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Reply Depression and Other Mental Health Issues Subforum
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Nikolita
Captain

PostPosted: Mon Jul 26, 2010 10:22 pm


This sticky contains information about Psychosis, Seasonal Affective Disorder (SAD), Depression, Post-Partum Depression, and several pamphlets relating to mental illness.

** Please note: the pamphlets in Posts 5 - 14 are applicable to BC, Canada ONLY.


~

Table of Contents:

- Post 1: Introduction <--- You are here.
- Post 2: Psychosis Sucks [pamphlet]
- Post 3: Seasonal Affective Disorder [pamphlet]
- Post 4: Emotional Health: Taking Control of Depression [pamphlet]
- Post 5: Major Mental Illnesses: Signs and Symptoms [pamphlet]
- Post 6: Your Rights as a Person With Mental Illness [pamphlet]
- Post 7: Understanding and Coping With Mental Illness For Family and Friends [pamphlet]
- Post 8: What is Happening to Me?: Answers to My Questions About My Journey With a Mental Illness [pamphlet]
- Post 9: What Is Happening to My Loved One?: Answers to Questions About the Journey of Mental Illness [pamphlet]
- Post 10: Roles of Mental Health Professionals [pamphlet]
- Post 11: Planning Your Recovery [pamphlet]
- Post 12: Asking Questions, Questions to Ask: Preparing and Meeting With Your Mental Health Care Professionals [pamphlet]
- Post 13: Hospital Discharge Information for Persons With Mental Illness [pamphlet]
- Post 14: After Hospital Discharge: On to Recovery For People With Mental Illness [pamphlet]
- Post 15: Psychologists and You: Talk to Someone Who Can Help [pamphlet]
- Post 16: Getting Help: When and How [pamphlet]
- Post 17: Post-Partum Support Program [pamphlet]
- Post 18: Reserved.
PostPosted: Mon Jul 26, 2010 11:11 pm


Psychosis Sucks [pamphlet] (Canadian)


Psychosis is treatable... Recovery is expected.


What is Psychosis?

The word "psychosis" is used to describe conditions that affect the mind, in which there has been some loss of contact with reality. It affects thoughts, feelings and behaviours. Hallucinations, delusions (false beliefs), paranoia and disorganized thoughts and speech are symptoms of psychosis. These symptoms can seem so real that the person may not realize that they are experiencing psychosis.

Approximately 3& of people will experience a psychotic episode at some stage in their life, although a first episode usually occurs in adolescence or early adult life. Psychosis occurs across all cultures and levels of socioeconomic status, and affects males and females equally. There are multiple causes of psychosis, which can include inherited or acquired medical conditions, substance abuse or withdrawal, or exposure to severe stress.

The experience of psychosis varies greatly from person to person, and individuals experiencing psychosis may have very different symptoms.


What is EPI?

EPI stands for "Early Psychosis Intervention."

The EPI program is aimed at enhancing the recognition of early signs and symptoms of psychosis so that effective treatment can be started as soon as possible.

The objective is to improve services to young persons who are in the early stages of psychosis. The program bridges youth and adult mental health services, as well as the hospital and community.


Who Can Be Referred to EPI?

The program offers services for persons age 13 to 30 years who:

- Have a suspected psychosis.
- Are experiencing their first psychotic episode.
- Have a family history of psychotic disorder and are experiencing a recent deterioration in their ability to function.
- Drug use does not disqualify from referral, if in combination with the above criteria.


Who Can Make the Referral?

- A person can enter the EPI program either from the community or hospital. A self-referral and/or direct referral can be made by General Practitioners, Mental Health Professionals, Counsellors, Social Workers and Family Members.


How is the Referral Made?

Initial contact is made by telephone to the EPI Intake Clinician, who will assess the situation and provide supportive counselling, education and outreach. The information obtained by the Intake Clinician helps to determine whether the referral fits into the EPI Program, and what other services may be needed.


What Does EPI Provide?

The PEI Program offers clinical services intented to promote wellness, reduce socially isolating behaviour, and restore previous levels of functioning.

EPI Clinicians and Psychiatrists work at every Youth and Adult COmmunity Mental Health Centre. EPI Clinicians provide and co-ordinate all aspects of treatment, counselling, education, case management, support and referrals to other conjunct services located in the community.

EPI Psychiatrists offer assessment and medical treatment.

Group sessions may be help in various locations facilitated by group therapists. Groups provide an opportunity to meet with others in a safe environment who have been through similar experiences. Groups offer education about psychosis through videos, presentations, written material and discussion.

Education and Training Workshops on early psychosis identification and intervention are an ongoing part of the EPI Program that are offered to professionals and community agencies.


Early Intervention is Prevention

- Early intervention is key to a successful recovery.
- Treatment is most effective when it is started early.
- For many, the first episode is also the last.

Don't be afraid to ask for help, for yourself, or for someone you know. If you've noticed some unusual changes in thinking or behaviour, social isolation, and/or feelings of suspiciousness, depression or anxiety, contact the Fraser East (Abbotsford, Chilliwack, Mission, Agassiz and Hope) EPI Program.



www.psychosissucks.ca
1-866-870-7847


~

The information in this pamphlet is from Fraser Health and the BC Ministry of Children and Family Development (MCFD). I do not claim to own any of this information, nor am I trying to profit from it.

Nikolita
Captain


Nikolita
Captain

PostPosted: Tue Jul 27, 2010 9:33 am


Seasonal Affective Disorder (SAD) [pamphlet] (Canadian)


Weather often affects people's moods. Sunlight breaking through clouds can lift our spirits, while a dull, rainy day may make us feel a little gloomy. While noticable, these shifts in mood generally do not affect our ability to cope with daily life. Some people, however, are vulnerable to a type of depression that follows a seasonal pattern. For them, the shortening days of late autumn are the beginning of a type of clinical depression that can last until spring. This condition is called "Seasonal Affective Disorder," or SAD.

A mild form of SAD, often referred to as "the winter blues," causes discomfort, but is not incapacitating. However, the term "winter blues" can be misleading; some people have a rarer form of SAD which is summer depression. This condition usually begins in late spring or early summer.

Awareness of the mental condition has existed for more than 150 years, but it was only recognized as a disorder in the early 1980s. Many people with SAD may not be aware that it exists or that help is available.

SAD can be a debilitating condition, preventing sufferers from functioning normally. It may affect their personal and professional lives, and seriously limit their potential. It is important to learn about the symptoms, and to know that there is treatment to help people with SAD live a productive life year-round.


What Causes SAD?

Research into the causes of SAD is ongoing. As there, there is no confirmed cause. However, SAD is thought to be related to seasonal variations in light. A "biological internal clock" in the brain regulates our circadian (daily) rhythms. This biological clock responds to changes in season, partly because of differences in the length of the day. For many thousands of years, the cycle of human life revolved around the daily cycle of light and dark. We were alert when the sun shone; we slept when our world was in darkness. The relatively recent introduction of electricity has relieved us of the need to be active mostly in the daytime hours. But our biological clocks may still be telling our bodies to sleep as the days shorten. This puts us out of step with our daily schedules, which no longer change according to the seasons. Other research shows that neurotransmitters, chemical messengers in the brain that help regulate sleep, mood and appetite, may be disturbed in SAD.


What are the Symptoms?

SAD can be difficult to diagnose, since many of the symptoms are similar to those of other types of depressino of bipolar disorder. Even physical conditions, such as thyroid problems, can look like depression. Generally, symptoms that recur for at least 2 consecutive winters, without any other explanation for the changes in mood and behaviour, indicate the presence of SAD. They may include:

- Change in appetite, in particular a craving for sweet or starchy foods.
- Weight gain.
- Decreased energy.
- Fatigue.
- Tendency to oversleep.
- Difficulty concentrating.
- Irritability.
- Avoidance of social situations.
- Feelings of anxiety and despair.

The symptoms of SAD generally disappear when spring arrivbes. For some people, this happens suddenly with a short time of heightened activity. For others, the effects of SAD gradually dissipate.

Symptoms of summer depression may include:

- Poor appetite.
- Weight loss.
- Trouble sleeping.


Who is at Risk?

Research in Ontario suggests that between 2% and 3% of the general population may have SAD. Another 15% have a less severe experience described as "the winter blues."

