Posted at 12.12.2018
This report will look at service users who suffer with schizophrenia, it will spotlight what schizophrenia is. The needs of service users who suffer from schizophrenia will be determined including; personal, interpersonal, social, educational, accommodation and medication needs. The services available to service users which meet these needs may also be identified.
Schizophrenia is a intricate disorder with lots of variants, but the prognosis is well grasped by specialists. It is a neuropsychiatric disorder where a variety of factors may have impacted upon the central stressed system and which results in a cluster of symptoms that are classified as schizophrenia. It really is commonly thought, improperly, by the general public to be associated with dangerous and extreme madness and thus posesses stigma which other diagnoses do not (Eldergill 1997).
About one in 100 people will have one episode of schizophrenia, and two thirds of the will go on to obtain further shows. Schizophrenia usually begins in the late teens or early 20s, but can also have an impact on the elderly for the first time. The complexities are unfamiliar but shows of schizophrenia seem to be associated with changes in some brain chemicals. Demanding experiences and some recreational drugs can also trigger an instance in prone people. (www. mentalhealth. org)
An individual's personal needs include;
Good basic personal hygiene; this may include assistance to wash and brush their pearly whites or the average person might need prompting/reminding do this.
Having clean fitted clothing; help or prompting again may be had a need to assist the given individual to get outfitted.
Food and drink items; individuals may need assistance shopping or making dishes, to ensure healthy diet and physical health.
It is important that individuals gain support using their company family, friends and specialists.
Awareness of the individual's condition and needs is also paramount.
It would also be useful to the individual if their relatives and buddies have an idea of what causes their shows and ways of defusing the situation or a spot of contact when these situations arise.
It is important that the individual will not feel excluded from modern culture because of their illness.
To be able to carry out sociable activities on a regular basis
Meet other people with the same health problems; this provides an understanding of the health issues as well as peer support.
Education about their illness and also education because of their relatives and buddies.
What to do or who to get hold of when experiencing the onset of a psychotic occurrence.
Education on ways to avoid or control the psychotic episodes.
Stable adequate casing.
Depending on the severe nature or their disorder; backed living or home accommodation.
It is important that the service individual knows what medication they are taking, if any.
What the medication does.
Side effects of the medication.
The Country wide Service Framework for adult mental health has seven specifications;
Standard one addresses mental health advertising and aspects of discrimination and sociable exclusion that is associated with mental health issues.
Standards two and three cover principal care services for individuals who have mental health problems you need to include 24-hour crisis services.
Standards four and five focus on what is needed to provide effective services for people with mental health problems. This includes understanding the care program approach and its own relation to care and attention management.
Standard six pertains to the individuals who care for folks with mental health problems, with social service departments being given the lead responsibility in ensuring that all carers' needs are evaluated and they get their own written attention plans.
Standard seven pieces out what's needed to achieve a decrease in suicides. This can potentially involve all social employees in a range of settings. (Golightley 2009)
Social services are placed in place to assist folks who are experiencing a crisis or may need ongoing support. The adult mental health services would be the provider of this service to people with schizophrenia. Golightley (2009) highlights the role of cultural workers working with sufferers of an mental illness to be;
Educating service users and their own families about their condition.
Helping to arrange appropriate low stress accommodation.
Networking with the service end user to provide community support.
The use of behavioural ways to modify behaviours.
Encouraging conformity with medication.
Acting as an advocate for the service end user where appropriate.
It is important that sociable workers have the ability to identify if the service customer is a risk to either themselves or others. If so that it is important to identify the risk and a way to deal with it.
MIND the mental health charity declare that General professionals are usually the first point of contact for people who believe that they are really experiencing the onset of a mental disorder. GP's can provide advice and recommendation to other specialised mental health services and treatments. It is also possible for those to suggest anti-psychotic medication once evaluating a person's situation and they feel the individual would benefit from it.
After medical diagnosis GP's still play an important role in individuals' aftercare and physical health. The GP can provide advice about the medication, what it can and its side effects. "Based on the Government, Gps navigation play a central role in the care and attention and treatment of men and women with mental disease. " (Department of health 2001)
Community mental health teams are put in location to assist and treat service users who suffer from mental disorders which main care teams cannot treat including schizophrenia. Community mental health teams usually consist of experts such as;
(www. mind. org. uk 2012)
All of the pros work alongside each other within a multidisciplinary team. They create individual care plans for each service customer and assist those to either maintain their disorder or work towards full recovery depending on severity of the disorder.
To access the services of the community mental health team service users would need to be referred by their doctor, social worker or health visitor. These specialists will only send individuals to this service if they believe that it would be appropriate and their patient would benefit from the services they have to offer. After the service end user has been known, they will obtain an evaluation from the community mental health team that may determine another steps for them to take towards restoration. The assessment will give the service user a diagnosis. With regards to the end result of the examination their next steps can include; advice, treatment or ongoing support from the team and in some instances referral to some other service which specialises in their disorder. (www. mind. org. uk 2012)
There is some research that early involvement can prevent psychosis and can help to prevent a few of the worse effects of psychosis, such as times of unemployment, misuse of drugs or liquor, engaging in trouble with the authorities or becoming frustrated. (Care and attention services improvement collaboration and countrywide institute of mental health Great britain 2006)
The early involvement team is area of the wider community mental health team framework. This service is specially made for victims of schizophrenia and associated psychotic health issues. This service seeks to assist folks who are vulnerable to experiencing their first bout of psychosis or are in the first stages of any psychotic illness. The first intervention team consists of;
Community psychiatric nurses
They try to improve the efficiency of brief and long term treatment by; providing protection strategies, diagnosis of condition, support and treatment in the first periods of psychosis (www. mind. org. uk 2012).
