“Improving lives one mind at a time…” 1st Quarter 2014 The Mental Health Foundation Newsletter In This Issue “living with Schizophrenia”; MHF’s Theme 2014 “Living with Schizophrenia” MHF’s Theme for 2014 Schizophrenia is a treatable disorder with treatment being more effective in its initial stages however 50% of those affected by this disease are without care out of which 90% are from under developed countries. Thanks to the vision, hard work and struggle of many individuals, both in and out of the mental health field - in the development and progress of mental health care on the island - persons that are afflicted by this dreadful disease and their family members can find help and understanding. In 2014 the mental Health Foundation is dedicated to bringing awareness to Schizophrenia, its impact and treatment. You can follow us on twitter and Facebook for the latest updates on programs and events for this year. We hope you enjoy this issue. Mental Health Experience: MHF Tour for students Spotlight - New Staff: Know the new faces at MHF MHF—A new Way forward: Transforming care Schizophrenia: a Short historical view on Schizophrenia and mental health care Want to Donate? Contact our administration at number 5421677 ext 502 or 503 or e-mail us from our website at www.mhf-sxm.com Want to order Candles? We’ve got candles on sale To place an order please go to our website at www.mhf-sxm.com Want to volunteer? Contact out HR Dept. at 5421677 ext 516 or e-mail us from our website at www.mhf-sxm.com The World Health Organization states that of the 450 million people that suffer from a mental illness, 24 million are affected by schizophrenia worldwide. Schizophrenia is a cruel disease that robs young people, primarily between the ages of 15 and 35, of a normal future – an education, career and future relationships. It often includes psychotic experiences, such as hearing voices or delusions rendering everyday life practic- Respectfully, es overwhelmingly challenging. Fortunately Information and Prevention Department Mental Health Experience MHF Tour for students A total 8 students from 3 secondary schools took part in the “MHF Tour” between January 27th and February 4th. The students were given a guided tour through much of the facility and granted 10 minutes to sit with various mental health professionals to discuss study and career paths in the field of mental health. Requests to visit the founda- tion were taken at the Mental Health Foundation booth during the Student Career and Study Fair held November 7th 2013. “The Mental Health Foundation should continue giving students this opportunity” says one student of the Sint Maarten Academy upon completion of her tour. Continued... Mental Health Experience Cont’ News and MHF Tour held for students “… I would like to the facility to expand more wider to accommodate, more patients” says one student from Milton Peters College. “Thank you so much to everyone I spoke with, I enjoyed this tour so much and I really appreciate the time and effort that was put into speaking with me” Says an- other from Caribbean International Academy. All of the participants expressed a stronger desire to pursue their goals in mental health. The Mental Health Foundation wishes these students and their respective families much success in their endeavors. Spotlight: New Staff Get to know the new faces at MHF Tess Blom—HR Manager At The Mental Health Foundation we are the afternoons Esther has been participating always on the lookout for dedicated and in dance contests and cooking classes too! innovative persons to join our team. We are please to highlight two new staff additions —Esther Simmons and Norman Muller. Here is a look into the work and lives of these amazing people! MHF could not be more pleased to have St. Maarten born Esther Simmons employed as of June 2013. Esther returned to St. Maarten after living for many years in the Netherlands and is a very outgoing person. She works as a Social Psychiatric Worker and is in the progress of setting up the Guided Living facility at the Mental Health Foundation in a structured manner. Her specialty is in offering clients daily structure to enhance their independence and creating a home away home. Clients absolutely love to have fun with her and are never bored with this dedicated lady around. In the morning they are guided through cleaning their rooms, doing their laundry and food shopping, whereas in Norman Muller commenced in January 2014 as MHF’s new Registered Nurse in the Admission department (Closed ward and Crisis cell). Norman was born and raised in Surinam but recently moved to the island of St. Maarten where he started to work in the St. Maarten Medical Center. After a period of time Norman realized he missed working in a psychiatric facility. With 6 years of experience in the Psychiatric Center in Surinam, MHF did not hesitate to contact him. MHF sees experienced Psychiatric nurses as a true asset, seeing that these are very hard to find in St. Maarten! Norman has years of experience with psychiatric patients and has fulfilled courses such as extensive aggression training which will be of a great benefit to MHF staff and clients. Updates MHF 2014 Theme The Mental Health Foundation theme for 2014 is “Living with Schizophrenia”. Stay connected as we explore this theme this year by going to our website: www.mhf-sxm.com Upcoming Events Join us on “Now You Know” with Valerie van Putten on PJD2 as we explore into the subject of Schizophrenia between February 25th and early March 15. Read our Mr. Psych Column published every other Tuesday in the Health and Beauty Edition of the Daily Herald and on Mondays in the Health Edition of the Today's Newspaper. You may post your questions to info-prev@mhf-sxm.com Stay connected and visit us on twitter and Facebook. Check our calendar of events on our website at www.mhf-sxm.com The Mental Health Foundation #1 Leopard Road Cay Hill, St. Maarten Phone: (721) 5421677 Fax: (721) 5421687 Mobile: (721) 5205556 www.mhf-sxm.com MHF - A new way forward “Transforming Care” By Eileen Healy—MHF Director the Board of the foundation and Administration and the productivity of the Treatment staff. While budget cuts are predicted, in actuality investments are necessary but cannot be expected. Since the world has been experiencing a recession for the past years and some countries are still struggling to overcome this, others are gradually picking up pieces. Much of the difficult times can be contributed to efficiency and control when managing a country. In the US the Bush administration generally left much responsibility and accountability up to Banks and Corporations which lead to a collapse of the economy. CEO salaries exceeded what even they had ever dreamt of while monitoring the markets was sadly no longer a priority and thus a crisis was inevitable. The organization of Care is generally complex and requires a clear vision. There