Social treatments

Author(s):  
Rebecca McKnight ◽  
Jonathan Price ◽  
John Geddes

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.

Author(s):  
Samantha Estrada

Family members who are trying to support their loved one are often overburdened with stress, and health issues. Research has shown that families who receive family psychosocial education and support can have a dramatic impact on recovery outcomes and their family’s overall well-being. Family psychoeducation is not common. Families Healing Together (FHT) is an online family mental health recovery program that was developed to address this critical gap in family mental health care services. Using an exploratory case study methodology to understand how the program’s philosophy and practice impacts the program’s participants as well as how the participants perceive the benefits and limitations of the program. Findings suggest that the strengths of the program lie in the individual customization of the program to the consumer as well as the underlying message of hope of the program.


Author(s):  
David Bolton

In the Introduction, the author describes the background to the book and his personal experiences of violence in Northern Ireland - as a social worker and health and social services manager in Enniskillen and Omagh. He addresses the impact of loss and trauma linked to conflict and the implications for mental health and well-being. The structure of the book is outlined and the author sets the rest of the book in the argument that the mental health of conflict affected communities should be an early and key consideration in peace talks, politics and post-conflict processes.


Author(s):  
Tami Oliphant

Introduction: Mental health is a primary determinant of well-being, and as more people look online for mental health information, YouTube is an increasingly important information source. Although authoritative organizations such as the World Health Organization post videos to YouTube, when retrieved these videos are interspersed with personal, commercial, governmental, television or other media segments, and institutional videos. YouTube was searched for videos on mental health to measure user engagement with these videos. It was hypothesized that videos posted to YouTube that contained personal narratives would generate more user engagement in terms of more video view counts, likes, and number of comments. Methods: YouTube was searched for mental health information using three different search terms and phrases: “depression,” “bipolar disorder,” and “mental health.” The first 20 results for the terms depression and bipolar disorder were screen captured and for the search phrase mental health the first 40 videos were screen captured. All 80 videos were categorized according to video producer type and analyzed using YouTube metrics including number of “likes,” view counts, and comments to measure user engagement with the videos. Results: The majority of videos returned in the top results were posted by laypersons and the videos focus on the poster's personal experience (38%) followed by videos produced for television and other media (29%). Videos that contain personal narratives and experiential knowledge generate the most user engagement and are preferred sources for users searching for mental health information. Discussion: Users’ greater engagement with personal videos indicates that there is an important role for librarians and information professionals in assisting users in deciding what mental health information is accurate, authoritative, and reliable regardless of the authority of the video producer. In addition, the results of this research might inform best practices for professional organizations posting videos to YouTube.


2018 ◽  
Vol 28 (1) ◽  
pp. 4-8 ◽  
Author(s):  
T. J. Craig

AbstractThis study is aimed at the importance of social care in rehabilitation. A brief overview of the social care theme is used as the methodology. There is a tension in mental health care between biological and psychological treatments that focus on deficits at the individual level (symptoms, disabilities) and social interventions that try to address local inequalities and barriers in order to improve access for service users to ordinary housing, employment and leisure opportunities. The history of mental health care tells us that social care is often underfunded and too easily dismissed as not the business of health care. But too much emphasis on a health model of individual deficits is a slippery slope to institutionalisation by way of therapeutic nihilism. Rehabilitation services follow the biopsychosocial model but with a shift in emphasis, recognising the vital role played by social interventions in improving the functional outcomes that matter to service users including access to housing, occupation, leisure facilities and the support of family and friends. In conclusion, rehabilitation is framed within a model of personal recovery in which the target of intervention is to boost hope and help the individual find a meaning to life, living well regardless of enduring symptoms.


2018 ◽  
Vol 12 (4) ◽  
pp. 1054
Author(s):  
Vagner Marins Barcelos ◽  
Enéas Rangel Teixeira ◽  
Ana Beatriz de Nazareth Ribeiro ◽  
Lucas Duarte Braga da Silva ◽  
Diego Pereira Rodrigues ◽  
...  

