Keyword: mental disorders

In a previous piece for Quintessence, I wrote about Supported Self Management (SSM) for mood problems, surprisingly effective despite minimal cost and easy implementation. SSM involves teaching patients evidence-based methods for dealing with depression more effectively. The patient is provided with the Antidepressant Skills Workbook along with some support from a healthcare professional, peer support worker or family member. The skills taught in the workbook are based on cognitive behavioural therapy.

Let’s be frank…
Rest assured. If you develop an anxiety disorder after an accident at work, the government will help cover treatment costs, including costs for psychotherapy if necessary.
Your son committed suicide? Well…

There is a significant fear of being labeled with a mental disorder, which is major reason why we are reluctant to discuss issues with friends, family and health care professionals. Although a major challenge, the stigma associated with mental disorders is often hidden. Yet, the psychosocial impacts are serious and touch many aspects of the affected person’s life. Often, people with a mental disorder even tell us that the stigma and discrimination are more troublesome than the disorder itself.

In her March 2013 editorial, OIIQ President Lucie Tremblay emphasized that Quebec’s 72 000 nurses are a force to be reckoned with, and asked them to combine their efforts in view of changing the health care system, adding, “as professionals, we must promote our expertise and make the most of it to ensure that the population has access to quality care.” There are over 4000 mental health and psychiatric nurses working at every level of the health system. By asserting their leadership, they can help better meet the increasingly complex needs of the population.

It is increasingly recognized that family members play a vital role in supporting individuals with mental health problems, since they are the main source of support in about 60 to 70% of cases. While family members have always played an informal role in supporting loved ones made vulnerable due to mental illness, today their role […]

Supported Self-Management (SSM) for mood problems is a form of intervention in which: distressed individuals are provided with workbooks or websites designed to teach behavioural skills for mood self-management; and a healthcare provider or other supporter acts as a coach to help learn and apply the self-management skills. This intervention has shown an impressive degree of effectiveness for common mental health problems of mild to moderate severity.

As part of a scientific review on effective interventions in mental health promotion and mental disorder prevention, the INSPQ (2008) proposes a conceptual model for assessing the relevance of measures that can be implemented to promote health and prevent mental disorders.

Because of their high recurrence, experts now consider depressive and anxiety disorders to be chronic illnesses. Supported self-management (SSM) is an essential component in the Chronic Care Model, a standard to strive for when providing care for people with chronic illnesses, both physical and mental. Most clinical practice guidelines also recommend SSM for treating depressive and anxiety disorders (NICE, CANMAT).

The stepped care model seems to be a promising approach for improving quality of care for people with common mental disorders. To recap, stepped care is a health care model where interventions are prioritized according to patient needs. When the patient’s health does not improve following the interventions offered, progression towards more complex care is considered. This model would improve the current organization of mental health services.

Supported Self-Management (SSM) is gaining increasing recognition as an essential component in the treatment of people suffering from anxiety and depressive disorders. Most practice guidelines (NICE, CANMAT) recommend it. Finally, it is also part of the Chronic Care Model, which is progressively more popular for both physical illnesses and mental disorders.