Social factors
This essay is about social determinants in mental health within my role in a rehabilitation service. This case study will examine two case scenarios involving two service users with schizophrenia. The names of all involved in this reflection have been altered and pseudonym used in accordance with (NMC 2008). I will further explore social factors in mental health such as the impacts of social determinants. I will also make recommendations to address those needs relating to Loka’s and Rose’s mental illness. This will enable personal orientated recovery for both. Mental health is regarded as a crucial element of health (WHO, 2001).
Schizophrenia is a multifaceted, incapacitating mental illness affecting insight, emotions, cognition, social interaction and choice. Further more it results in delusional and hallucinatory experiences (Stanley, et al., 2007). Medication is a vital therapeutic intervention to help treatment of schizophrenia alongside psychological and social interventions (Brimblecombe et al, 2005). The Summary of Assessments of Risk and Need (SARN) is employed in this case for both case scenarios (Self et al 2008). Relapse rates in mental health are inevitable despite medication concordance. According to Van et al (2004) early signs help in the prevention of relapse.
A CPA is regularly conducted to facilitate Loka’s and Rose’s effective recovery journey. A care pathway in this case refers to anticipated care set in a timely manner, written and agreed by the mental health multidisciplinary team. Its agreed standards includes Loka’s and Rose’s milestones and clinical interventions, logged on stage when its occurrence is expected, and it also acts as a basis for a payment system as highlighted by Darzi (...
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...ntly a new framework all-age strategy for mental health by the Government ‘No Health without Mental Health’ in UK reflects on outcome monitoring, audit, service betterments, recommendations for local and regional organisations and national commitments (GOV UK 2012). No health without mental health stresses the importance of housing for mental health. There are fast changes in healthcare systems due to development, cuts in staffing and budgets for instance in my support working role, yet my priority remains Loka and Rose (McCray 2009). I also reflect on my role and way of working especially now that social factor module is part of mental Health course supporting to better my understanding about self awareness, collaboration at different levels (McKee 2003). This helps with shrinking prejudice and discrimination recognized as the contact hypothesis (All Port 1954).
In this essay, I would like to explore a limited number of key concepts within Adult Social Work, pertaining to Mental Health Services and their users. Unfortunately, due to the certain word count restrictions imposed, and the complexity of the subject, I have decided to critically analyse a complex and divisive policy within mental health social work. I am predominantly concerned with the impact the personalised care approach has on those involved with the social work. I am going to discuss the theory surrounding it, the circumstances in which it was received and comprehended by the professionals and lay people alike in order to facilitate a better understanding of the subject at hand. Having an understanding of the process of application, the carers and service users’ perception as well as the challenges this concept has brought within the Social care system opens the mind to questioning the base value supporting Personalisation.
Schizophrenia is a deteriorating progressive disease, consequently, it is resistant to treatment for the individual suffering schizophrenia. (Catts & O’Toole, 2016). In most cases the individuals suffering from schizophrenia, are resistive to treatment, in most cases, individuals suffering from schizophrenia, and are resistive in taking antipsychotics. (Catts & O’Toole, 2016). Jeremy doesn’t see himself as a “schizophrenic”, he states that “he’s happy naturally”, and often he’s observed playing the guitar and doing painting in his room. Weekly, he has an intramuscular medication to treat his disorder, crediting the support of his wife. It is indicated that the morality rate, in patients suffering from schizophrenia is higher, despite the considerable resources available, in Australia. New data show that in 20 countries, including Australia, only 13.5% meet the recovery criteria, which means that 1or 2 patients in every 100, will meet this criteria per year. (Catts & O’Toole, 2016). This means that there’s a decline in providing support and services to individuals like Jeremy suffering from a mental illness such as Schizophrenia. Many individuals become severely ill before they realise they need medical treatment, and when receiving treatment it is usually short-term. (Nielssen, McGorry, Castle & Galletly, 2017). The RANZCP guidelines highlights that
The Open University (2010) K101 An introduction to health and social care, Unit 3, ‘Social Care In The Community’, Milton Keynes, The Open University.
The CPA is a care management process for people with mental health and social care needs, including managing associated risks. The CPA main elements are: Assessment, Care coordinator, Care planning, Review, Transfer and Discharge. The National Standard Framework for Mental Health introduced it to supply a framework for effective mental health care (DOH, 1999; DOH, 2008; Gamble, 2005). Under CPA, John may use an Advance statement to illustrate his personal preferences and what he would like to happen in regards to his personal and home life should they come to lack capacity. These are important mechanisms for safeguarding and promoting a patient’s interests and health. The CPA is grounded in values and principles that are central to personalisation brought about when in March 2008 ‘Refocusing the Care Programme Approach’ was issued. This updated guidance highl...
