Mental_health_Week_6_F13[1]

PNUR 203 Week 6

 Define mental health, mental illness, and mental status.  Discuss societal abuse, stereotypes and stigma often attributed to individuals with mental illness.  Examine the Mental Health Act.  Discuss the use of Form 1, Form 3 and Form 45 community treatment order (CTO).  Discuss the use of Rights Advisors.  Examine and discuss the role of the RPN when caring for individuals with mental illness.

 Mental Status  the degree of competence shown by a person in intellectual, emotional, psychologic, and personality functioning as measured by psychologic testing with reference to a statistical norm (Mosby’s Medical Dictionary)  Mental Illness (Disorder)  Any disturbance of psychic equilibrium that results in maladaptive behaviours and impaired functioning (Morrison-Valfre, 2009)

• Refers to the disadvantages that people experience as a result of unjust social structures • Prevents people from meeting their full potential and their basic human needs • People struggling with mental illness are blamed by society for their current situations (Johnstone,2001, as cited in Benbow, 2009, p. 30)

 A mark of disgrace  Societal stigma toward those with mental illness  Impacts all facets of one’s life  Impacts greatly on one’s health  Stigma related to mental illness results in:  Discrimination, negative attitudes, physical abuse, lack of employment opportunities, substandard housing, homelessness, and barriers to accessing and utilizing health-care services  http://www.youtube.com/watch?v=JF2iDHruuqQ  http://www.hospitalnews.com/why-share-my-darkness/  http://www.hospitalnews.com/the-stigma-of-mental-illness/ (Overton and Medina, 2008 as cited in Benbow, 2009, p. 30)

 Health professionals are guilty of believing the stereotypes about mental illness.  Creates barriers in access to care and services  Patients need to feel that they can trust their care providers  People wait to seek care for mental health disorders  Why?  Fear the stigma of mental illness, do not want to be seen as mentally ill  Treatments are ineffective  Others will avoid them  Should solve their own problems

 Application by a physician for psychiatric assessment  Believes that the person has threatened to cause bodily harm to him or her self  Has attempted or is attempting to cause bodily harm to him or her self  Has shown or is showing a lack of competence to care for him or her self  Also could be based on physicians own observations or information communicated by others  Held in hospital for 72 hours for assessment

 Introduced through Brian’s Law in 2000  The person is suffering from a mental disorder such that they require continuing treatment and supervision while living in the community  Intended for:  Individuals who suffer from serious mental disorders and who have a history of repeated hospitalizations  Involuntary psychiatric patients (Form 3) who agree to a treatment/supervision plan as a condition of their release  Signed by physicians and outline treatment for 6 months  Client consent is required and must comply with order http://www.health.gov.on.ca/english/public/pub/mental/treatment_order.html

Form # Form Name Who signs? When? Lengt h of Stay Expiratio n Date 1 Application by Physician for Psychiatric Assessment Physician who examined the person Within 7 days from and including the examination date 72 hours Seven days from and including date signed 3 Certificate of Involuntary Admission Attending physician (different than the physician who completed Form 1) • Within 72 hours from start of detention period under a Form 1 • At any time to change the status of an informal or voluntary patient to involuntary 2 weeks Two weeks from and including the date signed 45 Community Treatment Order Physician qualified to issue or renew a community treatment order No statutory time restriction. Examination within 72 hours as precondition for issuing CTO n/a 6 months

 Recognize your own biases and stereotypical thinking; think of the words you use  When the client is discharged from hospital, ensure that clients have supports in place  Nurses assess for social and community supports such as housing  Nurses can get involved in committees in their work settings that examine issues such as transition protocols (Benhow, 2009)

 As advocates nurses must address systemic issues (within nursing, organizations, politics) that oppress marginalized groups such as the mentally ill  Political protests to address social justice issues  Increased funding for mental health services  Educate nursing students and the general public to increase awareness of social injustices and stigma/treatment of mentally ill  Raise awareness of mental illness