Delivery in day(s): 4
CHC8D81V Working in Mental Health Proof Reading Service
Mental illness is a health condition leading to alteration in thoughts, behavior and/or feelings that eventually affects a person’s ability to perform day to day activities and meet ordinary demands. Contrary to the common belief that mental illness are rare, they are very common and widespread and more than 200 classified forms of mental illnesses have already been identified(Angell, 2011). They can affect anyone and everybody is at risk irrespective of age, sex, social status, economic conditions, ethnicity, cultural background, sexual orientation or spirituality.
Mental illnesses can be of many types but there are few common types as
1.Anxiety disorders: includes panic disorder, generalized anxiety disorder, social anxiety disorder and phobias
2.Mood disorders: includes depression, bipolar disorder, etc
3.Psychotic disorders includes schizophrenia with hallucinations and delusions
4.Eating disorders like anorexia nervosa, binge eating disorder
5.Impulse control and addiction disorders
7.Obsessive compulsive disorder
8.Post traumatic stress disorder(Cunningham, et al , 2014)
These mental illnesses are recognized through combination of signs like feeling stressful, unhappy, having emotional outburst, sleeping issues, changes in weight or appetite, staying quiet or withdrawn, major involvement in substance abuse or feeling worthless.
It is really a difficult task to diagnose mental illnesses and the process involves several steps. Usually, the experts would first evaluate if the symptoms are present through questions and observation followed by physical examination. They use a standard manual Diagnostic and Statistical Manual of Mental Disorder (DSM) having a classification of mental disorders, set criteria to differentially diagnose an illness and numerical code for each illness to maintain a medical record. For instance there are five diagnostic axes as per DSM IV TR as follows:
Axis I : clinical disorders like anxiety disorder, schizophrenia
Axis II: personality disorders and mental retardation
Axis III: general medical conditions
Axis IV: psychosocial and environmental problems
Axis V: global assessment of functioning
Mental illness exerts major impact over the functionality and overall life quality of clients as well as their families. The client is affected as his unstable mental condition do not allow him to accomplish day to day routine chores and his self confidence and self esteem is also hampered. It is very distressing for the patient and for the closed ones. It leads to tension, uncertainty, troubled emotions and major change in lives of family members and affect them emotionally, socially and financially(Sonuga-Barke, et al. 2013)
Affected people not only suffer from physical and psychological problems but also have to face social issues as mental ill health is associated with strong social stigma. Although mental illness are quite common, and many people recover successfully from it, but the associated stigma and experienced discrimination makes life harder. Clients face difficulty in getting jobs, to be included in mainstream society, live in decent housing or to have long term relationships. In fact, this social isolation, unemployment or poverty can even worsen a person’s mental conditions.
Early diagnosis and help can greatly help a person to recover fully from his mental illness that means gaining and retaining hope, engaging in active life, gaining social identity and a positive self sense. There are 10 recommended principles of recovery as follows:
1.Self directing clients towards their recovery path
2.Individualized and person centered approach as per client’s needs and preferences
3.Empowering them to get involved and make decisions
5.Non linear process based on continual growth
6.Strength based recovery
7.Taking peer support
9.Considering consumers responsible for their recovery (Livingston and Boyd, 2010.)
Every person has own individual choices, preferences, needs and requirements based on the social, cultural, economic and other background that needs to be addresses to help him recover from his mental illness. It is important for the service provider to identify these needs and choices and accordingly design and deliver services. This is person centered approach and it involves looking at the client as an individual person. It improves the quality of services, increases patient satisfaction level, reduces pressure on health and social services and improves final health outcomes.
Clients, their families and the community have the right to be considered capable of decision making, consent or refuse any medical treatment and obtain timely appropriate treatment, care and support. Mental health services are required to provide all essential information and knowledge to consumers in a simple and understandable language while it is the responsibility of consumers to respect human worth and dignity of other people, respect their own safety and welfare and respect their rights(Saurman, et al. 2014).
Clients with mental illness are treated with various psychological, pharmacological therapies and community support programs at the centre. In psychological therapy, the expert talks with the person and suggests ways to manage his condition. Additionally, medications are prescribed to clients along with explaining their benefits and side effects and community support programs are designed to inform, accommodate, train, educate and help in psychosocial rehabilitation of clients. These treatments are in accordance with recovery principles as they have holistic approach, are delivered as per client’s needs and involve them actively in decision making process.
While dealing with clients with mental illness, it is the legal obligation of workers to avoid any activities that can harm their clients. They are required to maintain the standard of services to a level that ensure safety and security of clients and do no harm. They must secure and protect client information gained during treatment, take proper consent from them before any procedure and deliver equal quality services to every client irrespective of his social, cultural or economic background(Hopkins, 2015).
In an emergency situation, first and foremost the potential crisis condition must be identified followed by immediately notifying responsible authorities or emergency services. By the time, client’s safety must be ensured, arrange for immediate moral or emotional support from significant others and make a decision about the appropriate level of intervention. Finally, make use of crisis services(Han, et al. 2016).
Individual workers can promote the recovery model in their everyday activities by involving in personal and professional development programs. They need to get involved in self evaluating practices, reflecting activities, keep on identifying their limitation and work to overcome these through regular training and development programs. Further, they must enhance their cultural and linguistic knowledge and develop communication skills so as to interact well with their clients and work as per the recovery model(Richard, 2014).