SAD may affect some children and teenagers, but it tends to begin in people over the age of 20. The risk of SAD decreases with age. The condition is more common in women than in men.

Recent studies suggest that SAD is more common in northern countries, where the winter day is shorter. Deprivation from natural sources of light is also of particular concern for shift workers and urban dwellers who may experience reduced levels of exposure to daylight in their work environments. People with SAD find that spending time in a southerly location brings them relief from their symptoms.


How is SAD Treated?

If you feel depressed for long periods during autumn and winter, if your sleep and appetite patterns change dramatically and you find yourself thinking about suicide, you should seek professional help - for example, from your family doctor. There is effective treatment for SAD. Even people with severe symptoms can get rapid relief once they begin treatment.

People with mild symptoms can benefit from spending more time outdoors during the day and by arranging their environments so that they receive maximum sunlight. Trim tree branches that block light, for example, and keep curtains open during the day. Move furniture so that you sit by a window. Installing skylights and adding lamps can also help.

Exercise relieves stress, builds energy and increases your mental and physical and well-being. Build physical activity into your lifestyle before SAD symptoms take hold. If you exercise indoors, position yourself near a window. Make a habit of taking a daily noon-hour walk. The activity and increased exposure to natural light can raise your spirits.

A winter vacation in a sunny destination can also temporarily relieve SAD symptoms, although symptoms usually recur after return home. At home, work at resisting the carbohydrate and sleep cravings that come with SAD.

Many people with SAD respond well to exposure to bright, artificial light. "Light therapy" involves sitting beside a special fluroescent light box for several minutes a day. a health care professional should be consulted before beginning light therapy.

For people who are more severely affected by SAD, anti-depressant medications are safe and effective in relieving symptoms. Counselling and therapy, especially short-term treatments such as cognitive-behavioural therapy, may also be helpful for winter depression.

Increasing your exposure to light, monitoring your diet, sleep patterns and exercise levels are important first steps. For those who are severely affected, devising a treatment plan with a health care professional consisting of light therapy, medication and cognitive-behavioural therapy may also be needed.


Where to Go For More Information

For further information about seasonal affective disorder, contact a community organization like the Canadian Mental Health Association to find out about support and resources in your community.

The Canadian Mental Health Association is a nation-wide, voluntary organization that promotes the mental health of all and supports the resilience and recovery of people experiencing mental illness. CMHA accomplishes this mission through advocacy, education, research and service.

Visit the CMHA website at www.cmha.ca


~

The information in this post belongs to the Canadian Mental Health Association. I do not claim to own or profit from any of the material in this post.
PostPosted: Wed Jul 28, 2010 12:41 am


Emotional Health: Taking Control of Depression [pamphlet] (Canadian)


Good Emotional Health is an Important Part of Your Well-Being
Good emotional health is a key part of living a healthy life. Everyone has good and bad days, ups and downs. It is important to acknowledge when the way your are feeling is more than a case of "the blues" and when you need help. When you don't feel like yourself, your emotional health has been affected in some way. Doctors refer to conditions that affect emotional health as "mood disorders." They include:

- Depression
- Anxiety
- Stress
- Bipolar disorder (Manic Depression)

Different mood disorders can be related to each other. For example, many people with depression also suffer from anxiety. Talk to your doctor to understand your symptoms and to find the best treatment option.


Depression is a Serious Condition That Can Happen to Anyone. It is Important to Recognize For its Common Signs and Symptoms
Depression is a mood disorder affecting thoughts, behaviour and physical health. It is much more than a case of "the blues." Many people have depression but fail to recognize it or get treatment.

Depression is often triggered by a stressful life event, but can also occur without warning. Genetics and the levels of certain brain chemicals are thought to paly a major role in determining a person's risk for depression.

People with depression have 5 or more of the followign symptoms for a minimum of 2 weeks, including at least one of the first 2:

- Depressed mood.
- Loss if interest or pleasure in daily activities.
- Loss of appetite or unintentional weight change.
- Too much or too little sleep.
- Restlessness or sluggishness.
- Fatigue or loss of energy.
- Feelings of guilt and worthlessness.
- Inability to think clearly, concentrate or make decisions.
- Thoughts of death or suicide.

Not all depressions are alike. Some people are more severely depressed than others. Others become depressed only during certain seasons (seasonal affective disorder). Some new mothers develop depression within a few months of delivery (post-partum depression). Children and adolescents may also develop depression.

It is very important to watch for the signs of depression. Speak with your doctor if you think you may be depressed. If you or anyone you know thinks about or discusses suicide, contact your doctor or nearest mental health clinic immediately.


Depression Can Be Treated. Your Health Care Professional Can Help You Find the Best Treatment Option
The good news is that depression can be treated. Many different treatments, including medications and counselling, are available.

Antidepressant medications help 60 - 80% of those with moderate to severe depression. You may have to try a few different medications before you find the one that works best for you.

There are many types of antidepressants. Some work better on certain symptoms. Talk to your doctor to find the most effective treatment option for you. Your pharmacist can help you get the most benefit from your medications and answer any questions you may have.

If needed, your doctor will be able to recommend a psychiatrist or psychologist who can provide different types of counselling therapy. Together you can find the best option to help you recognize and correct depressive thinking and behaviour.


Good Emotional Health Starts With You. There Are Things You Can Do to Help Change the Way You Feel
The way we feel is connected to how we live. Simple changes in lifestyle habits can help improve your emotional health.

- Take care of yourself. Stay active. Eat regular, healthy meals. Try to get enough sleep.

- Leisure activities. Take time for yourself. Do something you enjoy.

- Relaxation or meditation. Deep breathing techniques and meditation can help relax your mind and body.

- Do not self-medicate. Alcohol and some medications may worsen recovery by masking the real problem. Check with your pharmacist or doctor before taking any new medications, including non-prescription or herbal products, to be sure they are safe for you.

- Support groups. Sharing your thoughts and feelings in a supportive environment can be the first step towards resolving stress, anxiety and feelings of sadness.

- Positive thinking. Stay positive. Try to avoid negative thoughts. Keep doing your normal activities with family and friends.

- Seek help when you need it. Talk to your doctor or pharmacist if you continue to feel sad or anxious. Together, you can find the best treatment option.


Common Questions About Depression

- "Is it normal to feel like this, or should I speak to my doctor?"
- "Are there factors that put me at risk for depression?"
- "What antidepressant medication is right for me and will it work?"
- "Are there things I can do to improve my emotional health?"
- "How long will it be before I feel like myself again?"

Information is the first step towards recovery.

If you have any questions, talk to a pharmacist or your doctor.


Know the Facts About Depression

Myth: Depression is a sign of weakness.
Fact: No. As with many diseases, there may be a strong genetic component.

Myth: Most people can "snap out" of a depressed state. There is no need to take medications.
Fact: Depression is a serious health condition that usually requires treatment with medication, counselling, or a combination of both.

Myth: Most patients only need medication for depression for a short period.
Fact: Even though you may be feeling better, taking medication for too short a time can lead to the return of your depression symptoms.

Myth: If antidepressant medications haven't started working right away, they'll never work.
Fact: Antidepressant medications usually take 2 - 4 weeks to start working. So, it will take some time for you to notice their effects.


Ask Questions, Get Answers

Our pharmacists are always available to provide sound advice and information concerning depression or any other health-related concerns you may have.

Other sources of information on depression include:

- The Canadian Mental Health Association: www.cmha.ca
- The Canadian Network for Mood and Anxiety Treatments (CANMAT): www.canmat.org
- The Canadian Association for Suicide Prevention: www.suicideprevention.ca


~

The information in this post is from Shoppers Drug Mart. I do not claim to own any of this information, nor am I trying to profit from it.

Nikolita
Captain


Nikolita
Captain

PostPosted: Wed Jul 28, 2010 10:19 am


Major Mental Illnesses: Signs and Symptoms [pamphlet]


The following is an overview of the major mental illnesses. There are many brochures regarding specific illnesses available from your mental health professional or community mental health organization. You may not experience all of the symptoms listed for each illness.


Who Becomes Mentally Ill?

- It can effect anyone, regardless of age, ethnic background, income or gender.
- 1 in 5 Canadians has or will develop a mental illness.
- Sometimes mental illness is complicated by drug and alcohol use.


