Showing posts with label Illness. Show all posts
Showing posts with label Illness. Show all posts

New Book Provides Help For Those With Mental Illness by Raising Community Awareness

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May is Mental Health month, and what better way to observe it than to get people in your community involved by providing them with a better understanding of it.

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How is New Book Provides Help For Those With Mental Illness by Raising Community Awareness

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"Mental Illness and Your Town" is the perfect solution to communicating the message of how to provide mental health services and how communities can work together to improve the situation for everyone involved. It is an idea book-37 ideas for helping communities understand people with mental disorders and provide better services for them. Some of the ideas may seem like common sense, but author Larry Hayes, long time advocate for those with mental health issues, points out the lack of coordination, understanding, and responsiveness within communities for those who suffer from such disorders. This book is for the family members, those who are mentally ill, the community, social workers, lawyers, police, doctors, nurses and anyone who may come in contact with or help someone who has a mental disorder. That means you! It means everyone. As Hayes explains, one in ten people during their lifetimes will suffer from some form of cognitive impairment. If it's not you, it will be a loved one. We can all benefit by learning as much about mental health as possible and being advocates for those who suffer.

Integral to educating people about mental illness is dispelling myths. Hayes points out that mothers do not cause mental problems in their children, although their depression may affect a child's development of it. However, it is just as likely a mother can prevent mental problems in her child. Hayes states, "Nurture mental wellness in a new mother and she then can nurture it in the child. Mom isn't the culprit. She can be a child's best therapist." Another myth to dispel is that the mentally ill cannot function in society. In fact, many can hold down jobs and those who work at least part-time feel better about themselves, appreciating the chance to feel self-reliant. If holding down a job is too difficult or frightening for someone with a disorder, the person can volunteer his services, thus still achieving self-esteem without as much pressure.

I cannot do justice in this space to all the ideas presented by Hayes-some may work for all communities, some for just certain communities, but they are a rich number of solutions to the absent or insufficient help for those with mental illness that many communities provide. Hayes describes the shortcomings of many current suicide prevention hotlines and how a community can create its own successfully. He provides advice for parents on estate planning so their adult child will be provided for after their death. Hayes advocates and explains how to recruit those with the power to recruit others, from journalists to lawyers, politicians, to judges, and the police. He provides details on creating conferences for the police, doctors and nurses about how to interact with those who suffer from mental illness. Awareness is key to understanding such disorders; Hayes provides numerous means to raise awareness from creating brochures and mental health directories to larger projects like setting up a Depression Center or a clubhouse for people who suffer to go to be themselves and gain self-esteem.

Author Larry Hayes knows what he speaks about. He is honest from the first page, speaking without shame about his own bouts with depression and his son's mental illness. Hayes was once hospitalized for six weeks for depression and he has undergone twelve shock treatments. His son has been suicidal, but with love, understanding and help from his family and community, he has functioned in society. Hayes is himself an award-winning columnist who wrote editorials in Fort Wayne's Journal Gazette for over a quarter century to provide education to people about the mentally ill. He has been involved in numerous groups, including the National Alliance on Mental Illness (NAMI). He was fundamental in forming the Carriage House, a highly acclaimed rehabilitation center, in creating the Suicide Prevention Council, and in starting a countywide Mental Health Coordinating Council. He also successfully lobbied Indiana University Purdue University, Fort Wayne to create the Institute for Behavior Studies.

The book concludes with a final chapter that offers guides to inventing a new system to provide treatment and resources for the mentally ill. An annotated list of resources, both books and websites, concludes the book.

Readers who know nothing about mental health issues and services will come away feeling not only more informed, but thoughtful about the people they have known with with various disorders, and they will want to learn more about this often misunderstood illness that affects everyone directly or indirectly. Those already involved in helping those with mental impairments will find fresh, well-thought out ideas to further their efforts, and finally, those who suffer will find reassurance that people do care and want to understand, and that the lines of communication have been opened wider because this book.

For more information about "Mental Illness and Your Town," Larry Hayes, and his work as an advocate for the mentally ill, visit www.communitymentalhealth.us/

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How primary Chinese health Beliefs and Chinese Culture affect health and Illness?

