5 Awareness of mental health, dementia and learning disability
Around one in four adults has at least one mental health need at any time, and in the next 20 years the number of British people expected to suffer from dementia will grow by 40 per cent. Even though you might not be working in a setting specifically caring for people with mental health conditions, dementia and learning disabilities, it is still important to have some awareness of the signs and symptoms. This will help you to show compassion and care when you observe any behaviour that seems unusual or difficult to understand, and to be aware of the need to consult more experienced staff about behaviours if necessary.
The next video will raise your awareness of the needs of people with dementia. It explains certain features of the public space of a residential home especially designed for people with dementia. As you watch it, write down any points about the design that make life easier for the residents.
[This video is provided for use within the course only.]
Transcript: The Lodge: public space
The Lodge is a purpose-built residential and nursing home, designed for dementia care.
Wide, well-lit corridors are central to the dementia-friendly design.
Good design is not only about continuity, it’s also about contrast.
The building design is triangular and is based on evidence from research that people with dementia don’t do well in closed spaces, therefore it has features such as wide and well lit corridors which are a good place to walk if a resident is agitated, and in the centre is an open-plan garden space. To help the residents recognise rooms, the toilet doors are all painted bright yellow but all of their front doors are painted different colours. The dining area has a wooden floor and the carpets are plainly coloured without patterns.
The market square is good for people getting together and the whole area gives greater independence for residents, but is designed in such a way so that staff can still keep an eye on them.
The three most common types of mental health problem that you might encounter in your role are:
- depression: a common mental disorder that causes people to experience depressed mood, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, low energy, and poor concentration, which can be mild or very severe
- anxiety: when people cannot control their worries
- dementia: a decline in mental ability which affects memory, thinking, problem-solving, concentration and perception. This includes Alzheimer’s disease and vascular dementia.
You are probably less likely to encounter psychosis, which is when a person interprets events differently from those around them, including experiencing hallucinations, delusions or flight of ideas (MIND, 2015). It is less common and might be part of bipolar disorder (a mood disorder also known as manic depression) or schizophrenia (a psychotic disorder where people interpret reality abnormally). You might also meet patients who have a learning disability, which is where people have a significantly reduced ability to understand new or complex information and to learn new skills (Department of Health, 2001).
If you think that someone is developing symptoms of a mental health problem or dementia, or if you think that the support needs associated with their learning disability need reassessing, you should record this information and pass it on. Who you inform and how will depend on your workplace guidelines and your role. For more information on mental health, dementia or end of life care, visit the short course for carers entitled ‘Caring for adults [Tip: hold Ctrl and click a link to open it in a new tab. (Hide tip)] ’.
Case study: Lynne
Lynne has been managed by mental health services for many years with a diagnosis of bipolar disorder, and it has been extremely important to her to have access to the right professionals and support throughout this time. She has been fortunate in having a consistent social worker contact to help her through, who stays in touch with her on a regular three-weekly basis. They have grown to know each other well and have developed a supportive relationship. A similarly supportive relationship with her consultant has allowed for consistency of care and an understanding of her history. Lynne says that maintaining a line between the professional and patient, whilst having mutual respect and understanding of each other has been an important feature of her care. Lynne also described being treated with dignity and being allowed to grow, rather than feeling restricted by her mental health issues. During one of her bouts in hospital with depression she gained great confidence from leading a group. This is a good example of a long-term mental illness being managed effectively whilst living largely in the community through person-centred care.
4 Basic life support
What you have learned in this section