Unit One:
Mental Health & Mental Illness (chapter 1-17)
Mental Health
o A state of well-being in which individuals reach their own potential, cope with
normal stresses of life, work productively, & contribute to the community.
Provides capacity for rational thinking
Mental Illness
o Refers to all psychiatry disorders that have definable diagnosis.
Disorders are manifested in significant dysfunctions that relate to
developmental, biological, or physiological disturbances in mental
functioning.
Mental Health Continuum
o There is middle ground between mental health and mental illness
Risk & Protective Factors
o Individual attributes & behaviors
Individual attributes refer to the characteristics that are both inborn &
learned. Ability to respond to social cues & participate in social activities.
Biological and genetic factors can influence mental health.
Prenatal exposure to alcohol and oxygen deprivation are biologic &
genetic factors are predictors of mental health and are implicated in nearly
every psychiatric disorder,
, Resilience: the ability/capacity for people to secure resources they need to
support their well-being.
o Social & economic circumstances
Immediate social surroundings impacting personal attributes
o Environmental factors
Political and cultural considerations
Health is culturally defined
o Perceptions of mental health/illness
Mental Health vs Physical Illness
Mental refers to the brain and seemingly makes psychiatry seem
“all in the head”
Stigma: the belief that that the overall person is flawed
Biologic tests do not exist for psych disorders
Nature vs Nurture
Diathesis stress model: diathesis represents biological
predisposition and environmental stress, or trauma is the most
accepted explanation for mental illness (nature + nurture)
o Social Influences on mental healthcare
Consumer movement and mental health recovery
1979 NAMI (national alliance mental illness)
Recovery: a process of change through individual improves their
health and wellness, live a self-directed life, and strive to reach full
potential.
, Decade of the brain
1990 president bush made the public and legislators aware of the
neuroscience advances: genetic basis of embryonic and fetal neuro
development, mapping genes, brain uses small amount of
neurotransmitters, uncovering role of cytokines, refining
neuroimaging techniques, computational neuroscience
Surgeon general’s report on mental health
Published in 1999: mental health is fundamental to overall health
& there are effective treatments
Human Genome Project
1990-2003: strengthened biological and genetic explanations for
mental illnesses
President’s new freedom commission on mental health
2003 goals for a transformed mental health system in the us
6 goals: Americans understand that mental health us essential to
overall health, mental healthcare is consumer & family driven,
disparities in mental health services are eliminated, early mh
screening & referrals become common practice, excellent mh is
delivered & research accelerated, tech is used to access mental
healthcare & information
Institute of medicine
QSEN (quality and safety education for nurses)