10/17/2019 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 RESOLUTION CLARK BISHOP 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. Nature of Relevant Financial Relationship Commercial Interest 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. 1
10/17/2019 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 2
10/17/2019 PRE ‐ ASSESSMENT QUESTION 2 What is the second leading cause of death for ages 10 ‐ 34? A. Unintentional Injury B. Suicide C. Homicide D. Malignant Neoplasms PRE ‐ ASSESSMENT QUESTION 3 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 3
10/17/2019 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 4
10/17/2019 WHAT IS MENTAL HEALTH? The ability to live, laugh, and love. Someone smarter than… ‐ Clark Bishop U.S. ADUL U.S. ADULTS WITH A WITH A MENT MENTAL DISORDER AL DISORDER IN ANY ONE YEAR 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 An Any y ment mental diso disorder er 18.5 .5 https://www.mentalhealthfirstaid.org/ 5
10/17/2019 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.shtml https://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) • 2 nd leading cause of death from ages 10 ‐ 34. 10 th leading cause for all ages https://www.nimh.nih.gov/health/statistics/index.shtml https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5007565/ https://www.ncbi.nlm.nih.gov/pubmed/18463104 6
10/17/2019 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/ 7
10/17/2019 PROGRAM HISTORY AND BACKGROUND 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 https://www.mentalhealthfirstaid.org/faq/ PROGRAM HISTORY AND BACKGROUND More than 2 million people trained in the United States Trainings available in all 50 states https://www.mentalhealthfirstaid.org/faq/ 8
10/17/2019 SPECTRUM OF MENTAL HEALTH INTERVENTIONS https://www.mentalhealthfirstaid.org/ 9
10/17/2019 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 10
10/17/2019 SOCIAL STIGMA Discussion –Terms or labels commonly given to those suffering from mental health problems? SOCIAL STIGMA 11
10/17/2019 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 12
10/17/2019 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 13
10/17/2019 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? 14
10/17/2019 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 POST ‐ ASSESSMENT QUESTION 2 What is the second leading cause of death for ages 10 ‐ 34? A. Unintentional Injury B. Suicide C. Homicide D. Malignant Neoplasms 15
10/17/2019 POST ‐ ASSESSMENT QUESTION 3 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? 16
10/17/2019 Questions? CLARK BISHOP, PHARM.D. PHARMACIST MANAGER/CO‐OWNER HUTTON PHARMACY/FRIDAY HARBOR DRUG/MUSTANG DRUG CLARK@HUTTONPHARM.COM 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 17
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