Report of a case scenario A 2000 Word Report outlining the assessment and care planning required for the physical and mental health of a mental heal

Assignment

Report of a case scenario A 2000 Word Report outlining the assessment and care planning required for the physical and mental health of a mental health service user.

1) Present a formulation of the service user, using a recognised model, which demonstrates how data derived from assessment explains the causative factors of the services users mental health problems.

2) Demonstrate the ability to apply and explain the use of biological, psychological and social interventions with this service user, incorporating risk management, multiprofessional collaboration, person-centred care planning and carer involvement.

3) Give an analytical account of how the effectiveness of care for this service user was assured and evaluated. Refer to multi professional and multi-agency involvement and recognised evaluation frameworks.

4) Analyse any legal and ethical issues and unmet needs and how these were addressed by the service and organisational processes.

The case report needs to be supported with references of evidence-based practice, policy, guidelines and legal and ethical frameworks. A reference list needs to be included at the end of the case report.

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For your information

Formulation :

Formulation has been defined as synthesizing the patient's experience with relevant clinical theory and research and is the bridge between assessment and treatment.

Phenomena such as mood and personality disorders, psychoses, and anxiety disorders can be associated with a diversity of variables

Understanding and incorporating these into an individualized treatment plan is an essential part of quality care Macneil et al (2012)

Biopsychosocial model

According to the biopsychosocial model, interactions between people's genetic makeup (biology), mental health and personality (psychology), and sociocultural environment (social world) contribute to their experience of health or illness.

The biological influences on mental health and mental illness are varied, and include genetics, infections, physical trauma, nutrition, hormones, and toxins.

The psychological component looks for potential psychological explanations for a health problem, such as lack of self-control, emotional turmoil, or negative thinking.

Social and cultural factors are conceptualized as a particular set of stressful events (being laid off, for example) that can differentially impact mental health depending on the individual and his or her social context.

The biopsychosocial theory posits that each one of these factors is not sufficient to create health or mental illness, but the interaction between them determines the course of one's development.

Despite its usefulness, there are issues with the biopsychosocial model, including the degree of influence that each factor has, the degree of interaction between factors, and variation across individuals and life spans.

https://www.boundless.com/psychology/textbooks/boundless-psychology-textbook/stress-and-health-psychology-17/introduction-to-health-psychology-85/the-biopsychosocial-model-of-health-and-illness-Think of a client you have worked with.

What were the biological, psychological and social factors that contributed to their mental health problems?

How did these factors interrelate?

Risk assessment

Process of identifying the likelihood of undesirable events and the severity of their impact (Clarke and Walsh 2009)

Helps determine the next course of action

What are the areas of risk that people with mental health problems pose or are faced with?

Why assess risk

Areas of risk:

Risk of harm to others, Risk to self, Risk of harm from others (exploitation, media exploitation and revenge attacks)

Risk of absconding, Risk of disengagement, Risk of substance misuse

What are risks

Risk to others - Violence

Risk from others

Exploitation, Domestic abuse

Risk to self

Suicide, Self harm , Self neglect

Some of suggested readings

Chambers M (2017) Psychiatric and Mental health Nursing: The Craft of Caring. Routledge

Clarke V. and Walsh A (Eds) (2009) Fundamentals of Mental Health Nursing. Oxford University Press.

Gunstone S (2003) Risk assessment and management of patients whom self-neglect: a grey area for mental health workers Journal of Psychiatric and Mental Health Nursing Volume 10 Issue 3pages 287296, June 2003

Macneil, C. A., Hasty, K., K, Conus, P., & Berk, M. (2012). Is diagnosis enough to guide treatment interventions in mental health? Using case formulation in clinical practice. BMC Medicine, 10, 111. doi:10.1186/1741-7015-10-111

Norman I and Ryrie I (2018) The Art and Science of Mental Health Nursing: A Textbook of Principles and Practice. Open University Press. Berkshire.

