APNA 30th Annual Conference Session 3015: October 21, 2016 Psyc hia - PDF document

APNA 30th Annual Conference Session 3015: October 21, 2016 Psyc hia tric Nurse s a nd Se xua l Assa ult Nurse Psyc hia tric Nurse s a nd Se xua l Assa ult Nurse E E xa mine rs Pa rtne r to Support Vic tims of xa mine rs Pa rtne r to Support Vic tims of Se xua l Assa ult with Me nta l Illne ss Se xua l Assa ult with Me nta l Illne ss APNA Confe re nc e - Oc tobe r 21, 2016 APNA Confe re nc e - Oc tobe r 21, 2016 Se ssion ID # 3015.1 Se ssion ID # 3015.1 *T *T he spe a ke rs ha s no c onflic ts of inte re st to disc lose . he spe a ke rs ha s no c onflic ts of inte re st to disc lose . L L e slie Mile s, DNP, APRN-BC; L e slie Mile s, DNP, APRN-BC; L inda Ma b e y, DNP, inda Ma b e y, DNP, APRN- BC; Julie Va le ntine , PhD, CNE APRN- BC; Julie Va le ntine , PhD, CNE , Se xua l Assa ult , Se xua l Assa ult Nurse E Nurse E xa mine r xa mine r L L e a rning Outc ome s e a rning Outc ome s  Unde rsta nd the o utc o me s o f the c o lla b o ra tive  Unde rsta nd the o utc o me s o f the c o lla b o ra tive pa rtne rship b e twe e n psyc hia tric me nta l he a lth nurse s pa rtne rship b e twe e n psyc hia tric me nta l he a lth nurse s a nd se xua l a ssa ult nurse e xa mine rs. a nd se xua l a ssa ult nurse e xa mine rs.  Disc uss e xpe rie nc e s with intra -pro fe ssio na l a nd inte r-  Disc uss e xpe rie nc e s with intra -pro fe ssio na l a nd inte r- pro fe ssio na l c o lla b o ra tio n. pro fe ssio na l c o lla b o ra tio n.  I  I de ntify o ne intra o r inte r-pro fe ssio na l c o lla b o ra tio n e ffo rt de ntify o ne intra o r inte r-pro fe ssio na l c o lla b o ra tio n e ffo rt tha t will impro ve the he a lth o f individua ls with me nta l tha t will impro ve the he a lth o f individua ls with me nta l illne ss. illne ss. Miles 1

APNA 30th Annual Conference Session 3015: October 21, 2016 C o m m Justic e u n i t Pe rp Vic tim SANE y MH L a w E nfo rc e me nt Some thing is wrong in our g a la xy… Wha t Some thing is wrong in our g a la xy… Wha t is it? is it? Re se a rc h & PMH SANE Dia log ue Colla bora tion Ma pping Our Conste lla tion… . Ma pping Our Conste lla tion… . Vic tims Advoc ate s SAK & Crime L ab Sta rt by F unding Be lie ving Re se a r c h & Colla bor a tion E duc a tion Re se a rc h Assistants Disse mina tion Nurse s – PMH & SANE Miles 2

APNA 30th Annual Conference Session 3015: October 21, 2016 Se ve re Me nta l I llne ss in US Po pula tio n – 4.1% Se xua l Assa ult Se xua l Assa ult NI MH, 2014 in SMI in SMI  Wo me n with SMI mo re like ly to e xpe rie nc e se xua l  Wo me n with SMI mo re like ly to e xpe rie nc e se xua l vio le nc e tha n me n, b o th c hildho o d a nd a dult. vio le nc e tha n me n, b o th c hildho o d a nd a dult.  Ra te s o f tra uma e xpo sure ve ry hig h: 49 - 100%  Ra te s o f tra uma e xpo sure ve ry hig h: 49 - 100%  Se xua l a ssa ult mo st hig hly a sso c ia te d with PT  Se xua l a ssa ult mo st hig hly a sso c ia te d with PT SD SD fo r wo me n. fo r wo me n.  HIV re la te d risk b e ha vio rs, sub sta nc e a b use ,  HIV re la te d risk b e ha vio rs, sub sta nc e a b use , t ho me le ssne ss, de c re a se d q ua lity o f life , ho me le ssne ss, de c re a se d q ua lity o f life , suic ida lity, ne uro c o g nitive impa irme nt suic ida lity, ne uro c o g nitive impa irme nt  Grub a ug h e t a l. (2011)  Grub a ug h e t a l. (2011)  Po o r Physic a l He a lth: Ob e sity & Me ta b o lic  Po o r Physic a l He a lth: Ob e sity & Me ta b o lic Syndro me , DM, CV dise a se , Re spira to ry diso rde rs, Syndro me , DM, CV dise a se , Re spira to ry diso rde rs, Ca nc e rs Ca nc e rs  Sc o tt & Ha ppne ll, (2011) – Syste ma tic Re vie w  Sc o tt & Ha ppne ll, (2011) – Syste ma tic Re vie w Se xua l Assa ult Study Se xua l Assa ult Study Re trospe c tive SANE Re trospe c tive SANE c ha rt re vie w c ha rt re vie w N = 1,874 c a se s N = 1,874 c a se s Crite ria : Crite ria : - Ag e 14 or olde r - Ag e 14 or olde r - F - F ull e xa m with SAK ull e xa m with SAK - Re porte d to la w e nforc e me nt - Re porte d to la w e nforc e me nt Ja nua ry 2010 thro ug h De c e mb e r 2013 Ja nua ry 2010 thro ug h De c e mb e r 2013 L e ss tha n 1/ 3 o f wo ma n re po rt the ir a ssa ult to po lic e . (Bro wn, e t a l. 2013) Pre va le nc e of Me nta l Illne ss in US – 18.1% Pre va le nc e of Me nta l Illne ss in US – 18.1% (NIMH, 2014) (NIMH, 2014) SAMHSA SAMHSA SAMHSA Study 2012* UT AH 2009* 2009* Se lf –disc lo sure MI 35% Use o f Psyc ho tro pic 40% Me dic a tio n Se lf-disc lo sure MI o r use o f 45% psyc ho tro pic me ds Pre va le nc e o f MI 18% 24% 20% *Any MI – No sub sta nc e a b use o r de ve lo pme nta l diso rde rs Miles 3

