This document discusses mental health and issues related to mental illness. It begins with definitions of mental health and outlines common mental health indicators and problems. Part 1 discusses concepts of mental health and illness. Part 2 addresses the prevalence of mental disorders globally and approaches to treatment. Part 3 examines the burdens faced by caregivers of those with mental illness, including physical, financial, time, role and emotional burdens. The document emphasizes the importance of treating both physical and mental health needs, as well as the roles of nursing and an integrated approach to care.
Psychiatric Nursing unit is one of the part of hospital operations management. It consists of Psychiatric nursing facilities, functions, procedures, layout, planning and designing, facilities and space requirements.
Unit-VIIIIntroduction about mental health M.sc II.pptxanjalatchi
Envisages provision of basic mental health care services at the community level. Objective: - To provide sustainable basic mental health services to the community and to integrate these services with other health services. Early detection and treatment of patients within the community itself.
A lecture on the impact of illness on the community; delivered to second year medicine students of the UP College of Medicine as part of the HS 2020 Biopsychosocial Dimensions of Illness course.
Effective childhood prevention of mental health problemsKristian Wahlbeck
A short overview of effective childhood interventions to prevent mental health problems and disorders in adulthood. The focus is on public mental health interventions, especially parental support and school mental health interventions. The presentation concludes that cost-effective interventions exist and that they need to be taken to scale.
Presentation in Nice, France March 6, 2018, at the European Psychiatry Association Congress
This handbook is jointly prepared by Malaysian Psychiatric Association (MPA), Malaysian Mental Health Association (MMHA) and Pfizer Malaysia, and made available at:
(https://www.myhealthmylife.com.my/)
The ICD-11 is the eleventh revision of the International Classification of Diseases. It will replace the ICD-10 as the global standard for coding health information and causes of death. The ICD is developed and annually updated by the World Health Organization
IT ABOUT THE SUBSTANCE RELATED DISORDER AND IMPULSE CONTROL NOTE THAT OUR GROUP PRESENTED. IT ABOUT DISORDER WHICH CAN BE FOUND AFTER USING DRUG. THE EFFECT OF DRUG AND THE BEHAVIOR OCCUR BY USING DRUG. WE ALSO DISCUSS ON ISLAMIC PERSPECTIVE ABOUT USING AND TAKING DRUG ILLEGALLY. HOW TO TREAT THE DRUG USER ALSO WE DISCUSS IT IN THIS SLIDE.
occupational therapy
slide prepared by G. ANUSHA
IT is the therapy which used for the psychiatric settings to treat the patient condition
it is one of the alternative therapy to treat the symptoms
it is very interesting to learn.
mostly this therapy used as diversional therapy
Psychiatric Nursing unit is one of the part of hospital operations management. It consists of Psychiatric nursing facilities, functions, procedures, layout, planning and designing, facilities and space requirements.
Unit-VIIIIntroduction about mental health M.sc II.pptxanjalatchi
Envisages provision of basic mental health care services at the community level. Objective: - To provide sustainable basic mental health services to the community and to integrate these services with other health services. Early detection and treatment of patients within the community itself.
A lecture on the impact of illness on the community; delivered to second year medicine students of the UP College of Medicine as part of the HS 2020 Biopsychosocial Dimensions of Illness course.
Effective childhood prevention of mental health problemsKristian Wahlbeck
A short overview of effective childhood interventions to prevent mental health problems and disorders in adulthood. The focus is on public mental health interventions, especially parental support and school mental health interventions. The presentation concludes that cost-effective interventions exist and that they need to be taken to scale.
