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Ethical standards for the treatment of mental health
Approaches to person centred care
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The aim of this essay is to discuss the values and beliefs, which underpin contemporary mental health nursing in Scotland. It will also express why these values and beliefs underpinned by Scottish government policy and legislation are significance in reinforcing contemporary mental health nursing in Scotland. The three main themes of discussion in this essay are: Person Centred Care Promoting Recovery Promoting Safety and Positive Risk Taking 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. The definition of person centred care is to include an individual receiving treatment in all aspects and decisions of both their healthcare treatment and recovery care plan. The Nursing and Midwifery Council (2008) state that nurses should ‘make the care of the people your first concern, treating them as individuals and respecting their dignity’. In 2012, the Scottish government introduced The 10 Essential Shared Capabilities (10 Escs) It has been created to promote and reflect on progressing policy and legislation to improve person centred care, values and beliefs in Scotland. Person centred care is a driving force not only within mental health nursing but all nursing. Whilst the service user and the nurse build a therapeutic relationship and develop a care plan, which is to the service users owns specific needs and wants. It ensures th... ... middle of paper ... ...manceAndEthicsForNursesAndMidwives_LargePrintVersion.PDF. [Accessed 01 March 14].Map Scotland.gov.uk. 2011. Keeping Going. [ONLINE] Available at: http://www.scotland.gov.uk/Resource/Doc/348559/0116236.pdf. [Accessed 28 February 14]. Scottish Government. 2011. Rights, Relationships and Recovery. [ONLINE] Available at: http://www.scotland.gov.uk/Publications/2006/04/18164814/19. [Accessed 28 February 14]er The Scottish Government. 2004. Mental Health (Care and Treatment) (Scotland) Act 2003. [ONLINE] Available at: http://www.scotland.gov.uk/Publications/2004/01/18753/31686. [Accessed 01 March 14]. The Scottish Recovery Network. 2012. What is Recovery. [ONLINE] Available at: http://www.scottishrecovery.net/What-is-Recovery/what-is-recovery.html. [Accessed 01 March 14]. Wrycraft, N, 2009. An Introduction to Mental Health. 1st ed. Glasgow: Bell and Bain Ltd.
Walker, S. (2008). Social work and child and adolescent mental health. Dorset: Russell House Publishing Ltd.
The therapeutic aspect is focussed on the care received, and how it creates a positive outcome for the service user, this includes good communication, building strong relationships, person centred planning and the choices available to the person in receipt of care. (Miller, J, 2015) (Gibb and Miller, 2007)
The Scottish Government [TSG] (2005). National Care Standards - support services (revised march 2005) [PDF] available at The Scottish Government website; scotland.gov.uk/Resource/Doc/239525/0066023.pdf
To establish why a working partnership between the service user and practitioner is needed it is important to note that there have been many changes in mental health services since the 18th century when service users were labelled ‘lunatics’, shackled and treatment included beatings and being put on public display (The Open University, 2010g, p.94). This no longer happens but current legislation still focuses on controlling risk instead of considering a holistic approach where the whole person is considered. This can result in the service user not being included in decisions about their care, not given treatment options and sometimes being detained without consent (The Open University, 2010h, p.111). May (in the Open University, 2004b) is a practitioner and ex-service user, he states that me...
Discharge planning for these patients into the community does not consider living in shelters and assisted living facilities. The revolving door situation creates negative outcomes for patients and organizations. These organizational alternative housing services do not provide medication supervision, therefore adherence to medication regimen and treatment is not provided to them. Consequently, they return to hospitals seeking follow-up treatment. Unfortunately exacerbation of mental illness symptoms is inevitable reflected from premature discharge and inadequate follow-up care. It is imperative that all patients receive proper treatment and discharge plan. Providing discharge instructions to patients for transitioning to independent living and self-care is not sufficient. Proactive health interventions and planning organizational strategies are needed to improve health outcomes for patients who are living in health care institutions (National Health Care for the Homeless council,
The purpose of this assignment is to demonstrate my reflection and understanding in the Role of the Mental Health Nurse in an episode of care supporting and promoting the recovery of service users. According to the National institute for Mental Health (2004) recovery is a process to restore something or return to a state of wellness, is an achievement of quality of life that is acceptable to the person (Ryan 2012).
