Integration of Services Training Series
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Transcript of Integration of Services Training Series
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Integration of Services Training Series
Mental HealthMental HealthSession 1: OverviewSession 1: Overview
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Goals
• To understand parental mental disorders and emotional/behavioral disorders in childhood
• To identify signs of mental disorders with the parents and emotional/behavioral disorders with children
• How to use professional assessments when working with families with mental disorders
• To better collaborate with mental health service providers and special education school personnel.
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Agenda
• Session 1 - 2 hrs
• Session 2 - 2 hrs
• Session 3 - 2 hrs
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Objectives
• To understand the dynamics and contextual factors associated with mental health.
• To understand mental health diagnostic symptoms and basic diagnoses.
• To learn how to conduct screening activities for mental health concerns for children and adults.
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Objectives
• To understand the factors associated with suicide.
• To understand how to use assessments and work with others to address mental health needs.
• To learn about interventions that effectively address mental health issues.
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Family Centered Practice Model
Family Centered Practice Model
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Components of Emotions
Act
• Patterns of emotional response
• Basic behavior responses
Think
• Learned responses
• Worldview
Feel
• Brain function in “primitive” area
• Neural connections and chemical responses
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Contextual View of Well-Being
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Contextual View: Adult
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DSM-IV TR Diagnostic System
• Axis I – Clinical Disorders
• Axis II – Personality Disorders or Mental Retardation
• Axis III – General Medical Conditions
• Axis IV – Psychosocial and Environmental Problems
• Axis V – Global Assessment of Functioning
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Mental Disorders Can Be Managed
• Functioning fluctuates.
• Crisis situations can be managed.
• Planning for safety is a family responsibility.
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Trauma
• Acute Trauma
• Chronic Trauma
-Rice and Groves, 2005
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Traumatic Separation from Parents
• Illness
• Child Removal
• Death
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Traumatic Separation from Parents
• Grief- loss of parent and world they know
• Loss because of a traumatic event
• Traumatic event- Rice and Groves, 2005
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Childhood Emotional/Behavioral Disorders
• 50% mental disorders begin by age 14; 75% begin by age 24.
• 6 to 8 year lag between the first symptoms and treatment.
• Symptoms worsen over time for children who have experienced abuse and neglect.
• Common diagnoses in childhood include: Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder, Post Traumatic Stress Disorder, Anxiety Disorders, and Mood/Affective Disorders.
- NIH, 2005
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Contextual View: Childhood Emotional/Behavioral Disorders
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DC:0-3R
Axis I: Primary Diagnosis
Axis II: Relationship Disorders
Axis III: Medical & Developmental Disorders and Conditions
Axis IV: Psychosocial Stressors
Axis V: Functional Emotional Levels
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Common Childhood Emotional/Behavioral Disorders
• Attention Deficit Hyperactivity Disorder
• Oppositional Defiant Disorder
• Conduct Disorder
• Anxiety Disorder
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DSM-V Changes
• Two diagnostic categories that will change in the DSM-V:
– Bipolar Disorder
• Will become Temper Dysregulation Disorder with Dysphoria (TDD)
– Asperger’s Syndrome
• Will become a part of the Austim spectrum
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Reactive Attachment Disorder
• Markedly disturbed and developmentally inappropriate ability to relate to others that begins before age 5.
• Associated with grossly pathological care.
• This disorder appears to be very uncommon.
- DSM-IV
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MH Risks Across Generations
• Genetic vulnerability and experiences.
• Genetic predispositions coupled with multi-risk = higher probability.
• Parents with long term emotional, behavioral and medical consequences from their adverse childhood experiences