Additions and Mental Disorders

Studies estimate that up to 50% of people who use mental health services also report having alcohol and drug problems. People who experience a mental illness and use alcohol, cannabis or other substances excessively are said to have a "dual diagnosis" or "concurrent disorder." People may use drugs or alcohol to reduce the symptoms of mental illness, or to lessen the side effects of prescribed medications. However, substance use often reduces the effectiveness of prescription drugs, can worsen symptoms, and complicates the diagnosis, treatment and care process. It is important to address alcohol and drug issues as part of your recovery plan.


Mood Disorders

Depression (as a disorder on its own, or a part of bipolar disorder)
Refers to severe and prolonged feelings of discouragement, frustration, and even a sense of despair. Multiple causes such as specific, distressing life events, a biochemical imbalance in the brain, or persistent psychological factors such as a negative or pessimistic view of life.

Common symptoms of depression:

- Irritability.
- Anxious mood.
- Trouble sleeping or sleeping too much.
- Loss of energy and excessive fatigue.
- Physical aches and pains.
- Diminished ability to think and concentrate.
- Feeling bored and not interested in many aspects of your life.
- Imagining you have an illness such as cancer when there are no physical indications.
- Feelings of worthlessness, hopelessness.
- Possibility of suicidal thoughts.
- Changes in personal grooming.
- Isolation and withdrawal.
- Inability to experience joy or pleasure.


Bi-Polar Disorder
Refers to the "two poles" of the continuum of mood with alternating periods or cycles of mania (high) and depression (lows) as described previously.

Common symptoms of mania:

- Persistently high or irritable.
- Decreased need for sleep.
- Appetite disturbance.
- Excessive spending.
- Reckless and impulsive behaviour.
- Inflated ideas about what you are capable of doing - grandiose thoughts.
- Delusional and psychotic thinking.
- Hyper sexuality.
- Heightened senses to colour, noise, smell.
- Accelerated thoughts and speech.


Schizo-Affective Disorder
This term is used when a person has both a mood disorder and a psychotic disorder within the same period of illness. This does not mean you have two disorders, but a combination of symptoms.

The depressive type of schizo-affective disorder is accompanied by symptoms such as loss of energy, concentration impairment, guilt, feelings of hopelessness and suicidal thoughts. At the same time, the person experiences psychotic symptoms such as delusions, extreme paranoia, or hearing voices.

The manic type of schizo-affective disorder often takes the form of elation, with increased self-confidence and gradiosity. The person may feel energized, but may act inappropriately in social situations, and have trouble concentrating. Symptoms of psychosis are also present, and the person's behaviour is markedly different from usual.


Psychosis
The word "psychosis" is used to describe conditions that affect the mind, in which there has been some loss of contact with reality. When someone experiences the symptoms of psychosis, their condition is often referred to as a psychotic episode. It affects an individual's thoughts, feelings and behaviours. Some people experience psychosis as a part of their mental illness or as a result of using or withdrawing from drugs and alcohol. It is most likely to occur in young adults. About 3 out of every 100 people experience a psychotic episode in their lifetime. It occurs equally in males and females and across all cultures and levels of socio-economic status.

Most people make a full recovery from the experience.

Common signs and symptoms of psychosis:

- Disorganized and confused thinking.
- Reduced concentration, attention.
- Reduced drive and motivation, lack of energy.
- Sleep disturbance.
- Anxiety.
- Social withdrawal.
- Behavioural changes, irritability.
- Hallucinations or delusions.
- Disorganized speech.


Anxiety Disorders
A group of disorders which affect behaviour, thoughts, emotions and physical health. Caused by biological and situational circumstances. Heightened and continuing response to a perceived threat.

Types of anxiety disorders:

- General Anxiety Disorder: Repeated and excessive worries lasting at least 6 months pertaining to routine life events and activities like work, relationships, finances and family.

- Panic Disorder: Fear of situations which may cause a panic attack
-- Panic Attacks: Fear of imminent death leading to heart palpitations, choking, nausea, fainting, dizziness, chest pain and sweating.

- Phobias: Overwhelming feelings of terror in response to a specific object, situation or activity.

- Obsessive-Compulsive Disorder (OCD): Repetitive actions used to cope with recurring or unwanted thoughts.

- Post-Traumatic Stress Disorder (PTSD): A sense of re-experiencing a traumatic event for months and sometimes years after the incident.


Schizophrenia
Refers to an illness in which the changes in behaviour or symptoms have been prsent for a period of at least 6 months. Caused by a chemical imbalance of the brain's functioning. Affects 1 out of every 100 people.

Common symptoms:

- Hearing voices, hallucinations, may affect any/all senses.
- Confused thinking, feelign ambivalent because you can't make a decision.
- Paranoia and other delusional thinking.
- Disjointed thoughts.
- Overwhelming thoughts - thoughts snowball, build until your senses are overstimulated.
- Thought withdrawal - your mind goes blank.
- Thinking you can control someone else's thoughts or that someone is controlling your thoughts.
- Righteousness.
- Lack of motivation.
- Social withdrawal.
- Feeling that objects or events are meant as personal signs or omens.
- Religious preoccupation.


Eating Disorders
Involve distorted body images that make it difficult for people to nourish themselves in a health way. Most common in women and men under age 30.

Types:

- Anorexia Nervosa: Dramatic weight loss due to fasting and excessive exercise.

- Bulimia Nervosa: Binge eating followed by self-inducing vomiting or other forms of purging.


Personality Disorders
Involve patterns of thinking, mood, social interactino and impulsiveness that cause distress to those experiencing them and others.

Types of personality disorders:

- Borderline Personality Disorder: Difficulty maintaining positive relationships.

- Paranoid Personality Disorder: Overwhelming distrust and suspiciousness of others.

- Antisocial Personality Disorder: Impulsive behaviour, aggression, and violations of the rights of others.


Treatment and Recovery

Treatment for any mental illness, whether or not it is complicated by drug and alcohol misuse, should occur as soon as symptoms appear.

Recommended treatment involves a combination of approaches:

- Education: To help you and your family/support system understand the illness, its causes, and effects, and ways of dealing with symptoms.

- Medication: New ones are now available with fewer unpleasant side effects than older medications.

- Psychological Therapy or Counselling: To help you understand what is happening, change your lifestyle to optimize the chances for recovery, and learn new skills such as problem solving and relaxation techniques.

- Social Employment and Education Support: You may need support to stay at your job, or in school. This is important so you maintain skill development an continuation of income and do not become cut off from friends and workmates.


Research has shown that people who experience mental illness have fewer relapses when their family or other support sustem is involved in their care and treatment. The same is true when substance misuse is involved. If friends and family are knowledgeable and informed, they are in a better position to support you.


~

The information from this pamphlet is from the Interior Health department in BC, Canada, and the Canadian Mental Health Assocation. I do not claim to own any of this information, nor am I trying to profit from it.
PostPosted: Wed Jul 28, 2010 1:18 pm


Your Rights as a Person With Mental Illness [pamphlet]


When you are admitted to the psychiatric ward of the hospital, you may be admitted either voluntarily or involuntarily. Depending on your status of admission, you have different rights under the law (Mental Health Act of BC). The following outlines your rights and responsibilities.


Voluntary Admission to Hospital
If you choose to be admitted to the hospital for your mental illness, it means that you are fully aware of your situation and voluntarily enter treatment in the hospital. Even though you choose to do this, it can be a time when you are unsure of your rights as a citizen and as a person using mental health services.

In Canada, all citizens are governed by the Canadian Charter of Rights and Freedoms. These broad rights guide the way our society treats all individuals in Canada. The Charter may be viewed on the web at http://laws.justice.gc.ca/en/charter


Expectations of the Mental Health System in BC (excerpts from draft BC Mental Health Charter of Rights)
The following "rights" were drafted in 2001 as a way of describing what people can and should expect from the mental health system in BC. This is now law, but intended to help service providers, patients and family members to achieve the best of our mental health system.

- The right to have your basic human rights respected.

- The right to services that promote mental wellness and recovery and positive attitudes towards mental illness.

- The right to have concerns listened to, heard and responded to with procedures that follow respectful process.

- The right to privacy.

- The right to access timely and relevent treatment and services.

