1 – Interventions: Generational/Historical Trauma
Level 2 – Interventions: Social Location/ Local Context
Level 3 – Interventions: ACEs Prevention, Screening, Tx.
Level 4 – Interventions: Neuro. Cognitive Dev. Support
Level 5 – Interventions: Social, Emotional and Cog.
Level 6 – Interventions: Reduction of Health Risk Beh.
Level 7 – Interventions: Disease, Disability, & Social Prob.
2
1
3
4
5
6
7
29. 4
ACEs Functional Impacts (Triangle)
1. Social/Emotional/Cognitive; 2. Health Risk Behaviors; 3. Disease
and Disability
Develop interventions at
primary, secondary or
tertiary prevention e.g.
change health behaviors
before they manifest as
disease.
Treatment
Goal
Level I
Level II
Level III
Level IV
Level V
Level VI
Level VII
Generational Trauma – As a field we are still developing ways to address… Some current indications are therapy that
promotes cultural identity validation and empowerment, psychological skills development, social support and culturally
responsive treatment systems.
Social Location/Cultural Trauma: Increased level of care, support services and culturally validating treatments, increased social
support, addressing impact of racism or bias related stress. Developing culturally responsive systems.
ACEs: ACEs Prevention, Screening, Resiliency Promotion programs, ACEs specific treatment interventions (see
attached).
Neuro. Cog. Development: Family support/Family Therapy, Health Coach ACEs Session, Address family mental
health and risk factors, family resiliency and parenting support, Addressing mental health impacts on learning.
Emotional, Cog, Social Fxn. – Social and emotional learning programs for children and families, Referral to
individual or family therapy, family communication classes, Emotional skills groups, family resiliency programs.
Health Risk/Resiliency Beh. – Health Risk Behaviors and Health Literacy, Resiliency Promotion, Addressing
Mental Health Diagnosis and Trauma/Depression.
Chronic Illness and Disease Management – Enhanced Primary Care I or & (risk based), Increased screening,
education on ACEs resiliency and chronic illness, collaborative treatment team.
32. ACEs PCP and BH
Initial Appointments
Screening and Building Resilience
33. PCP ACEs & Toxic
Stress Initial
Session
(7 Min ACEs Apt.)
• Motivational Interviewing:
• Use Motivational Interviewing (MI) ASK-EVOKE-ASK to
open discussion on ACEs and Toxic Stress.
• Provide basic education on ACEs, Resilience & Health
• Offer Warm H/O to BH: Recommend warm H/O to BH
provider for ACEs health session (Same Day Apt or
Scheduled Consult for Follow Up).
• Aces Plan Development
• Talking Points: “I am very grateful to know you better
and to see how you were able to make it through these
profound difficulties. While we can’t do it all today, let’s
start to make a plan to help you live your best life. Talking
about these things is an important first step. Overtime
let’s develop a plan to support your long-term health.
Let’s create a plan to support you to heal.”
• Plan Components: 1. Stress Reduction & Resilience, 2.
Action and health empowerment, 3. Help you get the
right professionals to treat and conditions related to ACEs
(Discuss appropriate conditions).
34. Behavioral Health Provider Same
Day Warm Handoff 30 Min
ACEs Appointment
Behavioral Health Provider Same
Day Introduction to BH provider
with Scheduled Consult for
Follow Up with Provider in
> 1 Month. 30 Min ACEs
Appointment
Behavioral Health ACEs Initial Consult Appointment
PCP Referral - Option 2PCP Referral - Option 1
35. BHC ACEs &
Toxic Stress
30 Min
Warm Handoff
Consult Session
or Scheduled
Consult
5 Min Use Motivational Interviewing
ASK-EVOKE-ASK to open
discussion on ACEs and Toxic Stress.
5 Min Provide Basic Psychoeducation on
ACEs, Toxic Stress, Resilience and
Empowerment for Health.
10 Min Explore impact of ACEs and identify
strengths that patients had to
survive difficulty.
10 Min Review and Discuss Basic 3 Part
Model of ACEs Health Promotions
and using MI Skills develop ACEs Tx.
and Resiliency Plan.
1. Review ACEs Session and Intervention Menu.
2. Develop Referral Plan and ACEs Goals
3. Offer ACEs Information Packet (Patient Ed,
Online Videos, Self-Care Apps List and Support
Services)
37. ACEs Clinical
Tools In
Development
• ACEs Menu of Services (Guiding Values –
1. Simple and clear, 2. Beautiful and Intuitive, 3.
Easy connection to services, 4. Promotes
discussion with providers).
