...and/or have mental health problems who have been arrested, who are on remand or who have been to court and found guilty of a crime (Foundation for People with Learning Disabilities, FPLD, 2012). There are high, medium and low secure units all of which need to be high quality, patient centred and recovery orientated (Joint Commissioning Panel for Mental Health, JCPMH, 2013). There is a need for forensic health services as the JCPMH (2013) claim that patients in these services have complex needs and these needs typically cannot be met by commissioning generic health services. The time spent in forensic units depends on an individual’s recovery and progress towards rehabilitation. However, although the public protection remains the priority, there is a increasing consensus that forensic inpatient services may not always be an appropriate environment for those with severe mental illness and that detention can exacerbate mental ill health, increase the risk of self-harm and suicide and heighten vulnerability (The Institute Psychiatry, Psychology and Neuroscience, 2015). The Royal College of Psychiatry (2013) claim that people with a LD who come into contact with specialist learning disability mental health services often have a complex mix of LD, mental illnesses, personality disorders, substance misuse, other developmental and/or physical disorders including epilepsy and possibly present with challenging behaviours. The recent report from the Department of Health (2012a) states...
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...counties) for those whose lives have become unmanageable due to alcohol and other drug use and/or whose mental health issues are interfering with leading productive lives. River Community itself is a unique residential treatment program providing recovery services to individuals with concurrent mental health and chemical dependency problems. The current director of River Community is a LCSW and ACSW. Social Model Recovery Systems ascribes to the principles and practices of social rehabilitation. The social rehabilitation approach is one in which addiction is viewed as being centered in the reciprocal relationship between...
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...Physiological, Cultural, Spiritual and Psychosocial Wilfredo Mamaril Sternberg College The holistic assessment is an essential component of quality care that allows a psychiatric nurse to identify, diagnose and treat their patients based on every individual’s specific needs. A comprehensive assessment of a client’s health across multiple dimensions, such as their physiological, psychological, spiritual, cultural and psychosocial domains, are important “prerequisites for formulating an appropriate nursing diagnosis and plan of care” (Carniaux-Moran) particular to each patient. This assessment is achieved through interviews and assessments between the nurse and the client that “[varies] according to the state of the participants and the context in which the interview takes place” (Carniaux-Moran). It assists a nurse towards a more proficient and thorough diagnoses. For one, it is vital to consider a client’s past and present physical condition in order to determine if any of these medical disorders have an impact on their mental health. For example, patients who present symptoms for some common psychiatric illness such as nervousness, irritability and insomnia, can actually be suffering from underlying medical condition such as hypothyroidism or low lithium levels. In order to overcome the shortcomings of the visual observation of symptoms, nurses often perform a medical workup to rule out organic illnesses and ensure that the client is well enough to undergo psychopharmacologic...
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...weekly Monday meetings for review and discussion. Treatment and upcoming discharge plans for John where his family feels involved in his care and where they have an opportunity to ask questions and discuss his care. John's family to get the necessary support once he is discharged. (2) For John’s mental health to stabilize. John has been diagnosed with dementia. (3) John has difficulty communicating verbally. (4) Offer John 1-1 times daily to facilitate and express his thoughts and feelings. Staff to monitor his mood and sleeping patterns. (3) Staff to be constantly vigilant when around John as he can lash out and becomes physically aggressive at times even without triggers. Nurse in charge...
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...Community Observation Paper Mike Richardson Liberty University Summer 2014 SOCI 200-D01 LUO Professor Cole Community Observation Paper My Community Observation Paper dealt with observing the homeless issue in my community and the local Mission that is the main source of support for individuals without a home. This experience is something that I’ve witnessed from my job for the past several years, but this prospective was different because of the many different types of people I witnessed struggling with this issue. WHAT WAS OBSERVED: I observed many different individuals struggling with a variety of problems either in the form of alcoholism, drug addiction, but the main issue that seems to be the problem is mental illness. Poverty is just a symptom that results from not being able to function in society. Yes, there were families; however, this seemed to be the minority. It’s very concerning to see the children that reside in the mission and makes you wonder how do you have any advantage moving forward in life if this is your foundation. The shelter or Mission is a large facility that houses several hundred each night including women and children. There are strict rules in place to provide some sense of normality to the individuals who stay there nightly, plus to provide a degree of safety. Some who cause issues are temporary suspended from residing in the shelter and some are permanently banned due to not following the rules that are in place. HOW DID THE EXPERIENCE...
