By the end of Unit 4 you

By the end of Unit 4 you will meet or exceed the following: uncover personal bias and prejudice by reflecting on your attitudes, beliefs, and values related to mental health/illness; examine ethical dilemmas related to mental health nursing practice; reflect upon personal and societal stigma and barriers that exist within the field of mental health; and, explain the relationship between homelessness, mental illness and incarceration. Mental illness is not something we choose and neither is the impact it has on our lives. 1. The Beginning: Stigma and Stemming the Tide Watch this 1 minute video entitled The Homeless Read Mean Tweets. Stigma, and discrimination that results from stigma, have a profound impact on the achievement of potential. Stigma involves negative beliefs that are carried in our minds and influence how we treat one another. We all experience stigma and we all carry stigma. Like many things in life, the key is awareness and what you do with it. As nurses the need to address stigma is a professional obligation. We have a duty to ensure that our beliefs do not negatively impact the care we provide. And ideally, over time, the negative stigma that we hold will subside and be replaced with the belief that everyone has a place in our communities and all of us have potential and a right to participate. As we have learned, mental illness can impact the way we behave, feel and think; thus understanding the nature of illness becomes imperative as what is seen and experienced can reinforce stereotypes. In other words, when our thinking is altered sometimes we might have disorganized thoughts, demonstrate poor judgment or act aggressively. When we feel afraid, alone or worthless, our ability to engage, laugh and care for others could be altered. When we behave negatively and are hurtful to ourselves or others, we might not be easy to be around. This is why advocacy is paramount in the field of mental health. Enhancing the understanding and consequences of mental illness will help create a more sensitive and forgiving place where we can support and care for one another rather than ostracize and marginalize. Required Learning Activity 1 – Quest Review web site Homeless in Canada that includes fact on homelessness in Canada and includes two videos worth watching – Where is Home? and Without a Roof. There are many factors that influence how vulnerable populations are impacted by broader social issues. Watch following video Covid 19 and Homelessness in Montreal Listen to the following compelling radio documentary on the experience, treatment and stereotyping of mental illness, (note these can be found on any podcast app if you want to walk or drive and listen). Wits End Part 1 and Wits End Part 2. Write a short paragraph from the above describing how the content resonates with you and helps you to identify stigma in yourself. Then consider any parallels evident in your community (place of work, social context, church etc.). Share your responses and include the link in the Sharing Forum. 2. Homelessness and Prison: The New Institutions of Mental Illness Homelessness – Home is a place to rest, feel safe and meet our basic needs is essential. It is almost impossible to maintain basic physical and mental health, as well as gain and sustain employment, unless we are housed. Required Learning Activity 2 – Homelessness The National Film Board (NFB) of Canada documented an experiment to address the issues of homelessness and mental illness in Canada. Please explore this digital space. There are many 3-4 minutes videos documenting the findings along with a brief summary of the experiment, facts and statistics on homelessness in Canada. Review the NFB interactive website. Required Learning Activity 3 – Incarceration and Mental Illness The Mentally Ill in Prisons – As you will see in this unit there is evidence that clearly outlines the tragic and inhumane consequences of the severely mentally ill being held in prison. Yet year after year the number of mentally ill in prison rises. Read Chapter titled, Care of Persons Under Forensic Purview Using the search terms “mentally ill in Canadian prisons,” search a reputable Canadian news source and read two publications on the subject. View one or both of the following videos: Fault Lines: Mental Illness in America’s Prisons Inside Broadmoor Documentary Required Learning Activity 4 Post-LPN BN Clinical Evaluation Tool. Add examples to your Post-LPN BN Clinical Evaluation Tool. This should highlight key area of growth and areas that need improvement. Submit your current Post LPN BN Clinical Evaluation Tool to the Midpoint Post LPN BN Clinical Evaluation Tool Drop box. Required Learning Activity 5 – Seminar 2Seminar 2: The Lived Experience of Mental Illness (part of assignment 3)Seminar 2 is a required element and part of assignment 3. The date and time for this seminar were established at the outset of the course. Seminar 2 is a three hour tutor led session; you will need to come prepared to participate in the discussion. To prepare for the seminar: Complete the activities in this unit and then answer the questions below. Further questions may arise and you may wish to make note of them and review previous notes or conduct further scholarly searches on the topic. What is your initial response to what you read in the articles and viewed in the videos? What is the relationship between homelessness and mental illness? How are homelessness, mental illness and criminal charges and convictions linked? Outline three potential ethical dilemmas that arise in relation to mental illness, homelessness and the criminal justice system. How does stigma factor into your responses? References Aljazeera (2013). Fault lines: Mental illness in America’s prisons. http://www.bing.com/videos/search?q=you+tube+videos+on+the+mentally+ill+in+prison&FORM=VIRE3#view=detail∣=97E54196B2063506039A97E54196B2063506039A College of Registered Nurses of Alberta (2020). Professional boundaries for registered nurses: Guidelines for the Nurse-Client Relationship. https://nurses.ab.ca/media/it5njnr2/professional-boundaries-guidelines-for-the-nurse-client-relationship-2020.pdf Inside Broadmoor documentary. (2013). https://www.youtube.com/watch?v=yOfygFoe1Ws MaxBell School of Public Policy (29, April, 2021). James Hughes on COVID-19 and homelessness in Montreal. https://www.mcgill.ca/maxbellschool/article/video/covid-19-and-homelessness-montreal Peternelj-Taylor, C. (2019). Care of persons under forensic purview. In W. Austin and M.A. Boyd (Eds.), Psychiatric & mental health nursing for Canadian practice (4th ed.) (pp. 919-931). Philadelphia, PA: Wolters Kluwer. Schulman, T. & Wessler, C. (Producers) & Farrelly, R & Farrelly, P. (Directors). (2000). Me, Myself and Irene [Motion picture]. United States: 20th Century Fox Film Corporation US. Youth homelessness in Canada. Retrieved from https://video.search.yahoo.com Last updated: October 11, 2022 ©Copyright 2016 Athabasca University For questions, comments or to report broken links, please e-mail: CNHS Web

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