ADULT MENTAL HEALTH ROOT CAUSE ANALYSIS

Key Concerns
Biological Factors
Economic Factors
Healthcare System Factors

Lifestyle Choice Factors
Physical Environment Factors
Psycho-Social Factors
Spiritual Factors
Other Factors

Cultural differences

4

Stress

3

Poor understaing of the link between psychosocial development and human biological development

1

Body chemistry change after severe drug reaction

1

Biochemical after effects of trauma

0

Predisposition related to trauma

0

Comorbidity

0

Medical and MH interact

0

Decreased prenatal care

0

Decreased nutrition

0

• It takes $9/hr to afford a one bedroom apartment
• Traditional benefit structure - insufficient to support healthy lifestyle, especially in Austin
  
• Unemployment
• Unstable Personal/Family Financial Circumstances

11

• Cost of meds vs. food
• Escalating pharmaceuticals

5

• Lack of Community
• Lack of understanding by employers regarding MH causes of lack of productivity.

0

• Cartesian Dualism (mind vs. body) Reflected in healthcare insurance.
• Lack of coverage for MH
• Lack of access to meds due to prohibitive cost.
• Cursory or restrictive length of treatment (limits due to cost or Ins coverage
• Limited access to Physician (usually once every 3 months)
• Philosophical and conceptual underpinnings
• Funding

• Lack of holistic approach
• Fragmentation: territorial organization
• Perceived inaccessibility to MH

4

• Public Awarenes
• Lack of understanding of the system

3

• 24 hour reliable help for families and consumers with cultural competency

3

• Insensitivity from primary care MD
• Fear of Providers

2

• No health care follow up after dismissal
• Union between MH and somatic
• Denial of symptoms

1

• Lack of Education to patients regarding meds/compliance

1

• Lack of consumer input

1

• Burnout of providers

0

• Not enough supports for persons with MI. Especially susceptible to stress

0

Alcohol/Drug abuse addition
Tobacco or caffeine addiction

6

Cognitive Style

1

Dysfunctional social system which do not support health

1

Untreated depression
Unrecognized depression

1

Non-compliance with meds.

0

Behavior/lifestyle

0

Decreased nutrition

0

Prejudice regarding class lifestyle

0

Lack of family support

0

Lack of self esteem

0

Maladaptive coping styles/strategies

0

Lack of exercise

0

Grief/loss unresolved.

0

• Lack of safety
• Dangerous Neighborhoods
• Insecurity of home choices - unsafe housing (MH consumers are not paranoid, they are in a frightening environment

9

Stigma

4

Lack of transportation

1

Lack of community

0

Substance abuse

0

Geographic Barriers (access)

0

Household goods

0

Cleaning ability - Money for supplies

0

Unemployed

• Decreased social support
• Isolation (real and perceived)
• Lack of community
• Self-induced isolation

6

Stress

• Uncontrollable stress and poor coping
• Little/No/Poor understanding of biological influences in psychosocial development

3

Stigma of labels

• Prejudice/stigma
• Self-stigmatizing
• Special rules of engagement

3

• Poor parenting skills / Lack of support for parents
• Lack of parenting skills
• Need for improved communication skills by families, increasing family education

3

Child Abuse and Neglect

• Trauma (all types) Violence/perceived threats or risk of violence

1

• Access to Gathering Places
• Lack of wonder(?) - standing of the role of spiritual advisor - in a balanced life
• No belief system
• Poorly developed Spiritual life.
• Cannot attain belief system due to illness's complexities

4

• Spiritual crisis

1

• Not enough support for persons affected by mental illness - who are especially suspectible to stress

1

• Alone
• Lack of community

0

• Hiding from the stigma

0

• Continual losses

0

• Self-esteem

0

• Limited culturally specific services

3

• Education system lack of parental involvement not enough counselors

1

• Need for skills training

1

• Inability to read

0

• Education Level

0

• Physical Disability

0

• Need diversion not necessary jail for persons with mental illness involved with criminal justice system

0