1. 4-1 Discussion: Positive Dimensions of Mental Health Discussion
2. 4-2 Case Study: Maria Lopez
3. 5-2 Case Study: Robert Smith
4. 5-3 Rough Draft Submission
5. 6-2 Case Study: Lisa Jones
6. 7-1 Article Critique
7. 8-2 Final Paper Submission Final
8. 8-3 Reflection Journal: Important Course Concepts Journal

4-1 Discussion: Positive Dimensions of Mental Health Discussion
Some positive dimensions of mental health include subjective well-being, positive affect, and life satisfaction. If you were to conduct a study of mental health and positive indicators of your choice, what type of study design would you use and why? What indicators would you choose? What would be some challenges you might encounter?

4-2 Case Study: Maria Lopez
In two to three pages, complete the case study below by answering the questions. Maria Lopez is a single Hispanic female living in a large Mississippi city. She is 35 years old and has been diagnosed with major depressive disorder (MDD) and post-traumatic stress disorder (PTSD). She recently lost her job and health insurance, so she does not take any medication for her illnesses. Maria has had physical health issues as well, including hypertension, type 2 diabetes, and obesity. Maria’s closest family lives in Florida, but she rarely sees them, as both parents are alcoholics.

1. Speculate on Maria’s mental illness onset, its course, and its possible outcome.
2. Explain the close association between Maria’s mental illnesses and her physical comorbidity.
3. Describe how Maria would answer quantitative questions regarding four dimensions of health: life satisfaction, hopelessness, anxiety, and depression.

5-2 Case Study: Robert Smith
In two to three pages, complete the case study below by responding to the prompts.
Robert Smith is a 40-year-old black male who is divorced, with no children or nearby family. Robert has been diagnosed with post-traumatic stress disorder (PTSD). He recently retired from the military but refuses to talk about his experiences with anyone. He now lives in a small, rural town 30 miles from the nearest grocery store. Robert had a difficult childhood; his father committed suicide when Robert was only seven years old, and his mother was an alcoholic. His mother died last year from cancer. His father used to physically and verbally abuse him.
1. Identify some possible risk factors of Robert’s PTSD.
2. Provide an educated discussion of what social determinants of Robert’s mental illness most likely affect him.
3. Apply the diathesis-stress model to how Robert may have developed PTSD and still suffers from it to this day.

6-2 Case Study: Lisa Jones
Lisa Jones is a 49-year-old female who has never been married and has no children. Lisa was diagnosed 16 years ago with paranoid schizophrenia. Lisa is on Medicaid but has been turned down for Social Security benefits. She lives alone in a rural town, but her housing is in jeopardy, as she disrupts the other tenants with her rants. Lisa is not on any medication for schizophrenia and refuses to go to the local community mental health agency for treatment. Lisa denies she has schizophrenia, but when her symptoms are exacerbated, she ends up at the local emergency room or is involuntarily hospitalized.
1. Identify some barriers to Lisa receiving treatment for her schizophrenia.
2. Explain what role the community mental health agency could have in treating Lisa.
3. Describe some other pathways to care that Lisa could take advantage of to treat her illness.

7-1 Article Critique
Select an article on mental illness prevention from a peer-reviewed journal source dating from 2010 to the present. You may use one of the articles offered in the Module Resources section or another article of interest to you. Answer the following questions:
• Does the author provide a sound rationale for prevention?
• Is there a method offered?
• Do you agree with the method suggested? Why or why not?
• Are there any ethical challenges to the proposed prevention approach?
• How does public health fit into the discussion?
• How is the life course of mental illness affected by the proposed prevention approach?

Final Paper
The final paper for this course will require you to choose a mental illness and investigate its course of life. This paper will require you to use at least three peer-reviewed articles to provide evidence to support information in the paper. This paper must be four to six pages in length with a title page and reference list adhering to APA formatting.