- The right and responsibility to be a full partner in one's care and to participate in the development, implementation, and evaluation of one's plan for recovery/rehabilitation.

- The right to the least restrictive environment possible when in an in-patient setting.

- The right to appropriate and comprehensive information, education and training, in plain language, about one's mental health problems, their treatment and what recovery services and community supports are available to meet one's needs.

- The right of access to a support person of one's choice, which could include family, advocates or friends, or to exclude individuals whom the person feels would have a negative effect on their treatment/well-being at this time.

- The right to be included and involved at all levels of systemic mental health service delivery and policy.

- Each hospital should have patient rights posted and accessible.


Involuntary Admission to Hospital - "Committed"
When you are involuntarily admitted or "committed" to a hospital for your mental illness, you come under the Mental Health Act of BC. This means that you do not hav ea choice about staying in hospital. Under the Mental Health Act, the staff will see that you receive medication or treatment for your disorder, even if you are against taking it.

The Mental Health Act is intended to help people with mental disorders to obtain treatment and care that medical doctors believe is needed when a person does not recognize they are ill. The Act is intended to provide safeguards for the rights of people who are involuntarily admitted to a psychiatric facility. A plain language version of the Act may be found at:
www.cmha-bc.org/content/resources/cmhapubs/cmhapubs.html
or the official government version at www.healthservices.gov.bc.ca/mhd/publications.html


Criteria For Involuntary Admission Under Section 22 of the Mental Health Act of BC
If you are admitted involuntarily to the hospital for care and treatment, it is because two doctors have seperately examined you and it is their opinion that:

- You are suffering from a mental disorder that seriously impairs your ability to react appropriately to your environment or to associate with others.

- You require treatment from this hospital so that you do not become more ill; and,

- You should be in hospital to prevent your substantial mental or physical deterioration, or to protect yourself from other people; and,

- You probably would not seek help on your own.

You may be admitted for just a fwe days or for up to 1 month, depending upon how well you respond to treatment. However, the law requires the doctor to automatically review your situation at the end of 1 month.


Rights of People Involuntarily Admitted Under the Mental Health Act of BC 1998

- You have the right to know the name and location of the hospital and ward to which you have been involuntarily admitted.

- You have the right to know why you have been involuntarily admitted to this hospital.

- You have the right to get advice from a lawyer about this admission at any time.

- You have the right to a Review Panel Hearing if you or a person on your behalf thinks you are ready to leave the hospital.

- You have the right to a second medical opinion about your psychiatric treatment if you or someone on your behalf questions it.

- You have the right to look at the documents authorizing your involuntary admission to ensure that you have been treated according to the law.

- You have the right to appeal to the Supreme Cout if you want a judge to decide whether or not you should stay in a hospital.

According to the law (Mental Health Act), each person who is involuntarily admitted to hospital must be made aware of their rights and sign Form 13 indicating that they have bene notified of their rights under the Act. A copy of the 1998 Mental Health Act must be available for people in the hospital to review. Rights of people involuntarily admitted must be posted on a nearby bulletin board.

A copy Form 13 and the "Rights Under the Mental Health Act" are available at:
http://www.healthservices.gov.bc.ca/mhdforms/mhdforms.html


Need Help?
If you believe your rights have been breached, then it is best to talk or write directly to the person or organization giving you the services. Very often they will welcome the complaint or concern as it helps them to improve their standard of service or uncover a problem.

If you feel uncomfortable or unable to do this, you can take a friend, relative or advocate with you as support. You also have the support of the Hospital Patient Representative who is treated to help people resolve health care concerns. This service is for free.

Be sure to address your concern fairly and respectfully. Some communities may have access to mental health advocates who will help you work through your conerns. There are provincial organizations like the BC Coalition for People with Disabilities or the office of the Ombudsman or the Minister of State for Mental Health who are also available to help you address your concerns if you can not get them resolved locally.


For More Information

- Office of the Ombudsman
1-800-567-3247 or www.ombudsman.bc.ca

- Freedom of Information and Privacy Commissioner
1-800-663-7867 or www.oicbc.org

- BC Human Rights Tribunal
1-888-440-8844 or www.bchrt.bc.ca


~

The information in this post is from Interior Health in BC, and the Canadian Mental Health Association. I do not claim to own any of this information, nor am I trying to profit from it.

Nikolita
Captain


Nikolita
Captain

PostPosted: Wed Jul 28, 2010 11:38 pm


Understanding and Copying With Mental Illness For Family and Friends [pamphlet]


The following are some important things for family members and friends to remember when coping with mental illness.


Understanding and Coping With Mental Illness

- It is helpful to know that mental illness is not rare. You are not alone. In fact, 1 in 5 Canadians has or will develop a mental illness at some point in their lives.

- NO ONE IS TO BLAME. Never blame yourself. It can destroy your chances of coping. Mental illness is a disorder of the brain/mind.

- Accept that mental illness is complex and it affects each person and family differently. As a family member, you cannot cure your loved one's mental illness, but you can help in their recovery.

- It is natural to experience a range of emotions such as grief, guilt, fear, anger, sadness, confusion, etc. You are responsible for your feelings and journey through your loved one's recovery.

- Information is power. Learn as much as possible, as soon as possible. There are organizations, groups, websites and agencies with information and resources at your disposal.

- Do not shoulder the entire responsibility for one ill relative yourself. Seek professional helpers that are effective. Identify them by their compassionate nature, informative style, and eagerness to have you as their ally. Consider their ability to ensure you receive comprehensive education in understanding and coping with mental illness.

- Look for support from people who have been through this. Contact a self-help group to share your thoughts and feelings. There are groups for specific diagnoses, family groups, consumer support groups.

- Pay attention to the needs of other family members. Sometimes we spend so much time dealing with the illness that we forget our other relationships.

- If you cannot care for yourself, you cannot care for another.

- Be aware that spending massive amounts of time with the person who has a mental illness can make matters worse. It is important to have boundaries and set clear limits.

- Your ill relative is entitled to his/her own life journey, as you are.

- Change is difficult to handle, and going out of the house to gatherings or events may be overwhelming at first. Respect this. It's a process.

- Keep optimistic, and hopeful.

- Keep an open mind about your loved one's recovery.

- Maintain and establish friendships, activities and hobbies, particularly those that take you outside the home.

- Set your sights on appropriate independence for your loved one and yourself.

- Be realistic in your expectations of your ill relative. Help them to set and fulfill realistic life goals. They may not be able to nor wish to return to full-time employment or school. Yaking on more than one can handle can really impact a person's ability to recover.

- Don't be surprised to discover that in the end, it is the ability to change, to look at things differently which distinguishes people who will cope, from those who will not.

- Take very good care of yourself.


Quote:
"The voyage of discovery is not in seeking new landscapes but in having new eyes." ~ Marcel Proust



~

The information in this post is from Interior Health in BC, and from the Canadian Mental Health Association. I do not claim to own any of this information, nor am I trying to profit from it.
PostPosted: Thu Jul 29, 2010 7:21 am


What Is Happening to Me?: Answers to Questions About My Journey With a Mental Illness [pamphlet]


The following attempts to answer some of the fundamental questions a person with mental illness and their loved ones may ask during the journey.


What is Mental Illness?
Mental illness is a broad term for large categories of mental disorders such as mood disorders, anxiety disorders, schizophrenia, eating disorders, personality disorders, substance use disorders and addictions, and Alzheimer's disease and related dementia. The symptoms of mental illness can be mild, moderate or severe, and may appear at different times in a person's life. We know 1 in 5 British Columbians have or will develop a mental illness at some point in their lives.

Mental illness is not the same as being mentally handicapped or challenged, or what is now known as a develomental disability. People who are developmentally challenged as a result of a genetic disorder such as Down's Syndrome are born with developmental delays that can affect a person's intellectual development and functioning.

In contrast, mental illness affects a person's thinking, feelings and behaviour. It cuts across age, gender, economic, ethnic and political boundaries. Mental illness is treatable where most people recover to lead meaningful and productive lives.


Why Me?
Mental illness can happen to anyone. Mental illness is nobody's fault. It is not the result of bad parenting, emotional weakness or personal failure. Most people with mental illness are productive members of society. They have jobs, relationships, family, and hobbies, and are active members of their communities. Some of the most exceptional and influential people in the world have publicly disclosed that they have a mental illness. It may seem that sometimes due to setbacks you may find it hard to achieve these things. It is important to have hope.


