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1 Integrating Mental Health Into Your Work With Patients LCDR Karen Ho Chaves, M.H.S. SAMHSA Office of Communications Robert T. Carroll, Ph.D. (c), M.N., R.N., ACRN SAMHSA Public Engagement Platform, IQ Solutions September 22, 2015

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Page 1: Integrating Mental Health Into Your Work With Patientsnahnnet.org/docs/SAMHSA_NAHN_Webinar_ 9-17-15.pdf · Integrating Mental Health Into Your Work With Patients LCDR Karen Ho Chaves,

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Integrating Mental Health Into Your Work With Patients

LCDR Karen Ho Chaves, M.H.S.SAMHSA Office of Communications 

Robert T. Carroll, Ph.D. (c), M.N., R.N., ACRN SAMHSA Public Engagement Platform, IQ Solutions

September 22, 2015

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Overview of Today’s Webinar

What is SAMHSA?

Spotlight on Mental Health

Caring for the Whole Patient 

Why Mental Health Matters in Nursing 

How SAMHSA Can Help: SAMHSA’s Products and Services 

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Spotlight on Mental Health 

Over 17% of the population (approximately 54 million people) self‐identify as Hispanic.1

One in five adults in the United States report experiencing a mental illness in the last year.2

Latinos are identified as a high‐risk group for depression, anxiety, and substance abuse.3

1. U.S. Census Bureau, 2010.2. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and

Quality. (2015). Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health (HHS Publication No. SMA 15-4927, NSDUH Series H-50). Retrieved from http://www.samhsa.gov/data.

3. National Alliance for Hispanic Health. Quality Health Services for Hispanics: The Cultural Competency Component. DHHS Publication No. 99-21. Rockville, MD: Substance Abuse and Mental Health Services Administration, Health Resources and Services Administration, and Office of Minority Health, 2001.

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Spotlight on Mental Health

Over 10% of Hispanic high school males report suicidal thinking, and close to 7% are likely to attempt suicide.1

Hispanic high school females are more likely to report suicidal thinking than non‐Latino white females (20.2% to 16.1%, respectively), and more likely to attempt suicide (13.5% to 7.9%, respectively).1

1. Centers for Disease Control and Prevention, 2012.

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Spotlight on Mental Health

One in three Latinas has reported experiencing intimate partner violence (IPV) victimization.1

In one study of same‐sex IPV where race was recorded, 25% of victims were Latino.2

Almost 10% (3.4 million) Hispanics were in need of substance use treatment services between 2003 and 2011.3

1. Breiding, M.J., Chen, J., & Black, M.C. Intimate Partner Violence in the United States—2010. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

2. National Coalition of Anti-Violence Programs, 2014. 3. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and

Quality. National Surveys on Drug Use and Health (NSDUHs), 2003 to 2005, 2006 to 2010 (revised March 2012), and 2011.

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Mental Health Integration

The systematic coordination of general and behavioral health, including the integration of mental health, 

substance use, and primary care services. 

Photo credit: Kaiser Health News, www.khn.org

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Caring for the Whole Patient

Mental health parity: Federal regulations require insurers to cover mental health treatment and prevention at the same levels they cover primary care. 

SAMHSA‐Health Resources and Services Administration Center for Integrated Health Solutions provides evidence, examples, and models supporting real solutions. 

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Why Mental Health Matters in Nursing

Mental health is an integral—and essential—part of the nursing assessment process: • Domains of psycho‐social and mental health assessment 

common to the most frequently applied domains of nursing assessment.

Mental health issues influence and intersect with other disease and illness processes:• Recovery times• Immune function• Nutrition, mobility, and activity• Sleep disruptions• Medication effects and interactions.

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Why Mental Health Matters in Nursing

Interactions between nurse and patient are important: • Fostering the therapeutic and trusting patient/nurse 

relationship• Ethical and legal obligations• Listening for crisis clues.

Key areas to assess include:• Substance use• Intimate partner violence • Depression• Suicidality.

SAMHSA’s Suicide Safe mobile app.

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Suicide Safe: SAMHSA’s Suicide Prevention App for Health Care Professionals

Helps professionals integrate suicide prevention efforts into their work and address real or perceived suicide risk. 

Designed with health providers in mind, content is applicable to a range of professionals.

Based on SAMHSA’s SAFE‐T card and other research‐based resources. 

Suicide Safe Helps You:

Browse conversation starters.

Locate treatment options.

Explore interactive sample case studies. 

Quickly access and share information and resources.

Visit bit.ly/suicide_safe to learn more.

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Access SAMHSA’s One‐Stop App Shop at store.samhsa.gov/apps.

How SAMHSA Can Help:SAMHSA’s Mobile Apps

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How SAMHSA Can Help:SAMHSA’s Treatment Locators

Behavioral Health Treatment Services : 

• findtreatment.samhsa.gov

Other Treatment Locators:

• Buprenorphine treatment or physicians

• Opioid Treatment Programs

• National Suicide Prevention Lifeline

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Locate resources (in English and Spanish) to help you address the behavioral health needs of your patients.

How SAMHSA Can Help: Free Resources and Publications

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How SAMHSA Can Help: SAMHSA Store

Access the latest SAMHSA materials and publications at store.samhsa.gov.

Find products you need easily: 

• Search by topic.

• Use filters to narrow results.

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How SAMHSA Can Help:Eblasts

Sign up to receive the latest information from SAMHSA.

Twenty‐one (21) topic areas include: • Substance use, and mental health prevention and treatment• Suicide and suicide prevention• Children’s behavioral health • Professional development.

How to sign up: • Click the sign‐up button on SAMHSA’s homepage.• Visit bit.ly/SAMHSAUpdates.

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More Information

samhsa.gov

Search using key words such as “suicide prevention” or “depression.”

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Q&A

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Contact Information

LCDR Karen Ho Chaves, M.H.S.

240‐276‐0205

[email protected]