Part 2 short answer questions:
1.Nicola currently wants to regain control over herself with stable mental condition. She wants her symptoms of anxiety, depression and memory loss to be relieved and want her independent and strong personality back. Her current need is to overcome this annoying health condition to get back to her normal life and successfully pursue her career(Lubian, et al. 2016)
2.I would suggest Nicola to consult a psychiatrist or mental health practitioner who would help in relieving symptoms through appropriate treatment therapies. Her symptoms are suggestive of severe anxiety along with early signs of dementia where early help can bring major change and assist her in full recovery. The mental health practitioner would extend support through pharmacological and non pharmacological therapies and
3.I was quite effective in my work as I communicated very well with Nicola. I patiently listened to her and identified her needs and preferences and accordingly reassured her that she would be fine with little help. Further, I explained her illness, symptoms, disease prognosis and available treatment options along with its benefits and side effects in a simple language that she could understand. But I was unable to immediately comfort her when she started crying and I could not give proper consideration to her cultural needs.
1.My good communication skills that help me develop good rapport with the client.
2.I delivered person centered care services by identifying her needs and preferences and tried to address them
Areas of improvements:
1.Inability to effectively manage the patient when she broke up
2.Inability to effectively consider her cultural needs
4.It is my duty of care to deliver safe and secure services and to not harm my client, thus I ensured that I do not ask sensitive questions to Nicola related to her personal and professional life that may further depress her. Along with this, I extensively took his medical and drug related history so that I could avoid any drug interactions or side effects from the medicines I am going to prescribe. Thus, I made sure that my services pose no threat to the client and are directed towards her benefit(Chan, 2016).
5. My organizational responsibilities are to keep all the personal and other information gained about the client during her visit safe and secure so that it is not accessible to unwanted parties. It is important that only information necessary for assessing, recording, maintain or improving her health is collected, is stored securely and is protected from inappropriate disclosure until and unless it is legally required or there is a serious risk to the patient or other person. Further, consent must be taken from her before collecting her information and she must have access to her health records.
6.In order to review Nicola’s progress, her records would be used to compare her current condition with that of her first visit. Her present health conditions, signs and symptoms would be assessed to see whether there is an improvement or not. The client herself may be involved to give the feedback about the services and her satisfaction level. Further, her family members may be involved to give an opinion about her previous and current state and level of improvement. These strategies can greatly help in assessing the effectiveness of adopted treatment approach(Biringer, et al. 2016).
7.A positive work-life balance is important to have a satisfied, non stresses life and to enhance work potential and performance. for that, I need to track my time and keep a time log of both my personal and work related activities along with determining my priorities so that I can effectively divide and mange my time. I would also have to set specific goals and then block time for essential work related or personal activities. Further, I would set fair and realistic limits on what I will and what not at work as well as at home and would try to communicate it to my supervisor, colleagues or family members.
8.For maintaining effective practice, I would adopt following strategy:
a.Supervision: Generally, I would supervise my workforce’s activities and performance and would be guiding them regularly so as to get best out of them. I would try to effectively communicate with them, clear their doubts and would communicate what is expected from them.
b.Employee assistance: Employee assistance program would be used every month at the centre to effectively address the needs and challenges faced by my workforce. It would benefit employees by solving their work related issues that would eventually improve their performance, health and well being.
c.Debriefing and EAP: Debriefing and EAP would be used on special occasions like following some critical incident that may cause extreme stress on employees. This would help them in reducing the stress, reduce abnormal feelings, enhance coping skills and would promote their well being.
1.Angell, M., 2011. The epidemic of mental illness: why. The New York Review of Books, 58(11), pp.20-22.
2.Biringer, E., Davidson, L., Sundfør, B., Lier, H.Ø. and Borg, M., 2016. Coping with mental health issues: subjective experiences of self-help and helpful contextual factors at the start of mental health treatment. Journal of mental health, 25(1), pp.23-27.
3.Chan, G.K., 2016. Finding Common Law Duty of Care from Statutory Duties: All within the Anns Framework.
4.Cunningham, F., Leveno, K., Bloom, S., Spong, C.Y. and Dashe, J., 2014. Williams Obstetrics, 24e. McGraw-Hill.
5.Han, B., Compton, W.M., Eisenberg, D., Milazzo-Sayre, L., McKeon, R. and Hughes, A., 2016. Prevalence and Mental Health Treatment of Suicidal Ideation and Behavior Among College Students Aged 18-25 Years and Their Non-College-Attending Peers in the United States. The Journal of clinical psychiatry, 77(6), pp.815-824.
6.Hopkins, A., 2015. The Need for a General Duty of Care. Hous. J. Int'l L., 37, p.841.
7.Livingston, J.D. and Boyd, J.E., 2010. Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social science & medicine, 71(12), pp.2150-2161.
8.Lubian, K., Weich, S., Stansfeld, S., Bebbington, P., Brugha, T. and Spiers, N., 2014. & Cooper, C.(2016). Chapter 3: Mental health treatment and services. Mental health and wellbeing in England: Adult Psychiatric Morbidity Survey.
9.Richard, M.A., 2014. Employee assistance programs: Wellness/enhancement programming. Charles C Thomas Publisher.
10.Saurman, E., Lyle, D., Perkins, D. and Roberts, R., 2014. Successful provision of emergency mental health care to rural and remote New South Wales: an evaluation of the Mental Health Emergency Care–Rural Access Program. Australian Health Review, 38(1), pp.58-64.
11.Sonuga-Barke, E.J., Brandeis, D., Cortese, S., Daley, D., Ferrin, M., Holtmann, M., Stevenson, J., Danckaerts, M., Van der Oord, S., Döpfner, M. and Dittmann, R.W., 2013. Nonpharmacological interventions for ADHD: systematic review and meta-analyses of randomized controlled trials of dietary and psychological treatments. American Journal of Psychiatry, 170(3), pp.275-289.