Integrating Mental Health Into Your Work With Patients



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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

Overview of Today s Webinar 2 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

Spotlight on Mental Health 4 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.

Spotlight on Mental Health 5 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.

Spotlight on Mental Health 6 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.

Mental Health Integration 7 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

Caring for the Whole Patient 8 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.

Why Mental Health Matters in Nursing 9 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.

Why Mental Health Matters in Nursing 10 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.

Suicide Safe: SAMHSA s Suicide Prevention App for Health Care Professionals 11 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. Visit bit.ly/suicide_safe to learn more. Suicide Safe Helps You: Browse conversation starters. Locate treatment options. Explore interactive sample case studies. Quickly access and share information and resources.

How SAMHSA Can Help: SAMHSA s Mobile Apps 12 Access SAMHSA s One Stop App Shop at store.samhsa.gov/apps.

How SAMHSA Can Help: SAMHSA s Treatment Locators 13 Behavioral Health Treatment Services : findtreatment.samhsa.gov Other Treatment Locators: Buprenorphine treatment or physicians Opioid Treatment Programs National Suicide Prevention Lifeline

How SAMHSA Can Help: Free Resources and Publications 14 Locate resources (in English and Spanish) to help you address the behavioral health needs of your patients.

How SAMHSA Can Help: SAMHSA Store 15 Access the latest SAMHSA materials and publications at store.samhsa.gov. Find products you need easily: Search by topic. Use filters to narrow results.

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. 16

More Information 17 samhsa.gov Search using key words such as suicide prevention or depression.

Q&A 18

Contact Information 19 LCDR Karen Ho Chaves, M.H.S. 240 276 0205 karen.chaves@samhsa.hhs.gov