are 2 ways to look at providing care: a. Task oriented, the patient deals with different care givers b. Patient oriented, one caregiver deals with all aspects of the patient Option b is the most effective and patient friendly but does require a new way of looking at care giving. With this in mind MHF will enter into a new era of care provisioning. Dr. Gandotra, presented at the conference in October, 2013 the phenomena that patients of the foundation are utilizing most of the care products while the organization of the care is not adequately facilitating this. (Task oriented care) The challenge is now for MHF to Budget each care product separately by doing so monitoring the expenditures, while facilitating a smooth flow for the patients from one care product, to one or more care products. St. Maarten’s economy grew 1.1% in 2013 a decrease from 1.5% in 2012. However, it is not clear what measures Government will take to increase the growth of the economy in 2014. If the decrease in economic growth continues, difficult times are ahead of us no matter what health care organizations try to contribute. Health Care is expected to cut costs and yet continue to MHF is presently analyzing the organization of care and the distribution of the inprovide quality care come to the 7 care products: (Out patients MHF has grown from 3 staff members and care, Ambulant care, Admission, Day treat140 patients in 2007 to 33 and 900 patients ment (Faraja), Admission, Crisis Intervenin 2013. In 2010 the building in Cay Hill tion and Information and Prevention) was bought to facilitate Crisis patients, Admissions, Guided living more space for all With the staff, discussions are ongoing and care products and a happier staff and satis- preparations are being made as to how and to best approach the needs of the patients, fied patients. save money and increase the quality of It was a huge investment for such a young care. organization, but all agreed a necessary one. Till date, the foundation has managed a financially solid organization with no deficits. Thanks to the enormous efforts of News and Updates Thank you MHF Sponsors! The Mental Health Foundation would like to thank its sponsors for their support during 2013. We would like to extend a special thanks to the following sponsors who have played a part in the production and airing of out mental health spots: Ennia Insurance Lazer 101 PJD2 WTN Pearl FM Today Newspaper AVS News SXMIslandtime The Mental Health Foundation #1 Leopard Road Cay Hill, St. Maarten Phone: (721) 5421677 Fax: (721) 5421687 Mobile: (721) 5205556 www.mhf-sxm.com Schizophrenia: A Short Historical View on Schizophrenia and Mental Health Care Schizophrenia is a serious brain disease that expresses itself in terms of disturbances in thinking, perception and behavior. Those affected find it difficult to understand or interact with the everyday world. This disease is a long-lasting illness that has many different kinds of reoccurring symptoms characterized by disordered thoughts, hallucinations, delusions, and social withdrawal. Among its victims we find ordinary young men and women in the prime of their young lives, between the ages of 15 and 35. While the definition of the schizophrenia used today was but created in 1911 the disease is believed to go back thousands of years. In early history, persons who suffered from Schizophrenia were accused being possessed by the devil or an evil spirit. Due to its frightening symptoms and as a result of fear, those affected were ostracized, starved, beaten, or even burnt to death. They were subject to many cruel and inhumane procedures like trephining which involved drilling a hole in the skull to let the “spirits “ out and bloodletting which involved cutting the patient to let excess blood run out. By the 19th century health professionals of the time made great efforts in trying to understanding the disorder. Specialists like Dr. Ewald Hecker and Dr. Emile Kraepelin brought a closer understanding and coined terms like ‘hebephrenic’ and ‘Dementia praecox” that are still used today however not in the same context. Despite these advances, treatment at the time included beatings and confinement to dark locked rooms. In the 20th century the term schizophrenia was first made public in a monograph by Eugen Bleuler in 1911 but it wasn’t until 1957 that today’s definition of the disease was created by Kurt Schneider. Although there were improvements in what was called “insane” asylums at the time, controversial procedures like lobotomy, a surgery that consisted of cutting part of the brain and Electro-shock therapy were widely used. However, with the introduction of antipsychotic medications in the mid1950’s, many individuals suffering from schizophrenia were for the first time given a chance at regaining control of their lives. Today, schizophrenia affects roughly 1% of the world population which means that 1 in every 100 are affected. Although Modern advances in medicine and treatment have freed t e victims of Schizophrenia from the shackles of institutional life and helped them to manage the symptoms of their illness, these individuals remain on the sidelines of mainstream society. By increasing access to treatment and services, reducing employment discrimination and social stigma, and favoring community integration we could improve the quality of life and create a future where fewer people die by suicide, become homeless, become addicted to drugs and alcohol, and/or suffer from depression and anxiety. A future where individuals are healthier, families and relationships are stronger, workplaces are more productive, and communities are more stable. Anecdotes about Schizophrenia “Due to Schizophrenia, my brother went from being an outgoing, friendly and intelligent person to having difficulty completing a sentence. I have so much anger because the disease sucks the life out of you and your family too. I miss the brother I once knew.” - Anonymous “Your daughter has schizophrenia,” I told the woman. “Oh, my God, anything but that,” she replied. “Why couldn’t she have leukemia or some other disease instead?” “But if she had leukemia she might die,” I pointed out. “Schizophrenia is a much more treatable disease.” The woman looked sadly at me, then down at the floor. She spoke softly. “I would still prefer that my daughter had leukemia.” - E. Fuller Torrey, M.D. “I have a brother that has schizophrenia, and he would not harm a fly. He has, however, been bullied by people who know nothing of the condition. He is in a much better place than he used to be, with care and family support he is managing reasonably well. Schizophrenia comes in many forms and sufferers deserve to be treated as individuals who have the ability to eventually manage their conditions.” - Anonymous The Mental Health Foundation #1 Leopard Road Cay Hill, St. Maarten Phone: (721) 5421677 Fax: (721) 5421687 Mobile: (721) 5205556 www.mhf-sxm.com