mental health, hiv/aids and hcv coinfection - Pacific AIDS Network

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mental health, hiv/aids and hcv coinfection - Pacific AIDS Network

2010MENTAL HEALTHHIV/AIDS &HCV COINFECTIONA RESOURCE GUIDEFORFRONT-LINE WORKERSThe Pacific AIDS Network 2010


MENTAL HEALTH, HIV/AIDS AND HCV COINFECTIONAcknowledgementsThis training was possible through the generous support of the Public Health Agency ofCanada, the Provincial Health Services Authority and the Pacific AIDS Network.A very special acknowledgement and gratitude to: Janice Duddy and Sean Nixon from the Provincial Health Services Authority for theircontinued efforts of mental health and HIV/AIDS and HCV. The BC Mental Health and HIV/HCV Working Group for their suggestions to theTraining Agenda and for their assistance with editing the Resource Guide Rosalind Baltzer Turje and Barbara Wells for their vision and ideas in designing theTraining Workshop BCPWA for their leadership and workshop suggestions around Persons living withHIV/AIDS Gail Butt, Sandi Mitchell and Deb Schmitz for their input and suggestions related toHepatitis C and Mental Health Karen Leiman for her suggestions regarding addictions / substance use Susan Dann for designing an evaluation process for the training Darren Lauscher and Rosalind Baltzer Turje for their superb facilitation skillsCompiled byCarlene DingwallConsultant3


RESOURCE GUIDETable of ContentsCHAPTER ONE ...................................................................................................................................... 7BACKGROUND INFORMATION ............................................................................................................. 7Purpose of the Resource Guide ............................................................................................................... 8How to use the Resource Guide: .............................................................................................................. 8Preface ...................................................................................................................................................... 9About the Study ...................................................................................................................................... 10Trap Doors: Revolving Doors Summary .................................................................................................. 10Prevalence Rates of Mental Health Conditions of PHAs Accessing Supports from ASOs in BC .......... 11Most Common Mental Health Concerns: ........................................................................................... 12Concerns from Community Organizations: ......................................................................................... 13Implication for Care, Treatment and Support .................................................................................... 14The Mental Health and HIV/AIDS/HCV Provincial Working Group ..................................................... 15Rationale/ Vision for the Training ........................................................................................................... 16Target Audience: ................................................................................................................................. 16Content and Structure ........................................................................................................................ 17Specific Content Areas: ....................................................................................................................... 20Training Objectives: ............................................................................................................................ 21Process of skills development: ............................................................................................................ 21CHAPTER TWO ................................................................................................................................... 22MENTAL HEALTH CARE IN CANADA .................................................................................................... 22Introduction ............................................................................................................................................ 23Promoting and Protecting Mental Health ............................................................................................... 25Mental Health for Life ............................................................................................................................. 26The Medicine Wheel...............................................................................................................................28Promoting and Protecting Mental Health as Flourishing by C. Keye......................................................29Mental Health and Cultural Safety for Aboriginal People ................................................................... 43Introduction ............................................................................................................................................ 43The Aboriginal Healing Foundation ....................................................................................................... 44Cultural Safety ......................................................................................................................................... 45Who should do it? ............................................................................................................................... 454


MENTAL HEALTH, HIV/AIDS AND HCV COINFECTION5Why should we do it? ......................................................................................................................... 46How to do it? ....................................................................................................................................... 46An example of cultural safety: Opening Prayer .................................................................................. 48Fact Sheet: Cultural Safety ...................................................................................................................... 49Origins and Background ...................................................................................................................... 49Key Concepts ....................................................................................................................................... 50Culturally Safe Practice ....................................................................................................................... 51CHAPTER THREE .......................................................................................................................... 52PSYCHIATRY AND HIV/AIDS ........................................................................................................ 52Psychiatric Disorders Fact Sheet ............................................................................................................. 53HIV/AIDS PSYCHIATRY A Review of Syndromes and Treatment: Presentation ...................................... 54Clinical Resources for HIV and Mental Health ........................................................................................ 65Psychiatric Disorders Commonly Associated with HIV and AIDS , 9 ......................................................... 67Mental Illness Fact Sheets ................................................................................................................ 69Aboriginal Mental Health and Substance Use ........................................................................................ 70Alternative Treatments for Mental Disorders ........................................................................................ 76Bipolar Disorder ...................................................................................................................................... 78Concurrent Disorders .............................................................................................................................. 80Cross Cultural Mental Health and Addiction Issues ................................................................................ 84Depression .............................................................................................................................................. 87Getting Help for Mental Disorders .......................................................................................................... 91Improving Mental Health ........................................................................................................................ 93Mood and Psychosis................................................................................................................................ 97Post Traumatic Stress Disorder ............................................................................................................... 99Suicide ................................................................................................................................................... 103Treatments for Mental Disorders ......................................................................................................... 106Adding Life to Years: Depression and HIV ......................................................................................... 109CHAPTER FOUR .......................................................................................................................... 110MENTAL HEALTH and HCV ......................................................................................................... 110Mental Health and HCV .................................................................................................................... 111Mental Health Issues Associated with Hepatitis C ............................................................................ 113Mental illness and hepatitis C ........................................................................................................... 113Consumer Focussed Service .............................................................................................................. 114Principles of the protocols ....................................................................................................... 116


RESOURCE GUIDEPsychosocial Response And Recommended Interventions .............................................................. 117CHAPTER FIVE ............................................................................................................................ 119SCREENING AND ASSESSMENT ................................................................................................... 119Mental Health Screening Tools ............................................................................................................. 121Use of Client Diagnostic Questionnaire (CDQ) ...................................................................................... 125CHAPTER SIX .............................................................................................................................. 148ROLE OF THE FRONT-LINE WORKER ....................................................................................... 148Peer Training Manual: The NANNIE Approach ..................................................................................... 150Introduction ...................................................................................................................................... 150The NANNIE approach ...................................................................................................................... 150The Training ...................................................................................................................................... 156The NANNIE approach ...................................................................................................................... 159Practicing using counselling skills ..................................................................................................... 165CHAPTER SEVEN ......................................................................................................................... 169HARM REDUCTION ..................................................................................................................... 169Definitions of Harm Reduction ............................................................................................................. 170Guiding Principles of Harm Reduction .................................................................................................. 170Harm Reduction in Canada and Internationally .................................................................................... 170Psychological and Physiological Effects of Depressants ................................................................... 170Psychological and Physiological Effects of Stimulants ...................................................................... 170Overdoses ......................................................................................................................................... 170Harm Reduction and Mental Health ................................................................................................. 170Working With Individuals .................................................................................................................. 170Aboriginal communities .................................................................................................................... 170Implementing Harm Reduction in Aboriginal Communities ............................................................ 1706

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