ADULT &child National Research and Trends - PowerPoint Presentation

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ADULT

&child

National Research and Trends

There

are an estimated 4.5 to 6.3 million children and youth with mental health challenges in the United States

. About two-thirds of these young people do not receive the mental health services they need. In many communities, services for youth with mental health challenges are unavailable, unaffordable, or may not be sufficient to address their needs, leaving these youth at risk for difficulties in school and/or the community.(http://store.samhsa.gov/shin/content//SMA08-4351/SMA08-4351.pdf)

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Consequences of not addressing Mental Health Needs

Increase risk for school failure

Social isolation

ViolenceSubstance abuseUnsafe sexual behaviorIncarcerationPoor HealthADULT&child

Most Common Child and Adolescent Diagnosis

Depression

Anxiety

ADHD/ ADDTraumaADULT&child

Check yourself

Remember we all have some symptoms of anxiety and depression.

When assessing and diagnosing mental illness we look at duration, multiple symptomology, and impact on life functions.

NO Medical Student Syndrome Today!!ADULT&child

Depression

Younger youth 1 in 33

Older youth 1 in 8

Ages 10-19, an average of 430 youth a year were treated inpatient setting for an attempt for self- inflected injury between 2007-2011 in Indiana (Indiana State Department of Health, suicide in Indiana Report, 2013) Indiana ’s suicide rate has been slightly higher than the national average for nearly a decade. In recent years, suicide among Hoosiers ages 15-19 has wavered between the 2nd and 3rd leading cause of death. ADULT&child

Depression Symptoms

Frequent sadness, tearfulness, crying

Increase in irritability and anger

Decrease in activitiesPersistent boredom/ low energyIsolationLow self-esteemExtreme sensitivity to rejection/ failureDifficulty with relationshipsFrequent physically complaintsFrequent absences' from school/ poor gradesPoor concentrationMajor changes in eating and or sleepingTalk of running away

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Most At Risk Youths

(

www.nimh.nih.gov

, 2005; Reynolds, W.M., 1988)Starting antidepressantsAfter being released from a psychiatric inpatient hospital stayReal or perceived distress or “hassles”PeersFamilySchool

Family historyFriend committed suicideDiagnosis of depression/anxiety/

bipolar disorders

Little Family/Social supports

Few coping skills

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Anxiety

Restlessness

Poor concentration

Feels tenseReoccurring thoughts that interfere with activity Gets upset when separated from parentNightmaresFears of being aloneStomach aches/ nauseaFatigued easilyExcessive worry about: grades, family, relationships, performance with sportsTend to be harder on themselves and strive for perfectionADULT&child

Multiple Anxiety Disorders

General Anxiety Disorder

Panic Disorder

OCDSeparation AnxietySocial AnxietySpecific PhobiasSelective MutismPTSDADULT&child

ADHD/ ADD

An estimated 7% of U.S. children are diagnosed with ADD/ ADHD

Any misbehaving child can be diagnosed with ADD/ADHD. 10 million child have been diagnosed with it, and ninety percent of Ritalin is sold in the U.S. Many believe that the real problem is cultural. Life has become so stressful that most adult feel overwhelmed by normal children.

(Everything Parent’s Gide to Children with ADD/ ADHD, 2005)Rate of ADHD children in traumatized children is between 28- 30 % (Putnam 1998)ADULT&child

ADHD/ ADD Symptoms

Inattention:

Difficulties listening, even when being directly addressed

Difficulties continuing to pay attention to activities involving either work or playDifficulties paying attention to details and avoiding carless mistakesDifficulties completing tasks, chores, and assignmentsDifficulties organizing activities and taskDifficulties doing task that require sustained mental effortDifficulties keeping track of possessions and materialsHyperactivity/ Impulsivity:

Squirming and fidgeting even when seated Getting up when expected to remain seatedRunning excessively and climbing in inappropriate situation

Difficulty playing quietly

Being always on the go

Talking excessively

Blurting out answers

Not waiting his or her turn

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Trauma

Trauma occurs when a child experiences an intense event that threatens or causes harm to his or her emotional and physical well-being.

Can be the result of exposure to a natural disaster

TornadoFloodHurricaneMedical TraumaTerrorismAbuseSexualPhysicalDomestic Violence Extreme Neglect

Other

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Trauma and Triggers

After Trauma

Youth is on Constant Alert

Youth may over interpret signs of dangerYouth overreacts to normal situationsADULT&child

Traumatized Youth’s Responses

Fight/ Flight

Hyper vigilant

Easily OffendedOver reactiveViolentFreezeDissociationNonresponsiveSelf-Mutilation

Self-MedicationADULT&child

How to Access Services

You can call your local Community Mental Health Center or provide the number to the patient. To access who your local Community Mental Health Center is:

Access the Indiana Council of Community Mental Health Centers:

http//www.iccmhc.orgOr Call 317-684-3683ADULT&child

Questions ??

Tara Elsner, LMHC

Amanda Stropes, LCSW

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