SWK365 Introduction To Psychiatric Rehabilitation

SWK365 Introduction To Psychiatric Rehabilitation

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SWK365 Introduction To Psychiatric Rehabilitation

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SWK365 Introduction To Psychiatric Rehabilitation

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Course Code: SWK365
University: Singapore University Of Social Sciences

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Country: Singapore


Discuss About The Resistance Journal Health Social Behavior?


This describes a feeling of sadness for a long period of time for example weeks, months or even years and sometimes with no apparent reason. A diagnosis can take weeks and it is important to rule out general medical issues since some conditions such as vitamin deficiency share the symptoms of depression.
Signs and Symptoms of Depression:

Loss of interest in activities once enjoyed
Appetite variations
Loss or gain in weight disparate from dieting
Lack of sleep
Difficulty in concentration
Suicide thoughts

It is a severe mental disorder that affects an individual’s thinking, behavior and feelings.
Signs and Symptoms:

Disorderly movements
Trouble focusing
Reduced expression of emotions through speaking and facial expressions

Anxiety Disorders
These are feelings of dread over anticipated activities.
Signs and Symptoms:

Excessive worry over everything for a long period of time
Fatigue as a result of restlessness
Trouble sleeping
Overwhelming and disruptive fear
Muscle tension which includes flexing muscles regularly and jaw clenching
Problems in concentration
Chronic indigestion characterized by Irritable Bowel Syndrome (IBS), in which individuals management stomachaches, cramping, bloating, constipation and/or diarrhea
Panic attacks; a sudden gripby fear that can last several moments
Stage fright

Obsessive-Compulsive Disorder (OCD)
In this case, the patient experiences uncontrolled re-occurring thoughts (obsessions) and patterns of behavior (compulsions).
Signs and Symptoms:

Lack of concentration due to excessive thoughts or actions
Repeated checks on activities already carried out
Irresistible fear
Aggressiveness towards others or oneself
Overwhelming need for perfection for example, always arranging items in a particular, precise way.

