Mental health is correlated with homelessness, addiction, loneliness, and social determination (Votruba&Thornicraft, 2015). The issue of mental illness among the people is a serious problem to the society, community, and nation. The increased incidence of mental illness can be attributed because of a lack of awareness, inferior health facility, social stigma, self-deteriorating characteristics, poverty, abasement, and other societal factors. The essay describes the situation of the person whose name is Bill, a homeless man. Bill sleeps outside and has a history of mental health. When I met him, I saw on regular basis, he drinks more in the night, yells at the people nearby, and waves to the people with the half-drunk bottle. He staggered on his feet, look disheveled, and sleep out in cold. This felt me in hard situation and was eager to help him. The essay addresses the mental health disorder and also provides the best possible interventions to be used to treat people like Bill. The essay also describes the reflection of the registered nurse in order to develop mental skills and knowledge.
Bill sleeps outside, is homeless, and has a history of mental health. On his regular routine, he drinks more in the night, yells at the people nearby and wave to the people with the half-drunk bottle. He staggered on his feet, look disheveled, and sleep out in cold. While seeing the situation, I felt very bad for Bill when he irritates people nearby. Bill has a long history of mental health issues and was discharged from in-patient mental care recently. He has not adopted the society as compared to the normal person does. I believe that Bill has lost control of his brain and was unable to interact with society. I started thinking about the distressed condition of Bill and his reactions toward society. The condition arises because of his homelessness, no family around, and no friend circle. Thus, this creates a situation of loneliness and a sense of social deterioration. The psychological disability and mental illness are the health challenges that are faced by a person who is suffering from stigma, discrimination, abuse, and social deterioration (Votruba&Thornicraft, 2015). I personally believe that I should incorporate new insights through which I can made Bill understandable and provoke him to attend rehabilitation program.
Furber, et al. (2017) opined that the neuropsychiatric condition responsible for the disability-adjusted life years of the patient. The mental illness arises from the range of domains including generic, biomedical, psychological, and socio-cultural. Dalchin et al., (2017) state that a person with a serious mental illness or history of mental health problems may develop cardiovascular-related morbidity and disorder. The associated disease outcome may be because of tobacco chewing, physical inactivity, obesity, and drinking. The factors associated with the development of mental illness include deteriorated health, resources, a safe and secure environment, and relationships. Deteriorated health adoption such as toxic exposure, inferior nutrition, inferior sleep quality, exposure to bad habits, and poor nutrition intake influence the mental illness (WFMH, 2018). Environmental and interpersonnel factors are second major factor for deterioration of the mental health of a person. Social trauma, abuse, neglect, physical violence, and sexual violence are some of the interfering factors, which have the worst impact on the personality and behavior of the person (WFMH, 2018).
These factors cause the development of deteriorated personal traits developments such as misbehavior with others, not obeying rules or regulations, irritating others, and causing harm to others. The inferior resource availability and inferior social-economic status also contribute to the long-term development of mental illness. Adequate housing, financial stability, education, ample food opportunity, and other physiological needs are some of the basic requirements of the person, but if the requirement does not meet, the person starts developing psychological issues, and thus mental illness initiates. Moreover, homeless individuals are more prone to develop mental illness. The homeless individual develops some ill health characteristics such as trauma, medical comorbidities, suicide attempts, reduced life expectancy, and deteriorated health condition. Same situation lies with Bill, as she also face difficult situation of homeless ness and lonliness. These characteristics lead to the development of inferior health conditions and mental illness.
Dalchin et al.,(2017) has conducted a study on mental illness patients. He used solution-focused therapy which was the positive-oriented goal-directed technique to emphasize the solutions. The main objective of the study was to help the mentally ill patient to gain confidence through small success and develop positive long-term changes in their behavior. These strategies help in building trust, developing psychiatric rehabilitation, skill-building, and develop behavioural positive changes. The adoption and implementation of the strategic measure would help the patient to recover faster and inhabit the positive long term earnings. The care argument, patient-centric, team-based approach help in providing effective care for a chronic medical condition. I think that the health quality of Bill can also be improved by adopting the stringent mental health practices. On regular basis I tried to make Bill to accept the live situation and take part in rehabilitation program.
