Bi-polarDisorderChildren



=='''Health Capacity and Social Problem Analysis

created by Melanie Clark, Andra Johnson, Jill Wagar and Terri Tjostheim

for CORE 603.10, January 2009'''==

The workshop agenda

'''1.	Wiki set up and exercise. Write summary of the type of information that is available in each of the sites.'''

Cause, manifestation, diagnosis ''I was able to find a large amount of information using the UofC "ebrary" and online research tools. As an added bonus, our conversation with Dr. Glenda MacQueen provided a unique perspective into this bi-polar site. I feel comfortable with the amount of literature that is available about this topic.''

Cure, prognosis & prevention – There are a number of articles and meta-reviews of treatment options available for bipolar disorder on a number of databases, including First Consult, Up to Date, and Psych Info. One particularly interesting article is a case study of the treatment of bipolar disorder diagnosed in a pre-schooler.

For care, support and best practices I have gathered some general articles from Up to Date site and First Consult search engines in the Health Sciences library. Glenda McQueen has offered her services to answer any questions we may have about bipolar and specifically her take on the diagnosis of children.

Stigma and Social Control in Childhood Bi-polar: In reviewing literature related to this topic one must note that studies related to this area have just emerged in the past ten years. The most enlightening information on social control came from our meeting with Dr. Glenda McQueen. She referred to "social forces", psychiatrists with potentially compromised ethical motivations advocating for the diagnosis of bi-polar in children. Ethical motivation is potentially compromised because drug companies are fueling research supporting this diagnosis.

2.	Preliminary ideas of factors to consider in health capacity

3.	Positive Factors related to each site

4.	Social problems in each site

2. What would increasing health capacity look like for your topic? Your focus is on the person/ family and the direct support/front line. The following are some ideas that you might consider.

•	knowledge

•	strategies

•	ways to anticipate, manage, monitor health

•	incentives for capacity

•	tools for interacting with the health services and systems

•	access to resources needed to build and maintain capacity

•	the range of people, organizations and communities who are able to address problems,

•	reducing problems of social inequity and social exclusion that impact on health

•	social determinants of health

•	connections and social support.

General Health Capacity factors that might be in play 3. and 4. Positive Factors and Social Problems.

Cause, manifestation, diagnosis

Factors to look into to increase health capacity? How?

-patient's knowledge and practioner's knowledge; common language; family history; triggers

-controversy regarding pediatric bi-polar diagnosis

-source of motivation (who wants to know?)

What lacks, gaps, excesses, social problems act to decrease health capacity? How?

-little research to support childhood onset of bi-polar disorder

-negative effect of labels

Cure, prognosis, prevention:

Factors to look into to increase health capacity? How?

-understanding the causes (genetic and/or physiological); family dynamics and support

-individual treatment/support goals; pharmicotherapy; psychotherapy

What lacks, gaps, excesses, social problems act to decrease health capacity? How?

-denial; inconsistent use of medication

-little research about effects of pharmaceuticals on children; little longitudinal research regarding bi-polar dianosis in children

-family dynamics and support

-related MI disorders (misdiagnosis)

Care, Support, Best practices, Health Promotions:

Factors to look into to increase health capacity? How?

-self-care; support group

-routines; lifestyle

-wrap-around support: education for affected individual, family, service providers, teachers, social network

-community knowledge-building supports

-funding

What lacks, gaps, excesses, social problems act to decrease health capacity? How?

-funding

-access to medical supports, community supports (rural settings); over-access to information (internet)

-fear of the unknown (lack of knowledge about bi-polar disorder)

Control and Summary of Social Problems

Factors to look into to increase health capacity? How?

-management of symptoms (medication, psychotherapy)

-educational placement

What lacks, gaps, excesses, social problems act to decrease health capacity? How?

-justification of medication management