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...communities; assessing mental health needs, developing diagnoses, plan, implement, and evaluate nursing care. They deal with nursing practices characterized by interventions that promote and foster health, assess dysfunction, assist clients to regain or improve their coping abilities, and prevent further disability. These interventions focus on psychiatric-mental health clients and include health promotion, preventative management, assisting client with self-care activities, administering and monitoring treatment regimens, health education including but not limited to psychoeducation crisis intervention, counseling and case management. This specialty of nursing is one that cares for people of all ages with mental illness or mental distress, such as; Schizophrenia, bipolar disorder, psychosis, depression, and dementia. In the inpatient setting, the patient population mainly consists of those patients who will benefit more from a structured, safe, and supervised environment with a direct care approach. The RN’s in the inpatient setting are not only involved in care planning, scheduling, and charting, they are constantly supervising, dealing with medication administration, and performing health checks. Outpatient services are provided to those individuals who may be better served by remaining in their home environment while utilizing services through community centers that are extensions of the hospital. Partial Hospital Programs are another level of care that allows you to be at...
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...Page 1 PSYCHOLOGY IN THE CONTEXT OF HEALTH AND SOCIAL CARE • What is ‘psychology’ and why is it so important in the context of health and social care? • What do we mean by ‘health’ and why is psychology central to the effective delivery of health and social care? • What are the main approaches to psychological thinking and research? • Who are psychologists and what do they contribute to the promotion of health and well-being? Introduction This chapter emphasizes the importance of psychology in the context of health and social care. For many years, psychology and the other social sciences were viewed by the medical profession as ‘soft sciences’, interesting but unimportant. With the advent of research into the links between physical and mental states in the late twentieth and early twenty-first centuries it is now possible to demonstrate that psychology can make a fundamental difference to physical as well as mental health. In this chapter, we explore the nature of psychology and its relevance to health and social care. We outline the different schools of thought and methods of inquiry in psychology. We seek to distinguish between psychology as an academic discipline and popular notions of psychology, and identify professionals whose practice is mainly concerned with the application of psychology. In order to show how psychology can be applied to health and social care, we introduce a family scenario whose characters appear in examples throughout the book. What is psychology...
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...HCS/587 September 24, 2012 Dr. Margaret Walker We Need a Change The Autauga-Elmore Mental Retardation Board has decided an electronic medical record system should be purchased and implemented. The board and team feel an electronic medical record would help to bring cohesion between the nurses, case managers, physicians, and families. However, there are barriers to the change and factors that could influence the proposal and implementation of changing to a paperless system. Lewins’ theory of change is the model the agency will be using to implement the change process. However, as the change process takes place, there are methods the organization will use to monitor the change process. An examination if the relationship between the organization’s related processes, systems, and personal or professional roles and their affect on the proposed organizational change will be completed. Furthermore, an identification of communication techniques used to address any implementation issues that may arise will be addressed to ensure a successful organizational change. Monitoring Implementation Once the change has been implemented the organization is moving toward a new direction and employing new practices monitoring of the change and its success must begin. Monitoring the implementation plan of the organizational change will be accomplished with the use of questionnaires, interviews, and observation. Questionnaires are often the first method used for collecting information from an organization...
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...General Certificate of Education Advanced Subsidiary Examination January 2011 Sociology Unit 2 Tuesday 18 January 2011 For this paper you must have: an AQA 12-page answer book. SCLY2 1.30 pm to 3.30 pm Time allowed 2 hours Instructions Use black ink or black ball-point pen. Write the information required on the front of your answer book. The Examining Body for this paper is AQA. The Paper Reference is SCLY2. This paper is divided into two sections. Choose one section and answer all questions from that section. Do not answer questions from more than one section. Do all rough work in your answer book. Cross through any work you do not want to be marked. Information The marks for questions are shown in brackets. The maximum mark for this paper is 90. Questions carrying 12 marks or more should be answered in continuous prose. In these questions you will be marked on your ability to: – use good English – organise information clearly – use specialist vocabulary where appropriate. G/T61607/Jan11/SCLY2 6/6/ SCLY2 2 Choose either Section A or Section B and answer all the questions from that section. Section A: Education with Research Methods You are advised to spend approximately 50 minutes on Questions You are advised to spend approximately 40 minutes on Questions 0 0 1 0 6 to to 0 0 4 . 9 . You are advised to spend approximately 30 minutes on Question 5 . Total for this section: 90 marks Education Read Item A below and answer...
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...Comparison between public mental health services and that of private mental health Maria Bennett Saint Joseph’s University Health Administration HAD 553 - Health Care Organization Department of Health Service The United States health care services has undergone innovative development in all aspect of health services, it still suffers some drawbacks in the services provided to the large and deprived population that accesses its services. Affordability is one general factor that determines the quality of health care one gets. There are various groups of people ranging from the weak and the strong, the rich to the poor, the abled and disabled, there is bound to be differences in their strength in achieving desired status in the purchase...