APNA 30th Annual Conference Session 3015: October 21, 2016 Psyc hotropic Me dic a tion Use Psyc hotropic Me dic a tion Use Study CDC NIMH NHNE S 2010* 2005* 2010* (Re porte d use ) Atypic a l Antipsyc hotic s 12.8% 1% 6% 18% Antia nxie ty 19.5% Antide pre ssa nts 34.5% 12% 7% 8% 10% (F ) Bipolar Me ds 5% 3% 11.4% Sle e p Aid Me ds 11% 6% 4% 5% (F ) Stimula nts/ ADD or ADHD 6.3% 4% me ds T ypic al Antipsyc hotic s 1% 0.8% Note : Diffe re nc e be twe e n having a diagnosis and be ing tre ate d . Ma pping Our Conste lla tion… . Ma pping Our Conste lla tion… . Vic tims Re se a r c h & Outc ome s Colla bor a tion Nurse s – PMH & SANE SANE SANE Colla bora tion & E Colla bora tion & E duc a tion - Intra duc a tion - Intra  1 st - Surve y o f SANE  1 st - Surve y o f SANE Ne e ds Ne e ds  Pre se nta tio n  Pre se nta tio n  Clue s to Me nta l He a lth I  Clue s to Me nta l He a lth I ssue s ssue s  De a ling with Pa nic Atta c ks  De a ling with Pa nic Atta c ks  De a ling with Psyc ho sis  De a ling with Psyc ho sis  Sc e na rio – Pa nic Atta c h a nd Psyc ho sis  Sc e na rio – Pa nic Atta c h a nd Psyc ho sis  De sc a la tio n T  De sc a la tio n T ips ips  Admissio n to Psyc hia tric U  Admissio n to Psyc hia tric U nit nit  Me nta l He a lth Re fe rra l  Me nta l He a lth Re fe rra l  E  E va lua tio n va lua tio n Miles 4

APNA 30th Annual Conference Session 3015: October 21, 2016 Othe r Outc ome s - Inte r Othe r Outc ome s - Inte r  SAK  SAK Sub missio n Ra te s Sub missio n Ra te s  Unde rg ra dua te Re se a rc h E  Unde rg ra dua te Re se a rc h E xpe rie nc e xpe rie nc e  Co nsc io usne ss a nd T  Co nsc io usne ss a nd T ra uma E ra uma E duc a tio n duc a tio n  L  L a w E a w E nfo rc e me nt E nfo rc e me nt E duc a tio n duc a tio n  We st Va lle y City Pro je c t  We st Va lle y City Pro je c t  Me nta l He a lth Pro vide rs  Me nta l He a lth Pro vide rs F F uture Implic a tions uture Implic a tions  I  I nte r a nd I nte r a nd I ntra pro fe ssio na l c o lla b o ra tio n ntra pro fe ssio na l c o lla b o ra tio n impa c ting syste m c ha ng e s. impa c ting syste m c ha ng e s.  PMH nurse s sho uld c o lla b o ra te to impro ve the  PMH nurse s sho uld c o lla b o ra te to impro ve the we ll-b e ing o f vic tims o f se xua l a ssa ult with we ll-b e ing o f vic tims o f se xua l a ssa ult with me nta l illne ss a nd o the rs who ha ve b e e n me nta l illne ss a nd o the rs who ha ve b e e n tra uma tize d. tra uma tize d. Wha t Do You Se e … .. Ca n You Ma ke Wha t Do You Se e … .. Ca n You Ma ke Conne c tions in Your Ga la xy? Conne c tions in Your Ga la xy? Miles 5