21 Ene Care Of Customers With Mental Health Problems
Care Of Consumers With Mental Health Problems
This essay will look at the relationship between schizophrenia and bio psycho social issues it will also explore the idea of recovery and also look at some of the approaches that are being used to promote the healing process. The National Health Services (2005) describes schizophrenia as a mental condition with substantial short and permanent consequences for individuals, family, health insurance and clinical services and contemporary society. One in hundred people experience schizophrenia in their life time with highest incidence of the disease in late teens and early 20s. People who have schizophrenia suffer distress and long term disability and there is a lot of accompanied stigma and prejudice involved with the disease that may have negative effects on employment, relationships and life satisfaction. Someone’s family is completely destroyed with schizophrenia and carers and members of the family also carry the burden of the condition and caring the person for years.
“Schizophrenia is a extreme mental disorder seen as a profound disruptions in thinking, affecting words, perception and thee good sense of self. It often includes psychotic experiences, such as for example hearing voices or delusion. It can impair functioning through the increased loss of an acquired capacity to earn a livelihood or the disruption of research” (WHO, 2009)
Schizophrenia is not due to one single factor but a combo of different factors these factors are biological, mental and social. This is exactly what is known as the bio psycho social model of schizophrenia (Santrock, 2007).
There are thought to be many factors behind schizophrenia one of these are genetic factors. Riley & Kendler (2006) state that 70% of individuals who develop schizophrenia have got a relative who has got schizophrenia, the better the relation the more likely a person is to achieve the disease if a person has an identical twin with schizophrenia they contain a 50% potential for developing schizophrenia.
There is certainly a genetic element of schizophrenia this means someone may be predisposed to growing schizophrenia nonetheless it does not imply that they are pre-determined to build up the condition. Biological factors range from era or a virus and environmental elements for example existence stressors can trigger an starting point of schizophrenia. Stressful life events that occur can include having a baby, losing a job, moving house or losing a person who is close but not everyone who undergoes these stressful conditions will be identified as having schizophrenia as some persons can handle stressful situations better than other persons will.
Risk factors may be different for different persons – while one individual may develop schizophrenia due mainly to a strong family history of mental condition (e.g. a higher level of genetic risk), someone else with much less genetic vulnerability may also develop the disease because of a blend of pre-pregnancy factors, pregnancy factors, cultural and family anxiety or environmental factors that they experience during their childhood, teen or early on adult years. This shows that individuals possess different degrees of vulnerability to schizophrenia, which happen to be determined by a combination of biological, cultural and/or psychological factors. It is proposed that vulnerability to schizophrenia will bring about the development of concerns only when environmental stressors are present (Riley & Kendler, 2006). If the vulnerability of an individual is sufficiently high, fairly low degrees of environmental stress might be sufficient to cause concerns. If the vulnerability is much less, problems will develop only when higher levels of environmental strain are experienced (NHS article, on Schizophrenia 2005).
In mental health restoration has a lot of different definitions and does not always refer to a person having total recovery from mental health issues just as that a person can fully get over having physical health issues. A person not merely has to get over the distress and trauma of psychotic activities they also have to deal with interpersonal exclusion, discrimination, stigma, lack of position in society, thoughts of hopelessness, conceivable forced hospitalisation and the trauma of receiving a diagnosis.
The National Institute of Mental Overall health (2009) suggests that there is absolutely no single meaning of the concept of recovery for individuals with mental health issues, but the easiest way to explain the recovery style is among hope and that it’s possible for a person’s meaningful life to end up being restored, despite considerable mental illness. Recovery is normally referred to as an activity, outlook, vision, and conceptual framework or guiding basic principle (Watkins, 2007).
The Mental Health foundation (2007) declare that the healing process should give a holistic watch of mental illness that focuses on the person as a whole and physical therapy facts not merely their symptoms. They also believe that recovery from extreme mental illness can be done and it is a journey instead of a destination but it does not indicate getting back to in which a person was before their medical diagnosis recovery will happen in ‘fits and starts’ and, like life it has many ups and downs, demands optimism and dedication from all concerned, is very much influenced by people’s anticipations and attitudes needing a very well organised support system this is often from family, close friends or professionals in addition, it requires mental health providers to accept and take on new ways of working.
Recovery highlights that while persons may not have complete control over their symptoms, they are able to have complete control over their lives. In line with the National Institute of Mental Health recovery isn’t about ‘getting rid’ of mental health issues. It is about being able to help persons beyond their challenges helping the person to be able to recognise and develop the prospects that connect their abilities, pursuits and dreams. Mental condition and social attitudes such as for example stigma that even now surrounds mental illness can often impose restrictions on persons experiencing ill wellbeing (Hinshaw, 2007). Recovery looks past these restrictions to help people achieve their objectives.
