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

APNA 30th Annual Conference Session 3015: October 21, 2016 Miles 1

Psyc hia tric Nurse s a nd Se xua l Assa ult Nurse E xa mine rs Pa rtne r to Support Vic tims of Se xua l Assa ult with Me nta l Illne ss

APNA Confe re nc e - Oc tobe r 21, 2016 Se ssion ID # 3015.1

*T he spe a ke rs ha s no c onflic ts of inte re st to disc lose .

Psyc hia tric Nurse s a nd Se xua l Assa ult Nurse E xa mine rs Pa rtne r to Support Vic tims of Se xua l Assa ult with Me nta l Illne ss

APNA Confe re nc e - Oc tobe r 21, 2016 Se ssion ID # 3015.1

*T he spe a ke rs ha s no c onflic ts of inte re st to disc lose .

L e slie Mile s, DNP, APRN-BC; L inda Ma b e y, DNP, APRN- BC; Julie Va le ntine , PhD, CNE , Se xua l Assa ult Nurse E xa mine r L e slie Mile s, DNP, APRN-BC; L inda Ma b e y, DNP, APRN- BC; Julie Va le ntine , PhD, CNE , Se xua l Assa ult Nurse E xa mine r

L e a rning Outc ome s L 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 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. 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. 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 tha t will impro ve the he a lth o f individua ls with me nta l illne ss. 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 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- pro fe ssio na l c o lla b o ra tio n. 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 tha t will impro ve the he a lth o f individua ls with me nta l illne ss.

APNA 30th Annual Conference Session 3015: October 21, 2016 Miles 2

MH SANE L a w E nfo rc e me nt Justic e Vic tim Pe rp

C

• m

m u n i t y

Some thing is wrong in our g a la xy… Wha t is it? Some thing is wrong in our g a la xy… Wha t is it?

PMH SANE

Re se a rc h & Colla bora tion

Dia log ue

Ma pping Our Conste lla tion… . Ma pping Our Conste lla tion… .

Re se a r c h & Colla bor a tion Nurse s – PMH & SANE Vic tims

SAK & Crime L ab Re se a rc h Assistants F unding Advoc ate s Sta rt by Be lie ving

Disse mina tion E duc a tion

APNA 30th Annual Conference Session 3015: October 21, 2016 Miles 3

Se xua l Assa ult in SMI Se xua l Assa ult in SMI

 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.  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 SD fo r wo me n.  HIV re la te d risk b e ha vio rs, sub sta nc e a b use , 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

 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

Syndro me , DM, CV dise a se , Re spira to ry diso rde rs, Ca nc e rs  Sc o tt & Ha ppne ll, (2011) – Syste ma tic Re vie w

 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.  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 SD fo r wo me n.  HIV re la te d risk b e ha vio rs, sub sta nc e a b use , 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

 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

Syndro me , DM, CV dise a se , Re spira to ry diso rde rs, Ca nc e rs  Sc o tt & Ha ppne ll, (2011) – Syste ma tic Re vie w

t

Se ve re Me nta l I llne ss in US Po pula tio n – 4.1% NI MH, 2014

Se xua l Assa ult Study

Re trospe c tive SANE c ha rt re vie w N = 1,874 c a se s Crite ria :

• Ag e 14 or olde r
• F

ull e xa m with SAK

• Re porte d to la w e nforc e me nt

Se xua l Assa ult Study

Re trospe c tive SANE c ha rt re vie w N = 1,874 c a se s Crite ria :

• Ag e 14 or olde r
• F

ull e xa m with SAK

• 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%

(NIMH, 2014)

Pre va le nc e of Me nta l Illne ss in US – 18.1%

(NIMH, 2014)

Study

SAMHSA 2012* SAMHSA UT AH 2009* SAMHSA 2009*

Se lf –disc lo sure MI

35%

Use o f Psyc ho tro pic Me dic a tio n

40%

Se lf-disc lo sure MI

• r use o f

psyc ho tro pic me ds

45%

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

APNA 30th Annual Conference Session 3015: October 21, 2016 Miles 4

Psyc hotropic Me dic a tion Use Psyc hotropic Me dic a tion Use

Study

(Re porte d use ) CDC 2010* NIMH 2005* NHNE S 2010* Atypic a l Antipsyc hotic s

12.8%

1% Antia nxie ty

19.5%

6% 18% Antide pre ssa nts

34.5%

12% 7% 8% 10% (F ) Bipolar Me ds

11.4%

5% 3% Sle e p Aid Me ds

11%

6% 4% 5% (F ) Stimula nts/ ADD or ADHD me ds

6.3%

4% T ypic al Antipsyc hotic s

0.8%

1% 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… .

Re se a r c h & Colla bor a tion Nurse s – PMH & SANE Vic tims Outc ome s

SANE Colla bora tion & E duc a tion - Intra SANE Colla bora tion & E duc a tion - Intra

1st - Surve y o f SANE Ne e ds Pre se nta tio n Clue s to Me nta l He a lth I

ssue s De a ling with Pa nic Atta c ks De a ling with Psyc ho sis Sc e na rio – Pa nic Atta c h a nd Psyc ho sis De sc a la tio n T ips Admissio n to Psyc hia tric U nit Me nta l He a lth Re fe rra l

E va lua tio n 1st - Surve y o f SANE Ne e ds Pre se nta tio n Clue s to Me nta l He a lth I

ssue s De a ling with Pa nic Atta c ks De a ling with Psyc ho sis Sc e na rio – Pa nic Atta c h a nd Psyc ho sis De sc a la tio n T ips Admissio n to Psyc hia tric U nit Me nta l He a lth Re fe rra l

E va lua tio n

APNA 30th Annual Conference Session 3015: October 21, 2016 Miles 5

Othe r Outc ome s - Inte r Othe r Outc ome s - Inte r

SAK Sub missio n Ra te s Unde rg ra dua te Re se a rc h E xpe rie nc e Co nsc io usne ss a nd T ra uma E duc a tio n L a w E nfo rc e me nt E duc a tio n

We st Va lle y City Pro je c t

Me nta l He a lth Pro vide rs SAK Sub missio n Ra te s Unde rg ra dua te Re se a rc h E xpe rie nc e Co nsc io usne ss a nd T ra uma E duc a tio n L a w E nfo rc e me nt E duc a tio n

We st Va lle y City Pro je c t

Me nta l He a lth Pro vide rs

F uture Implic a tions F uture Implic a tions

I nte r a nd I ntra pro fe ssio na l c o lla b o ra tio n 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 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 tra uma tize d. I nte r a nd I ntra pro fe ssio na l c o lla b o ra tio n 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 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 tra uma tize d.

Wha t Do You Se e … .. Ca n You Ma ke Conne c tions in Your Ga la xy? Wha t Do You Se e … .. Ca n You Ma ke Conne c tions in Your Ga la xy?