Mental Health Nursing for Clinical Outcomes - myassignmenthelp

Question: Discuss about theMental Health Nursing for Clinical Outcomes. Answer: Introduction The current decade has seen a rise in the mental health problems and has taken the form of an epidemic very recently. The increase in the amount of mental health issues such as depression and bipolar disorders could be attributed to a number of factors. The factors vary from genetic predisposition to drug addiction affecting cognition and logic, to peer pressure. The present assignment focuses upon the aspect of the mental health practices adopted in nursing of the youth aged between 0-18 years. It also takes into consideration the changes in the nursing practices and its impact upon the clinical and the psycho-social outcomes. Effect of present day mental health nursing practices on clinical outcomes Evolution in nursing practices was brought about in the 1950s with the passing of the National Mental Health Act (1946). The implementation of the act established psychiatric nursing as one of the core subject along with psychiatry, psychology and social work. The act was brought into effect in order to provide optimum services to accommodate for the growing concern over psychological issues(Reeves, 2013). The current mental health nursing practices takes into consideration the complex biopsychosocial perspectives along with emphasizing more upon the potential for meeting with the emergent mental health issues within the age group of 0-18 years. The psychiatric nursing puts more emphasis on comprehensive health assessments. This helps to identify or correlate the presence of birth defects or genetic predispositions in a child or youth along with the development of mental health issues. The current decade has been met with a number of challenges escalated by changes in system of healt h and care delivery, the patters of mental health practices and lack of sufficient amount of funds. The goal is to embed an evidence based practice (EBP) within the system(Fortinash, 2014). The EBP based model helps to analyse the best possible medical intervention, which is further approved and implemented by the clinical experts in accordance with the age group of 0-18 years. The model is in line with the Mental health Capacity Act (2005), which aims at providing a least restrictive care regimen. This helps in providing more flexibility and autonomy to the children and youths experiencing mental health issues. The current nursing practices focuses upon the cultural attributes, which helps in providing a patient focused way of treatment (Bogaert, 2013).The present day mental health care practices focuses upon cultural and linguistic communication skills in addressing the diverse needs of the patients. Additionally, effective observation of the patient behaviour along with collection of collateral information from the parents of the children receiving support care helps in designing of effective clinical intervention policies. The nurses should be able to develop a ther apeutic alliance through implementation of clinical interviewing skills. In this context, evidence based practices such as community development programs along with group talking and play sessions often provides an additional level of emotional stability to the vulnerable age group. However, confidentiality standards by the implementation of the Data Protection Act, 1998, help in maintaining the privacy concerns of the patients(Manary, 2013). Psychosocial outcomes of current mental health nursing practices The psychosocial dimension is a complex area and could be broken down into a number of components. The psychosocial Intervention (PSI) is an amalgamation of a number of psychological and social factors which particularly influences the survival of an individual. It covers the ability of an individual to live freely and grow up independently with a sense of social inclusion and overall well being. The psychosocial interventions are person based approaches rather than a conventional treatment plan formulated based upon the symptoms expressed by the patient(Slimmer, 2016). It addresses the psychological, personal, social issues associated with mental health disorders. There are a number of mental health accessor programs which falls under the psychosocial dimension. Some of these are cognitive behavioural therapy, peer support programs, dialectical behavioural therapy. The designing of the effective PSI is dependent upon the situation encountered by the patient along with the effect, th e situation might have on the individual lives. The types of interventions followed need to be tailor made as per the requirements of the support users(Thompson, 2014). For instance, the young teenagers experiencing psychosis and co-habiting with their family could be provided with cognitive behavioural programs. The young adults (14-18) suffering from behavioural disorders, which may perpetuate into harm to self and others need to be provided with dialectical behavioural therapy. However, some of the interventions such as employment programs of the youth along with peer group support can help in reducing the amount of social isolation faced by the teenagers(Kelley, 2014). The PSIs can be further illustrated with the help of the stress and vulnerability model. The model is formulated on the basis of two variants, which are stresses and vulnerability. It further brings into focus a critical threshold point beyond which controlling stress and anxiety becomes increasingly difficult for a young mind. The cognitive behavioural therapy is particularly useful in coping up with the grievances faced by a vulnerable age group. Evidence and research has shown that till 14 years of age an individual possesses a rather impressionate mind(Gu, 2015). Thus, one is constantly seeking for support and approval from their peer group at this stage of their life. Moreover, within the age group of 12-18 a child is exposed to a number of changing myths and social norms, which have a profound effect on their mental health. Therefore, inculcation of family interventions along with schema therapy can help in the development of social learning skills within a growing adult(Videbeck, 2013). Figure: stress and vulnerability model Source: (Reeves, 2013) Conclusion The current generation has been bogged down with the ruthless and fierce competition where one is constantly subjected to a cycle of approval and rejection. Additionally, lack of adequate amount of love and support from the family can also result in the development of dejection and fury within an individual. The presence of societal pressure and genetic pre-disposition also cannot be ruled out. Therefore, adoption of effective clinical approaches along with psychosocial dynamics can help in catering to the mental health requirements of a support service user. Bibliography Bogaert, P. C. (2013). Nurse practice environment, workload, burnout, job outcomes, and quality of care in psychiatric hospitals: a structural equation model approach. Journal of advanced nursing, 69(7) , 1515-1524. Fortinash, K. M. (2014). Psychiatric Mental Health Nursing-E-Book. . New Jersey: Elsevier Health Sciences. Gu, J. S. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical psychology review, 37 , 1-12. Kelley, J. M.-T. (2014). The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials. PloS one, 9(4), , e94207. Manary, M. P. (2013). The patient experience and health outcomes. New England Journal of Medicine, 368(3) , 201-203. Reeves, S. P. (2013). Interprofessional education: effects on professional practice and healthcare outcomes (update). London: The Cochrane Library. Slimmer, L. W. (2016). Effect of psychiatric clinical learning site on nursing students' attitudes toward mental illness and psychiatric nursing. Journal of Nursing Education, 29(3), , 127-133. Thompson, I. A. (2014). Personal and contextual predictors of mental health counselors' compassion fatigue and burnout. . Journal of Mental Health Counseling, 36(1) , 58-77. Videbeck, S. (2013). Psychiatric-mental health nursing. New Jersey: Lippincott Williams Wilkins.