Social treatments
The most common approach to providing comprehensive treatment for patients with mental health problems is the biopsychosocial model. This chapter will focus on social interventions. The majority of patients with a mental disorder will have some social difficulties. This might include needing time off work temporarily while unwell, or finding more appropriate accommodation or employment. These patients can usually be helped by giving general support and advice, perhaps with minimal input from a social worker or the voluntary sector. Patients with severe, enduring mental illnesses often have much more complex social challenges. These typically involve multiple areas and have usually come about due to the individual’s illness reducing the skills they can draw upon to live independently. The process by which medicine helps patients to regain their independence after illness is called rehabilitation. The aim of rehabilitation is to reintegrate the individual back into their community and ensure their ongoing well-being. Ideally, rehabilitation aims to change the natural course of a psychiatric disorder, but more frequently it just assists the patient in making life changes that allow them to manage more satisfactorily in their environment. The patients who most commonly benefit from rehabilitation are those with features including: … ● persistent psychopathology (e.g. ongoing hallucinations in schizophrenia); ● frequent relapses (e.g. mania or depression in bipolar disorder); ● social maladaption (e.g. isolation, chaotic antisocial behaviour). … The key benefits of rehabilitation include: … ● that the patient moves away from the ‘sick role’ and starts to see him- or herself as a well individual again; ● improvement in quality of life; ● reduction in relapses of bipolar disorder and psychotic illnesses; ● reduction in social stigma surrounding mental health disorders. … In the UK and many other countries, social workers are key players in arranging social interventions for patients. However, in order for a rehabilitative process to be successful, it is essential that the multidisciplinary team (psychiatrist, GP, CPN, and social worker) all work together. The usual areas that a social worker can help with include the following: … ● Finances: help with claiming and managing benefits, managing money. ● Accommodation: applying for funding for social or supported accommodation, liaising with social housing associations or landlords.