1. Introduction to Mental Health Mental Illness: Mad, Sad, or Bad? Introduction to Mental Health Mental Illness: Mad, Sad, or Bad?

2. Overview of Mental Health Monday Part 1Research Study Groups Mental Health & Psychological Well Being Research Groups, Research Topics Getting started Tuesday Part 2 The Medicalisation of Mental Health History of Mental Health & Mental Illness Mental Health Categorisation Assessment, Diagnosis, Treatment Tuesday Part 3Study Group Presentations Depression, Anxiety, Stress, PTSD, Abuse, Trauma, Bereavement, Psychosis, Personality Disorders, Addictions, Eating Disorders,, Physically Related Disorders, Cognitive/Learning Disorders Autism, Asperger's, ADHD,

3. Mental Health and Wellbeing Defining ‘good’ mental health and ‘poor’ mental health

4. World Health Organisation Mental health is the foundation for individual well-being and the effective functioning of a community. “Mental health is a state of well-being in which an individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community.” More than 450 million people suffer from mental disorders. Many more have mental problems. Mental health is an integral part of health; indeed, there is no health without mental health. Mental health is more than the absence of mental disorders. Mental health is determined by socio-economic, biological and environmental factors. Cost-effective intersectoral strategies and interventions exist to promote mental health.

5. Mental Health in the UK 1 in 4 people will experience some kind of mental health problem in the course of a year Mixed anxiety & depression is the most common mental disorder in Britain [almost 9% of population] Depression is more common in women than men. 1 in 4 women will require treatment for depression at some time in their life, compared to 1 in 10 men. Women are twice as likely to experience anxiety than men. Men are more likely than women to have an alcohol or drug problem Men are three times as likely as British women to die by suicide. About 10% of children have a mental health problem at any one time Depression affects 1 in 5 older people living in the community and 2 in 5 living in care homes The Office for National Statistics Psychiatric Morbidity report (2010)

6. Children and Young People in Scotland One in 12 young people in Scotland have mental health difficulties that are so substantial that they may have difficulties with their thoughts, their feelings, their behaviour, their learning and their relationships. 50 pupils per 1000 are “seriously depressed” 100 pupils per 1000 are suffering “significant distress” Up to 20 pupils per 1000 have been diagnosed with OCD Up to 10 girls per 1000 have an eating disorder

7. DSM IV Categories Organic Disorders Disorders due to medical condition (eg HIV) Substance Related Disorders Schizophrenia & Psychotic Mood Disorders (Depression) Anxiety Disorders Somatoform Disorders Factitious Disorder Dissociative Disorders Sexual Dysfunction Eating Disorders Sleep Disorders Impulse Control Disorders Adjustment Disorders Personality Disorders Diagnostic and Statistical Manual is used in USA. The DSM has been updated the latest version is DSM-5 which is being implemented in 2014

8. ICD-10 Categories Depression Anxiety/Stress Psychosis Personality Disorders Cognitive/Learning Eating Disorders Physical Problems Addictions Trauma/Abuse Bereavement Self Esteem Relationship/Interpersonal Living/Welfare Work/Academic Other International Classification of Diseases is used in Europe F-Codes = Mental Disorders. Z-codes = other problems

9. Research Topics 1. Depression 2. Anxiety, Stress, PTSD 3. Abuse, Trauma, Bereavement 4. Psychosis 5. Personality Disorders, 6. Addictions (Substance Related Disorders) 7. Eating Disorders, 9. Physically Related Disorders, Sexual Dysfunction, Sleep disorders 10. Cognitive/Learning Disorders & disorders developed in childhood: e.g. Autism, Asperger's, ADHD,

10. Study Groups:  The group will divide into 6 small groups = groups of 4  Each group will select a ‘research topic’  You will have the rest of the day to research your topic and prepare your presentation  This activity is primarily a learning exercise and your ‘presentation’ is an opportunity to share what you have learned  The ‘presentations’ are not assessed  Individual Reviews will run in parallel to the study groups Resources:  The ‘library’ - books, journals, articles, leaflets and DVD’s are available in the Crypt.  Articles and papers have also been posted on the Persona Website which you can access and print in the Training Room  The staff team are available for advice etc (when not in review meetings)

11. Research Framework The task is to use the following areas as a framework for your Research and as a structure to present your chosen topic  Diagnosis: description of symptoms and behaviours  Treatments: types of assessment, types of treatment or interventions used, - pharmacological, physical, psychological what each intervention does, the patient’s experience, access to treatment  Care Providers & Roles: NHS (Primary care, Acute care), social work, (integrated care) legal, voluntary sector, private providers, complementary therapies  Social, political, economic, cultural dimension: Social perceptions and attitudes, statutory legislation, policies, funding available

12. Presentations:  Each group will to talk through their findings with the whole group On Tuesday  The idea is to present and talk through your main findings, key points and key learning that has emerged for your group.  This is a primarily a data gathering exercise and your ‘presentation’ does not have to come to definitive conclusions. It will be useful to identify the questions that your research has brought out and the resources and references that you have found useful.  Each group will have a maximum of 30 minutes – which will include your presentation and time for any process/discussion. THE PRESENTATIONS ARE NOT ASSESSED !