RESUMOObjetivo: identificar os fatores positivos da musicoterapia em pacientes com transtornos mentais. Método: revisão integrativa, realizada de 2007-2017. As produções foram localizadas no mês de março de 2017, nas bases de dados Lilacs, BDEnf, Medline. Após sucessivas leituras dos artigos, foi selecionado 6 artigos, e os dados foram agrupados utilizando-se a técnica de análise de conteúdo. Resultados: foi observado que a musicoterapia pode ser utilizada como forma complementar de tratamento não farmacológico para auxiliar no restabelecimento do equilíbrio psíquico do indivíduo portador de transtornos mentais. Conclusão: com base no estudo apresentado, conclui-se que a musicoterapia como método terapêutico complementar atua de forma significativa na melhora do quadro clínico/psicológico do cliente, ao proporcionar melhora nas funções fisiológicas e cognitivas, sendo a restauração potencializada através do bem-estar, compartilhamento de suas emoções e a promoção da autonomia do paciente durante o cuidado. Descritores: Enfermagem; Enfermagem Psiquiátrica; Saúde; Saúde Mental; Musicoterapia; Pacientes.ABSTRACT Objective: to identify the positive factors of music therapy in patients with mental disorders. Method: integrative review, performed in 2007-2017. The productions were located in March 2017, on Lilacs, BDEnf and Medline databases. After successive readings of the articles, six articles were selected, and the data were grouped using a content analysis technique. Results: music therapy can be used as a complementary form of non-pharmacological treatment to assist in restoring mental equilibrium of the individual with mental disorders. Conclusion: Based on the presented study, music therapy, as a therapeutic complementary method, significantly improves the client’s clinical/psychological condition, when providing improvement in physiological and cognitive functions, maximizing the restoration through the well-being, sharing their emotions and promoting autonomy of the patient during the care. Descriptors: Nursing; Psychiatric Nursing; Health; Mental Health; Music Therapy; Patiens.RESUMEN Objetivo: identificar los factores positivos de la musicoterapia en pacientes con trastornos mentales. Método: revisión integrativa, realizada en 2007-2017. Las producciones fueron localizadas en el mes de marzo de 2017 en las bases de datos BDEnf, Lilacs, Medline. Después sucesivas lecturas de los artículos, se seleccionaron seis artículos y se agruparon los datos mediante la técnica de análisis de contenido. Resultados: se observó que la musicoterapia puede ser utilizada como una forma complementaria de tratamiento no farmacológico para ayudar a restablecer el equilibrio mental del individuo portador de trastornos mentales. Conclusión: según el estudio presentado, se concluye que la musicoterapia como método terapéutico complementar actúa en forma significativa en la mejora de la evolución clínica y/o psicológica del cliente, al proporcionar mejoras en las funciones cognitivas y fisiológicas, siendo la restauración maximizada a través del bienestar, compartimiento de sus emociones y la promoción de la autonomía del paciente durante el tratamiento. Descriptores: Enfermería; Enfermería Psiquiátrica; Salud; Salud Mental; Musicoterapia; Pacientes.


Author(s):  
Jainish Patel ◽  
Prittesh Patel

The widely held belief that emotional and psychological processes affect our physical health, mental health and general well-being are central to a holistic view of the individual, and as such, it is a useful foundational concept in integrative medicine. The purpose of this paper is to review substantial amounts of the latest research and recent findings on this issue to enable us to throw some light on how inhibitory factors to emotional expression and experience can endanger our health, both physically and psychologically including our general wellbeing. In addition, the connection between repression of emotion and certain mental disorders like depression and scientifically proven healthy ways to manage issues bordering on emotion was outlined. The information contained in this paper is just as important to health care providers and also to the patients they deal with


2021 ◽  
Author(s):  
◽  
Lindsay Richards

Individuals with progressive neuromuscular disorders (PND); specifically, Parkinson’s disease (PD), Multiple Sclerosis (MS), Huntington’s Disease (HD), and Amyotrophic Lateral Sclerosis (ALS) often face physical, psychological, and social challenges related to sex and intimacy. Occupational therapy (OT) practitioners are experts in activity analysis and are equipped with unique knowledge of performance skills and client factors to address deficits in occupational performance. Though there is literature presenting the effects of PND on sexual occupations, a gap exists as it relates to qualitative data from the perspective of the individual and their partners. A mixed-methods survey was conducted examining the lived experience of adults with progressive neuromuscular disorders to inform programming addressing intimate and sexual needs. Themes were identified from study results in order to inform an evidence-based program addressing sexual and intimate participation and enhance relationships. This research reaffirmed that sexual occupations should not go unaddressed as these can be beneficial not only to the individual patient's well-being, but their partnership and social domains as well. Occupational therapists can facilitate meaningful participation in sexual occupations for these individuals by addressing: their unique physical barriers through positioning and adaptations, providing stress management strategies for both internal and external stressors, and facilitating positive communication between individuals with PND and their partners. The findings from this study support an increased role for OT practitioners in the domain of sexuality.


