As the name suggests, the commission had a broad mandate, and panel members had strong differences of opinion on basic matters, including the appropriate scope of its activities. Some commissioners favored a focus on individuals with disabling mental disorders; others wanted to focus on mental health problems and their prevention. The commission’s agenda was elastic enough to cover the disagreements, and it set out to study mental illness and health and the various “medical, psychological, social, cultural and other factors that relate to etiology.” The commission began with a concern for serious mental illness but over time shifted its emphasis to include mental health problems. Its final report, Action for Mental Health, published in 1961, favored a community-based system of integrated hospital and ambulatory services. But it also stipulated that no mental hospital be built with more than 1,000 beds and recommended that hospitals with more than that number of beds be transformed into long-term care institutions for chronic diseases, including mental
While in the early stages of the deinstitutionalization the methods were radical and released patients from hospitals most programs were not well thought out or implemented. The hope was to give more hope to the mentally ill than the harm they were experiencing. Although this process created havoc and concern for society, it has evolved through the years and involves more than simply changing the locus of care for people. The today’s treatment involves a more tailored need to each individual, hospital care to those who need it, services culturally relevant,
Champion equality ,diversity, and inclusion Explain the models of practice that underpin equality, diversity and inclusion in your own area of responsibility In my area of responsibility I would like to pin point two specifics models of practice the first one is the social model of mental health, many patients have been suffering with discrimination and prejudice demonstrated in today’s society, in which the need for each other has not been taken seriously or the environment where they live. The stigma of mental health patients still plays a very difficult role in power of those who need to be looked after and by their relatives. The social model focuses on whom is the mental health person as a individual, not to their diagnosis and lack of understanding of the world , it also focuses on how to support and empower the individual to have a better life and lead an independent life , supported by a society that understands the patients with mental health needs. The second is the medical model of care, that views adults with mental health with difficulties or lacking in some ways, this model focuses in acknowledging ways to give better treatment and therapy, to also focus on identifying, diagnosing and controlling the condition in the best way possible with a strong medical and clinical support. I have
In addition, age and gender also play significant roles in influencing people’s perception and pain management. The authors determined that newly arrived immigrants and people who don't speak the local language tend to have “disadvantages with respect to treatment for painful condition”. When patients do not understand what their doctor are telling them or are insensitive to cultural differences, the quality and efficiency of healthcare services reduce significantly. Furthermore, in some countries, patients are only allowed to visit the doctors with the same sex. Therefore, delay in treatment may occur when they immigrant to a new country with a different culture.
This, combined with mood disturbances, can undermine relationships with family, friends, and co-workers. BPD disturbances also may include self-harm.  Without treatment, symptoms may worsen, leading (in extreme cases) to suicide attempts There is an ongoing debate between clinicians and patients worldwide regarding the term Borderline, and some suggest it be renamed, and called Emotionally Unstable Personality Disorder. There is concern that the diagnosis of BPD stigmatizes people and is a discriminatory practice. It is common for those suffering from BPD and their families to feel confused by a lack of clear diagnosis, effective treatments and accurate information.
Unit 12 2.1explain how individuals experience discrimination due to misinformation The attitudes people have towards those of us with mental health problems mean it is harder for them to work, make friends and in short, live a normal life. -People become isolated -They are excluded from everyday activities -It is harder to get or keep a job -People can be reluctant to seek help, which makes recovery slower and more difficult -Their physical health is affected. This is because society in general has stereotyped views about mental illness and how it affects people. Many people believe that people with mental ill health are violent and dangerous, when in fact they are more at risk of being attacked or harming themselves than harming other people.
Speaking with service users who have a mental health problem can be quite challenging in some cases (Kaprowska, 2005). There is, therefore a heavy dependence for carers and support workers presence to facilitate effective communication. Diggings (2004) Suggests that social workers often speak with service user’ key worker or carer rather than directly with the service user. This can have a negative impact on the service user as they can feel that they are not valued. I identified that I had to refocus discussions because the service user I was working with tended to digress.
With this being the case, antipsychotic medications often have side effects that need to be monitored regularly by the health professionals (Young et al, 2011). Compliance is often a challenge with patients either because of the unmanageable side effects they experience or through limited insight. It is a role of the health professionals involved in the care to closely monitor this behaviour, as the effectiveness of the treatment may be affected (Young et al, 2011). Keller, Drexler &Lichtenberg (2009) discuss the benefits of treating paranoid schizophrenia with atypical antipsychotic medication clozapine and Electroconvulsive Therapy (ECT). However both forms of treatment are linked with harsh side effects.
Manifestation of disorders has been shown to vary cross-culturally, threatening the validity of existing diagnostic criteria in terms of capturing the full spectrum of a disorder presentation. Finally, beliefs about etiology and what is considered an appropriate intervention challenge the effectiveness of existing treatment protocols. This paper will discuss the obstacles culture presents in all these three domains, with examples from a variety of cultures. Obstacles in Assessing, Understanding, and Treating Child Psychopathology: A Cultural Perspective The term culture has yet to be clearly defined. In a broader sense of the word, culture includes aspects such as sexual orientation, religion, or socioeconomic status.
In addition, lack of preparation for palliative care is likely to cause stress and anxiety among nurses providing such care, potentially affecting their own health in the long run (Desbiens, Gagnon, & Fillion, 2012, p. 2114). Palliative care for children and young people (CYP) has been “increasingly recognized as requiring specialist input. Nurses with…the requisite knowledge, skills and experience in …CYP palliative care are often few; have inadequate…service development; educational provision,…resulting in feelings of inadequacy, emotional distancing, and burnout being reported more prevalently among professionals who have been insufficiently prepared, educated or