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Module 3 Distinguishing between clinical and …

Module 4 Job Aid Promoting Mental Health June 2005 1 Distinguishing between clinical and nonclinical Issues and recognizing Self-Esteem Issues Your role as a home visitor is not to attempt to diagnose or treat clinical mental health problems (problems requiring treatment from a mental health professional) in your families. However, being able to distinguish a possible clinical problem versus a non- clinical problem can help you decide how to work with a family. Signs of Potential clinical Disorders in Adults Signs When to suspect a clinical problem ? Explosive anger. ? Suicidal thoughts or threats. ? Chronic or episodic depression, anxiety, or other mood disorders: look for extreme moodiness or mood changes.

Module 4 Job Aid Promoting Mental Health June 2005 1 Distinguishing Between Clinical and Nonclinical Issues and Recognizing Self-Esteem Issues

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Transcription of Module 3 Distinguishing between clinical and …

1 Module 4 Job Aid Promoting Mental Health June 2005 1 Distinguishing between clinical and nonclinical Issues and recognizing Self-Esteem Issues Your role as a home visitor is not to attempt to diagnose or treat clinical mental health problems (problems requiring treatment from a mental health professional) in your families. However, being able to distinguish a possible clinical problem versus a non- clinical problem can help you decide how to work with a family. Signs of Potential clinical Disorders in Adults Signs When to suspect a clinical problem ? Explosive anger. ? Suicidal thoughts or threats. ? Chronic or episodic depression, anxiety, or other mood disorders: look for extreme moodiness or mood changes.

2 ? Unrealistic expectations or pretensions: look for actions and statements that seem out of touch with reality. ? Social and emotional difficulty in two environments such as home AND work or with family AND friends. ? Symptoms that affect daily functioning have been present for more than two weeks. Symptoms may include: o Excessive or explosive anger. o Depressed mood or a pervasive sense of sadness or hopelessness. o Anxiety. o Frequent mood changes. ? Difficulties in social and family functioning that continue even with help. Difficulties may include being able to get along, to consider things from another perspective, to provide for self and other safety, or to manage daily responsibilities.

3 ? Difficulties in memory, self-regulation (calming behaviors), or concept of time that worsen for no apparent reason. Signs of Problems in Young Children Children under age 3 typically are not diagnosed with clinical mental health problems. However, they can have behavior problems that warrant professional attention. Signs When to suspect a problem requiring professional treatment ? Long-lasting developmental delays. ? Odd eating. ? Intense fears and anxieties. ? Loss of interest in usual activities such as playing with a favorite toy or friends, withdrawal from parent(s) or others. ? Excessive aggression and over-reactive behavior. ? Social and emotional difficulty or problems in two environments such as home and preschool or daycare.

4 ? Two or more of the behavioral or emotional issues (listed in the left-hand column) affect day-to-day functioning. ? Problems that continue even with help. ? Behaviors that worsen for no apparent reason and are beyond expected age-appropriate or developmental stages. NOTE: Children with developmental delays need to be referred as soon as possible to Early Intervention for assessment. Module 4 Job Aid Promoting Mental Health June 2005 2 Signs of Self-Esteem Issues Adults Signs of low self-esteem ? Easily angered. ? Aloof or distant. ? Lacking in confidence. ? Rigid or closed-minded. ? Difficult to encourage. ? Unable to believe in themselves or in something they desire. ? Avoid compliments or social interactions beyond what is familiar.

5 ? Fails to responds sufficiently and appropriately to her child s needs (such as positive attention, keeping a regular routine). ? Is unable to take pride in her self-care and care of her family. ? Uses drugs, excessive alcohol, or tobacco. ? Does not involve herself in the activities of her children, such as participating in play activities, reading to them, and giving positive feedback about their efforts. Signs of Self-Esteem Issues Children Signs of low self-esteem Signs a caregiver is damaging child s self-esteem Is the baby or toddler: ? Withdrawn, disinterested in interacting with familiar people (as age-appropriate), or slow to be interested in new activities? ? Clingy for his age?

6 ? Not interested in playing with age-appropriate toys? ? Overly aggressive for her age? ? Preferring others to make choices for him when able to make the choice or perform the task himself? ? Acting as though she does not expect needs will be met such as when hungry, tired, hurt, ? Easily overwhelmed by others or the environment? Does the caregiver fail to: ? Offer encouragement when her child shows fear or a lack of confidence. ? Console her child if he or she has made a mistake. ? Show appreciation for her child s efforts. ? Discipline consistently and age-appropriately. ? Regularly and consistently display affection to her child. ? Provide age-appropriate guidance for completing new tasks.

7 ? Encourage her child to explore new interests and learning. ? Show affection when her child needs closeness.


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