Presentation in Nice, France March 6, 2018, at the European Psychiatry Association Congress
This handbook is jointly prepared by Malaysian Psychiatric Association (MPA), Malaysian Mental Health Association (MMHA) and Pfizer Malaysia, and made available at:
(https://www.myhealthmylife.com.my/)
The ICD-11 is the eleventh revision of the International Classification of Diseases. It will replace the ICD-10 as the global standard for coding health information and causes of death. The ICD is developed and annually updated by the World Health Organization
IT ABOUT THE SUBSTANCE RELATED DISORDER AND IMPULSE CONTROL NOTE THAT OUR GROUP PRESENTED. IT ABOUT DISORDER WHICH CAN BE FOUND AFTER USING DRUG. THE EFFECT OF DRUG AND THE BEHAVIOR OCCUR BY USING DRUG. WE ALSO DISCUSS ON ISLAMIC PERSPECTIVE ABOUT USING AND TAKING DRUG ILLEGALLY. HOW TO TREAT THE DRUG USER ALSO WE DISCUSS IT IN THIS SLIDE.
occupational therapy
slide prepared by G. ANUSHA
IT is the therapy which used for the psychiatric settings to treat the patient condition
it is one of the alternative therapy to treat the symptoms
it is very interesting to learn.
mostly this therapy used as diversional therapy
Classification in Psychiatry
The concept, reliability, validity, advantages and disadvantages of different classification systems, controversies in psychiatry classification
A quick overview of tips, tricks and code snippets for developers using Symfony and all its ecosystem, from Monolog to Doctrine. Learn how to become more productive and discover some rarely used options and features.
In our country plenty of legal orders interact with mental disorders in order to protect the interests of
mentally ill, society and the state.These legislations are enacted to protect the society from dangerous manifestations of mental illness. There are guidelines regarding restrain, admission and discharge, procedures of civil and criminal action with regard to mentally ill. But do these laws discuss about proper care and treatment? Are there provisions for post discharge care and rehabilitation?
Mental Health Disorder and Physical therapy
Mental Health refers to Cognitive, behavioral, and emotional well-being. It is all how people think, feel and behave.
The cornerstone of someone’s mental health is how they think, feel, and behave. Mental health specialists can help people with disorders like addiction, bipolar disorder, depression, and anxiety.
The cornerstone of someone's mental health is how they think, feel, and behave. Mental health specialists can help people with disorders like addiction, bipolar disorder, depression, and anxiety.
Mental health can have an effect on daily life, interpersonal connections, and physical health.
This connection, nevertheless, also functions the opposite way around. Personal circumstances, social ties, and physical ailments can all have an impact on mental illness. Maintaining
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
4. DEFINITION OF HEALTH
“A state of complete
(Physical, Mental & Social)
well-being”
(World Health Organization)
5. The 10 Health Indicators
1- Physical Activity.
2- Overweight and Obesity.
3- Tobacco Use.
4- Substance Abuse.
5- Responsible Sexual Behavior.
6- Mental Health.
7- Violence and Injury.
8- Environmental Quality.
9- Immunization.
10- Access to Health Care.
6. MENTAL HEALTH
The successful performance of
Mental Functions.
Resulting in Productive activities
& Fulfilling relationships.
The ability to adapt to change &
cope with stressors.
The successful adaptation to
stressors are evidenced by
7. MENTAL ILLNESS
A Clinically Syndrome, marked by
Distress, Disability, Suffering or
Loss of freedom.
Maladaptive Responses to
stressors evidenced by thoughts,
feelings & behaviors, interfere with
the individual’s physical, social or
8. Mental Health/ Mental Illness
Concept Must Be Clear
Mental Health Mental Illness
Continuum - Not Static
(Introversion → Avoidant Personality → Social Phobia
→ Schizophrenia)
9. MENTAL HEALTH
Maslow identified:
A “Hierarchy of Needs”:
Self-actualization as fulfillment of
one’s highest potential
11. Aspects of Mental Health
Emotional Intelligence:
Emotions are skills for living.
Have emotional self control.
Recognize emotions in others.
Handle relationships.
Resiliency:
Emerge and grow from negative life events.
Spirituality:
That part of us that deals with relationships, values and
addresses questions of purpose and meaning in life.
12. Common & Serious
Mental Health Problems
Common Problems:
– Depressive Disorders.
– Anxiety Disorders.
Severe & Enduring Problems:
– Schizophrenia.
– Bipolar disorder.
– Major depression.
– Dementia.
13. Problems of Mental Disorders
Lifespan vs. Health span.
Physical Burden.
Poly-Pharmacy.
Psychosocial Burden.
Biological Basis of Psychiatric Disorders.
