9/30/2018 1 9/30/2018 Mental Health First-Aid: More Valuable than - - PDF document

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[Your Name] [Your Title ] [Your Company] NCPA 2018 Annual Convention

Mental Health First-Aid: More Valuable than CPR?

Clark Bishop, PharmD Pharmacist Manager/Co-Owner Hutton Pharmacy/Friday Harbor Drug

Disclosure

Clark D Bishop, PharmD declares no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria.

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Learning Objectives

For Pharmacists and Pharmacy Technicians:

• 1. Articulate the value of training pharmacy team members in mental health first aid.
• 2. Discuss how mental health first aid training can reduce stigma around mental

health issues and lead to better patient care.

• 3. Describe how your pharmacy can be a go-to resource in the community for

assisting patients with mental health issues.

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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The ability to live, laugh, and love. Someone smarter than…

• Clark Bishop

What is Mental Health?

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 .

U.S. Adults with a Mental Disorder in Any One Year

Only 41% of people with a mental illness use mental health services in any given year

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-occurring 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

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 nearly 45,000 individuals died by suicide in 2016 alone.
• 2nd leading cause of death from ages 10-34. 10th leading cause for all ages.

https://www.nimh.nih.gov/health/statistics/index.shtml

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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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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 1 million people trained in the United States
• Trainings available in all 50 states

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

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Spectrum of Mental Health Interventions

https://www.mentalhealthfirstaid.org/

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Discussion – Potential value of MHFA?

• For your pharmacy?
• For your community?
• For independent community pharmacy in general?

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 Independent Community 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 Independent Community Pharmacy

• How does it help the business?
• Goodwill
• Better relationships with patients, staff, and providers
• Can prolong and better the lives of your patients.
• CPESN?

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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?

Clark Bishop, PharmD

Pharmacist Manager/Co-owner Hutton Pharmacy/Friday Harbor Drug Clark@huttonpharm.com

Questions?

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