Clinical Decision Making Skills for the Integrated Worker
This assignment will define and analyse the need for a chosen service improvement within the pathway of mental health, as well as evaluating the suggested service. Demonstrating how this service can inform and benefit integrated practice, discussing the ways in which the agency’s statutory obligations and responsibilities impact on both individual and group decision making. The chosen service improvement for this assignment is the introduction of a mental health nurse into primary care services, for example, a GP Surgery. Focusing on service users with mental health issues in the community and therefore in the care of the local Primary Care Trust (PCT).
There is an obvious
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This highlights the importance of the chosen service improvement, not only for individuals with mental health issues but for those at risk of developing mental illness and the NHS as a whole. These recommendations are present in No Health without Mental Health: A Guide for General Practice (DoH, 2012, online), The NHS Outcomes Framework 2012/13 (DoH, 2011, online), and numerous others.
It remains clear that professionals within the primary care sector are not receiving adequate training in mental health care. They do not have sufficient knowledge of mental health and many do not possess the general skills required day to day when working with mental health service users (DoH, 2012, pg5, online). This is supported by Good Medical Practice (2006),(General Medical Council, GMC) which sets out the principle guidance for GPs offers no mention of individuals with mental health issues, suggesting that this document is based solely on the general population and does not taking into account the differing needs of those with mental health issues. A programme that was introduced in Wales in 2011 provides Mental Health First Aid Training to a large group of service providers including primary care. It teaches them to provide initial help to someone experiencing mental health problems, deal with a crisis situation or the first signs of someone developing
Crazy by Pete Earley and a series of class videos highlight the tension between access to care and the right of refusal for mental illness patients. Core themes and patterns in the material show the difficulties between state governments and local resources. Each film and book explores the availability of voluntary community-based treatments; personal and professional ethics regarding the individual choice to refuse treatment; and community demands for consumer safety and others.
Within this assignment, it will discuss the case study which looks at ‘Jane’ whom is 34 and has a diagnosis of Bipolar disorder. A Mental Health Nurse (MHN) should utilise the case study to discuss the knowledge and skills required to plan and evaluate person-centred care. The essay will reference to the Nursing and Midwifery Council (NMC) Code of Conduct (2015) and the National Institute for Health and Care Excellence (NICE) which has clear guidelines for high quality care. The essay will also discuss the principles in which a nurse should implement person centred care and its importance.
People can complain or seek other advice or even refuse services. Some experiences of power in this setting could be unfair and this may be due to an imbalance of power between professionals and service users, balancing out power in these situations is extremely important. Things that effect power imbalance include choice, knowledge and participation. The article refers to the results from the research shows difficulties of being involved and still feeling like the ‘underdog’ they felt they weren’t being taken seriously as they had a mental health condition.
Having been born in Zimbabwe where mental health is not taken seriously or as an important issue and being raised in the UK were I have come to gain some understanding and realization on the matter of mental health, I am greatly affected when I notice how far this country has come within its education and grasp of mental illness as well as social inclusion to those with mental health issues, as
In this essay I will discuss a service user I encountered on recent practice placement who was referred to the hospital after she has been deteriorating in mental health and she has bipolar disorder. I am going to discuss the assessment and development of the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the
Service improvement is arguably one of the most important challenges facing the National Health Service (NHS) today, as both patients and service users search for a ‘good quality’ service, and expect services to be both efficient and effectual. All staff within the health service need to be educated and competent in their roles, in order to be able to offer a service that is beneficial to the patients that make use of it.
Mental health services ended up being far from reached by patients with primary psychiatric disorders. Mental health care means not only improving access but also improving clinical quality and ensuring cultural competence. It is the ability to treat and support programs to encounter individuals on personal terms and in methods that are customarily aware.
The health and social care act 2001 says that there is an importance to involve and to consult service users/ patients which can help shape and create their own care plans. Which can result in more and more individuals who are suffering from a mental health issue/ problem can access the services as they won’t feel like they are being discriminated against. The mental capacity act 2005 and the mental health act 2007 says that the reason behind involving service users is to overcome some initial barriers of the more traditional services and this was outlined in some of the current developments that are happening within these laws. The mental capacity and mental health act shows that there will be the removal of the standard traditional service so they can move forward and introduce a more approachable service which enabled service users and communities to become more
One of the biggest contributors for poor healthcare is the stigma against mental health. This stigma allows healthcare providers to view those with a mental illness as having low relevance, thus creating disinclination towards providing adequate resources and/or care. This negative stance, based on misinformation and prejudice creates those that have a mental illness to lose their self confidence. Because of this loss, people with mental illness decide not to contribute to their health or livelihood. In the past fifty years, many advances have been made in mental healthcare. However, with the attached stigma, many people choose to not seek out treatment.
The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and
Contemporary Challenges in Mental Health Care Provision and Management 2 B73M20 Cohort 09/09 Student ID: 20328
It has been reported that the number of people with mental disorder is increasing in our communities at an alarming rate. Environmental and social changes are among the most mentioned causes of the accelerating rate of mental illness in society (Häfner, 1985). Despite the prevalence, about one fifth of the adult population will battle with mental illness every year ("Facts and figures about mental illness," 2014) and the acknowledgement of authorities mental illness is still given less attention then is needed to treat the problem successfully. Health bodies need to be putting more resources into this area as
This essay will focus completely on Mental illness in the UK. To gather my research I used various resources such as websites and books. I have also viewed YouTube videos in order to expand my knowledge. The statistics gathered may not be totally accurate in discussing mental health within the UK for the sources are secondary but it is reliable for giving a view of what the distribution is like amongst gender, age, class as well as ethnicity.
For people suffering with depression, they are different professional people working with them in primary, secondary and tertiary care. Primary health care, It seeks to address an individual and population health problems at an early stage through GPs and Nurses. (PHC) services for depression sufferers involve continuity of care, health promotion and education, integration of prevention with sick care, a concern for population as well as individual health (Hannigan and Coffey, 2003). Some CPNs work in primary care (doing mainly counselling-type work with people with depression and anxiety) or work closely with primary care in a liaison role in Darlington. The primary care Psychological Therapies in Darlington provides comprehensive psychological assessments for people with mild to moderate depression.
A Vision for Change details a comprehensive model of mental health service provision for Ireland. It describes a framework for building and fostering positive mental health across the entire community and for providing accessible, community based specialist services for people with mental illness (HSE, 2012). It focuses on a person-centred treatment approach, which looks at each element through an integrated care plan for service users, with special emphasis put on involving the service users, their families and carers at every level of treatment. Being involved in mental health services is more than the service user being diagnosed or attending consultation, they must be at the centre of the decision making. This is integral to recovery