Care Of Clients With Mental Health Problems

negociate Of Clients With Mental health ProblemsThis essay will look at the proportionship between schizophrenia and bio psycho affectionate issues it will in addition explore the concept of recuperation and also look at close to of the approaches that be used to crusade the recovery process. The National Health Service (2005) describes schizophrenia as a psychological nausea with substantial short and long term consequences for individuals, family, health and clinical overhauls and society. star in hundred people experience schizophrenia in their lifetime with highest incidence of the disease in late teens and early 20s. People with schizophrenia suffer distress and long term disability and there is a lot of accompanied bulls eye and prejudice involved with the disease that do- nonhing harbor electronegative effects on employment, bloods and life satisfaction. A individuals family is completely destroyed with schizophrenia and carers and family members also carr y the nitty-gritty of the disease and caring the soulfulness for a long time. Schizophrenia is a severe amiable throw out of kilter characterized by profound disruptions in thinking, affecting language, perception and thee sense of self-importance. It often includes psychotic experiences, such as hearing voices or delusion. It washbowl impair functioning through the loss of an acquired capability to earn a brave outlihood or the disruption of studies (WHO, 2009)Schizophrenia is not fared by one single factor moreover a combination of distinguishable factors these factors are biological, psychological and tender. This is what is known as the bio psycho favorable sit around of schizophrenia (Santrock, 2007).There are thought to be many causes of schizophrenia one of these are heritable factors. Riley Kendler (2006) state that 70% of people who develop schizophrenia have a relative who has schizophrenia, the closer the relation the more likely a person is to get the disea se if a person has an identical opposite number with schizophrenia they have a 50% chance of developing schizophrenia.There is a ancestral piece to schizophrenia which mean(a)s someone may be predisposed to developing schizophrenia but it does not mean that they are pre-determined to develop the illness. Biological factors cigaret include age or a virus and environ intellectual factors for example life stressors can trigger an onset of schizophrenia. Stressful life events that occur can include having a baby, losing a job, moving house or losing someone who is close but not everyone who goes through these stressful situations will be diagnosed with schizophrenia as some people can deal stressful situations best than other people will.Risk factors may be variant for different individuals spell one person may develop schizophrenia due largely to a strong family fib of mental illness (e.g. a high level of genetic risk), someone else with much less genetic exposure may also develop the disease due to a combination of pre-pregnancy factors, pregnancy factors, social and family stress or environmental factors that they experience during their childhood, teen or early adult years. This suggests that individuals possess different levels of picture to schizophrenia, which are determined by a combination of biological, social and/or psychological factors. It is proposed that vulnerability to schizophrenia will result in the development of problems only when environmental stressors are present (Riley Kendler, 2006). If the vulnerability of an individual is sufficiently high, relatively low levels of environmental stress might be sufficient to cause problems. If the vulnerability is much less, problems will develop only when higher levels of environmental stress are go through (NHS report, on Schizophrenia 2005).In mental health recovery has a lot of different definitions and does not endlessly refer to a person having complete recovery from mental health problems in the resembling way that a person can fully recover from having physical health problems. A person not only has to recover from the distress and trauma of psychotic experiences they also have to deal with social exclusion, discrimination, stigma, loss of position in society, feelings of hopelessness, possible forced hospitalisation and the trauma of receiving a diagnosis.The National bring of Mental Health (2009) suggests that there is no single meaning of the concept of recovery for people with mental health problems, but the easiest way to explain the recovery model is one of hope and that it is possible for a persons meaningful life to be restored, despite serious mental illness. Recovery is often referred to as a process, outlook, vision, and conceptual framework or guiding principle (Watkins, 2007).The Mental Health foundation (2007) state that the recovery process should provide a holistic view of mental illness that focuses on the person as a whole and not just their symptoms. They also believe that recovery from severe mental illness is possible and it is a journey rather than a destination but it does not necessarily mean getting back to where a person was before their diagnosis recovery will happen in fits and starts and, like life it has many ups and downs, calls for optimism and commitment from all concerned, is very much influenced by peoples expectations and attitudes requiring a head organised stand system this can be from family, friends or professionals it also requires mental health service providers to accept and take on new ways of working.Recovery highlights that while people may not have full control over their symptoms, they can have full control over their lives. harmonise to the National Institute of Mental Health recovery is not about getting rid of mental health problems. It is about being able to help people beyond their problems helping the person to be able to recognise and develop the opportunities that connect t heir abilities, interests and dreams. Mental illness and social attitudes such as stigma that still surrounds mental illness can often impose restrictions on people experiencing ill health (Hinshaw, 2007). Recovery looks past these restrictions to help people achieve their objectives.A care pathway is an outline of evaluate care, placed