In most societies, it is believed that mentally ill patients are threatening and dangerous to other people around them. They are viewed as being unpredictable and thus they are treated differently from other individuals (Ahonen et al., 2017). These beliefs, however,do not have any factual basis to support them. Even people without mental disabilities could be violent depending on the situation and their personalities. This interpretation makes the patients feel different and discriminated, especially if other people act in accordance with it.
Demonic or Spirit possession:
Some societies still hold the belief that individuals with mental illnesses are possessed by an evil spirit. This gives rise to fear and caution by other people thus discrimination of the affected ones.
Medical Facilities for mental Health Problems
The mental health facilities are set up in such a way that suggests these illnesses are different from other medical conditions and could lead to physical dysfunction.
Many people believe that most mental and personal disorders are within the individual’s personal control. If the patient does not get better on their own therefore, they are considered weak or lacking personal effort and are therefore blamed for their misfortunes (Gronholm et al, 2017).
This refers to the visibility of the symptoms of a mental disorder. In this case, mental health problems that do not have easily discernible signs and symptoms such as depression are disregarded as people believe that they are not as serious as the ones with straightforward indicators. These individuals therefore feel discarded and not cared for.
Societal Education:
Social workers should try as much as possible to edify the members of the society on exactly what mental disorders, their types, symptoms and how to care for mentally ill individuals. They should clarify that people with mental health problems are not responsible for their conditions and therefore should be aided rather than blamed for those conditions (Glajz et al., 2017).
The social workers should also continuously campaign against the beliefs held on mental illnesses and urge people to come forward or seek for help for themselves and their loved ones as soon as they suspect they have a mental healthcare disorder (MacDonald-Wilson et al., 2017). They can launch a campaign through social media to each as many people as possible with the aim of challenge people’s beliefs on mental disorders.
These are a set of rules and standards that can be applied to certain situations for achievement of goals and reflection of the operations of the Psychiatric Rehabilitation field. These principles include:
Individualization of all Services:
This refers to focusing on the individual client’s needs and desires. Indra’s personal wishes should be observed more keenly and the mental health facility should discourage him from alcohol consumption to facilitate his recovery.
Strengths Focus
The psychiatric practitioners at Community Mental Health Intervention Team (COMIT) should focus on Indra’s abilities, for example the fact that he wants to be financially independent and move on with his life and help him in doing this rather than paying too much attention to his alcohol consumption.
Situational Assessments
These valuations focus on the client’s personal goals and therefore are more effective than global assessments that do not relate to the individual’s specific goals.
Treatment/Rehabilitation Integration
COMIT should view Indra as a complex individual and take into account all aspects of his life affected by the rehabilitation process. It should especially focus on rehabilitation which aids in overcoming barriers and pursuing one’s dreams as opposed to treatment which is a mere relief in the symptoms experienced.
Coordinated Ongoing Assessments
In Indra’s case there is a stipulated time in which he should move out of his brother’s flat. COMIT should not let him make such a decision since rehabilitation is an ongoing process and requires time to heal. His family should also encourage him to be patient and focus on his rehabilitation process.
The service providers should be hopeful regarding their client’s recovery (Hutchison, et al., 2017). In Indra’s situation, his family and his practitioner should be expectant for better results and discourage him from taking comfort in alcohol.
Capacity to Learn and Grow
Another value of psychiatric rehabilitation is the belief that everyone has the capacity to be better. COMIT and Indra’s household members should motivate him to acquire new enjoyable skills that will keep him busy and probably b ring him some income as a way of showing him that he can be more productive and enabling him avoid alcohol consumption.
Respect and Dignity Preservation
Rehabilitation facilities should understand that the illnesses do not make the patients less human (Priester, et al, 2016). Indra’s sister and brother should politely explain to Indra the effects of alcohol on his recovery and aid him in pursuing his goals instead of quarrelling.
The first step that Diana should take to rehabilitation is accepting that she is ill. She is only interested in getting her job back meaning that she does not realize how serious her condition is or she does not care. Admitting that she needs recovery more than a job would be an important step towards Diana’s restoration (Thoits, 2016). This can be achieved by enabling her to understand the difference between her symptoms and her true self, which would bring to light her mental status.
Engaging other people
These include friends and family members who can help her spot symptoms that she cannot identify on her own and support her through her rehabilitation process (Koslowski et al., 2016).
Healthy lifestyle
Now that she is no longer busy working, Diana should focus on building a healthy lifestyle such as exercising and eating healthy meals which would facilitate her recovery process. She should reduce her worry about getting her job back and put all her energy into recovery, which would probably bring to light other opportunities and help her identify other enjoyable hobbies or acquire new skills and techniques.
Programme Options
Diana should talk with the psychiatric medical social worker about her disinterest in the programme in order to have suggestions for other options that would better contribute to regaining her health and have a better experience (McGurk et al., 2017). The best programme for her would be one that is enjoyable to her and in which she is actively involved. It should also portray the capability of her gaining new skills and acquiring knowledge that would enable her get another occupation after recovery. Alternatively, it should have the ability to aid her in further building her career in case there is a chance of re-acquiring her previous employment.
Ahonen, L., Loeber, R., & Brent, D. A. (2017). The Association Between Serious Mental Health Problems and Violence: Some Common Assumptions and Misconceptions. Trauma, Violence, & Abuse, 1524838017726423.
Corrigan, P. W. (2016). Resolving mental illness stigma: should we seek normalcy or solidarity?.
DeLuca, J. S., & Yanos, P. T. (2016). Managing the terror of a dangerous world: Political attitudes as predictors of mental health stigma. International journal of social psychiatry, 62(1), 21-30.
Hutchison, S. L., MacDonald-Wilson, K. L., Karpov, I., Maise, A. M., Wasilchak, D., & Schuster, J. M. (2017). Value of psychiatric rehabilitation in a behavioral health medicaid managed care system. psychology Rehabilitation Journal, 40(2), 216.
Gronholm, P. C., Thornicroft, G., Laurens, K. R., & Evans-Lacko, S. (2017). Mental health-related stigma and pathways to care for people at risk of psychotic disorders or experiencing first-episode psychosis: a systematic review. Psychological Medicine, 1-13.
Glajz, B. A. Deane, F. P., Deane, F. P., Williams, V., & Williams, V. (2017). Mental health workers’ values and their congruency with recovery principles. The Journal of Mental Health Training, Education and Practice, 12(1), 1-12.
McGurk, S. R., Mueser, K. T., Watkins, M. A., Dalton, C. M., & Deutsch, H. (2017). The feasibility of implementing cognitive remediation for work in community based psychiatric rehabilitation programs. Psychiatric Rehabilitation Journal, 40(1), 79.
MacDonald-Wilson, K. L., Hutchison, S. L., Karpov, I., Wittman, P., & Deegan, P. E. (2017). A Successful Implementation Strategy to Support auditing of Decision Making in Mental Health Services. Community mental health journal, 53(3), 251-256.
Koslowski, N., Klein, K., Arnold, K., Kösters, M., Schützwohl, M., Salize, H. J., & Puschner, B. (2016). Effectiveness of interventions for adults with mild to moderate intellectual disabilities and mental health problems: systematic review and meta-analysis. The British Journal of Psychiatry, bjp-bp.
Priester, M. A., Browne, T., Iachini, A., Clone, S., DeHart, D., & Seay, K. D. (2016). Treatment access barriers and disparities among individuals with co-occurring mental health and substance use disorders: An integrative literature review. Journal of substance abuse treatment, 61, 47-59.
Thoits, P. A. (2016). “I’m Not Mentally Ill” Identity Deflection as a Form of Stigma Resistance. Journal of health and social behavior, 57(2), 135-151.
Yeh, M. A., Jewell, R. D., & Thomas, V. L. (2017). The Stigma of Mental Illness: Using Segmentation for Social Change. Journal of Public Policy & Marketing, 36(1), 97-116.

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