mental health first aid: more valuable than cpr?

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MENTAL HEALTH FIRST AID: MORE VALUABLE THAN CPR?

WALTER P. SCHEFFE 2019 CPE SERIES

CLARK BISHOP, PHARM.D.PHARMACIST MANAGER/CO‐OWNER

HUTTON PHARMACY/MUSTANG DRUG/FRIDAY HARBOR DRUG

FINANCIAL DISCLOSURE AND RESOLUTIONCLARK BISHOP

Commercial Interest

Nature of Relevant Financial Relationship

What was received? For what role?

Owner of Independent Pharmacies Salary Pharmacist Manager/Co‐owner

NCPA Honorarium Presenting this material

The conflict was resolved by Dr. Bishop agreeing to refrain from making recommendations on topics in which the conflict exists.Presentation slides were reviewed for content validation and bias by the Continuing Education Administrator.

Under guidelines established by the Accreditation Council for Pharmacy Education (ACPE), disclosure must be made regarding financial relationships with commercial interests within the last 12 months.

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LEARNING OBJECTIVES

At the completion of this activity, pharmacists will be able to:

1. Recognize the value of training pharmacy team members in mental health first aid

2. Explain how mental first aid training can reduce stigma around mental health issues and lead to better patient care

3. Describe how community pharmacists can be a go to resource for assisting patients with mental health issues

PRE‐ASSESSMENT QUESTION 1

How many individuals will experience mental illness in a given year?

A. 1 in 20

B. 1 in 15

C. 1 in 10

D. 1 in 5

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What is the second leading cause of death for ages 10‐34?

A. Unintentional Injury

B. Suicide

C. Homicide

D. Malignant Neoplasms


What can act as a barrier to treatment for an individual suffering from a mental illness?

A. Social Stigma

B. Perceived Stigma

C. Limited Access to Services

D. Lack of Education

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OPENING THOUGHT

How many of you are CPR certified?

Who has ever had to use CPR?

WHAT IS MENTAL HEALTH?

Mental health is defined as a state of well‐being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.

‐World Health Organization

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WHAT IS MENTAL HEALTH?

The ability to live, laugh, and love.

Someone smarter than…

‐Clark Bishop

U.S. ADULTS WITH A MENTAL DISORDER IN ANY ONE YEAR

Type of Mental Disorder % Adults

Anxiety disorder 18.1

Major depressive disorder 6.8

Substance use disorder 8.1

Bipolar disorder 2.8

Eating disorders 5-10

Schizophrenia 0.3 – 0.7

Any mental disorder 18.5

https://www.mentalhealthfirstaid.org/

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BY THE NUMBERS

• Within a given year• 1 in 5 adults experience mental illness• 1 in 25 adults experience severe mental illness

• 10.2 million people in US have co‐occuring addiction and mental illness disorders

• 41‐43% of people suffering from a mental health disorder get treatment in a given year• Median time from first symptom to treatment is 10 years

https://www.nimh.nih.gov/health/statistics/index.shtmlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5007565/

BY THE NUMBERS

• Serious mental illness costs America $193 billion in lost earnings/year

• Total financial cost of mental illness in the U.S. reached an estimated $467 billion in 2012

• CDC reports 47,173 individuals died by suicide in 2017 alone. (19,510 homicides)• 2nd leading cause of death from ages 10‐34. 10th leading cause for all ages

https://www.nimh.nih.gov/health/statistics/index.shtmlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5007565/https://www.ncbi.nlm.nih.gov/pubmed/18463104

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WHAT IS MENTAL HEALTH FIRST AID?

Mental Health First Aid is the help offered to a person developing a mental health problem or experiencing a mental health crisis. The first aid is given until appropriate treatment and support are received or until the crisis resolves.

‐National Council of Behavioral Health

*Not a substitute for medical care, diagnosis, or treatment.

PROGRAM HISTORY AND BACKGROUND

Developed in 2001 at the University of Melbourne in Australia Betty Kitchener and Tony Jorm

Piloted in the United States in 2008 One of 25 countries that have licensed and adapted the training

https://www.mentalhealthfirstaid.org/faq/

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Effectiveness supported by peer reviewed studies Saves lives Increases knowledge of mental illness and treatments

Increases utilization of mental health services

Reduces stigma

Reduces social distance from those with mental health problems



More than 2 million people trained in the United States

Trainings available in all 50 states


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SPECTRUM OF MENTAL HEALTH INTERVENTIONS

https://www.mentalhealthfirstaid.org/

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DISCUSSION – POTENTIAL VALUE OF MHFA?

For the patient?

For the pharmacy?

For the community?

WHAT IS MENTAL HEALTH STIGMA?

2 Types

Social – Prejudicial attitudes and discriminating behavior directed towards those with mental health problems.

Perceived – internalized self perceptions of discrimination.

Mental Health and Stigma – Psychology Today – Dr. Graham Davey

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SOCIAL STIGMA

Discussion –Terms or labels commonly given to those suffering from mental health problems?

SOCIAL STIGMA

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PERCEIVED STIGMA

Can significantly affect feelings of shame

Can lead to poorer treatment outcomes

Can lead to social distancing of family and friends

Mental Health and Stigma – Psychology Today – Dr. Graham Davey

MHFA AND STIGMA

Teaches person first language – See the person not the illness Individual is “dealing with a mental health problem”

Individual “died by suicide”

Teaches prevalence of mental health problems

Teaches that recovery is possible

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MHFA AND STIGMA

Allows pharmacy staff to become more comfortable when helping patients with mental health problems

Promotes the gathering of local mental health resources for referral

MHFA AND PHARMACY

Why does it work? Most accessible health care provider

Already established levels of trust

Access to medical information – i.e. Drug List

Established relationships with mental health providers

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MHFA AND PHARMACY

How does it help the profession? Goodwill

Better relationships with patients, staff, and providers

Can prolong and better the lives of your patients.

CPESN? Medical Billing?

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POST‐ASSESSMENT QUESTION 1

How many individuals will experience mental illness in a given year?

A. 1 in 20

B. 1 in 15

C. 1 in 10

D. 1 in 5


What is the second leading cause of death for ages 10‐34?

A. Unintentional Injury

B. Suicide

C. Homicide

D. Malignant Neoplasms

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What can act as a barrier to treatment for an individual suffering from a mental illness?

A. Social Stigma

B. Perceived Stigma

C. Limited Access to Services

D. Lack of Education

FINAL THOUGHT

How many of you are CPR certified?

Who has ever had to use CPR?

How many of you are Mental Health First Aid certified?

How many of you can think of a time you could have used it?

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Questions?


HUTTON PHARMACY/FRIDAY HARBOR DRUG/MUSTANG [email protected]

MENTAL HEALTH FIRST AID: MORE VALUABLE THAN CPR?

WALTER P. SCHEFFE 2019 CPE SERIES


HUTTON PHARMACY/MUSTANG DRUG/FRIDAY HARBOR DRUG

mental health first aid: more valuable than cpr?

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