14. Lifespan vs. Health span
Lifespan: Length of life increased.
Health span: Length of healthy life before
Disability.
Factors affecting lifespan and health span:
1. Exercise: Improves mood and
cognition.
2. Sleep pattern.
3. Eating pattern.
4. Social networks: Protective against
15. Physical Burden
Comorbid Physical Diseases:
NS, IS, CVS, RS, US & GIT.
Disability: Physical & Mental.
Side Effects: Psychotropic Drugs.
17. Physical Comorbidity
Schizophrenia:
Obesity, Hypertension & Smoking.
Hepatitis C & HIV.
Drug related Movement Disorders.
Cancer Colon.
Rheumatoid Arthritis.
Bipolar Disorder
As for schizophrenia. +
Drug Related Thyroid Diseases.
Drug Related Renal Diseases (Lithium).
Causes of Death among Mental Patients:
Cardio-Respiratory Disease & Infectious disease.
19. Psychosocial Burden
Social Isolation.
Physical & Cognitive Dysfunctions.
Loss of Social & Occupational Status.
Loss of Friends.
Lack of Adequate Health Care.
Financial Insecurity.
Death Preoccupation.
Dependency on Their Families.
21. CAUSES OF MENTAL
ILLNESS
The concept of multiple
factors in the causation of
psychogenic disorders has
become generally accepted.
The factors are considered
to involve the individual, the
family & the community.
22. Biological Basis of Psychiatric Disorders
Nerves Environment
Hormones Brain
Action
Endocrine Glands Immune System
Physiology
& Behavior
23. The Biological Basis of
Psychiatric Disorders
Brain Mind
Biopsychosocial
Model
Psychoneuro-
Medically
Immunology
Unexplained
Physical Symptoms
Body
24. Diathesis-Stress Model
Diathesis Stress
“Predisposing Causes” “Precipitating Causes”
(Hereditary Predisposition) (Situational Factors)
Bio-Psycho-Social
Approach
Disorder “Maintaining Causes”
• Emphasizes Interaction of Physical Conditions
Biological and Social Factors
Recovery
26. Quality of Life
Well-being: Physical, Psychological, Social & Spiritual.
Physical Psychological
Functional Ability Anxiety
Strength/Fatigue Depression
Sleep & Rest Enjoyment/Leisure
Nausea Pain Distress
Appetite Happiness
Constipation Fear
Pain Quality of Cognition/Attention
Social Life
Spiritual
Financial Burden
Hope
Caregiver Burden
Suffering
Roles & Relationships
Meaning of Pain
Affection
Religiosity
Sexual Function
Transcendence
Appearance
27. How Does The Public View
The Mentally Ill?
They are fearful.
There is a big stigma.
The mentally ill are labeled.
Care is rationed.
People oppose care by using laws.
The mentally ill are losers when it
comes to the budget for care.
28. What are The Costs
of Mental Illness?
Police costs.
Public health costs.
Safety costs.
Court costs.
Business costs.
Social costs.
Jail costs.
30. L1:Community (30%).
F1 : Illness behavior.
L2:Mental morbidity in primary care (25%).
F2: Ability to detect.
L3:Mental morbidity by doctors (10%).
F3: Referral.
L4:Morbidity in mental health services
(2.5%).
F4: Admission.
L5: Psychiatric inpatients (0.5%).
31. The Provider- Caregiver
Relationship
– Expectations.
– Establish & Maintain Boundaries.
– Building on Strengths.
– Sharing One’s Own Family Life.
– Reciprocal & Positive Feelings.
32. Talking with Caregivers
Be Positive.
Be Flexible.
Be a Good Observer.
Work as Partner.
Listen Actively.
Begin Where The Caregiver Is.
Ask Leading Questions.
Make Comments Thoughtfully.
Answer Personal Questions.
37. PSYCHIATRY STRATEGIES
Integration of mental health with
primary health care through
the national mental health program.
Provision of tertiary care institutions for
treatment of mental disorders.
Eradication stigmatization of mentally ill
patients.
Protecting patient rights through regulatory
institutions like the central mental health
authority.
38.
39. Numbers of People
Affected Globally
450 million people with mental disorders:
– 150 million with Depression.
