Mental Health Gaps

• Mental Health


  refers to a state of well-being in which the individual realizes one's own abilities and potentials, scope adequately with the normal stresses of life
• Mental health gap


  Mental Neurological and substance use conditions account for 13% of the global burden of disease
• 70-90% 


  individuals with MNS conditions do not receive the treatment they required although effective treatment exist
• Mental Health Gap Action

  focus is to increase non- specialist care, including non specialized health care to address the unmet needs of people with priority MNS condiitons
• Mental Health Gap Priority Health Conditions

  1. Depression
  2. Psychoses
  3. Epilepsy
  4. Child and Adolescent mental and behavioral disorders
  5. Dementia
  6. Disorders due tot substance use
  7. Self Harm/ Suicide
  8. Other significant mental health complaints
• Seven Good Reasons for inegrating mental health

  1. Burden of mental disorders is great
  2. Mental and Physical Health
  3. The treatment gap for mental disorders is enormous
  4. Enhance access to mental health care
  5. Promote respect of human rights
  6. It is affordable and cost- effective
  7. Generates good health outcomes
• Depression


  • persistent depressed mood
  • Markedly interest in or pleasurable from activities that used to be interesting and pleasurable
  • Belief of worthlessness
  • Excessive guilt
  • Indecisiveness
  • Restlessness/ Agitation
  • Hopelessness
  • Suicidal Thoughts and Acts
• Prevalence of depression in people with physical disease

  with COPD: 31.37%

  with cancer: 22%

  with lung TB: 16.8%
• Psychoses


  Marked behavioral disturbances neglecting usual responsibilities related to work, school, domestic and other social responsibilities

  • Agitated, aggressive behavior
  • Fixed false belief
  • Hearing voices, seeing things that are not there
  • Lack of realization that she/he is having mental health problem
• Epilepsy


  • sudden convulsive movement or fits/ seizures
  • Stiffness, rigidity, tongue bite, incontinence of urine/ feces, injury
  • Weakness on one part of the body
• Child and Adolescent Mental and Behavior Disorder

  • Problem with development, emotion or behavior
  • Risks factor such as malnutrition, abuse and/ or neglect, frequent illness, chronic disease
  • Difficulty keeping up with peers or carrying out activity considered normal for age behavior
  • Easily distracted, disruptive in class, often getting into trouble, difficulty completing school work
  • Rule or law- breaking behavior, physical aggression at home or in school
• Dementia


  • Decline or problem with memory
  • Mood or behavior problems (irritability)
  • Loss of emotional control
• Disorder due to substance use

  • Slurred speech, sedated, erratic behavior, withdrawal features, deterioration of social functioning
  • Problems with balance, walking, coordinated movements and nystagmus
  • Anemia, low platelet count elevated mean corpuscular volume
  • Emergency presentation due to substance withdrawal, overdose or intoxication
• Self Harm/ Suicide


  • Extreme hopelessness and despair
  • Current thoughts, plan or act of suicide or history of thoughts
• RA 11036


  Philippine Mental Health Act

  • Purpose of enhancing the delivery of integrated mental health services, promoting and protecting the rights of persons utilizing psychiatric, neurologic and psychosocial services, appropriating funds therefor and for other purposes
• Mental Health Services at the communty Level

  • responsive primary mental health services shall be developed and integrated as part of the basic health services at appropriate level of care, particularly at the city, municipal and barangay level.
  • Every LGU: create a program in accordance with general guidelines set by the Philippine Council for Mental Health
  • National Government shall fund establishment, assist in operation of community-based mental health care facilities in provinces, cities and cluster of municipalities
• Quantity of Services needed

  Pyramid

  A) Self Care

  B) Informal Community Care

  C) Mental Health Service through PHC

  D) Community Mental Health Services

  E) Psychiatric Services in General Hospitals

  F) Long stay facilities and specialist services

  
• Mental Health Professional


  refers to a medical doctor, psychologist, nurse, social worker or any other appropriately- trained and qualified person with specific skills relevant to the provision of mental health services
• Persons who avail of voluntary submission provision & persons shall undergo examination for mental health conditions. if found to have mental health conditions shall be covered by the provision of this Act.
• Essential Care and PracticesPrinciples

  1. use effective communication skills
  2. Promote respect and dignity
• Essential of Mental Health Clinical Practice

  1. Assess physical Health
  2. Conduct a MNS Assessment
  3. Manage MNS condition