Why Do I Feel So Out of Control?
Recovery from illness is only one part of the process. Many individuals with mental illness must also rebuild a sense of self-worth and recover from the side effects of unemployment, long periods in treatment settings, and the stigma and discrimination attached to mental disorders. Reclaiming these aspects of your life are sometimes more difficult than recovering from illness itself. Crushed dreams may take a long time to mend, especially if you are young and have had few opportunities to direct your life. Give it time.


Why Am I Sleeping So Much/Little?
Sleep patterns often get disrupted when a person is experiencing mental illness. Some of the side effects of medications to treat your illness may also disrupt your sleep pattern.


Why Am I Gaining/Losing Weight?
Mental illness impacts each person differently. There are some medications that have an impact on your weight. Medications can increase your appetite and metabolism. This is an unpleasant side effect, but don't go off your medication because you are gaining or losing weight. Talk to your doctor about your weight gain/loss. There may be ways to address this as a team. It is also important to maintain a healthy diet and get as much exercise as possible so you can keep any weight gain/loss under control.


Why Do I Feel So Anxious and Restless?
Feeling anxious or restless may be a symptom of your mental illness, a side effect of your medication, or a part of your life circumstances. It is important to identify and try to reduce those things in your life that make you anxious. Try some relaxation techniques and exercise. You may need to find someone professional to talk to about what is making you feel this way.


Why Am I Afraid of Leaving the House?
Stimulating circumstances may be really hard to handle when you are in the early stages of your recovery. It takes time to get back to doing things you used to enjoy. Family gatherings, crowds and situations where there is lots of noise, lights and colours and sounds may be hard to handle for some time.


Why Do I Have Difficulty Concentrating?
The symptoms of your illness and/or the side effects of the medications may impact your ability to concentrate, but they have not impacted your intelligence. If you feel comfortable, let people know this is what you're experiencing, and ask for some things to be clarified if you don't understand something.


Why Has My Sexual Desire Changed So Much?
Your sexual desire may increase or decrease as a result of your illness or as a side effect of the medication to treat your illness. It is important to speak with your partner, mental health worker and doctor about this change, and about your feelings if there is a significant change.


Why Don't My Friends/Family/Neighbours/Co-Workers Understand?
Some people why away from people with mental disorders, but in some cases it is not the peson with mental illness we fear, but our lack of knowledge about the illness. Unfortunately, the media and movies have perpetuated misconceptions about mental illness. Additionally, some people are uncomfortable and don't know what to say. Try to give them a break. In time, they may come around. Make sure you surround yourself with supportive people. You are still interesting and intelligent.


Why Have Some of My Friends/Family Left Me?
There are situations some people just cannot handle because they lack compassion and understanding, or they need to take a step back for their own mental health, learning and/or acceptance. For others, the symptoms associated with your illness make them uncomfortable and they find it hard to be around you. It is unfortunate but it is a part of life. Throughout your journey, you will meet new friends who are understanding of your experience and able to see beyond your illness. Move on.


What Can I Do? Some Things to Remember

- Willpower has nothing to do with eliminating illness.

- Counting your blessings or looking on the bright side is an impossible task for someone who is ill, unless they know someone really cares.

- Keeping busy or getting a hobby are valuable tools, but only when the person is well enough to take the first step. Try not to take on too much at once.

- Trying harder may only compound the illness. Try to relax and not fight the feelings. They will pass.

- Spirituality, religion and faith may have a part in your recovery/healing, but only if they are rooted in feelings of mental/emotional health, not illness.

- It may be helpful to examine the stressful aspects of your life that contribute to the severity of your illness.

- It really helps to have someone who will listen unconditionally. Find someone who will be patient and not frightened by what is said. Meaningful relationships are very important for your sense of self-worth and happiness.


Things to Think About Your Recovery

- Professional help is one factor in recovery - help is also found through self-help groups, family support, social support, adult education, meaningful employment, adequate housing, and self-care.

- Recovery can be everyone's business - a key aspect of recovery is the presence of people who believe in and stand by the person in need of recovery.

- Recovery is possible even though symptoms may reoccur -the episodic nature of mental illness does not rule out recovery.

- Recovery is not a linear process - unexpected growth or insights may follow periods of little change. A relapse does not mean that progress is suddenly undone.

- Recovery from the consequences of mental illness is sometimes more difficult than recovering from the illness itself. - ex: dealing with stigma, lowered self-esteem, discrimination in housing and employment.

- Successful recovery does not mean that the person was never really mentally ill - because of the inaccurate assumption that people with serious mental illness (especially schizophrenia) can never recover, people who do better are sometimes wrongly believed to have been misdiagnosed.

- Recovery can mean many things to many people. Think about what recovery means for you.


Sources

- William Anthony, Centre for Psychiatric Rehabilitation.
- Fact Sheets on Mental Health and Addiction Issues - BC Partners for Mental Health and Addiction Information.


~

The information in this post is from Interior Health in BC, and the Canadian Mental Health Association. I do not claim to own any of this information, nor am I trying to profit from it.

Nikolita
Captain


Nikolita
Captain

PostPosted: Thu Jul 29, 2010 1:12 pm


What is Happening to My Loved One?: Answers to Questions About the Journey of Mental Illness [pamphlet]


The following attempts to anwer some of the fundamental questions a person with mental illness and their loved ones may ask during the journey.


What is Mental Illness?
Mental illness is a broad term for large categories of mental disorders such as mood disorders, anxiety disorders, schizophrenia, eating disorders, personality disorders, substance use disorders and addictions, and Alzheimer's disease and related dementia. The symptoms of mental illness can be mild, moderate or severe, and may appear at different times in a person's life.

Mental illness is not the same as being mentally handicapped or challenged, or what is now known as a develomental disability. People who are developmentally challenged as a result of a genetic disorder such as Down's Syndrome are born with developmental delays that can affect a person's intellectual development and functioning.

In contrast, mental illness affects a person's thinking, feelings and behaviour. It cuts across age, gender, economic, ethnic and political boundaries. Mental illness is treatable where most people recover to lead meaningful and productive lives. We know 1 in 5 British Columbians have or will develop a mental illness at some point in their lives.


Why Did This Happen to Them?
Mental illness can happen to anyone. Mental illness is nobody's fault. It is not the result of bad parenting, emotional weakness or personal failure. Most people with mental illness are productive members of society. They have jobs, relationships, family, and hobbies, and are active members of their communities. Some of the most exceptional and influential people in the world have publicly disclosed that they have a mental illness. It may seem that sometimes due to setbacks, your loved one may find it hard to achieve these things. It is important to have hope.


Why Does My Loved One Feel So Out of Control?
Recovery from illness is only one part of the process. Many individuals with mental illness must also rebuild a sense of self-worth and recover from the side effects of unemployment, long periods in treatment settings, and the stigma and discrimination attached to mental disorders. Reclaiming these aspects of life are sometimes more difficult than recovering from illness itself. Crushed dreams may take a long time to mend, especially if they are young and have had few opportunities to direct their life.


Why Is My Loved One Sleeping So Much/Little?
Sleep patterns often get disrupted when a person is experiencing mental illness. Some of the side effects of medications to treat their illness may also disrupt their sleep pattern.


Why is My Loved One Losing/Gaining Weight?
Mental illness impacts each person differently. There are some medications that have an impact on a person's weight. Medications can increase one's appetite and metabolism. This is an unpleasant side effect, but encourage your loved one to stay on their medication because even if they are gaining or losing weight. Encourage them to talk to their doctor about their weight gain/loss. There may be ways to address this as a team. It is also important to maintain a healthy diet and get as much exercise as possible so that they can keep any weight gain/loss under control.


Why Does My Loved One Seem So Anxious/Restless?
Feeling anxious or restless may be a symptom of their mental illness, a side effect of medication, or a part of their life circumstances. Encourage your loved one to identify and try to reduce those things in their life that make them anxious. Help them to find someone professional to talk to about what is making them feel this way. Encourage the use of relaxation techniques and exercise.