2016 ◽  
Vol 21 ◽  
pp. 406-414
Author(s):  
David G. Shaw ◽  
Peter T. Sandy

Background: Self-harm is an old problem but increasing in incidence. It has important consequences for the individual concerned, the health care system, and can impact the well-being of staff. Extensive prior research has adopted a quantitative approach, thereby failing to explore in detail the perspective of mental health nurses. The literature also neglects secure mental health settings.Methods: The study aimed to explore the attitudes of mental health nurses toward service users who self-harm in secure environments, and to inform mental health curriculum development. It was conducted in a large forensic mental health unit, containing medium and low secure facilities, to the west of London, UK. A qualitative multi-method approach was adopted, underpinned by interpretative phenomenological analysis. Data were obtained from mental health nurses using individual interviews and focus groups, and analysis followed a step-by-step thematic approach using interpretative phenomenological analysis.Results: Nurses' attitudes toward self-harm varied but were mainly negative, and this was usually related to limited knowledge and skills. The results of the study, framed by the Theory of Planned Behaviour, led to the development of a proposed educational model entitled ‘Factors Affecting Self-Harming Behaviours’ (FASH).Conclusion: The FASH Model may inform future curriculum innovation. Adopting a holistic approach to education of nurses about self-harm may assist in developing attitudes and skills to make care provision more effective in secure mental health settings.


2020 ◽  
Vol 60 (2) ◽  
pp. 440
Author(s):  
Melanie L. Freeman

Adjusting to frequent separations and reunions can put pressure on the relationships and families of those who work away. Although the work context is different, there are similar effects and challenges for workers, families and organisations across the military, expatriate and fly-in, fly-out (FIFO) research domains. Mental health, work performance, job satisfaction, relationships and parenting are all negatively affected by the extended periods of deployment or posting and the regular and ongoing shorter periods of FIFO work. At the individual level, personality dimensions (emotional stability, sociability, openness to new experiences), locus of control, intelligence, self-sufficiency and cultural intelligence have been shown to significantly affect these impacts and provide organisations with starting points for both the screening of candidates for roles and coaching them to better adjust and cope cross-culturally. The recruitment and onboarding processes should be underpinned by the principles of managing expectations and building capability, and this means that realistic and relevant information should focus on the realities of the work, the work environment and host country. The onboarding process that seeks to socialise the worker into the organisation and the culture should assume the worker will take at least 6 months to settle into the role. Predeparture training should engage with the worker and their families to ensure the development of coping skills and practical strategies for managing communication, parenting and relationships. Effectively managing the psychosocial risks faced by workers across these domains will improve the mental health and well-being of workers and their families.


2018 ◽  
Vol 17 (2) ◽  
pp. 72-75 ◽  
Author(s):  
Janice Haddon

Purpose The purpose of this paper is to look at the link between employee well-being in the workplace and its effect on productivity. Specifically, it looks at the different types of well-being (physical, nutritional and mental) and how organisations should be putting the welfare of staff at the heart of their workplace culture, to ensure their well-being and productivity. Design/methodology/approach Written as a viewpoint, the paper outlines the ways in which organisations traditionally offer employees incentives to look after their physical and nutritional well-being, such as gym memberships and healthy food options. It goes on to look at the impact of mental health on productivity and the symptoms employees may display if they are suffering with mental illness. Findings Mental health is one of the key contributors to productivity, and employers should do more to ensure the mental well-being of their staff. In addition, it outlines the impact a person’s mental well-being can have not only on themselves, but also on those around them, affecting, therefore, the productivity of a team/organisation as a whole, not just the individual. Originality/value The findings in the paper are based on personal experience, as well as recent statistics which are used to highlight the importance of the arguments made in the paper about the effect of mental health on and individual’s well-being and productivity. It is designed to advise HR managers and employers of the steps they can take to ensure the well-being of their employees and the benefits to themselves in doing so.


Sign in / Sign up

Export Citation Format

Share Document