8-2 Final Paper Submission
Choose a mental illness you are interested in. Follow the illness through the life course and answer the following questions:
• Describe the mental illness you have chosen.
• Describe the onset, course, and outcome of the illness.
• Describe physical illnesses that have been shown to accompany this mental illness.
• List some indicators (dimensions) that have been linked to the mental illness.
• Identify some risk factors and social determinants of the mental illness.
• Describe how this illness is being treated in the U.S. behavioral health systems. List any barriers to obtaining mental health treatment.
• Explain whether this illness can be prevented. If so, discuss some methods of prevention.
• Define mental health promotion. Identify a promotion strategy you would implement for this illness.
• Identify some cultural differences found globally for this illness. Describe differences in the symptoms and aspects of the illness compared to the United States.
• Write a conclusion that sums up all of these statements, and the future direction of addressing this mental illness.
The paper should have at least three peer-reviewed articles (Shapiro Library search) to provide evidence for the information in the paper. The paper should be four to six pages in length, with a title page and reference list. An abstract is not needed. Use APA style.

8-3 Reflection Journal: Important Course Concepts
As you reflect on the course, have your views on mental health and mental illness changed? If so, how? What are some important concepts from the course that you found particularly relevant to your personal and professional areas of interest? Which chapter or chapters did you find particularly significant in the discussion of mental health and mental illness?

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Final Paper

For the purpose of this submission, the selected mental illness is a Major Depressive Disorder, which is commonly abbreviated as MDD. Also known as depression, MDD is primarily a psychological complication usually characterized by an overwhelming feeling of isolation, sadness, and despair lasting for at least two weeks. According to NIM (2017), MDD is a common but severe mood disorder that affects the manner a person thinks, feels, and handles day-to-day activities. Research has shown that the incidence of MDD in America exceeds the 20-26 percent and 8-12 percent levels for women and men respectively. Apparently, many of the Americans with MDD do not seek for recurrent health attention. Apart from this, it has been reported that the median age for the onset of MDD is 32 years. The current research on MDD has provided sufficient knowledge that allows for understanding the course of MDD, and this plays a role in promoting better health outcomes.
For one to be diagnosed with MDD, he or she must have experienced one or more major depressive episodes for two weeks and beyond. Besides, as Nemade, Reiss, and Dombeck (2007) revealed, the depressive symptoms have to persist for the major part of the day and cause serious problems in work and social interactions as well as one’s ability in their daily life. Apparently, the occupational and social functioning of some people with milder depressive episodes might appear normal. While this is the case, the affected person is often making a determined attempt to appear unimpaired. Where a patient has experienced only one depression episode, he or she can be said to be suffering from MDD single episode. However, according to Nemade, Reiss, and Dombeck (2007), where a series of Major Depressive Episodes take place and it follows that no mixed or manic episodes are observed, the diagnoses changes to Recurrent Major Depression.
Where it remains untreated, a Major Episode lasts approximately four months on average. Belmaker and Agam (2008) revealed that some patients might experience only a single depressive episode. If this is the case, the symptoms are usually not visible. If a mental practitioner does not attend the situation, Belmaker and Agam (2008) identified that such patients go on to experience a series of multiple major depressive episodes. This view is confirmed by Verhoeven et al. (2014) who indicated that approximately 60 percent of MDD patients that experience a single depressive episode would experience one more incidence. Of those that experience the second episode, 70 percent eventually suffer from a third episode. To this end, it is evident that if one experiences an episode of MDD, the chances of there being a subsequent episode are extremely high.
According to Verhoeven et al. (2014), the course of recurrent MDD usually varies across different individuals. The researcher indicated that for some patients, depressive episodes are isolated meaning that the incidents have been separated for many years during which mood appears normal. In other patients, clusters of MDD episodes take place closely together in time. There is also a further category of patients who experience increasing MDD episodes frequency as they age (Verhoeven et al., 2014). This variance in MDD course of life is an implication that psychiatrists and other relevant practitioners should use different methods of diagnosis and intervention if they are to deliver the best outcomes for a patient.
Belmaker and Agam (2008) expressed that highly stressful events might trigger MDD episodes. The researcher explained that some of the stressors include significant losses in one’s life including the death of a loved one, breakups and divorce, and job layoff. Nonetheless, it must be acknowledged that other typical life changes might serve to trigger MDD as well. Indeed, normal human developmental...

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