– 90 million with Alcohol or Drug Use Disorder.
– 40 million with Epilepsy.
– 25 million with Schizophrenia.
– 10 million Attempt Suicide every year.
– 1 million Commit Suicide every year.
40. Did You Know?
4 of the 10 leading causes of disability are
mental disorders:
- MD, Schizophrenia, Dementia & OCD.
6% of the population suffers from Severe &
Persistent Mental Illness:
- Dementia, Schizophrenia, BAD & MD.
13 % of the population has a diagnosis of:
- Dysthymia, Panic Disorder, Phobia & Antisocial
Personality Disorder.
41. Psychiatry by Numbers
25% of the population has a mental
disorder.
15% of patients in population have
depressive illnesses.
90% of the 10 most common
complaints in psychiatric setting
have no organic basis.
50% of mental health care can be
delivered by Non-Psychiatrists.
42. Relationship Between
Psychiatry & Medicine
A- Medical Conditions that have
psychiatric symptoms.
B- Psychosomatic Disorders.
C- Medically Unexplained
Physical Symptoms.
D- Mental Disorders that may
have physical symptoms.
43. A- Medical Conditions That Have
Psychiatric Symptomatology
1- Neurological Diseases:
Brain tumors, Epilepsy, MS, Parkinsonism,...
2- Endocrine Syndromes:
Thyroid, Suprarenal, Ovaries, Pancreas,…
3- Infectious Diseases & Autoimmune Syndromes.
4- System Failures:
Renal, Hepatic, Cardiac, Respiratory,...
5- Chronic Disability:
Blindness, Deafness, Muteness, Loss of limb,...
6- Blood Diseases:
Anemia, Leukemia, Hemolytic diseases,...
44. B- Psychosomatic Disorders
The physical condition must show either
demonstrable organic pathology or a
known patho-physiologic process.
They can influence not only the cause of
the illness but can also worsen the
symptoms & affect the course of the
disorder.
Examples: Angina, Hypertension,
Bronchial asthma, Rheumatoid arthritis,
Duodenal ulcers, IBS, Eczema, Psoriasis
& Urticaria.
45. C- Medically Unexplained
Physical Symptoms
Sometimes psychological factors can cause ill
health without actually causing a disease.
As a result of unhappiness, anxiety or stress due
to personal problems, physical symptoms may
develop.
A- Somatoform disorders.
B- Factitious disorders.
C- Malingering.
49. CAREGIVERS BURDEN
Physical Burden.
Financial Burden.
Time Burden.
Role Burden.
Emotional Burden.
Others.
50. Caregiving Burden
Signs of Caregiver Burnout
1- Physical Burden:
Weight Change: Gain or Loss.
Unexplained Somatic Complaints:
(Chronic headaches, backaches or
others).
Caregiver’s Syndrome:
(Fatigue from physical strain & sleep lack ).
Osteoporosis and Arthritis.
51. Caregiving Burden
Signs of Caregiver Burnout
3- Time Burden:
Caregiving is time-consuming.
Less time for other tasks.
Activities can be stressful.
4- Role Burden:
Feelings of being pulled in different
directions.
Family responsibilities.
Pressure and tension.
52. Caregiving Burden
Signs of Caregiver Burnout
5- Emotional Burden:
Common feelings: Being overwhelmed, Anger,
Frustration, Guilt, Exhaustion, Loneliness and
Social withdrawal.
Cognitive disturbances: Lack of concentration
and finding it difficult to complete complex tasks.
Sleep disorders: Sleeplessness / stressful dream.
Anxiety: about facing another day and what the
future holds.
Depression: feeling sad and hopeless.
Adjustment disorders.
55. Conclusions
Mental disorders among patients & their
caregivers are frequent, associated with
increased medical & functional morbidity.
Attention to physical, psychological & spiritual
concerns are necessary.
Use of medication, psychotherapy or
counseling in an integrated manner results in
best outcomes.
The good physician will treat the disease but
the great physician will treat the patient.
Mental health means enhancing physical
treatment & promoting mental health.