• Social functioning checklist
• Resiliency checklist
• Health behaviors checklist
• ACEs Patient Information Packet
• ACEs Focused Sessions: Family Health, Couples
Communication, Resiliency Planning, Stress
Reduction and Skills, Building Health Actions
Plan.
• ACEs Referral List and ACEs Tare Sheet
38. Enhanced
Primary Care I
(Zone III)
Definition
• BH Team Based Care activated and referral for assessment
and ACEs screening
• Development of common BH and PCP ACEs goals
• Strengthening families and communities approach (Five
Protective Factors).
• Lower threshold screening common health conditions &
More aggressive/early treatment treatment for common
associated ACEs health conditions
• ACE Based Team Communication Strategies I - Used for
Collaborative Care
• Three Part ACEs Plan developed with BH sent through
inbasket to provider.
• Provider developed plan for ACEs inbasked to BH
team member.
• Follow up upon ACEs session by BHP and discuss
patient ACE three-part plan with primary BH provider
and document plan.
• ACE based follow up call by BH provider to assess
access to care at one month, 6 months and 1 year.
39. Enhanced
Primary Care II
(Zone IV)
Definition
• BH Team Based Care activated and referral for assessment and ACEs
screening
• Development of common BH and PCP ACEs goals
• Strengthening families & communities approach (Five Protective Factors).
• Connection with Health Leads & Consider referral to case management,
wrap around services, or medical social worker for ACE based navigation.
• Lower threshold screening common health conditions. More
aggressive/early treatment treatment for common associated ACEs health
conditions
• ACE Based Team Communication Strategies II – Medical Home Plan
• ACE care team defined and including patient identified referrals.
• Menu Selection and plan documented by PCP and BH.
• ACE risk mitigation Plan (3 Parts) developed
• Increased support for care continuity and support to access services
(Care Management, Case Management and BH Tracking)
• Follow up upon ACEs session by BHP and discuss patient ACE three-
part plan with primary BH provider and team. Discuss coordinated
clinical interventions.
• ACE based follow up call by BH provider to assess access to care at
one month, 6 months & 1 yr.
41. Referral & Triage
Pathway Adult
PRIMARY CARE
(Referral/Actions)
• Assess High-Risk Health and Mental Health Factors e.g. Suicide, HTN, Stroke
• Medication management of MH symptoms e.g. SSRI/SNRI, Mood Stabilizer,
Neuroleptic, Consult Liaison Psychiatry
• Warm Handoff to BH ACEs Session Provider or Scheduled BH ACEs Consult.
• Develop resiliency plan and stress management plan
• Develop ACEs pathway
• Develop Health Behaviors Plan to Address Adherence/Utilization
Challenges
• Universal Behavioral Health Referral Queue for ACCESS Assessment
• If Addiction present
• If MH Dx Present
• If ACE Domaine associated with trauma or depression present
• Staying Health Assessment Review and Referral
• If gaps in positive health behaviors or risks are present refer for Warm
Handoff or Scheduled Consult with BH for health behavior and resiliency
planning session
• If diet challenges exist consider wellness focused referral to nutritionist
• If sleep problems exist consider referral to BH for sleep skills, CBT-I or CBT-I
App first line and second line medication management for short-term.
• (In development) Enhanced Primary Care (Level I & II) Aggressively screen &
Chronic Illnesses Tx.
• (In development) Give ACEs Referral and Information Sheet as well as ACEs
menu of services.
42. Referral & Triage
Pathway
Adolescents and
Children
PRIMARY CARE
(Referral/Actions)
• Assess High-Risk Health and Mental Health Factors e.g. Suicide, abuse
• Mobile Crisis support, safety planning, crisis line referral, abuse services and safety for IPV victims, when
appropriate CPS report and crisis childcare.
• 211 Crisis line and access to crisis care; national hotline 1 (800) 273.8255; Crisis Nursery (925) 566.8050 ages
0-5; Dahlstrom House (925) 685.3695 ages 6-11; Safe Families (925) 566.8050 ages 0-18.
• Warm Handoff to Child Trained BH ACEs Session Provider or Scheduled BH ACEs Consult.
• ACEs child and family appointment – parent skills, child skills and consider mayo clinic Road to Resilience:
Raising Healthy Kids Game introduction and session.
• Develop family focused ACEs plan (see family pathways) e.g. in appointment review needed referrals for
housing parenting support, food and other SDOH and use 211 to develop a plan with family.
• Develop ACEs pathway: Develop resiliency plan and stress management plan, Develop Health Behaviors Plan
to Address Adherence/Utilization Challenges.
