mental health

Table of Contents

In this essay will explain how the writer can derive values from both personal and explore professional perspectives in my work place and their impact on care delivery. This may include values of the chosen service- user (people with mental health), collaborative mental health care -planning and involvement of the service users and cares in their care. This may include values of the service user /client, society, doctors, social services and other professionals involved in the care. The writer should include ethical values derived from code of conduct, philosophical and cultural issues in order to provide signpost for the reader.Furthermore, the writer will explain how care may be affected in the decision -making process in relation to geographic differences and target groups. Analyse the implications for service providers and service users in relation to justice advocacy, malevolence, and trust.The writer continues to discuss the policy, procedures and legislation that might conflict with ethical points raised. The importance of any contentious or controversial issues to contemporary health and social care providers, with analysis to inform the report in relation to the case study.Furthermore, the writer may like to consider the rights are respected and empowering individuals by creating the right climate for making choice and to complain in decision-making of service providers. The writer is required to analyse the theoretical and ethical principles in exercising rights of service users may conflict with carers needs. The writer further explores both the rights and duties of the service users and professionals and discuss the ethical principles and their importance. Over the years there has been a recovery of interest in the in social aspects of mental health, both in terms of seeking to understand what may contribute to mental distress forms of support and intervention may be most helpful in assisting people to reclaim meaningful and socially valued (Karban, 2003).The work on values is currently being carried out by the National Institute for Mental Health in England is the notion that values and knowledge are inseparably linked. The multi-disciplinary mental health practice must acknowledge and respect a variety of knowledge bases, with particular importance being given to those held by mental health service users and carers themselves. It is vital that value base underpinning the development of social perspectives must itself be able to embrace diversity. (Fulford, B. 2000) Instead there is a need for a variety of overlapping views that reflect the difficulty and diversity of experience based on factors such as gender, culture, age, economic status, personal biography and family and social relationship. Sargent,W.(1996) derive values from both personal and professional in my work place, carry out surveys of social values and use them to try to account for character of institutions and societies. The main points of this are respecting uniqueness and diversity, promote rights to choose, privacy, confidentiality and protection, assist control of behaviour, countering discrimination, and avoiding stigmatisation. Individuals often delay to seek professional assistance for mental health problems. Public stigma and discrimination have malevolent effects or challenge in the lives of people with mental illness. However, treatment have been developed and tested successfully to reduce the symptoms and disabilities of numerous mental illness. Unfortunate, people who are troubled by mental illness do not seek out services or choose to engage in them.There is a need for a “Mental health is defined as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community” (World Health Organisation 2014). Mental health includes emotional, psychological and social well-being and it is important at every stage of life from childhood to adulthood (Medline Plus (2017). Mental health is also defined as “The emotional and spiritual resilience which enables us to survive pain, disappointment and sadness. It is a fundamental belief in our own and others dignity and worth”. (Health Education Authority 1997).Mental health may include; depression, bipolar, schizophrenic, anxiety disorder, eating disorder and psychosis just to name a few. Milton suffers from bi-polar, which is a type of mental health with affects one’s moods. Someone with bi-polar may experience manic/hypomanic episodes, depressive episodes and psychotic symptoms, (Roberts 2013). Milton stated experiencing low moods and feeling worthless when he was still in the army.The Mental Health Act (MHA) 1983 amended in 2007, is a piece of legislation which is used in England and Wales, which allows patients to be detained in hospital or community and treated against their wish. This is done for public safety and protection of vulnerable adults. The Mental Health Act (2007) remains vital piece of legislation. It should be noted that the least restrictive section is followed and patient’s human rights should not be infringed but this depends on the type of detention. Under the MHA a patient can willingly make a choice of their health and safety or prevention to harm others therefore, they check themselves into hospitals for treatment. In addition, under the Mental Capacity Act (2007) a patient who lacks capacity will have the decision made on their behalf. The law assumes that everyone has capacity unless they are assessed Roberts. In this case they can not judge them of their age, appearance, condition or behaviour Hanseen, eal (2013). Milton (Appendix 1) is a service user who is deemed to have capacity, even though he suffers from bi-polar and sometimes has depressive episodes. Therefore, he has to be treated as an individual who is able to make rightful decision when he is not suffering manic/depressive episodes. The day centre needs to involve Milton (Appendix 1) in the decision making of his care needs.Personalisation was first introduced in the UK in the 1980s by the disabled people’s organisation, Glasby and Littlechild (2009). Its aim was to increase the level of choice and control for service users within the social care services. It is about giving service users more choice and control over their lives and personal budgets to service users who are eligible for council funding. Personalisation is a system which addresses the needs and aspirations of the whole communities to ensure everyone has access to the right information, advocacy and advice to make informed choices about the support they need. It ensures that service users have the right services such as, leisure, education, transport, housing, health and opportunities for employment regardless of age or disability Gardener (2011). Milton (Appendix 1) has a right under the Mental Heath Act (2007) to access his personal budget at the day centre where he attends. However, this has been difficult for Milton (Appendix 1) to access his personal budget because the manager at the day centre was not allowing him access.In addition, the manager at the day centre has been acting in a malevolence way towards the staff and servicers users including Milton (appendix 1). Malevolence is defined as someone or something that is harmful or evil and having or showing a wish to do evil to others Innes (2005). This can be evidenced by the statement of the volunteer (Appendix 2), who helps at the day centre. He started that the day centre is always short staffed due to staff leaving because of the treatment they receive from the manager. Milton (Appendix 1) trusted the manager and opened up to her about his mental health but the manager has not been much of help. The day centre manager works in an authoritative way, were she just delegates duties to staff and does not allow service users to have a voice towards their care. Service users who feel like they are not being heard or feel discriminated could seek help and justice by looking for a professional advocacy or family and friends who will be able to advocate for them (Mind 2013). Advocacy means getting support from another person to help you express your views and wishes and help you stand up for your rights Mind (2013). In the case of Milton, his wife Martha (Appendix 1) could stand as an advocacy for Milton, as she has already taken the first step to go and meet the manager and she explained to her why Milton wanted to see the personal budgets as he would like to further his education and gain more experience that will be able to find a different job. Social workers and the support workers should aim to work as a team at all the times in order to deliver the best care for their service users. Rockville (2008) defines Collaborative working in health care “as health care professionals assuming complementary roles and cooperatively working together, sharing responsibility for problem-solving and making decisions to formulate and carry out plans for patient care”. It involves psychologist, nurses, doctors, carers and other healthcare professionals. Braggs and Schmitt (1988) states that, Collaboration working between nurses, physicians and other health care professionals increases team members’ awareness of each other’s’ type of knowledge and skills, leading to continued improvement in decision making of their service users. In order for collaborative working to produce best results, health care professionals have to be sharing information, effectively communicate and good delegation of team roles. Effective communication among staff promotes effective teamwork and promotes continuity and clarity within the patient care team. At its best, good communication encourages collaboration, promotes teamwork, and helps prevent errors. Social workers must uphold the principles of social work outlined in the code of conduct (BASW 2014) which are “Individualism, Purposeful expression of feelings, Controlled emotional involvement., Acceptance, Non-judgmental attitude, User self-determination, Confidentiality” (BASW 2014).