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EARLY INTERVENTION: CHANGING LIVES,
SAVING LIVESEarly detection of mental illness
makes a difference!
MYTHS AND FACTS ABOUT MENTAL ILLNESS
MYTH
Teenagers don’t suffer from “real” mental illnesses;
they are just moody.
FACT
One in ten children and adolescents suffer from mental illness.
Most severe mental illnesses start in the teenage years.
MYTHS/FACTS ABOUT MENTAL ILLNESS
MYTH
Mental illnesses cannot be treated.
FACT
Mental illnesses are diagnosed in the same way as asthma,
diabetes, and cancer. Treatments are effective 60-80% of the time, success rates that exceed cutting edge treatment for heart disease.
Adolescence is not just confusing, it’s difficult and stressful.
WHAT IS PSYCHOSIS?
Any of a number of symptoms indicating loss of contact with reality, including:
• Hallucinations• Hearing voices or seeing visions• Delusions• False beliefs or marked suspicions of
others• Disorganized thinking• Jumbled thoughts, difficulty
concentrating
PEOPLE WITH PSYCHOSIS OFTEN EXPERIENCE:
• Social withdrawal• Odd, unusual behavior• Decreased motivation• An inability to enjoy activities• Mood swings• Pervasive anxiety• Disrupted sleep patterns• Changes in appetite and eating• Preoccupation with physical symptoms
THERE IS HOPE WITH EARLY DETECTION
Early Intervention is associated with:
• More rapid and complete recovery
• Preservation of brain functioning
• Preservation of psychosocial skills
• Decreased need for intensive services
• Preservation of supports
EARLY WARNING SIGNS
WHAT ARE THE EARLY WARNING SIGNS?
• Jumbled thoughts or confusion
• Being fearful for no good reason
• Having unusual perceptual experiences and/or hearing sounds/voices that are not there
• Trouble speaking clearly
• Feeling “something’s not quite right”
• Significant social withdrawal and loss of interest in others
• A marked drop in functioning especially at school or work
• Uncharacteristic, peculiar behaviors
• Increasing difficulty with concentration or with keeping thinking on target
HOW CAN I TELL WHETHER IT’S STRESS
OR THE START OF A MENTAL ILLNESS?
Duration of symptoms
Intensity of symptoms
Degree of disruption
Clustering of symptoms
Genetic risk
REMEMBER: REACTIONS, SIGNS AND SYMPTOMS ARE A SPECTRUM
Look for intensity and frequency
Normal Stress
Reactions
EarlyWarning
Signs
MentalIllness
Symptoms
TEENAGERS & STRESS:WHAT YOU MIGHT SEE IN NORMAL STRESS REACTION
Emotional/Physical Responses
Sadness (tearfulness)Anger (irritability)Anxiety and fearMild mood swingsFatigueComplaints of aches and pains
Behavioral Responses
Attempts to cope or “fix” the problemAvoidanceDenialWithdrawal from friendsIncrease or decrease in activityUse of substances
PSYCHOSIS OCCURS ON A SPECTRUM
GRANDIOSITY
SUSPICIOUSNESS
AUDITORY HALLUCINATIONS
Young person enjoys basketball
and expects to attend college
on a full scholarship
Young person is heading to Los Angeles because he believes he is talented
enough to join the Lakers
Young woman goes to the mall and feels like people
are
looking at her
She refuses to go to the mall because she is
certain that a specific person is out to harm her
Hearing indistinct buzzing or whispering
Hearing a voice clearly outside your head saying,
“You’re a loser” or “You’re a failure.”
DIAGNOSTIC UNCERTAINTY IS NORMAL IN EARLY INTERVENTION
Observing symptoms over time can provide diagnostic information.
Family history offers important clues.
Labeling prematurely can be misleading and damaging.
THE FOLLOWING SYMPTOMS NEED
IMMEDIATE ATTENTION:
• Suicidal acts, writing, statements
• Hearing voices no one else can hear
• Seeing visions no one else can see
• Dramatic change in sleep or self-care
• Unfounded fears others are plotting harm
• Believe they posses special powers
• Garbled speech or writing
WHAT TO DO
LEARN MORE & BE AN ADVOCATE FOR YOUR OWN BEST CARE
There are a lot of organizations that offer helpful information and resources on early intervention.
•PIER Training Institute• http://www.piertraining.com/
•Cognitive Assessment and Risk Evaluation (CARE) program http://ucsdcareprogram.com/
•Center for Assessment and Prevention of Prodromal States http://www.capps.ucla.edu/
More links and organizations can be found atwww.telecarecorp.com/earlyintervention
BE AWARE & BE OPEN
Be the ‘eyes and ears’ of early intervention: know the signs
Be willing to talk openly about what’s going on.
Be gentle and welcoming as these can be scary topics to discuss.
CONTACT YOUR LOCAL RESOURCES
Contact your local county mental health or behavioral health department to see if there is an early intervention
program in your area.
Contact your local NAMI office or the national NAMI helpline:
The Information HelpLine is an information and referral service which can be reached by calling 1 (800) 950-NAMI (6264), Monday through Friday, 10 a.m.- 6 p.m., EST. Business callers, including those seeking particular NAMI staff members, should call 1 (703) 524-7600.
http://www.nami.org/Content/NavigationMenu/Find_Support/Helpline/NAMI_Information_HelpLine.htm
ADVOCATE FOR MORE EARLY INTERVENTION SERVICES
If you feel strongly about the potential of early intervention services, please join the conversation.
Join and participate in mental health advocacy organizations like
NAMI and Mental Health America
Reach out to your local legislators and talk about the importance of early intervention
Be aware of changes in the mental health industry and mental health legislation and push for resources you feel
will help your local communities