To access this service, service users are usually referred with a community mental health team, doctor, social employee or health visitor, although it is possible for service users to refer themselves
The team is staffed by mental medical researchers including; Psychiatrists
Mental health nurses
They provide rigorous and swift support for individuals aged 16-65 years of age who are experiencing a mental health crisis and who, minus the team's help, would be admitted to a psychiatric hospital. Sometimes the CRT can support people in their own homes, shortening their stay in a psychiatric medical center. For people in the community, CRTs turn up quickly - ideally within an hour. The team is then available 24 hours a day, seven days a week. Support goes on for as long as it is needed or before person transfers to another service (www. mind. org. uk 2012).
Burton (2009) identifies the crisis image resolution and home treatment team as the gatekeeper to other mental health services, fast assessment of an individual suffering an emergency, community based care, remain involved throughout the crisis, undertake crisis protection planning and work together with the sufferer, family and carers.
If service users feel they aren't ready to reside in the community individually or supported, domestic health care may be the next phase for them to take. Residential attention services provide service users with rehabilitation and support if they're battling with a severe permanent mental disorder. This service provides 24-hour attention by residential cultural personnel, nurses and mental health support personnel. Treatment homes are for folks who need a advanced of care and find it hard to control in their own house (www. mind. org. uk 2012).
This service can be accessed insurance agencies a community care evaluation, service users may have to purchase this service as it is means analyzed.
Service user groupings are put in destination to assist service users of all types. Each group is tailored to suite specific service consumer groups. Service consumer groups that specialize in assisting individuals with personality disorders, psychological or behavioural issues would benefit victims of schizophrenia. These specific groupings try to make service users feel; reinforced, empowered, included and a part of something. New coping strategies are provided which can lead to service users experiencing fewer crises.
'Self-help and peer-support communities enable visitors to meet and talk about information, friendship and support. They often times bring together people who have an identical mental health issue, on a brief- or long-term basis. ' (www. mind. org. uk 2012)
Talking remedies, such as psychotherapy, counselling and cognitive behavior therapy (CBT), can help to control and treat schizophrenia. Conversing treatments help individuals to recognize the things they have got problems with, explore them and discuss strategies or alternatives. They can allow individuals to explore the importance of their symptoms, therefore to defeat them. (www. mind. org 2012)
Cognitive behaviour remedy can be seen through the NHS service users can access these service through their GP. Many voluntary organizations including MIND offer these services free.
There is financial help open to those who cannot work anticipated to a mental health issues. These benefits can help towards care and attention, hire and other commitments.
Service users who suffer from a mental disability such as schizophrenia may meet the requirements to state this benefit whether they are working or not. Disability living allowance is a tax free benefit devote place to benefit extra costs you have because of your disability.
To apply for this gain service users must first apply through the jobcentre plus, their sociable worker or support worker would be able to assist them with this technique. The claimant may then need to undergo a medical exam in order to obtain the benefit. Receiving this gain could boost the amount of other benefits the service user is eligible for. (www. direct. gov. uk)
Housing benefit can offer individuals on a low income with financial support to pay their rent. How much every individual receives is determined by their circumstances. Enclosure benefit depending on service users' income pays all or part of these rent. Folks are permitted apply whether they will work or not, they can apply through their local council or jobcentre plus by filling in a housing profit form. (www. direct. gov. uk)
Service users can make an application for council tax benefit through their local council. Depending on specific circumstances service users may be eligible to get all or part of the council tax bill paid. Individuals can get a council tax benefit lay claim form from their local council.
http://www. rbwm. gov. uk/web/social_mental-health. htm
http://www. smhp. nhs. uk/OurServices/MentalHealth/CommunityServices/Communitymentalhealthservices/tabid/2538/Default. aspx
www. mentalhealth. org. uk
http://www. nice. org. uk/usingguidance/commissioningguides/schizophrenia/specifying. jsp
http://www. cwp. nhs. uk/OurServices/adult/CrisisResolutionHomeTreatment/Pages/default. aspx
http://www. mayoclinic. com/health/schizophrenia/DS00196/DSECTION=symptoms
http://www. nhs. uk/Conditions/Psychosis/Pages/Introduction. aspx
https://www. gov. uk/housing-benefit
http://www. nao. org. uk/publications/0708/helping_people_through_mental. aspx
http://www. rethink. org/how_we_can_help/our_services/nursing_and_resident. html
http://www. mind. org. uk/help/diagnoses_and_conditions/schizophrenia
http://www. mentalhealth. org. uk/help-information/mental-health-a-z/S/schizophrenia/
Department of Health (DH), 2001, The Mental Health Plan Implementation Guide, London: DH.