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Health promotion and disease prevention of mental health issues for families Essay Assignment Paper
- Do you agree with the following post? Why or why not?
- Find an online resource related to health promotion and disease prevention of mental health issues for families that you think would be helpful to those who are struggling. This resource should focus on families and their needs, not the person with mental illness.
POST 1
Suicide is the 10th leading cause of death in the United States (Chesnay and Anderson, 2020). Suicide does not discriminate between age, sex, race/ethnicity, and geographical location however, it is 4 times more likely in males than females. The National Action Alliance for Suicide Prevention has put in place an act called, “Zero Suicide”. It is a program used to provide information about suicide risk screening tools and steps to take when a patient screens positive for suicide risk. Healthcare settings have a significant role in preventing suicide when screening during routine appointments. This is due to the large number of patients they see from a variety of backgrounds (King, Horwitz, Czyz, and Lindsey, 2017). There are many tools used to assess for mental health concerns and suicide that is encouraged to be utilized by healthcare providers during routine appointments. These screenings include PHQ-9, PHQ-2, SBQ-R, C-SSRS, and ED-SAFE Patient Safety Screener. The PHQ-9 is the most common and incorporates DSM-IV depression diagnostic criteria into a tool for screening, diagnosing, monitoring, and measuring the severity (King, Horwitz, Czyz, and Lindsey, 2017). Theses screenings would pertain to John because if the provider would have assessed him with a PHQ-9 exam, they would have been able to further determine severity of his mental health and suicidal risk. This would have helped them formulate a better discharge plan other than returning “home”.
What events in John’s life created a “downward spiral” into homelessness and hopelessness? Which events were related to social needs, mental health needs, and medical needs, and which could health care have addressed?
Events that lead to John’s “downward spiral” in my opinion started when he was young growing up with two alcoholics and having an abusive dad. This situation created a high risk for John to abuse alcohol, engage in abusive behavior, and to have mental health issues. His “downward spiral” into homelessness and hopelessness began when he lost his job. The stress this caused him to begin drinking more frequently. With a history of growing up in an alcoholic home, increased stress later in life puts John at a higher risk for developing alcoholism. His alcohol usage then created tension between him and his wife, which lead to arguments and eventually abusive behavior. “Alcohol abuse and alcoholism within a family is a problem that can destroy a marriage or drive a wedge between members. That means people who drink can blow through the family budget, cause fights, ignore children, and otherwise impair the health and happiness of the people they love. Of married couples who get into physical altercations, some 60-70 percent abuse alcohol. In time, family members may even develop symptoms of codependency, inadvertently keeping the addiction alive, even though it harms them” (Watkins, 2020).
Events that were related to his social needs stem from when he was younger growing up with two alcoholic parents and an abusive father. He was neglected of socialization and stability of healthy parents and family life from a young age. His mental health needs were neglected when he was younger as well as through out his adult life. Events that are related to his mental health needs are his childhood, stressor of losing job, engaging in more frequent alcohol use, and becoming angrier and arguing with his wife. At any point, these events could have been evaluated and he could have received help in dealing with these situations rather than letting them progress. Events related to his medical needs did not really develop until after he began engaging in risky behavior and increase in stressors. He was otherwise healthy, other than smoking a ½ pack of cigarettes a day as well as occasional drinking. Health care could have addressed all of these needs in any appointment whether scheduled or an emergency visit through routine examination questionnaires.
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