Medication Compliance Case Study

Nordby,K. Kjonsberg, K. Hummelvoll, J.K.(2009) Relatives of persons with recently discovered serious mental illness: in need of support to become resource persons in treatment and recovery.(Appendix 1). Journal of psychiatric and mental health nursing. 17, 304-311.

Children’s mental illness affects approximately one fifth of youth worldwide, and although it is the children who experience symptoms directly, implications associated with mental illness can impact entire families (Richardson, Cobham, McDermott & Murray, 2013). As such, healthcare systems are being redesigned to include a focus on family-centeredness. In the case of children’s mental health specifically, family-centered coordinated care represents an understanding of treatment, not only derived from the child’s experience, but also from the parents’ and caregivers’ perspectives (Olin, Hemmelgarn, Madenwald, & Hoagwood, 2015). Unlike other interventions in children’s mental health, this treatment approach acknowledges the vital role that families play in promoting the health and wellbeing of children, and it serves to empower family members by including them in treatment practices and decision-making processes (McGinty, Worthington, & Dennison, 2008; Olin et al., 2015). Through this collaborative approach to children’s mental health, partnerships can be established among health care providers, patients, and families, who each contribute to continued stabilization (Johnson, 2000; McGinty et al., 2008). Moreover, family-centered coordinated care serves to link children and adolescents with appropriate treatment interventions, while correspondingly introducing families to resources that foster parental

Most families opt not to involve themselves because of the negative stigma of having a family member with schizophrenia. In addition to this there are many factors that affects attending family intervention due to work hours, lack of time, and transportation considerations and other outside factors (Bleecher, 2009 p 264). Although attending intervention can be very lengthy and time consuming family psychoeducation reduces a great percentage of hospitalizations. Overall, families who involve themselves have an overall better outcome for both the family and the ill member because they are helping the child’s social and emotional health (Bleecher, 2009). The effectiveness of family involvement of individuals with schizophrenia in both individual and family outcomes has been established is as an evidence based practice in the mental health field. There is a need for greater understanding of the barriers to involving families in order to move toward the eventual goal of increased practitioner and family collaboration. Although, there is no sufficient data that can prove this aside from a number of case studies further research must be done.

Since the early 1990s, the progress of mental illness treatment has increased quickly. Many patients with mental illness have been able to leave hospitals and live normal lives because of advancement in treatment. The treatment of mental illness has changed in many ways. Some of these ways are medical technology, medication, and the housing treatment. These changes in mental illness healing have led to a great success.

The final article I analyzed was titled “Aging Parents of Adults with Serious Mental Illness” and was written by Jennifer Van Pelt. This article sought to address the type of support parents caring for special needs adult children require as they age. It discussed how parents are the primary caregivers to children with a severe mental illness, or SMI, throughout the majority of the child’s life. The amount of care provided to adults with SMI by their aging parents is so substantial that if parental caregivers stopped providing care, public programs could never handle it. The author of this article wanted to put more focus on assisting the aging caregiver population, increase their emotional well-being, and lower their stress burden through the use of a social work home-based intervention program. In the pilot study, families received instruction on problem-solving techniques, education about the adult child’s particular mental illness, and sessions that included cognitive therapy, stress management, behavioral management, and future planning. This initial study yielded promising results, including greater life satisfaction and less emotional stress reported by aging parents. The author concludes the article by discussing the importance of planning for the future and how the adult child with SMI will be taken care of after the parents’ deaths.

They are challenged by the stereotypes and prejudice that keep them from seeking treatment and do not have a support system in place to help them. People with mental illness are robbed of many opportunities in life because it t defines their quality of life like good jobs, safe housing, satisfactory health care, and affiliation with a diverse group of people in our society. AA has a support group for their families called

Marriage and family therapists help clients always with the help of the person’s family. I too believe that a person in order to resolve mental or emotional disorders requires the support and understanding of those closest to them, and with the use and knowledge of family systems theory this can be achieved. I also think that communication or lack of, very often is the seed behind problems within the family, that is why I appreciate the fact that marriage

My first assumption of family therapy was to involve the parents and the individual that had the problem. This book explored further what it

It is difficult for anyone to deal with strange thinking and bizarre and unpredictable behavior. Imagine what it must be for families of people with mental illness. It is bewildering, frightening and exhausting. Even when the person is stabilized on medication, the apathy and lack of motivation can be frustrating. A mother mentions how her daughter, when asked to put her clothes in the closet, looked at the freshly pressed blouses for over an hour before making a move to hang them up. What was a matter of routine for this young woman in the past, now seemed to take an inordinate amount of time. Even though the parent knew it was not so, she had to fight the feeling that her daughter was deliberately not doing this one, small task.

Families are often the main support system for people affected by mental illness. If a

experiencing psychosis, have been found to reduce the relapse of psychotic episodes. This type of

Psychoeducational therapy is a skill taught, educational style of treatment. With its unpretentious and direct thought process, it is easy to comprehend the concept of how and why it works. This is a relatively new style approach of family therapy, compared to the established schools like psychodynamic, transgenerational, experiential, structural, strategic, and behavioral and cognitive-behavioral models. I selected this therapy because it is straight forward like me. The subjects that will be discussed within this paper comprise of its history, families dealing with mental disorders, medical family therapy, short-term educational programs, and a brief summary.

Other interventions and treatments that may be introduced once the individual is stable enough on medication to be receptive and benefit from these treatments include: individual therapy, group counseling, family counseling, vocational rehabilitation/training, social skills training, and daily living skills training. It is also important to provide the family with support, education, and the proper intervention skills, to assist them with coping with the difficulties that come with having a family member diagnosed with schizophrenia (Preston, O'Neal & Talaga, 2010).

This essay is intended to evaluate one therapeutic intervention or theory that may be used in Family therapy. The theory being examined is Cognitive Behavioral Therapy, or for short CBT. The essay will begin with defining CBT and discussing the underlying principles, techniques and concepts of the approach. Some practical examples and scenarios of utilizing CBT will then be explored. Then the essay will proceed to a discussion on the advantages and disadvantages of this therapeutic intervention. Finally a conclusion regarding employing such techniques will be made.

Family intervention is a therapeutic approach that focuses on factors and interactions within the family rather than one single individual (Beels & Ferber, 1969). For patients with schizophrenia, the relapse rate is strongly associated with expressed criticism, hostility, or negative emotions from family members (Brown, Birley, & Wing, 1972). According to Pharoah, Mari, Rathbone, and Wong (2010), family intervention may reduce relapse and rehospitalization by reducing levels of expressed negative emotions and family burden within family. Xiong et al. (1994) spent two years developing family intervention appropriate for Chinese families. This optimized family intervention for China includes being familiar with talking therapy, improving patient’s