May 15, 2000 Health Forum Report


 

ADULT MENTAL HEALTH ROOT CAUSE ANALYSIS

Key Concerns
Biological Factors
Economic Factors
Healthcare System Factors

Lifestyle Choice Factors
Physical Environment Factors
Psycho-Social Factors
Spiritual Factors
Other Factors

Key Concerns:

  • Access
  • *Housing - safe and affordable
  • (un)employment with adequate pay
  • Achieving mental health in daily life while living your life
  • Consumer input
  • Stigma
  • Coverage for working poor
  • *System is fragmented and inconsistent
  • Awareness of availability
  • Individual coping skills and strategies
  • Denial and isolation
  • Identification of problems and connection into resources for crisis
  • Follow-up

BIOLOGICAL

Number

Cultural differences

4

Stress

3

Poor understaing of the link between psychosocial development and human biological development

1

Body chemistry change after severe drug reaction

1

Biochemical after effects of trauma

0

Predisposition related to trauma

0

Comorbidity

0

Medical and MH interact

0

Decreased prenatal care

0

Decreased nutrition

0

Return to Top

ECONOMIC

Number

  • It takes $9/hr to afford a one bedroom apartment
  • Traditional benefit structure - insufficient to support healthy lifestyle, especially in Austin
  • Unemployment
  • Unstable Personal/Family Financial Circumstances

11

  • Cost of meds vs. food
  • Escalating pharmaceuticals

5

  • Lack of Community
  • Lack of understanding by employers regarding MH causes of lack of productivity.

0

Return to Top

HEALTHCARE SYSTEM

Number

  • Cartesian Dualism (mind vs. body) Reflected in healthcare insurance.
  • Lack of coverage for MH
  • Lack of access to meds due to prohibitive cost.
  • Cursory or restrictive length of treatment (limits due to cost or Ins coverage
  • Limited access to Physician (usually once every 3 months)
  • Philosophical and conceptual underpinnings
  • Funding
7
  • Lack of holistic approach
  • Fragmentation: territorial organization
  • Perceived inaccessibility to MH

4

  • Public Awarenes
  • Lack of understanding of the system

3

  • 24 hour reliable help for families and consumers with cultural competency

3

  • Insensitivity from primary care MD
  • Fear of Providers

2

  • No health care follow up after dismissal
  • Union between MH and somatic
  • Denial of symptoms

1

  • Lack of Education to patients regarding meds/compliance

1

  • Lack of consumer input

1

  • Burnout of providers

0

  • Not enough supports for persons with MI. Especially susceptible to stress

0

Return to Top

LIFESTYLE CHOICES

Number

Alcohol/Drug abuse addition
Tobacco or caffeine addiction

6

Cognitive Style

1

Dysfunctional social system which do not support health

1

Untreated depression
Unrecognized depression

1

Non-compliance with meds.

0

Behavior/lifestyle

0

Decreased nutrition

0

Prejudice regarding class lifestyle

0

Lack of family support

0

Lack of self esteem

0

Maladaptive coping styles/strategies

0

Lack of exercise

0

Grief/loss unresolved.

0

Return to Top

PHYSICAL ENVIRONMENT

Number

  • Lack of safety
  • Dangerous Neighborhoods
  • Insecurity of home choices - unsafe housing (MH consumers are not paranoid, they are in a frightening environment

9

Stigma

4

Lack of transportation

1

Lack of community

0

Substance abuse

0

Geographic Barriers (access)

0

Household goods

0

Cleaning ability - Money for supplies

0

Return to Top

PSYCHO - SOCIAL

Number

Unemployed

  • Decreased social support
  • Isolation (real and perceived)
  • Lack of community
  • Self-induced isolation

6

Stress

  • Uncontrollable stress and poor coping
  • Little/No/Poor understanding of biological influences in psychosocial development

3

Stigma of labels

  • Prejudice/stigma
  • Self-stigmatizing
  • Special rules of engagement

3

  • Poor parenting skills / Lack of support for parents
  • Lack of parenting skills
  • Need for improved communication skills by families, increasing family education

3

Child Abuse and Neglect

  • Trauma (all types) Violence/perceived threats or risk of violence

1

Return to Top

SPIRITUAL

Number

  • Access to Gathering Places
  • Lack of wonder(?) - standing of the role of spiritual advisor - in a balanced life
  • No belief system
  • Poorly developed Spiritual life.
  • Cannot attain belief system due to illness's complexities

4

  • Spiritual crisis

1

  • Not enough support for persons affected by mental illness - who are especially suspectible to stress

1

  • Alone
  • Lack of community

0

  • Hiding from the stigma

0

  • Continual losses

0

  • Self-esteem

0

Return to Top

OTHER

Number

  • Limited culturally specific services

3

  • Education system lack of parental involvement not enough counselors

1

  • Need for skills training

1

  • Inability to read

0

  • Education Level

0

  • Physical Disability

0

  • Need diversion not necessary jail for persons with mental illness involved with criminal justice system

0

Commonalities

  • Housing
  • Lack of safe and affordable
  • Economic profit
  • Division between wealthy and poor

Return to Top

Health Forum Report Home Page