NURS 307
Integrating Mental Health
and Addiction into Nursing
Carmen Dell
September 2024
PDBSN group
Land Acknowledgement
Photo credit:
Shutterstock
Positioning Myself
• My Experience and Expertise - As a Nurse, Educator, Human
• My Teaching Philosophy
• My Goals for this course
• Where are you positioned - as a Student? As a Human?
• What privileges can be assumed by virtue of being here
today?
Agenda
• Syllabus review
• Content co-creation
• break
• Psychiatric Mental Health Nursing – Past and Present
• Mental Health, Mental Disorder, Recovery, and Wellbeing
Syllabus – Evaluation Components
Syllabus – Evaluation Components
• Do we want to do exams and quizzes on laptops or on paper in
class?
• Exams are Multiple Choice
• You will create (some) exam content & questions for Final
• Presentation/Paper/Project – finalizing rubrics/marking guides
• * in syllabus indicate options for group presentations
• Feedback – one peer evaluation, one evaluation of me
Content Co-creation
o What are major gaps in your knowledge that you need for nursing practice?
o What are major concepts you think are important in Mental Health and are
itching to discuss in class?
o What is something you are deeply curious or passionate about in relation
to mental health?
o What formats of teaching in lectures have been particularly helpful/interesting
in the past?
o https://www.mentimeter.com/app/presentation/n/blu3ze5d8zxypu2atahtuvmebo5k9pd
t/present
What are major gaps in your knowledge
that you need for nursing practice?
What are major concepts you think are
important in Mental Health and are
itching to discuss in class?
What is something you are deeply
curious or passionate about in relation
to mental health?
What formats of teaching in lectures have
been particularly helpful/interesting in
the past?
Break
NURS 307
Psychiatric and Mental
Health Nursing:
From Past to Present
What does this image invoke?
What do you think has changed?
What has not?
Medicine wheel image from
Psychiatric and Mental Health
Nursing: From Past to Present
• The Enlightenment (18th Century) –
‘Humane’ Treatment
• Social Reform: Dorothea Dix
• Early Institutions (1800’s-1900’s)
• Inconsistent funding
• Poor understanding of mental illness
• Overcrowding
• Staffing issues
Saskatchewan Hospital
Psychiatric and Mental Health
Nursing: From Past to Present
• Specialization of Mental Health Nursing
(1920’s)
• Predominant theories: Social vs. Biologic
• Sigmund Freud (1856-1939)
• An outline of psychoanalysis published
1940
Emergence of psychotropic medications
(1950’s – 70’s)
Psychiatric and Mental Health Nursing:
From Past to Present
• Deinstitutionalization (1970’s)
• Fragmentation (1980’s)
• Mental Health Reform – National Strategies
• Canadian Mental Health Association
• Canadian Federation of Health Health Nurses
Current institutions
Current
Institutions
Throughout Canada, jails, prisons, and
custodial facilities for persons in conflict
with the law have become “de facto
psychiatric institutions” with “access to
psychiatric care only [occurring] after they
have been criminalized” (Chaimowitz,
2012, p. 5).
What is Mental
Wellness?
What contributes to
mental wellness?
Continuum of
Mental Health and
Mental Disorder
Mental health is “a state of wellbeing in which
the individual realizes his or her own potential,
can cope with the normal stresses of life, can
work productively and fruitfully, and is able to
make a contribution to his or her own
community” (MHCC, 2013 p. 3).
Sections of the
DSM 5-TR
- Introduction
- Diagnostic Categories
- Emerging Measures and
Models
Revisions:
- 2022 (DSM 5 – TR)
- 2013 (DSM 5)
- Typically align with updates
to the International
Classification of Diseases
Student Health - Empower Me
• IN only 12 convoluted steps you can get access to free online mental
health services… sign up now, so that it’s available when you need it
• https://www.studentcare.ca/rte/en/UniversityofSaskatchewanundergra
duatestudentsUSSU_EmpowerMe_EmpowerMe
• 988 – Suicide Crisis Helpline – call or text
Reflection Prompt
What will be my biggest challenge in
preparing myself for mental health nursing
practice?
Interview
• Pair up
• Only ONE person is going to spend the next 3
minutes asking ONLY open-ended questions. This
is an interview, not a conversation
• Try to incorporate motivational interviewing
• Do NOT give advice
• Do NOT talk about yourself
• Hold each other accountable to the process
Share
• How did that go?
• More of ________? Less of __________?
• Any closing thoughts for today?
Image References
• Canola Field Image: https://www.shutterstock.com/imagephoto/canola-fields-remote-rural-area-410182396
• Continuous Flow Bath https://www.life.com/history/strangers-toreason-life-inside-a-psychiatric-hospital-1938/
• North Battleford Hospital Image:
https://taholtorf.wordpress.com/2009/10/18/ghost-storiessaskatchewans-mental-hospitals/