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Mental Health Residential Home

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Practice Learning Interventions

The mental health residential home in which I carried out my first placement took a reflexive, therapeutic approach to social care. This approach employs a social, democratic philosophy, suggesting that an individual can best attain personal growth and self-fulfillment via economic and social-developmental methods (Cree, 2010). This coincides with the recovery model; a model used predominantly in mental health services which puts the main focus on recovery as opposed to the illness. In this respect, success was measured not necessarily when the service users were ‘symptom-free’, but once they were able to regain a sense of purpose and control (Mental Health Foundation, 2015). A recognised strength of the recovery …show more content…
This means life has no essential meaning, therefore sense can only be found within a personal view of the world (Prever, 2010). Given her complex needs, I believed Emily to be the expert of her situation. Secondly, Emily was a self-referral, therefore she had already recognised her capacity to change and was willing to engage in the service as opposed to being there on a Section 117 (Mental Health Act, 2007). Thirdly, academic research states that women with AN display lower self-transcendence scores compared to healthy control women; reflecting a greater desire to maintain control over their life (Klump et al, 2004). This approach to assessment taking is also known as the ‘exchange’ model (Smale et al, …show more content…
On Emily’s first day, her physical health deteriorated rapidly. She needed to use walls to support herself whilst standing up and experienced multiple blackouts along with visual hallucinations. Emily’s physical presentation was alarming enough for my team to consider hospitalizing her and requesting she be detained under Section 2 of the Mental Health Act (2007) for being a danger to herself. The last time Emily was in hospital she tried to take her own life after being fed against her will.

I felt as though Emily could restore a ‘steady state’ (also known as homeostasis) with regards to her physical and mental health without inpatient treatment via emphasising her already existing strengths. A strengths perspective is concomitant with the PCA because it is both empowering and values-led; both of which encourage service users to recognise their full potentials (Saleebey, 2006). The approach also works well within mental health services due to the strong focus on recovery and positive psychology (Petersen & Seligman, 2004). My existing rapport with Emily, along with my extensive understanding of her past, allowed for me to recognise many of her strengths e.g. promise, resilience, and capacity to change. By emphasising these traits, I hoped for Emily to achieve a positive self-fulfilling prophecy (also known as the ‘Pygmalion Effect’) (Rosenthal & Jacobson, 1968) as opposed to feeling as

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