Trenowweth and Moone (2017) Psychosocial Assessment in Mental Health. SAGE

Author Title Publisher

Clarke V & Walsh A 2009 Fundamentals of Mental Health Nursing OUP Oxford

Norman I. & Ryrie I. 2013 The Art and Science of Mental Health Nursing: A Textbook of Principles and Practice Open University Press

Chambers M 2017 Psychiatric and Mental health Nursing: The Craft of Caring Routledge

Trenoweth S and Moone N (Eds) 2017 Psychosocial Assessment in Mental Health Sage Walker S 2015 Psychosocial Interventions in Mental Health Nursing -Sage

Kennerly H, Kirk J and Westbrook D 2017 An Introduction to Cognitive Behavioural Therapy - Sage

French, P., Smith, J., David Shiers, D., Reed, M. & Rayne M 2010 Promoting Recovery in Early Psychosis: A practice manual - Wiley Blackwell

Birchwood M,Fowler D and Jackson C 2009 Early Intervention in Psychosis: A Guide to Concepts, Evidence and Interventions Wiley

Report of a case scenario A 2000 Word Report outlining the assessment and care planning required for the physical and mental health of a mental health service user.

Select a client

This needs to be from your current placement.

They can have any diagnosis, but experience some of the symptoms. we have covered in the module.

Ask your Practice Assessors advice.

Gain consent from the client.

Maintain confidentiality: pseudonym, dont use any identifiable information. Introduction

Start with an introductory paragraph

Use this to outline how you are going to address the 4 assignment criteria.

You can briefly introduce the client and state that the issues of confidentiality and consent are addressed.

Criteria 1

Present a formulation of the service user, using a recognised model, which demonstrates how data derived from assessment explains the causative factors of the services users mental health problems.

Use the information from the client assessment to summarise the factors which have led to the clients current episode of involvement with the service.

You can use the biopsychosocial model

Discuss the factors which have caused the clients current episode of mental health problems. Demonstrate how these interrelate

Criteria 2

Demonstrate the ability to apply and explain the use of biological, psychological and social interventions with this service user, incorporating risk management, multi-professional collaboration, person-centred care planning and carer involvement

Focus on current interventions in relation to needs identified in the formulation.

Address biological interventions for physical health and mental health medication and symptom management

Address social interventions: related to the clients current social circumstances and occupational and vocational needs.

Address psychological interventions e.g. CBT, Psychosocial interventions.

Criteria 2 continued

Demonstrate the ability to apply and explain the use of biological, psychological and social interventions with this service user, incorporating risk management, multi-professional collaboration, person-centred care planning and carer involvement

Include risk management

Ensure that you make reference to service user and carer involvement

Highlight how you worked in conjunction with the MDT.

Criteria 3

Give an analytical account of how the effectiveness of care for this service user was assured and evaluated. Refer to multi-professional and multi-agency involvement and recognised evaluation frameworks.

Revisit the identified goals and present the evidence which demonstrates whether or not these have been met.

Include the evidence presented by the client, their carers and the members of the team.

Make reference to frameworks such as CPA, or relevant care pathways.

Criteria 4

Analyse any legal and ethical issues and unmet needs and how these were addressed by the service and organisational processes

. Discuss any legal and ethical issues involved in working with the client.

This can be the Mental Health Act (1983 revised 2007) or the Mental Capacity Act (2005), Safeguarding, Deprivation of Liberty, guardianship

Ethical issues can include: consent, collaboration, choice best interests.

Summarise any areas of unmet need and plans to address this Conclusion

Brief summary of the main points of the essay Should not introduce new information.

Things to remember

DO

Remember that the client is central to the work, you are not writing an essay on theories

Use professional references, throughout, there are recommended text books in the handbook. Guidelines and policies are available from credible websites.

Only introduce a concept if you are going to develop it.

Select appropriate and relevant information, putting everything in wont get you more marks if it isnt relevant and applicable.

Use signposting and/or subheadings to clearly demonstrate which assignment criteria you are addressing.

Proof read your work for errors.

Things to remember

DONT:

Write a lengthy description about the client or merely copy information from the assessment.

Use tables, write lists or use diagrammes: you demonstrate your understanding by the use of discursive academic writing.

Use vague statements anecdotal language or slang.

Use public information, self-help websites, Wikipedia or blogs as references.

Things to remember

Presentation:

Include a cover page which details: module name and code, module leader, PTG Leader, student number (not your name)

Use double line spacing

Use proper sentence and paragraph structures

Include page numbers

Include a reference list, which should start on a new page