mental health and wellbeing dr karen adam consultant in public health medicine dr mhairi hepburn...
TRANSCRIPT
![Page 1: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/1.jpg)
Mental Health and Wellbeing
Dr Karen AdamConsultant in Public Health Medicine
Dr Mhairi HepburnClinical Fellow in Medical Education
and Specialist Registrar in Old Age Psychiatry
![Page 2: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/2.jpg)
YouTube- Schizophrenic Man Terrifies Kids At Party
![Page 3: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/3.jpg)
What is mental illness?
![Page 4: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/4.jpg)
Mood disorders
Schizophrenia
Anxiety disorders
Dementia
Personality disorders
Learning disability
Autism
ADHD
Eating disorders
Addictions
Response to traumaSexual disorders
![Page 5: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/5.jpg)
25%
![Page 6: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/6.jpg)
![Page 7: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/7.jpg)
![Page 8: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/8.jpg)
![Page 9: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/9.jpg)
![Page 10: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/10.jpg)
What is depression?
![Page 11: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/11.jpg)
Depression- key messages
• It is an illness, not a variant of normal• It is not the same as feeling “down” or “fed up”• It is common- 14-18% will get it at some point• It’s even more common in medical students• Treatments for depression are very effective
![Page 12: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/12.jpg)
If your friend had depression, what
might they notice and what might you
notice?
![Page 13: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/13.jpg)
Depression
![Page 14: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/14.jpg)
“We take people in who have doused themselves with petrol, who have tried jumping off flats, who have taken vast amounts of paracetamol, who do not want to live any more, and we bring those people in, and I would say that nine and a half out of ten punters leave here happy and well. If that isn’t a result I don’t know what is.
Pessimism has always dominated our thinking about mental illness, it’s just like the ghost of stigma reinventing itself as despair in this particular case. The idea that there’s nothing you can do, that’s complete nonsense.”
Mark Salter, consultant psychiatrist
![Page 15: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/15.jpg)
Depression is important wherever you end up working
![Page 16: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/16.jpg)
20% of patients develop depression after a heart attack
![Page 17: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/17.jpg)
25-30% of patients have depression following a stroke
![Page 18: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/18.jpg)
Over half of cases of depression in the general hospital go undetected
![Page 19: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/19.jpg)
90% of people with mental health problems are cared for entirely in primary care
![Page 20: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/20.jpg)
10% of women develop depression after having a baby and suicide is one of the leading causes of maternal death
![Page 21: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/21.jpg)
10% of five to fifteen year olds have a mental health problem. Childhood abuse and neglect are major risk factors for adult mental illness.
![Page 22: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/22.jpg)
Self harm is one of the five most common reasons for A+E attendance
![Page 23: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/23.jpg)
15% of patients develop depression after successful surgery for lung cancer
![Page 24: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/24.jpg)
20% of patients with no previous depression suffered from depression in the six months after surgery for hip fracture
![Page 25: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/25.jpg)
Mentally Flourishing
We wish to see a Scotland where we all understand that there is no health without good mental health, where we know how to support
and improve our own and others’ mental health and wellbeing and act on that knowledge and
where our flourishing mental health and mental wellbeing contributes to a healthier, wealthier
and fairer, smarter, greener and safer Scotland.TAMFS Scottish Government 2008
![Page 26: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/26.jpg)
![Page 27: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/27.jpg)
Wellbeing
3 dimensions:emotional, social and psychological This includes our ability to cope with life’s problems and make the most of life’s opportunities; to cope in the face of adversity and to flourish in all our environments: to feel good and function well, both individually and collectively.
Mental wellbeing ranges from good or high mental health, or flourishing, at one end of a continuum to poor mental health, or languishing, at the other end of the continuum.
TAMFS Scottish Government 2008
![Page 28: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/28.jpg)
The WHO Triangle
![Page 29: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/29.jpg)
DisorderLanguishingModerateFlourishing
Population Approach
Population mental health: emotional, psychological, social
(Keyes, 2002; Rose 2003; Huppart 2005)
![Page 30: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/30.jpg)
DisorderLanguishingModerateFlourishing
Population Approach
Population mental health: emotional, psychological, social
(Keyes, 2002; Rose 2003; Huppart 2005)
![Page 31: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/31.jpg)
DisorderLanguishingModerateFlourishing
Population Approach
Population mental health: emotional, psychological, social
(Keyes, 2002; Rose 2003; Huppart 2005)
![Page 32: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/32.jpg)
The Continua of Disorder and Health
Flourishing
Mental Health
Diagnosed disorder but copes well; has
POSI TI VE MENTAL HEALTHMaximum
Mental
DisorderPOOR
MENTAL HEALTH
and diagnosis of disorder
No illness or disorder
POSI TI VEMENTAL HEALTH
POOR MENTAL HEALTH
but no diagnosis of disorder
Languishing
Mental Health
Minimum
Mental
Disorder
![Page 33: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/33.jpg)
Invest to Save: Best Buys in Economic Research 2007
• Supporting parents and early years: parenting skills training/pre-school education• Supporting children and young people: health promoting schools and continuing education• Improving working lives: employment/ workplace• Positive steps for mental health: lifestyle (diet, exercise, sensible drinking and social support)• Supporting communities: environmental improvements
![Page 34: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/34.jpg)
Evidence of What Works
• New Economic Foundation (2009) Social economics of languishing Levers for change
- connect - be active - take notice - keep learning - give
Mental Capital and Wellbeing – Government Office for Science report (2008). 400 world experts say priority for children, young people, mental health, work, older years.
![Page 35: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/35.jpg)
Evidence of What Works
• Positive stepssupportive contactactivitynaturecreativitygood dietalcohol senselifelong learning
![Page 36: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/36.jpg)
![Page 37: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/37.jpg)
Effects – Teenage Births
Eff ects of I nequality: Teenage births
![Page 38: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/38.jpg)
Effects - Obesity
Eff ects of I nequality: Obesity
![Page 39: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/39.jpg)
Effects – Drug abuse
Eff ects of I nequality: Drug abuse
![Page 40: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/40.jpg)
Effects: Imprisonment
Eff ects of I nequality: I mprisonment
![Page 41: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/41.jpg)
Effects: Violence
Eff ects of I nequality: Violence
![Page 42: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/42.jpg)
Effects: Mental Health
Eff ects of I nequality: Mental health
![Page 43: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/43.jpg)
Effects: Child Wellbeing
Eff ects of I nequality: Child wellbeing
![Page 44: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/44.jpg)
Effects: Social Mobility
Eff ects of I nequality: Social mobility
![Page 45: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/45.jpg)
Patient Doctor
![Page 46: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/46.jpg)
![Page 47: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/47.jpg)
30%
![Page 48: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/48.jpg)
What can I do now? Follow Dundee
Psychiatry on Twitter @DundeePsych
Join the RCPsych as a Student Associate (for free!)
Reduce stigma by starting a conversation about mental health
Look after yourself and your colleagues
![Page 49: Mental Health and Wellbeing Dr Karen Adam Consultant in Public Health Medicine Dr Mhairi Hepburn Clinical Fellow in Medical Education and Specialist Registrar](https://reader035.vdocuments.mx/reader035/viewer/2022081513/56649e255503460f94b13d50/html5/thumbnails/49.jpg)
Looking after self and colleaguesStudent support services
www.dundee.ac.uk/studentservices/
Your GP/ University Health Service
Mental Health Training
Doctors Support Network www.dsn.org.uk