The National Service Framework acknowledges the growing mental health needs of the adult population in the community and the alarming rise of mental health problems in the population.
The commonest problems have been recognised to be anxiety and depression; however, psychotic illnesses such as schizophrenia and manic depression are also not uncommon. Although there had been a service provision for these individuals for specialist mental health care units, unfortunately that did not serve well, and most these patients would be cared by the general practitioner or the primary care team, since most of these patients prefer care by the primary care team. If a specialist care team provides support to these patients while the care continued to be provided by the GPs and the primary team, it was contemplated, given the proportions of referrals to the specialist services, that an integrated care provision involving collaboration between care teams would best serve the purpose. However, it was soon evident that the problem of mental health care was not just specialist or primary treatment alone. It has social service implications since during the psychiatric or medical care, these patients needed support in terms of housing, employment, and training. There were problems with medication compliance, immediate crisis management facilities, continuous follow-up and earliest interventions, social support, and dual diagnosis. These problems would need the involvement of specialist community team including social care, but they cannot function effectively without the help from the primary care teams. While this paints the ideal picture, the reality must be different, since reviews still indicate that there are gaps in care provision in the mental health sector. Therefore, only evidence from literature can indicate the areas of the gaps, their reasons, and ways to avoid them so this framework can work most
The goal of National Health Services (NHS) towards improvement of mental health is to take immediate steps so every primary care trust commission a comprehensive wellbeing and prevention service in partnership with the local authorities so personalised services may be offered to…
This proposal will deal with a public policy model for intervening with older adults with mental illnesses. It will initially discuss how the federal government is dealing with this population and explain why because of the focus on costs, it is having some difficulty in promoting the concept of collaborative care.
Smith et al report studies describing afflictions among 44% of nursing home residents and 24% of elderly in assisted living programs. Depression can exacerbate experienced pain and along with anxiety extend chronic pain syndrome (Smeeding et al, p. 824). This proposal outlines an intervention plan and its evaluation process.
This paper explores the different ways in which working partnership between the service providers and the mental service users can be developed. The ideology of consumerism has taken a center stage in the UK mental health policy with great emphasis being placed on the satisfaction of the service users.
Philosophy of Working in Health and Social Care [Name of Student] [Institution] 2319 words [Date] SECTION I Introduction Working in healthcare with children and young people involves the provision of a range of services that integrate services from both health and social care departments for the target clients (Norman, 2001).
A considerable amount of research in the field of prevention and promotion in mental health has been reported during recent years, but most of this research has come from the developed countries with very little from the developing countries but the patients in the need of mental health are spread through all the countries.
Nurses are responsible for a wide range of health services in the community as well as rehabilitation and hospital environments working as part of multidisciplinary team. In particular, mental health nurses often need to work collaboratively with service users to provide them focused, high quality, continuous service and for the multidisciplinary teams to be effective, an understanding is needed between all functioning members of the team.
This can be achieved through extension of the services to the community where mental health promotion could be a matter of prime importance. This indicates a significant shift from the earlier approach of reactive diagnosis and treatment to proactive prediction and preventive management.
Moreover, consultations from routine general practitioners (GP) show that a quarter of these concern mental health problems and around 90% of the care comes solely from primary care (Mental Health, NHS England, 2006).
Primary care refers to services provided by patients' personal physicians, who are usually family practitioners, general internists or general pediatricians (Bodenheimer, 2006).
These services require the skills of competent professionals; nurses, doctors, psychiatrists and pharmacists. Healthcare may be provided in health facilities or even at home. Working in healthcare usually involves
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