• Referral to child and family therapy developed e.g. Contra Costa BH Universal Queue; Familias Unidas
1.510.412.5930, A Step Forward (925) 685-9670; Center for Human Development (925) 687-8844; Child and
Family Therapy – ECMHP (510) 412-9200; Community Health for Asian Americans (CHAA) – Richmond; West
Contra Costa Family Justice Center (510) 412-9200; Wraparound Support – ECMHP (510) 412-9200
• Universal Behavioral Health Referral Queue for ACCESS Assessment
• If Addiction present
• If MH Dx Present
• If ACE Domaine associated with trauma or depression present
• Staying Health Assessment Review and Referral
• If gaps in positive health behaviors or risks are present refer for Warm Handoff or Scheduled Consult with BH
for health behavior and resiliency planning session
• If diet challenges exist consider wellness focused referral to nutritionist for child and family
• If sleep problems exist consider referral to BH for sleep skills and child and family sleep improvement (Infant
& Parent, Child and Parent, Teen Sleep and Family Skills)
• Medication management of MH symptoms if appropriate (Consider Counseling or Therapy as First Line) e.g.
Consider ACEs informed attention treatment for children with high ACEs and ADHD, Consult Liaison Psychiatry to
Support Medication Management.
• (In dev.) Enhanced Primary Care (Level I & II) Early screening & Active Early Chronic Illnesses Tx.
• (In dev.) Give ACEs Referral and Information Sheet as well as ACEs menu of services.
43. Referral & Triage Pathway Families
• Medication management of MH symptoms – Warm Handoff to BH for medication education for
family and mental health management skills for family.
• Warm Handoff to BH ACEs Session Provider/Scheduled BH ACEs Consult (Service & Referrals).
• ACEs Menu: (1) Family resiliency session, (2) Couples communication skills, (3) Family
education on medication and mental health treatment.
• Parenting Skills: CRISIS CHILD CARE Services, West County First 5, Second Nature Behavioral
Health, Primeros Nuestros Niños, C.O.P.E. Family Support Center,
• Abuse Hx or Current: Stand! (If hx of abuse of abuse is present): 1-888-215-5555
• Therapy: Brighter Beginnings - Family Health Clinic, Contra Costa Crisis Center, Familias
Unidas Counseling, Family Advocate Mental Health, The Hume Center
• Medication Management: George Miller Center
• MH Family Support: National Alliance for the Mentally Ill (NAMI), Autism – (1) Second
Nature Behavioral Health, (2) Regional Center, BH family education session related to
managing mental health.
• Universal Behavioral Health Referral Queue for ACCESS Assessment
• If Addiction present (e.g. SUD and pregnancy Ujima West)
• If MH Dx Present
• If ACE Domaine associated with trauma or depression present
• Staying Health Assessment Review and Referral: Family health ed. & family health behaviors
• (In development) Give ACEs Referral and Information Sheet; as well as ACEs menu of services.
44. ACEs Menu of Evidenced
Based Behavioral
Appointments
45. Menu of Integrated ACEs Focused Primary
Care Behavioral Health Sessions
• ACEs Empowerment 101: “Taking Back My Power from Adversity” For Adults,
Adolescents, Children and/or Families. In this one-on-one or family appointment
you will learn about ACEs, develop a personalized ACEs recovery pathway, and
develop some basic skills for reduced stress.
• ACEs Resiliency Map: “Making Map to Your Health and Best Life” For Adults,
Adolescents, Children and/or Families. In this appointment you will learn about
your body’s innate ability to bounce back
from stress, to heal and how you can help it!
• ACEs Stress Busting: “The Key to Health and Inner Power” For Adults,
Adolescents, Children and/or Families. You will work with your health coach to
develop a stress management plan, tools
that can help you thrive and pick support services that can help your take this to
the next level.
46. Menu of Integrated ACEs Focused Primary
Care Behavioral Health Sessions
• ACEs Communication for Couples or Families: “Thrive together in any weather” For
Parents/Caregivers, Couples, Families. Learn tools to reduce family and or conflict in
your couple, communicate from your
heart and make the home a sanctuary. In this monthly group you will learn tools
based in research to help your family or couple thrive.
• ACEs Health Action Plan: “Your Health is Your Wealth” For Adults, Adolescents, Children
and Families. ACEs and just life in general make it difficult to live your own health vision.
But with the right support and help you can make your best health.
• Individual ACEs Health and Behavior Sessions or ACEs Health and Behavior Attachment
Based Skills Groups. For Adults, Adolescents, Children and Families. Individual and
group health coaching sessions can help you reach your health goals, heal trauma, fight
depression and address overwhelm. Sometimes you just need some support from
someone who understands. ACEs can lead to trauma, depression and overwhelm.
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