Ha Harv rvesting Ha Happiness Wh What t Ag Ag Wom omen Need - PDF document

2/15/17 Ha Harv rvesting Ha Happiness Wh What t Ag Ag Wom omen Need to Know about to Depression De on DR. CHRISTINE CHASEK LIMHP, LADC, NCC UNK ASSISTANT PROFESSOR, DIRECTOR BEHAVIORAL HEALTH CENTER OF NEBRASKA-KEARNEY PRESENTATION TO THE WOMEN IN AGRICULTURE CONFERENCE FEBRUARY 24, 2017 Where Define Agricultural Behavioral Health Prevalence of Depression in Rural are we America headed? How to Recognize Stress and Depression Problems Harvesting Happiness: Strategies 1

2/15/17 The Personal Nature of Agriculture ◦ Characteristics of Agricultural Communities and Culture ◦ Strong Core Values ◦ Behavioral Healthcare Issues Specific to Agricultural populations What is Depression? Can mean different things to different people. Definitions of Depression ◦ Symptom ◦ Sign ◦ Diagnosable Disorder “Causes” of Depression ◦ Stress ◦ Biology ◦ Psychology ◦ Social Conditions Unique to Agriculture and Producers UNIVERSAL ISSUES Financial Pressure WOMEN SPECIFIC ISSUES Succession Planning Worry about injury Overall Poor Health (inactive, overweight, irregular visits to the doctor) Family Caregivers for Elderly Relatives Isolation, Loneliness, Stress Women are the Family Counselors and Disease Outbreak Confidants Lack of Access to Services; Lack of Health Benefits Multiple Roles; mother, wife, financial planner, caregiver, employee, Weather, Government Policies, Poor Yields “Third Shift” Workers: work outside the home, Overworking; never being able to ‘leave work’ care for the family, and work on the farm Chemical Exposure (Cholinesterase-inhibiting Lack of Recognition for work pesticides such as organophosphates and carbamates have been linked to depression) 2

2/15/17 § Depression rates have been found to be higher in rural areas as compared to urban areas Pr Prevalence § Higher rates of suicide in rural areas especially among of of men ◦ In the Midwest, Suicide is the 2 nd leading cause of Be Behavioral death for ages 15-34 and the 4 th leading cause of death for ages 35-54 Hea Health h Issues i Issues in n ◦ Why? Rural and Ru Agricu Agr cultu tural Ar Areas Am I ◦stressed, ◦depressed, or ◦over-blessed? As Assessment of of Be Behavior oral He Health Is Issues Zung Depression Screening 3

2/15/17 Stress Rating Scale Harvesting Happiness Strategies for Wellness Gl Glore Ps Psychiatric Museum St St. Joseph Missouri 4

2/15/17 The Boxes The Wheel The Swing The Chair The Bath The Leeches 5

2/15/17 The Brain! n Good evidence for efficacy of CBT and IPT (Interpersonal Therapy) n Medication is very effective n Psychotherapy may be just as effective as medications in mild- moderate illness n Combination of medications and psychotherapy may be better than either alone Practica Pr cal Things to Do v Social Support v Eat Right v Sleep v Exercise v Communicate v Practice Gratitude v Spirituality/Faith v Self Growth and Esteem Building v Live in a rural area! Qu Questi tions? s? 6