According to Gamble and Brennan (2000), the effectiveness of medication for schizophrenia to relieve patients from psychotic symptoms is limited. Although patients have adequate medication, some received little or no benefit from it and almost half of them still experience psychotic symptoms. They are also more likely to suffer relapse (Gamble and Brennan, 2000). Furthermore, Valmaggia, et al. (2005) found that 50% of patients who fully adhere to anti-psychotic medication regimes still have ongoing positi...
Aside from clinical management, this should also involve promoting acceptance and understanding of the experience in such a way that the illness is framed as part of the individual without defining them as a whole. The meaning attached by the individual to their experience can affect their progress and so, their life story, hopes, fears and unique social situation are central in the recovery process. While this serves to encourage acceptance of the individual’s distress, it also facilitates hope for resolution; therefore, professionals are required to enable the individual to unearth their own strengths and meaning. This means reclaiming a full and meaningful life either with or without psychotic symptoms so that the individual can maintain a life even if mental issues persist. Thus, services are required to facilitate a higher level of functioning for service users that enables the individual adapts their attitudes, values and experience; by taking personal responsibility through self-management to seek out help and support as required, rather than being clinically managed
Classical antipsychotic treatments are commonly used to treat schizophrenic patients with major positive symptoms of schizophrenia, such as Thorazine, Haldol, and Stelazine (Gleitman et al., 2011). Antipsychotic treatments are usually administered with a variety of psychosocial treatments including social skills training, vocational rehabilitation, supported employment, family therapy, or individual therapy (Barlow & Durand, 2014). This is to reduce relapse and help the patient improve their skills in deficits and comply in consuming the
Throughout this essay, each theme includes sub-topics also discussed in detail. Referring back to evidence based practice (EBP), policy drivers like Rights, Relationships and Recovery (RRR) and Scottish government legislation, such as Mental Health (Care and Treatment) (Scotland) Act 2003. These documents are the framework, which are essential in order to support the standard of care offered to each individual using mental health services in Scotland.
Smith, S L, Action Mental Health. (2013). Talk Back: Looking back over 65 years of mental healthcare. Available: http://www.mentalhealth.org.uk/content/assets/PDF/publications/talkback-september-2013.pdf?view=Standard. Last accessed 17/03/2014.
Schizophrenia can be described by a wide-ranging spectrum of emotional and cognitive dysfunctions. These can include hallucinations, delusions, disorganized speech and behavior, as well as inappropriate emotions. Consequently, this disease can affect people from all walks of life. Since schizophrenia is such a complex disorder it can ultimately affect a person’s entire existence and their struggle to function daily. With a chronic disease like this, most people have a difficult time functioning in society. This can make it hard for someone who is schizophrenic to relate to others as well as maintain significant relationships. Life expectancy for those who suffer this illness tend to be shorter than average. This is due to the higher rate of accident and suicide. The symptoms of schizophrenia can be broken down into different categories: positive, negative and disorganized. Positive symptoms include hallucinations and delusions. These tend to be the more obvious signs of psychosis. On the other hand negative symptoms indicate deficits or absence of normal behavior which can affect sp...
.... This may push people out of the recovery process before they are ready and it challenges empowerment aspects and structural problems. It has also been argued that the recovery model attempts to hide the dominance of the medical model. This marginalizes those who do not fit into a recovery narrative. Professionals have said that majority of the people who a serious illness, such as schizophrenia, require both psychotropic and psychosocial interventions to help cure their symptoms during a crisis (Rosenson, 1993). Therefore, the recovery model has been criticized for its emphasis away from medicalization. In addition, it can be argued that that while the approach may be a useful for corrective measures, institutional and personal difficulties make it essential that there be sufficient ongoing effective support with stress management and coping in daily life.
The issue of mental health has long been an object of study for society, the psychiatric professions and sociology has similarly had a long tradition of offering theoretical insights into the phenomenon. Why this might be is open for debate and many of the key sociological theories in relation to mental health
Wilson, K. et. al., 2011. Social Work ' Introduction to Contemporary Practice'. 2nd ed. Essex, England.: Pearson Education Ltd .
Primarily, the plan focuses on a significant increase in the NHS funds that will be dedicated to mental health treatments. This monetary upsurge will subsidize many improvements enabling the mentally ill to utilize the twenty-four-hour mental health liaison team (NHS, 2017). Additionally, two-hundred-thousand more people will receive therapy from the fifteen-hundred new primary therapists, and nine-thousand more new mothers and mothers-to-be will be helped by the twenty additional “specialist mental health teams” by 2018/19 (NHS, 2017). While there are many specific developments to made, the NHS’s overall goal is to “drive towards an equal response to mental and physical health” (NHS,
Ian O'Connor, M. H. (2006). Social Work and Social care Practice. London, England: Pearson Education, Australia.