Why is My Loved One Afraid of Leaving the House?
Stimulating circumstances may be really hard to handle when a person with mental illness is in the early stages of their recovery. It takes time to get back to doing things they used to enjoy. Family gatherings, crowds and situations where there is lots of noise, lights and colours and sounds may be hard for your loved one to handle for some time. Be patient and try not to expect too much too soon.


Why Does My Loved One Have Difficult Concentrating?
The symptoms of your loved one's illness and/or the side effects of the medications may impact their ability to concentrate, but it has not impacted their intelligence. You don't have to speak to your loved one like they are a "six year old," but do try to be as concrete and clear as possible when you are speaking with someone who has difficult concentrating.


Why Has My Loved One's Sexual Desire Changed So Much?
Your loved one's sexual desire may increase or decrease as a result of their illness or as a side effect of the medication to treat their illness. If this is an issue for you, try to talk to your loved one about this and how it affects you. Together, you and your loved one may want to talk about this change with their mental health worker and/or doctor to ensure that they are supported in practicing safe sex.


Why Don't My Loved One's Friends/Family/Neighbours/Co-Workers Understand?
Some people why away from people with mental disorders, but in some cases it is not the peson with mental illness we fear, but our lack of knowledge about the illness. Unfortunately, the media and movies have perpetuated misconceptions about mental illness. Additionally, some people are uncomfortable and don't know what to say. Encourage your loved one to surround themselves with supportive people. They are still interesting and intelligent. Through their journey, they will meet new friends who are understanding of their experience and able to see beyond their illness.


Why Have Some of My Loved One's Friends/Family Left Them?
There are situations some people just cannot handle because they lack compassion and understanding, or they need to take a step back for their own mental health, learning and/or acceptance. For others, the symptoms associated with your illness make them uncomfortable and they find it hard to be around you. It is unfortunate but it is a part of life. Help your loved one to move on and find new friends and supporters.

In order to offer caring and support for people with mental illness, it is important to recognize that symptoms of these illnesses are often beyond their control. People with mental illness are unable to just "snap out of it/" They cannot stop their symptoms simply by trying harder than someone with impaired hearing can hear better by trying harder to listen.


What Can I Do? Some Things to Remember

- Willpower has nothing to do with eliminating illness.

- Counting your blessings or looking on the bright side is an impossible task for someone who is ill, unless they know someone really cares.

- Keeping busy or getting a hobby are valuable tools, but only when the person is well enough to take the first step. Encourage them not to take on too much at once.

- A change of scenery may be hard to find. In the early stages of recovery, the dark cloud of mental illness goes with people wherever they are.

- Trying harder may only compound the illness. Encourage your loved one to relax and not fight the feelings. They will pass.

- Spirituality, religion and faith may have a part in their recovery/healing, but only if they are rooted in feelings of mental and emotional health, not illness.

- It may be helpful for your loved one to examine the stressful aspects of their life that contribute to the severity of their illness.

- It really helps to have someone who will listen unconditionally. Someone who will be patient and not frightened by what is said. Meaningful relationships are very important for your loved one's sense of self-worth and happiness.

- Stay open minded and curious.

- Setting some boundaries may be very important for both you and your loved one.


Things to Think About Your Loved One's Recovery

- Professional help is one factor in recovery - help is also found through se- lf-help groups, family support, social support, adult education, meaningful employment, adequate housing, and self-care.

- Recovery can be everyone's business - a key aspect of recovery is the presence of people who believe in and stand by the person in need of recovery.

- Recovery is possible even though symptoms may reoccur -the episodic nature of mental illness does not rule out recovery.

- Recovery is not a linear process - unexpected growth or insights may follow periods of little change. A relapse does not mean that progress is suddenly undone.

- Recovery from the consequences of mental illness is sometimes more difficult than recovering from the illness itself. - ex: dealing with stigma, lowered self-esteem, discrimination in housing and employment.

- Successful recovery does not mean that the person was never really mentally ill - because of the inaccurate assumption that people with serious mental illness (especially schizophrenia) can never recover, people who do better are sometimes wrongly believed to have been misdiagnosed.

- Recovery can mean many things to many people. Think about what your loved one's recovery means to you. Be realistic in your expectations.


Sources

- William Anthony, Centre for Psychiatric Rehabilitation.
- Fact Sheets on Mental Health and Addiction Issues - BC Partners for Mental Health and Addiction Information.


~

The information in this post is from Interior Health in BC, and the Canadian Mental Health Association. I do not claim to own any of this information, nor am I trying to profit from it.
PostPosted: Thu Jul 29, 2010 4:18 pm


Roles of Mental Health Professionals [pamphlet]


You will receive treatment and support from professionals with a variety of titles when you use mental health services. The following provides you with a very brief overview of the roles and responsibilities of the people who may be available to work with you in your recovery. Some of these professionals are found in hospital and community settings.

All of the following professionals will work with the individual and family to help develop skills and strategies to manage one's thoughts, emotions and behaviours that impact on one's mental illness. The goal is to promote the independence of individuals in areas of self care, productivity and leisure.


Medical Doctor/Family Doctor/General Practitioner (GP)
Ensures you receive thorough physical and mental/cognitive assessments and ongoing medical management. May refer you for specialist consultations and treatment when necessary. Assists you in addressing preventative health needs. The GP acts as the gatekeeper to accessing specialized care and treatment. They are central to managing your total health picture.


Psychiatrist
A medical doctor who specializes in mental health and mental illness. This includes diagnosis and prescribing and monitoring medications. As a member of your team, he or she is also involved in your treatment and care plan. Some psychiatrists will do therapeutic counselling.


Psychologist
Has knowledge of developmental processes; mental health problems; disorders and needs; assessment, testing and test interpretation; therapeutic and behavioural management approaches to treatment; and provision of therapy, counselling and consultation. Will work with you to develop skills and strategies to manage thoughts, emotions and haviours that impact on your mental health. Can be involved in helping you learn about yourself to aid your recovery.


Case Manager/Mental Health Worker
A general title for the professional from the mental health system designated to help coordinate your recovery. Will help you access treatment, counselling, housing, social, vocational and income supports. May have a background as a social worker or nurse.


Nurse
(includes Registered Nurse [RN], Registered Psychiatric Nurse [RPN], and Licenced Practical Nurse [LPN])

As part of the therapeutic team in the hospital, ensures treatment and/or medication prescribed by your Psychiatrist and/or Medical doctor is administered and that your progress is monitored and recorded. Will help to provide support when needed.


Social Worker
(includes Mental Health Social Worker, Community Liason - Psychiatric Social Worker, Concurrent Disorders Social Worker)

Has knowledge of family and social history; family functioning and specific areas of social work (ex: addictions, adoption, abuse, community living services, mental health). In a hospital, a social worker may coordinate the discharge planning process. Once you leave the hospital, other community social workers may co-ordinate your recovery support to ensure you get the resources you need. May help you find solutions to problems you encounter in daily living.


Pharmacist
Has knowledge of the outcomes and side effects of medications, their interactions and reactions, and what substances and foods to avoid with the medication you are taking. The Pharmacy can provide a great deal of written information to the public.


Alcohol and Drug Counsellor
Has knowledge of the symptoms and effects of alcohol and drug use, therapeutic approaches and counselling to support your recovery. May refer you to various services of the addictions' system of care - such as a residential treatment facility.


Counsellor
Has knowledge of counselling approaches. Provides advice and counselling on behavioural management, development of skills and strategies to manage the thoughts, emotions and behaviours tha timpact on your mental health. Can become involved in helping you learn about yourself to aid your recovery.


Occupational Therapist
Has knowledge of activity analysis and promotion of self-care, productivity (work, school, volunteering) and leisure. Assists you in the enhancement of community living skills, including employment skills, social skills and appropriate behaviour. Works with individuals to enable them to persue occupations and activities that they want or need to do. May include teaching skills, providing education, and finding resources to do this.


Advocate
Speaks or acts on behalf of an individual to ensure concerns they may have about the service they are receiving are addressed. In some communities, paid, formal advocate positions have been created. Each community has access to a Patient Representative, who will help deal with concerns about the health care you or a family member receives.


Selecting a Therapist or Counsellor

There are some things you might wish to think about when selecting a therapist or counsellor. In most communities, you will have a choice about who you can go see. Think about the following when entering a therapeutic relationship with someone.