A care pathway can be an outline of anticipated treatment, placed in an appropriate timeframe, to help a patient with a specific condition or group of symptoms maneuver progressively through a clinical experience to great outcomes. The Department of Health Dual Diagnosis Practice Guide (2002) declare that someone with dual diagnosis Schizophrenia and chemical misuse issues could have an integrated care pathway as their health care can be complex as there is likely to be multi agency involvement.
The Overview of Assessments of Risk and Have to have (SARN) is a tool designed to be utilized in mental health products and services for describing support users’ needs for health care. (Self et al 2008). It provides a brief description of the desires of people entering into Mental Health products and services or presenting with a likely need for change in a health care plan. It was developed to aid in the process of establishing a classification of provider users predicated on their needs so that appropriate service responses could be developed both at the average person and provider level. It allows specialists from a variety of backgrounds to summarise their assessments in a shared formatting. Thus it provides a common dialect for describing health states and related social circumstances and enhances communication between diverse users including assistance users themselves (National Wellbeing Service, 2009).
There are several tactics used to promote the healing process and these can include pharmacological interventions, CBT, family members therapy.
Those who have family benefit most if their own families are well informed about the condition have support and abilities to cope with the ill relative.
Social skills training, vocational assistance and environmental modification help support restoration because if an individual is in charge of their finances have a job that they can head to this is likely to help with their personal development and their self-confidence.
Cognitive behavior therapy can help reduce the distress and disability caused by symptoms of schizophrenia. Improve understanding and self management, reduce the threat of further relapse, improve disposition and self-confidence it involves client as a dynamic participant in treatment. Fine guidelines (2009) declare that emotional interventions should play an integral role in the treatment of schizophrenia and that the best evidence is for CBT and spouse and children intervention. NICE guidelines nowadays explicitly suggest CBT to be offered as cure option and friends and family interventions should be available to families who are living with an individual with psychosis or who are in close contact with someone with psychosis.
CBT presents a collaborative way ensures client is at the centre of attention and is an productive participant in decisions about treatment; this enhances engagement with companies (Freeman & Felgoise, 2005).
Motivational interviewing was actually developed as cure for alcohol and drugs addiction. However, it is now used in combination with clients with psychosis to improve compliance with medication (Rollnick & Miller, 2002). Additionally it is used for customers with a dual analysis of drug or alcohol work with and psychosis (Haddock et al, 2002). Motivational interviewing is founded on the idea of stages of modification or cycle of change (Proschaska & Diclemente, 1982).
According to Rollnick & Miller (2002) the different stages of change are; In ‘pre-contemplation’ the person will not acknowledge a issue exists. In ‘contemplation’ the individual is ambivalent – they will be in two minds about what they would like to do. In ‘action’ the individual is preparing and planning change. When they are prepared the decision to improve is manufactured and it turns into all eating. In ‘maintenance’ the change has been introduced into the person’s existence. Some support may still be needed through the maintenance stage. ‘Lapse’ is a momentary return to ‘old’ unhelpful thoughts, feelings or behaviours. ‘Relapse’ is a full go back to the older behaviour. Lapse and relapse are viewed as natural part of the Cycle of Change and don’t assume failure. It does not mean that lapse or relapse is certainly desirable or even always to be likely. It simply ensures that change is difficult, in fact it is unreasonable to expect one to be able to change a habit perfectly without any slip ups (Rollnick & Miller, 2002). When a relapse occurs, several outings through the stages could be essential to make lasting changes. Each time the individual is encouraged to examine, reflect and learn from their slide ups. Rollnick and Miller (2002), state that motivational interviewing is particularly effective when consumers are possibly in the ‘pre-contemplation’ or ‘contemplation’ stages.
Relapse prices in psychosis are extremely high, even if persons stay on their medication so that it is always great practice to work carefully with your client and their family group and list early warning signs (Witkiewitz & Marlatt, 2007). This may bring about an action plan which can be implemented to help spot symptoms of relapse. Once a list of early indicators has been completed a detailed action plan can be drawn up this will usually include, which the client and their family members should do if indications of relapse happen to be spotted. These plans range from what services should respond to the client and families concerns and present a set of available assets e.g. extra medicine, phone numbers to contact crisis. Doing this is empowering for both the client and their relatives it can enhance the romantic relationship between them and mental overall health services giving them considerably more control over their treatment and in addition allows them to feel supported in practical ways (Witkiewitz & Marlott, 2007) .
As with all therapies there’s always problems the main ones associated with CBT and motivational interviewing are initial engagement, encouraging people to speak about their symptoms and challenges, funding, time limitations and resources and making certain skilled mental health employees have sufficient training in carrying out these therapies.
Being diagnosed with schizophrenia shouldn’t imply that a person can’t live a full how do you write a book report and happy life. With the right help and advice and continuing support from mental well being services someone who suffers from schizophrenia will be able to work, build interactions and live a normal life just like anyone else. According to Mind (2009) that is due to a much better understanding of schizophrenia the intro of more effective prescription drugs and the increasing utilization of therapeutic interventions.