Primary Care Doctors - How primary Chinese health Beliefs and Chinese Culture affect health and Illness?.
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Traditional Chinese health beliefs adopt a holistic view emphasizing the significance of environmental factors in increasing risk of disease. Agreeing to Quah (1985), these factors work on the equilibrium of body's harmony, yin and yang. These are two opposite but complementary troops and, together with qi (vital energy), they operate the universe and by comparison the association between citizen and their surroundings. Imbalance in these two forces, or in the qi, results in illness.

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How is How primary Chinese health Beliefs and Chinese Culture affect health and Illness?

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In order to restore the balance, primary restorative practices may be needed. For example, excess `hot' power can be counterbalanced by cooling herbal teas, and vice versa. These beliefs are deeply ingrained among the Chinese, and have been found to be unchanged following migration to Singapore.

Lee, et. Al. (2004), found that patients with exact continuing diseases, namely arthritis, musculoskeletal diseases and stroke, were more likely to use primary Chinese rehabilitation (Tcm). This was strongly considered by the 'chronic disease triad', perceived pleasure with care and cultural health beliefs.

Hence the use of Tcm is not connected with the capability of doctor-patient interaction. Astin (1998) also agreed that it was seen as being more compatible with the patients' values, spiritual and religious philosophy, or beliefs with regard to the nature and meaning of health and illness.

In primary Chinese culture, taking medication is idea to be aversive, hence medications tend to be taken only until symptoms are relieved and then discontinued; if symptoms are not obvious, medications will probably never be taken.

Apart from parental cultural beliefs, minor side effects of sure antibiotics such as stomach upset may lead to the poor adherence of medication. The use of "leftover", "shared" antibiotics and over-the-counter buy of antibiotics by parents are tasteless situations in the community.

They think that their children suffer from the same illnesses judging by the similar symptoms, so they would give the "leftover" or "shared" antibiotics to their children and only bring them to their doctors if there is no correction (Chang & Tang, 2006). This may cause their conditions to deteriorate and may necessitate aggressive treatments later which may have unnecessary side effects.

However, there are small groups of Chinese who also blamed ill-health or misfortunes on supernatural forces, or on divine retribution, or on the malevolence of a 'witch' or 'sorcerer' (Helman, 1994). Such groups will normally seek cures from their religions.

In Singapore, the Ministry of health has drawn up the Tcm Practitioners' Ethical Code and Ethical Guidelines to preclude any unscrupulous practitioners from preying on their patients and taking advantage of their beliefs, for example, molesting ignorant patients.

The degree of acculturation has been evidenced in the following case. An old man was brought into our hospital with a week-long history of malaise, nausea and vomiting, and sudden jaundice. He was diagnosed to have an obstructive mass in the liver.

A biopsy revealed hepatocellular carcinoma. The serological test recommend continuing active hepatitis B. When the news broke to his son that his father had cancer, he requested not to disclose that to his father.

When we discussed end of life issues such as hospice care and "do-not-resuscitate" (Dnr) orders, the son tried to divert the argument to other issues such as when his father could go home.

Cultural Issues that may be complicated in this case are:

The Chinese tend to protect the elderly from bad news.

Believing in karma - the older folk believe that discussing illnesses or death/dying is bad luck. They think that talking about something bad will cause it to come true.

There is an increased incidence of liver cancer resulting from Hepatitis B due to delayed rehabilitation in the elderly, as it may take a long time for them to accept the preliminary diagnosis.

Reference:

Astin Ja. (1998). Why patients use alternative medicine. J Am Med Assoc 1998; 279: 1548-1553.

Chan, G. C. & Tang, S. F. (2006) Parental knowledge, attitudes and antibiotic use for acute upper respiratory tract infection in children attending a primary healthcare clinic in Malaysia. Singapore medical Journal, 47(4):266

Helman, C. G. (1990) Culture, health and Illness. Wright, London.

Quah, S. R. (1985) The health belief Model and preventive health behaviour in Singapore. Social Science and Medicine, 21, 351-363.

Lee Gbw, Charn Tc, Chew Zh and Ng Tp. (2004). Complementary and alternative rehabilitation use in patients with continuing diseases in primary care is connected with perceived capability of care and cultural beliefs. Family Practice, 21(6): 654-660.

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