in an impound timeframe, to help a patient with a specific condition or set of symptoms move progressively through a clinical experience to positive outcomes. The Department of Health Dual Diagnosis Practice Guide (2002) state that someone with dual diagnosis Schizophrenia and sum misuse issues will have an integrated care pathway as their care can be complex as there is likely to be multi agency involvement.The Summary of Assessments of Risk and Need (SARN) is a tool designed to be used in mental health function for describing service users unavoidably for care. (Self et al 2008). It provides a brief description of the needs of people entering into Mental Health services or presenting with a possible need for substitute in a care plan. It was developed to upkeep in the process of establishing a classification of service users based on their needs so that appropriate service responses could be developed both at the individual and service level. It allows professionals from a range of backgrounds to sum up their assessments in a shared format. Thus it provides a common language for describing health states and related social conditions and improves communication between different users including service users themselves (National Health Service, 2009).There are several strategies used to promote the recovery process and these can include pharmacological interventions, CBT, family therapy.Those who have family benefit most if their families are sound informed about the illness have support and skills to deal with the ill family member.Social skills training, vocational avail and environmental modification help support r ecovery because if someone is in control of their finances have a job that they can go to this is likely to help with their personal growth and their self esteem.cognitive behavior therapy can help reduce the distress and disability caused by symptoms of schizophrenia. Improve understanding and self management, reduce the risk of further relapse, improve mood and self esteem it involves client as an diligent participant in treatment. NICE guidelines (2009) state that psychological interventions should play a key role in the treatment of schizophrenia and that the best evidence is for CBT and family intervention. NICE guidelines now explicitly recommend CBT to be offered as a treatment option and family interventions should be available to families who are living with someone with psychosis or who are in close contact with someone with psychosis.CBT offers a collaborative approach ensures client is at the affection of care and is an active participant in decisions about treatment t his enhances engagement with services (Freeman Felgoise, 2005).motivational interviewing was primitively developed as a treatment for drugs and alcohol addiction. However, it is now used with clients with psychosis to enhance compliance with practice of medicine (Rollnick Miller, 2002). It is also used for clients with a dual diagnosis of drug or alcohol use and psychosis (Haddock et al, 2002). Motivational interviewing is based on the theory of stages of change or cycle of change (Proschaska Diclemente, 1982).According to Rollnick Miller (2002) the different stages of change are In pre-musing the person does not acknowledge a problem exists. In thoughtfulness the person is ambivalent they are in two minds about what they want to do. In action the person is preparing and planning for change. When they are ready the decision to change is made and it becomes all consuming. In principal(prenominal)tenance the change has been introduced into the persons life. Some support may s till be needed through the maintenance stage. Lapse is a temporary return to previous(a) unhelpful thoughts, feelings or behaviours. Relapse is a full return to the old behaviour. Lapse and relapse are viewed as natural part of the Cycle of Change and do not assume failure. It does not mean that lapse or relapse is desirable or even always to be expected. It simply means that change is difficult, and it is unreasonable to expect anyone to be able to change a habit perfectly without any flake out ups (Rollnick Miller, 2002). When a relapse occurs, several trips through the stages may be necessary to make lasting changes. Each time the person is encouraged to review, reflect and learn from their slip ups. Rollnick and Miller (2002), state that motivational interviewing is especially effective when clients are either in the pre-contemplation or contemplation stages.Relapse rates in psychosis are extremely high, even if people stay on their medicinal drug so it is always good practi ce to work closely with the client and their family and list early sample signs (Witkiewitz Marlatt, 2007). This can lead to an action plan that can be implemented to help spot signs of relapse. at one time a list of early warning signs has been completed a detailed action plan can be drawn up this will usually include, which the client and their family should do if signs of relapse are spotted. These plans can include what services should respond to the client and families concerns and give a list of available resources e.g. extra medication, mobilize numbers to call in crisis. Doing this can be empowering for both the client and their family it can enhance the relationship between them and mental health services giving them more control over their treatment and also enables them to feel supported in practical ways (Witkiewitz Marlott, 2007) .As with all therapies there is always problems the main ones associated with CBT and motivational interviewing are initial engagement, e ncouraging people to talk about their symptoms and problems, funding, time limitations and resources and ensuring that skilled mental health workers have sufficient training in carrying out these therapies.Being diagnosed with schizophrenia shouldnt mean that a person cant live a full and happy life. With the right help and advice and continuing support from mental health services a person who suffers from schizophrenia should be able to work, build relationships and live a normal life just like anyone else. According to Mind (2009) this is due to a better understanding of schizophrenia the introduction of more effective medications and the increasing use of therapeutic interventions.