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Mental health refers to how people feel about themselves emotionally, socially and spiritually, and about their ability:
Mental health means much more than whether a person suffers from a mental illness. The World Health Organisation includes mental health in their general meaning of health, which is defined as a state of total physical, mental and social wellbeing.
Aboriginal and Torres Strait Islander people usually take a holistic view of mental health similar to the World Health Organisation definition; in other words, they believe in a whole-of-life approach to the physical, social, emotional and cultural wellbeing of the community. Today many health services in Australia use the phrase ‘social and emotional wellbeing' when they talk about mental health in Aboriginal and Torres Strait Islander communities to reflect the holistic way of thinking Indigenous people have.
Mental illness is any kind of mental disorders or sicknesses people can suffer from, such as:
To class a patient's illness as a mental illness, a doctor must be able to see that the person is not coping well psychologically, socially, at work, or personally. A person may not be able to carry out their duties at home or work without getting angry or sad. This does not mean that they cannot cope with everything. They may have trouble with just one part of their life, for example, work. With mental illnesses, people may suffer from one or more disorders at the same time, referred to as co-morbidity.
Like general health and illness, people's mental health is influenced by many complex social, environmental, economic and biological factors. These factors often work together and may affect just one person or, in some cases, whole communities may be affected. These factors can have a negative impact on a person's mental health and may lead to:
On the other hand, these factors can have a positive impact on an individual's mental health by:
The environmental, social, economic and biological issues that can negatively affect the mental health of people and the communities they live in include:
When it comes to treatment for mental health illnesses, it is important that these factors are taken into account.
Australia is made up of people from very different cultural and linguistic backgrounds. This diversity in culture and language can influence:
It is important that health clinicians are aware that both the clinician's and the patient's culture can affect (the understanding of) a mental illness. When looking at the mental health issues of different cultures or even within the same culture (e.g. Aboriginal and Torres Strait Islander culture), it is important that the way people express emotion, thoughts and behaviours is understood. The clinician may need to decide whether the tools he or she uses to establish the presence of a mental illness are right for all their patients. If they decide that these screening tools are not correct for a particular person then a new set of guidelines for the tools needs to be created.
People show many different warning signs, for example sadness, that indicate that they are suffering from a mental illness. These warning signs help clinicians identify the particular mental illness a person is experiencing. The Diagnostic and Statistical Manual of Mental Disorders, produced by the American Psychiatric Association, is one of the tools used by clinicians to determine mental illness in children and adults. The mental illnesses described by this manual, include:
This is a general overview of the many disorders that can affect the mental health of people. In some cases people may experience one or more of these disorders at the same time (co-morbidity). The Diagnostic and Statistical Manual of Mental Disorders uses a multidimensional method to diagnose a mental illness because there are many dimensions or factors in a person's life that can work together to affect their mental health. There are five aspects or, as clinicians call them, axes for assessing mental illnesses:
It is still unclear what actually causes a mental illness to develop. Studies show that it can be many factors working together, including genetic, biological, psychological trauma or environmental factors.
The genetic makeup of a person influences how they think and act. Our genes come from our parents so if our parents or grandparents suffered from a mental illness we may be at risk of experiencing a similar problem. This does not mean that because a parent suffers from a mental illness his or her children will, there may just be a higher risk of it occurring.
The brain is made up of millions of nerve cells. How well these nerve cells communicate with each other determines how people think and act. These nerve cells use chemicals called neurotransmitters to communicate with each other. For the brain to have a good means of communication, these chemicals need to be well balanced. When a person is diagnosed with a mental illness it is often discovered that these chemicals are not well balanced.
Quite often people who suffer from a mental illness may have been involved in an accident (e.g. motor vehicle) or have been physically unwell (e.g. a virus), which leads to brain damage and the development of a mental disorder.
If in the past, say during childhood, a person experienced a traumatic event like emotional, physical or sexual abuse, or the loss of a loved one, this may cause a mental illness to develop during adolescence or as an adult.
Stressful life events, for example, death or divorce can result in the development of a mental illness in a person who may already be at risk of developing mental health problems.
As mentioned, one or more factors may work together to cause a mental health illness. It is therefore important that health clinicians look at all the events that are happening in a person's life before they make a decision on the mental wellbeing of the person.
The Australian government has developed an ongoing plan to boost and change, where needed, the mental health system. This plan applies to all Australians. The present National Mental Health Plan for 2003-2008 aims to:
Included in this plan are programs for Aboriginal and Torres Strait Islander Australians. The Australian government knows that to put this plan into action all levels of government need to work together.
© Australian Indigenous HealthInfoNet 2013
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