Do they demonstrate:

- Understanding and empathy?
- Ability to listen without judgement?
- Extensive knowledge of the illness?
- Willingness to try alternative therapies, including those that are minimally invasive?
- Encourages personal choices?
- Skill at giving genuine support, counsel and advice?
- Affordable rates and/or willingness to work with insurance plans?

You should also consider your preferences around the age and gender of the therapist you choose.


How to Find a Therapist or Counsellor

- Recommendations from other people who have received mental health services.

- Referral from your family Doctor or Psychiatrist.

- Recommendations from other mental health organizations.

- Recommendations from Employment Assistance Program (EAP) or Extended Health Program.

- The Yellow Pages.

Before making a plan with a Counsellor or Therapist to begin a series of sessions, ask if you can visit free for one time to see if you both feel comfortable working together. Many therapists find that they must charge even for the initial consultation - make sure you settle this beforehand. You may have to visit with several counsellors before you find one that best meets your needs.


~

The information in this post is from Interior Health in BC, and the Canadian Mental Health Association. I do not claim to own any of this information, nor am I trying to profit from it.

Nikolita
Captain


Nikolita
Captain

PostPosted: Thu Jul 29, 2010 7:10 pm


Planning Your Recovery [pamphlet]


The following may be used by both you and your family or other close supporters, as a reference to understanding the 6 main areas important to people with mental illness when they leave hospital.


Recovery: Your Next Steps

A number of people are involved to assist with your discharge from hospital and your recovery. Overall coordination of the plan, however, is usually the responsibility of one person. It may be your mental health worker, a designated nurse, social worker or other team member depending on the hospital and mental health's patient care system. It is important for you and your family/supporters to find out who this person is. Once in the community, you and your mental health worker and supporters can address your longer term needs.

Your plan should consider the following:

Medication
Medication is generally given by your doctor or a nurse, and can be listed as soon as it is known.

It will be useful to record information on the expected outcomes and side effects from the medication, along with dosage, times and any other special directions - such as the need to take the drugs with food or milk. Following the directions will reduce the possibility of a relapse and re-hospitalization. Tell your doctor if you:

- Have had in the past, any allergic reactions to food or drugs.
- Are taking any medications on a regular basis, or if you often use any non-prescription drugs.
- Are being treated for a different condition by another doctor.
- Have diabetes, kidney or liver disease.
- Are pregnant or breastfeeding.
- Are taking vitamins or mineral supplements, or are on a special diet.
- Use alcohol or tobacco.


Where to Live
Not all people hav a home to return to once they are discharged from the hospital. Appropriate residential planning can help give people with mental illness the basic support they need to remain in the community and to avoid a relapse and the possibility of re-admission to the hospital. It is important that arrangements for your housing are made before you leave. Your mental health worker or Employment Assistance Worker may be able to assist you to find the most appropriate and available housing option depending on your income and type of income support.

Some boarding homes provide medication supervision, while others do not. Group homes may expect clients to be responsible for their own medication. There may be semi-independent and subsidized housing options available where support is provided in your own home.


Follow-Up/Community Care
Despite the fact that you see doctors more oftne, physical illness is more frequent among persons with mental illness than in the general population. Psychiatric symptoms can cause you to neglect physical health problems, so follow-up care in the community is important to promote health maintenance and prevention of physical illness. Include dental and eye care in your recovery plan.


~

The information in this post is from Interior Health in BC, and the Canadian Mental Health Association. I do not claim to own any of this information, nor am I trying to profit from it.
PostPosted: Thu Jul 29, 2010 10:09 pm


Asking Questions, Questions to Ask: Preparing and Meeting With Your Mental Health Care Professionals [pamphlet]


The following are some things to consider when dealing effectively with your care providers in the health care and community support system. There are also some sample questions you may find useful in organizing your thoughts for meeting with health care professionals.


Getting Satisfactory Results

You may need to know some things to cope well with your mental illness. Following a crisis, family and other supporters can play an important role in helping you, as you may be overwhelmed with dealing with feelings and thoughts. You may be on medication, and your body may be learning to adjust to its effects.


Keeping Track of Information

- Try to keep a record of everything. Don't rely on your memory - nothing is unimportant! Make copies of everything you mail.

- List names, addresses and phone numbers.

- Start making notes and keeping them in one place for reference - the ability to be precise about dates and times of incidents and developments can come in handy.

- Stick to the facts. Be concise and don't make conclusions. Try to describe what you observe objectively.


Care Providers

- Most professionals want to do a good job and help you recover.

- Staff who work with people with mental illnesses sometimes have heavy caseloads. Knowing this can help you maintain some perspective on what to reasonably expect.

- Learn about the different roles that your health care providers have in the process of your recovery.


To Obtain Positive Results From Meetings

- Be on time for appointments. Be polite. Keep all conversations to the point. Ask for specific information.

- Get the name of the primary mental health worker - the person who knows the most about your situation. Arrange an appointment with this person. You can request that the psychiatrist or physician in charge also attend.

- Help keep meetings short. Have your questions written down before the interview. Keep your questions simple.

- Ask to participate in the development of your treatment plan. During meetings, ask to review it. It may be helpful to keep an ongoing written account of your discussions.

- Family members and supporters should keep you informed of everything they plan to do.

- Write notes of appreciation or criticism when warranted.

- BE ASSERTIVE. As a patient, you are entitled to information, respect and courtesy.

- Ask staff for guidance on the best times to call.

- Ask for clarification in plain language if you are unsure of specific issues or technical terms, or if you think an answer is too vague.

- Don't attempt to intimidate others.

- Don't allow yourself to feel intimidated.


You Have a Right to Know

The following are some questions you may want to ask about your treatment, recovery and journey.

About the Assessment

- What is an assessment? How long does it take?
- What tests will be done and why?
- Can I bring someone with me when I have an assessment?
- Who will make decisions about what happens next?


About the Diagnosis

- What illness do I have? What is its nature?
- If a diagnosis hasn't been made, what are the possibilities?


If a Diagnosis Has Been Made

- What signs and symptoms suggest this?
- What is the likely cause?
-Where can I go to get information about the illness?
- What treatment options are there? How will they be helpful?
- How can I get a second opinion?


About Care and Treatment

- What are the aims of the care and treatment?
- What will the plan for treatment be? How long will it take?
- Who will be involved in the treatment? Other specialists? How often will I see you?
- What will be the best evidence that I am responding to treatment?
- Are you currently treating other patients with this illness?
- What happens if I refuse treatment?


The Family, Supporters and Treatment

- Will my family be routinely involved in discussions about my treatment?

- What can they do to help?

- Are there any local self-help and family support groups?


The Treatment Team

- Who are my team and what will they do?
- Who will my key worker be?
- How do I get in touch with the Psychiatrist?
- Who do my family/supporters contact if they are worried?
- Who do I contact in an emergency?


Medication

- What medication will be used?
- What are the expected outcomes?
- What are the possible side effects?
- What signs might mean the dosage needs changing, or the side effects are too much?
- Are there any other medications that might be appropriate?
- What substances are to be avoided when I am taking these medications?
- What will happen if I stop taking the medication?


Tertiary Care/Riverview [BC Mental Health Centre]

- What is tertiary care?
- Why can't I be treated in this hospital to get special care?
- What are the advantages and disadvantages of hospital treatment?
- Are there other options?


Hospital Admission

- What hospital/ward will I go into?
- How do I get help from the Mental Health Centre? (community mental health services)
- Who will take caer of my mental health needs after I leave?
- what if I have a crisis or am worried - who should I call?


Some Questions/Comments I Have:

[List them here]


~

The information in this post is from Interior Health in BC, and from the Canadian Mental Health Association. I do not claim to own any of this information, nor am I trying to profit from it.

Nikolita
Captain


Nikolita
Captain

PostPosted: Thu Jul 29, 2010 10:19 pm


Hospital Discharge Information For Persons With Mental Illness


[Nikolita Note: This pamphlet is basically a chart. I wanted to scan it and post it, but I'm still having the same picture-sizing issue with Photobucket, so I've transcribed it manually. If you want to see it anyways, PM me and I can e-mail it to you directly.]