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...Abstract The population of mental illness who seek treatment solely through a primary care physician raises question for concern. Many healthcare facilities and organizations are working on a plan to integrate diverse professions into one comprehensive medical model home to optimize effective patient-centered care outcomes. The goal is to reduce costs, expand the healthcare teams knowledge base while improving patient outcomes. How can the core competency of teamwork and collaboration impact the healthcare delivery system? How can we treat older adults that are more likely to seek and accept psychological services in primary care verses specialty mental health care settings? What are the challenges healthcare providers are facing that impede collaboration? There are many obstacles to face and barriers to cross before health care providers can work together more efficiently to achieve a higher level of teamwork and collaboration. Teamwork & Collaboration in Health Care Teamwork and collaboration among health care providers allows each profession to function competently within their own scope of practice as part of the interdisciplinary team to collaborate on shared goals, respect different views, communicate measureable processes for a positive effective outcome, and expand our knowledge base while providing patient-centered care. The IOM stated that: “An inter-disciplinary /inter-professional team is composed of members from different professions...
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... Week 1 Health Care Terms Worksheet Understanding health care terms is a prerequisite for both academic and professional success. This assignment is intended to ensure you understand some of the basic terms used in this course. Complete the worksheet according to the following guidelines: In the space provided, write each term’s definition. You must define the term in your own words. In the space provided after each term’s definition, use the term in a sentence as it applies to the health care industry. You may wish to consider the following: o How has it influenced heath care? o What role has the term played as health care developed over the years? Save the completed worksheet as a Microsoft® Word document with your name in the file name. Submit the file to your facilitator. Submitted by: [Tarnesha Cook.] |Term |Definition |Use the term in a sentence as it applies to the health care | | | |industry. | |Example: Electronic |Electronic health records are digital forms of |My doctor entered the diagnosis into his laptop and told me that | |health records |entering and storing patient information. |the information would go into my electronic health record. | |HIPAA |HIPAA stands for Health Insurance...
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...National Patient Safety Goals in Acute Care Modified for Behavioral Health Nursing (Dr. Deb) Goal: - Explore impact of national patient safety standards on an acute care unit. - Utilize national patient safety standards to evaluate patient safety in acute care. - Value application of national patient safety standards in an acute care environment. Clinical Objective: - Utilize the 2013 National Patient Safety Goals for hospital care to identify safety concerns on the clinical unit throughout the clinical day. - Apply the nursing process to prevent environmental safety hazards in an acute care facility. Instructions: - During the clinical day, note your observations. - List recommendations for nursing practice based on your observations. -Type and submit this activity sheet in Mental Health Dropbox by assigned date. National Patient Safety Goal Selected Examples Goal met or not met? -Describe observations Recommendations Goal #1 Improve the accuracy of patient identification -Use at least two client identifiers when providing care, treatment and services. -Use 2 identifiers per facility policy when administering medication, blood components or collecting specimens for clinical testing. -Acceptable identifiers may include the individual’s name, ID number, or other person-specific identifier. -Focus on how medication administration differs on an acute behavioral health unit. Goal # 2 Improve the effectiveness of communication...
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...Material Week 1 Health Care Terms Worksheet Understanding health care terms is a prerequisite for both academic and professional success. This assignment is intended to ensure you understand some of the basic terms used in this course. Complete the worksheet according to the following guidelines: In the space provided, write each term’s definition. You must define the term in your own words. In the space provided after each term’s definition, use the term in a sentence as it applies to the health care industry. You may wish to consider the following: o How has it influenced heath care? o What role has the term played as health care developed over the years? Save the completed worksheet as a Microsoft® Word document with your name in the file name. Submit the file to your facilitator. Submitted by: Brittany Wiggins |Term |Definition |Use the term in a sentence as it applies to the health care | | | |industry. | |Example: Electronic |Electronic health records are digital forms of |My doctor entered the diagnosis into his laptop and told me that | |health records |entering and storing patient information. |the information would go into my electronic health record. | |HIPAA |Health Insurance Portability...
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... | % | | | | | Birth History | Birth Weight | Gestation | | Vaginal | Complications | | Yes | | | | | C-Section | | | No | Interval History: | (Include injury/illness, visits to other health care providers, changes in family or home) | | Apnea | | Yes | | No | | Monitor | | Breast every | | hours | | Formula | | oz every | | hours | | With iron | | Yes | | No | Type or brand | | | City Water | | Well Water | Elimination | | Normal | | Abnormal | Sleep | | | Normal (2 – 4 hours) | | Abnormal | Additional area for comments on page 2 | WIC | | Yes | | No | Maternal Infant Health Program | | Yes | | No | Screening and Procedures | Neonatal Metabolic Screen in Chart | | Yes | | No | Test Date: | | | | Normal | | Pending | | Today | Hearing | | | Responds to Sounds | | Neonatal ABR or OAE results in chart | Developmental Surveillance | | | Social-Emotional | | Communicative | | Physical Development | | Cognitive | Psychosocial/Behavioral Assessment | | | Yes | | No | Screening for Abuse | | | Yes | | No | | | Screen If At Risk: | | | Vision-Parental observation/concerns | | Immunizations: | HepB Given in Hospital? | | Yes |...
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