Mental health is an issue that has been bombarded with unanswered questions and cursed with a social stigma. Throughout history this has created a social divide between mental health issues and the mainstream media. This disparity doesn’t only create a social separation, but a lapse in ethics, making it tolerable to look down on people in the mental health community. Historically, patients have been placed or forced into mental institutions in order to “cure” them of their mental obscurity so that they can function normally in the society, yet for centuries this has proven to be an ongoing struggle for the mental health community. With all of the new advancements in medicine and our ability to cure more physical and mental ailments than
Wilkin P & Baker P (2004) “The Craft of Caring” Psychiatric and Mental Health Nursing, Arnold Press, London page 26-33
This essay will discuss how and most importantly, why mental health policy has developed in Northern Ireland throughout the 19th and 20th century. It will first illustrate life inside the asylums, the policies that supported institutionalisation, and why change was needed. Next it will establish the progression in policy to support community and integrated care; it will examine this change and its effectiveness throughout society. Moving onto the 21st century, it will focus on a few of the main policies established throughout this period. Finally a conclusion will be made, assessing the current policy in Northern Ireland and how far we have to go to enhance the quality of life of those struggling with mental illness.
People affected by mental illness and impairments are among the most over-represented, vulnerable and disadvantaged members of the community in relation to the criminal justice system. These people are entitled to rights and services that are constantly being denied, due to widespread stigmatisation and discrimination associated with mental illnesses. The disproportionate interaction of people affected by mental illnesses with the justice system is adversely affecting their prospects for fair treatments, costing the community as a whole. This paper will analyse the effectiveness of current laws applying to people affected by mental illnesses, as well as providing a history of mental health
Walsh, A & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.
At the beginning of Lisa’s admission, performing a comprehensive and holistic psychiatric assessment is a vital role of a mental health nurse. This process will help the nurse to gather more information in response to client’s presenting condition and aspects of her life, such as living conditions, finances, support system, symptoms and overall physical health and to decide for the treatment plan (Reavley, Morgan, Jorm, 2014). The purpose of the comprehensive assessment is to communicate with the patient and establish a therapeutic relationship in order to identify the underlying concerns, to clarify the client’s mental health concerns, and to rule out any risk towards herself and others (Harder, Munro, Gaynor, 2014). Moreover, it is also a chance to assess Lisa’s history, her presenting problem and or issues, her family history, and the availability of social and family support that can help in her treatment plan (Harder, Munro, Gaynor, 2014).
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,
The standards of psychiatric and mental health nursing were first developed in 1995 to create a document that would describe the expectations of a mental health nurse. The standards put forth behaviours expected of professional nurses by incorporating vital information and new trends in the field, and linking these to expected outcomes (CFMHN, 2006). The teaching-coaching function standard is of great importance to the mental health field as it promotes nurses to understand the client's individual needs, supports learning related to those needs, and promotes self-reliance in aiding clients and families to acquire greater ease in living with their mental illness and the accompanying effects (Lawlor, n.d.). Such teaching provides the nurses with a chance to make a difference ...
Social and financial disadvantages are common among people with mental a disorder and have great impact on their quality of life. However, these disadvantages are not the only hardship that they have to face in their daily life. In fact, stigma and discrimination against people with mental a disorder can be worse than the mental health condition itself. They are a big barrier in the rehabilitation process and the journey towards life chances of these individuals. Public stigma, self-stigma and discriminatory behaviours all contribute to the daily struggles and build on top of the pre-existing challenges that they face in dealing with their mental health condition.