Discharge Medications
Date:

Medication:
Dosage:
Times:
Comments:



Important Information

Name:
Discharge Date:


Services

Service: Mental Health Worker
Name:
Phone Number:
Office Address:

Service: Family Doctor
Name:
Phone Number:
Office Address:

Service: Psychiatrist
Name:
Phone Number:
Office Address:

Service: Closest Contact
Name:
Phone Number:
Office Address:

Service: Employment Assistance Worker
Name:
Phone Number:
Office Address:

Service: Hospital Contact
Name:
Phone Number:
Office Address:

Service: Peer Support Office
Name:
Phone Number:
Office Address:

Service: Other
Name:
Phone Number:
Office Address:

Service: Other
Name:
Phone Number:
Office Address:


Appointments
Month:

Monday:
Tuesday:
Wednesday:
Thursday:
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PostPosted: Thu Jul 29, 2010 10:23 pm


After Hospital Discharge: On the Road to Recovery For People With Mental Illness [pamphlet]


When you are in the hospital, there is an eagerness to get out, but you may also feel anxiety around this decision. You may feel a sense of uneasiness about going home. This may come from feelings of uncertainty and worry. The following will assist you in taking an active role in managing your recovery.


Will I Get Better?

- There is more than just hope for success, there is abundant evidence of persons with mental illnesses returning to fulfilling lives.

- Today mental illness can be managed very successfully, and people experience a full and meaningful life.

- It is important to realize that it takes time to make the right diagnosis and find the best treatment.

- You, your family doctor and/or Psychiatrist and your mental health worker can be a team in managing your recovery.


What Happens After I Am Discharged From the Hospital?

- You become the person most responsible for managing your recovery?

- There are many resources you can seek our for advice and support in your task. Many are listed in the Accessing Services pamphlet.


Will Recovery Be Difficult?

- Yes, it can be. Using your supports can inner strength leads to success.

- Continuing success requires: knowledge and learning about your illness; managing your medication; and receiving counselling (if available).

- At the same time, you will need to deal with the everyday issues of life - shelter, food, money, etc.

- You may experience some setbacks along the way. These are learning experiences, not failures.


Medication

- You will likely be on medication upon discharge. You might experience side effects from it.

- Learn as much as you can from your Pharmacist and others on your mental health team about what the medication is intended to do, as well as its side effects.

- The process of finding the right balance of medication for you may take time, but it is part of your recovery.

- Tell your doctor what you are experiencing while taking the medication - what is working well, as well as side effects you experience.

- Conditions such as schizophrenia and bipolar disorder require you to take medication dauly, possibly for the rest of your life, just as a person with diabetes takes insulin.

- It is important to take your medication as prescribed by your doctor. By taking the medication daily, and for the right duration, you can prevent a relapse.

- Do not share meds with others. These are tailored for you.

- If you experience a relapse due to improper medication use, the illness may come back worse than before.

- If you miss a dosage of meds, do not double or triple doses of medication to catch up. Take your meds at the next pescribed interval.

- Taking other substances (alcohol, street drugs, and other medications - prescription, over the counter, and "natural") may affect your medications. Talk to your doctor about the effects of these substances on your medication and wellness.


Your Feelings

- It is most likely you will go through a grieving period in coming to grips about your disorder. This is part of the process.

- You may grieve:
-- The loss of friendships.
-- The loss of a job, education.
-- Lack of understanding by others.
-- The changes in your overall health.

- You may become confused on who to trust.

- Mental illness is one part of your life, but you can still have other interests and participate in many activities.


Support

- When you leave the hospital, it helps to ahve someone who will simply listen to you - feelings and all.

- People from whom you may find support and advice in managing your recovery many include: your family, your friends, your doctor, your psychiatrist, and your mental health worker.

- You might consider getting in touch with a support group of people who have had some of the same experiences and may have helpful ideas on how to cope with your illness.

- You, your mental health worker, your family doctor, and your psychiatrist together will develop a plan to follow during your continuing treatment and recovery.

- Remember, your family and friends are experiencing your illness with you, only from a different perspective. It's an adjustment for them too.


Having a Plan

- You may find yourself overwhelmed with issues to deal with once you are discharged.

- DON'T TRY TO TAKE ON TOO MUCH AT ONCE.

- Having a plan can be helpful in dealing with issues you can control.

- Being in control may reduce the stress you can dfeal when you have to deal with too many things at once.

- Having a plan helps you to prioritize on what is urgent and what can be done later.


Nutrition

- Nutritious foods and liquids provide the energy your body needs to help you in your journey to recovery.


Stress Management and Exercise

- Some things you can control, others you can't. Focus on what you can control.

- Don't let things beyond your control cause you undue stress and anxiety.

- Relaxation and exercise activities reduce stress and increase your physical well-being.


~

The information in this pamphlet is from Interior Health in BC, and the Canadian Mental Health Assocation. I do not claim to own any of this information, nor am I trying to profit from it.

Nikolita
Captain


Nikolita
Captain

PostPosted: Thu Jul 29, 2010 10:28 pm


Psychologists and You: Talk to Someone Who Can Help [pamphlet]


[Nikolita Note: This was originally posted in the "Psychologists and You: Talk to Someone Who Can Help Sticky," and has been combined here.]


~


Today's increasingly demanding world presents us with many challanges.

Sometimes we are able to handle these difficult challenges on our own, or with the help of family or friends.

On occasion, life's stresses and strains become too much to handle.

Talking to a health psychologist, a person who is a skilled health/mental health professional, can help.


What is a Health Service Psycholgist?
Psychologists who specialize in health services possess a unique combination of scientific and professional training. Through their expertise in assessment and diagnosis, prevention and treatment techniques, as well as in related research, they offer a wide range of services designed to promote emotional and physical health in individuals, families, groups and organizations..

The Canadian Register of Health Service Providers in Psychology (CRHSPP), is a national credentialiing body that has approximately 3200 psychologists across Canada who have supplementary training and experience in psychological health care, beyond the criteria required for provincial or territorial licensure.


Consider a Psychologist If...
- You are struggling with depression, anxiety, fearts, or difficulty managing daily stress at home, school or work.

- You are having difficulty getting along with your spouse, partner, children, or others.

- You're attempting to resolve problems associated with physical, sexual, or emotional abuse.

- You notice a decrease in your ability to concentrate, remember, make decisions, eat, sleep, or carry out your usual activities.

- You are having problems with drinking, smoking, gambling, or eating.

- You have questions or concerns about parenting, or about your child's behavior or learning abilities.

- You are struggling to make lifestyle changes to help reduce the risk of physical illness.

- You have stress-related illness, such as irritable bowel syndrome, chronic pain, or tension headaches.

- You'd like assistance facing difficult transitions such as divorce, loss of a loved one, career change, or work-related problems.

- You need help understanding or adapting to problems caused by an accident or physical condition, such as head injury or a stroke.


How Can a Health Service Psychologist Help?
Health psychologists are professionals trained to assess, diagnose, and treat a full range of emotional, behavioral, cognitive, and relationship problems.

A health psychologist works with you to better understand your problems and find ways to help you resolve them. A psychologist helps people help themselves.

When you meet with a health service psychologist, it provides an oppurtunity to talk openly and confidentially about your concerns and feelings.


How Do I Find a Health Service Psychologist Who is Registered with CRHSPP?
Your family physician may already know of one or more CRHSPP psychologists. If so, ask your doctor to assist you in contacting one of them. If your physician does not know a CRHSPP psychologist, they may have some information about they can get the CRHSPP Head Office and get some names for you.

A second option is for you to contact a few psychologists listed in your local phone book (look in the Yellow Pages under "Psychologist"). Ask them if they are registered with CRHSPP. By choosing a psychologist who is licensed with your province/territory's psychological regulatory body, and who is also a CRHSPP psychologist, you can be assured that you will be receiving services from a regulated professional who is required to practice in accordance with strict professional guidelines and ethical principles, and who has met additional training and experience requirements to help you with your problems.


Contacts:
Canadian Register of Health Service Providers in Psychology
368 Dalhousie St., Suite 300
Ottawa, Ontario
K1N 7G3

Phone: (613) 562 - 0900
Fax: (613) 562 - 0902
E-mail: info@crhspp.ca
Website: www.crhspp.ca


~

The information in this post is from the Canadian Register of Health Care Providers in Psychology. I do not claim to own any of this information, nor am I trying to profit from it.
Reply
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