Mental Health Support Out Of Hours
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Transcript of Mental Health Support Out Of Hours
Mental Health out of hours
OUT OF HOURS AND MENTAL HEALTH
Introductions- who are you? Who are we?
What services are out there?
Where do we all fit in the chain?
Risk
Scenarios
Main players
Q&A
Conclusion
OUT OF HOURS
Overview of the different MH services
Who works out of hours?
How are services accessed?
How The Services Integrate
CMHRC
GP
Ward
Crisis Resolution
Home Treatment
Assertive Outreach
A&E Liaison & Out of
Hours service
Early Intervention
Service
Specialist Services – CBT,
Work Rehab, Psychotherapy
IAPT
Follow the yellow brick road!
Patient presents to Harmoni
Home-GP
Home-CMHT
A&E
Ambulance
Emergency duty team
Police
A Risky business!
What about RISK?
Risk: A definition
A risk is the likelihood that a hazard will cause specified harm to someone or something
Risk management is the process that involves assessing the risks that arise in your workplace and putting sensible measures in place to lower such risk
www.hse.gov.uk
Measuring risks
The Workshop session!
Identify the Risk.
How to manage the risk?
Which service do you require?
Evaluate.
THE MAIN PLAYERS
Schizophrenia
Depression
Bi Polar disorder
SCHIZOPHRENIA
How common is schizophrenia? Schizophrenia is one of the most common serious
mental health conditions. One in 100 people will experience at least one episode of acute schizophrenia during their lifetime. Men and women are equally affected by the condition.
In men who are affected by schizophrenia, the condition usually begins between 15-30 years of age. In women, schizophrenia usually occurs later, beginning between 25-30 years of age.
http://www.nhs.uk/conditions/schizophrenia/pages/introduction.aspx
SYMPTOMS OF SCHIZOPHRENIA
The symptoms of schizophrenia are usually classified into one of two categories - positive or negative.
Positive symptoms - symptoms that represent a change in behaviour or thoughts, such as hallucinations or delusions.
Negative symptoms - symptoms that represent the reduction or total lack of thoughts or functions that you would usually expect to see in a healthy person. For example, people with schizophrenia often appear emotionless, flat and apathetic.
http://www.nhs.uk/conditions/schizophrenia/pages/introduction.aspx
DEPRESSION
Depression is a serious illness. Health professionals use the words depression, depressive illness or clinical depression to refer to it. It is very different from the common experience of feeling miserable or fed up for a short period of time.
Depression is quite common, and about 15% of people will have a bout of severe depression at some point in their lives.
http://www.nhs.uk/conditions/depression/pages/introduction.aspx
SYMPTOMS
Psychological symptoms: continuous low mood or sadness, feelings of hopelessness and helplessness, low self-esteem, tearfulness, feelings of guilt, feeling irritable and intolerant of others, lack of motivation and little interest in things, difficulty making decisions, lack of enjoyment, suicidal thoughts or thoughts of harming someone else, feeling anxious or worried, and reduced sex drive. http://www.nhs.uk/conditions/depression/pages/introduction.aspx
Physical symptoms: slowed movement or speech, change in appetite or weight (usually decreased, but sometimes
increased), constipation, unexplained aches and pains, lack of energy or lack of interest in sex, changes to the menstrual cycle, and disturbed sleep patterns (for example, problems going to sleep
or waking in the early hours of the morning). http://www.nhs.uk/conditions/depression/pages/introduction.aspx
Social symptoms: not performing well at work, taking part in fewer social activities and
avoiding contact with friends, reduced hobbies and interests, and difficulties in home and family life.
http://www.nhs.uk/conditions/depression/pages/introduction.aspx
GRIEF AND DEPRESSION
Even though grief and depression share many of the same characteristics, there are important differences between them. Grief is an entirely natural response to a loss, while depression is an illness. However, sometimes, it can be hard to distinguish between feelings of grief and depression.
People who are grieving find that feelings of loss and sadness come in waves, but they are still able to enjoy things and are able to look forward to the future. However, those who are depressed have a constant feeling of sadness; they do not enjoy anything and have little sense of a positive future.
http://www.nhs.uk/conditions/depression/pages/introduction.aspx
BI POLAR DISORDER AKA MANIC DEPRESSION
The depression and mania that are associated with bipolar disorder are characterised as follows:
depression - where you feel very low, and
mania - where you feel very high; slightly less severe mania is known as hypomania.
http://www.nhs.uk/conditions/bipolar-disorder/Pages/Introduction.aspx
SYMPTOMS
Depression During a period of depression (low phase) your symptoms may include: feeling sad and hopeless, lacking in energy, difficulty concentrating and remembering things, a loss of interest in everyday activities, feelings of emptiness or worthlessness, feelings of guilt and despair, feeling pessimistic about everything, self-doubt, being delusional, having hallucinations, and disturbed, or illogical
thinking, lack of appetite, difficulty sleeping and waking up early, and suicidal thoughts. http://www.nhs.uk/conditions/bipolar-disorder/Pages/Introduction.aspx
Mania The manic (high) phase of bipolar disorder usually follows 2-4 periods of
depression and may include: feeling very happy, elated, or euphoric (overjoyed), talking very quickly, feeling full of energy, feeling full of self-importance, feeling full of ‘great’ new ideas and having ‘important’ plans, being easily distracted, being easily irritated, or agitated, being delusional, having hallucinations, and disturbed, or illogical thinking, not feeling like sleeping, not eating, and doing pleasurable things which often have disastrous consequences, such as
spending large sums of money on expensive and, sometimes, unaffordable, items.
http://www.nhs.uk/conditions/bipolar-disorder/Pages/Introduction.aspx
QUESTION TIME
CONCLUSION