56. Nursing Is Of
Paramount
Importance
Among Mental
Patients
Only when lower order needs have been met can we be concerned with the higher order needs. When you reach self-actualization you may exhibit the following characteristics: keen sense of reality, objective judgment, see problems in terms of challenges and solutions not just complaints and excuses, independent, socially compassionate, accepting others as they are, spontaneous and natural, creative, inventive and original. Story of Ethan and his mom- Ethan having trouble with constipation & pediatrician is not helpful. Ethan is uncomfortable & unhappy. Stresses mom out. Mom needs help but doesn’t know where to get it. If HV helps her what would happen? mom will have energy to devote to Ethan and his intervention Ethan will be more receptive because he will feel better & be healthier Mom will see professional as invested. Will trust more. Will listen more. Mom will feel better about herself because she got Ethan the help he needs. She was effective.
*Parents need to know that we care before they care what we know. Boundaries What you can do & aren’t prepared to handle If problem is beyond your expertise-REFER Professional distance is the boundary we, as the professionals, set with each family To be successful at HV we need good boundaries When we do not have appropriate professional boundaries we lose our objectivity Without objectivity we can’t use proper judgment and fully serve the families Don’t expect families to set the boundaries Building on strengths Recognize/acknowledge parent as expert on the child Sharing one’s own family life Appropriate if related to family’s life Communicates understanding & support Validates the parent’s experience/feelings Trust the power of the process of developing the relationship Relationship is dynamic, varies in nature & effect Development occurs through relationship Relationships are patterns of interaction over time All relationships involves mutuality Each person influences the other at the moment and in important ways over time Shared Delight Korfmacher Article 1190 EHS mothers from 17 sites around the US How moms rated HR correlated with how their involvement was viewed by professionals Parent-report measures tend to be positively biased…rated very highly even when qualitative reports suggest much more variability in the relationship HR should not be static, should change over time as the child matures and needs change and families and prof get to know each other more This study showed relationships went down from first (6 months) to second eval (15 months) and leveled off at third (26 months)
Communication=process by which families and professionals exchange messages that influence, facilitate and define the purposes of EI Help parents strive for realistic optimism Don’t assume you know more about the child than the parent Start with something where parents can be successful Use “door openers” which invite them to say more about the incident or their feelings. Such as “I see” “oh” “tell me more” “No kidding Speak in plain, everyday language Generalizations about parents of children with disabilities will influence your actions, so don’t label Brady Article Identifying and describing types and patterns of talk during interactions b/w 15 families of ycwd and EI prof Video-taped and then analyzed with computerized coding system What amt & type of talk are used by prof & families? Prof talked 50% of the total visit time-23% direct to families, 27% to child Families talked 44% of the time-1/2 to child, ½ to professional Considerable variability-Prof 33-70% & Family 25%-63% Professionals give info (direct) and praise (indirect) most often Families initiates (direct) and responds (indirect) most often Lots of variability here also Is there a rel. b/w amt & types of professional talk and the amt & types of family talk? Positive correlation b/w total indirect prof and total family talk (& family initiates) The more prof praised, encourages, and accepted families’ ideas the more involved families were in the ix Younger prof less likely to give info and more likely to direct families What sequential patterns of talk are most common? Older prof give info more (gave it in a f-c way) but prof give info and then tend to give more info indicating lack of ix by family. When major focus is prof giving info that wasn’t requested by families power and control in the relationship are likely not being shared. Following a family member’s expression of feelings prof tended to react to content and not to expression of feelings…tendency to rush in , offer solutions, and try to “fix” the problem Key tenet of family-centered tx is to listen actively, acknowledge, and address families concerns and needs Need to reflect feelings (a microskill in active listening) allows families to identify and clarify their concerns and accept their feelings as valid
Empathy seeing things from the other person’s perspective Respect belief in the worth of all human beings and acting on those beliefs Perseverance & resilience commitment and conviction that enable professionals to continue in the face of obstacles, set backs, and lack of progress Passion need to have a strong drive to know more regardless of current knowledge or skill. Lifelong learner! Don’t be afraid to say “I don’t know” but then find out! Don’t be guided by “traditional” expectations…won’t know until we try or let’s try another way