However, there is a need for the adoption of the health care model to save the life of the mental patient. The behavioral health home model should be incorporated in the healthcare setting that provides primary care coordination and good management into specialty mental healthcare settings (Diachin et al., 2015). Moreover, there is a need for rigors training, innovative intervention, heath behavior coaching, and care coordination should be addressed to reduce the mental illness associated symptoms. Early intervention programs and the appropriate health care services help in preventing the rate of suicidal attempts, mental illness, homelessness, school drop-out, and frustration. The management of risk factors associated with the development of mental illness should be properly done.
Families, workplaces, schools, institutions, communities, friends are the potential resources that help in mediating and providing health support to the patient suffering from a mental disorder. There are many models that can be adopted while considering the mental health of the patient. One such model is the collaborative care model. The collaborative care model helps in providing chronic disease management. The model provides the collaborative effort of the family member and the health care setting to develop the self-trust, confidence, self-esteem, and societal manners in the patient (Castillo et al., 2019). Community partners in care are the depression collaborative care that can be adopted in the mental health setting and the rehabilitation center (Castillo et al., 2019). The care plan helps the mental illness patient in different domains of outpatient primary care, outpatient mental health, homeless services, and community service. Nationally, the housing-first plan should be adopted to reduce the rate of a homeless person in society. The approach will provide pre-placement sobriety and individual satisfaction.
The community interventions in different areas of society should be adopted at all social-ecological levels. These interventions help in reducing abuse, cognitive development, behavioral therapy development, gaining personality ¸and effective community interaction behavior. The common practice that should be adopted by registered nurses in the health care setting is to develop a system which can help people with the mental health disease.
The code of practices under these include
Mental health promotions;
Risk factor mapping;
Good health care;
Availability of medicine and best general practices;
Promotion of mental health;
Prevention of risk factors associated with the mental illness;
Boost resilience in community;
Screening of people who are at higher risk of development and roaming in the street;
Early and quick interventions of all aged people who are developing sign and symptoms of mental illness;
Ensure good communications with the patient and their families (thomas et al., 2016).
The above-stated points should be critically reviewed, analyzed, and implemented in every level of health care setting such as the health care community, rehabilitation centre, and psychiatric centre.
From the situation, I learned that the society or community in the country must create an environment acceptable to people like Bill. The community must not treat them as a deteriorated person, although should make them feel that they can be normal sometimes. Moreover, there must increase in awareness among mental health, strategies to prevent mental health, and possible measures that need to be adopted by the public to reduce the incidence of mental illness. Personally, I will ensure that no harmful act is done to the mentally ill patient. If the patient is misbehaving, the health care community must be informed. Professionally, I will include mental health management specific training modules, sessions, and conferences in my profession. This will help in delivering proper and good care management to the mentally ill patient. Moreover, regular training activities also help in developing social behaviour habits in the patient.
From the above discussion, it can be concluded that mental illness is the biggest challenge for society in order to improve the health of community members. The main reason for the long term mental illness can be homelessness, loneliness, social stigma, social determinations, and socio-economic status. However, in the Bill’s case study, the registered nurse or the in-patient mental health ward must provide the best possible way to make Bill normal and should not discharge him without attaining good health. Going forward, the registered nurse must educate the mentally ill patient on psychology, social behavior, cognitive development, and another personality trait before discharging the person. The training sessions and seminars would help the patient to adapt and learn new things with respect to social interaction and human manners. Personally and professionally, I will make sure that in the future, I will include the habit of personality education to patients who are suffering from mental health illness.
Castilo, E. Maghsoodi, R., Shradravan, S. & Moore, E. (2019).Community interventions to promote mental healt and society equity.Current Psychiatry Resp, 21, 1-47. doi: 10.1007/s11920-019-1017-0
Dalcin, A., Jerome, G., Appel. L., Dickerson, F., Wang, N., Miller, E., Young, ., Charlson, J., Gennusa, J., Goldsholl, S., Heller, A., Evins, A., Cather, C., McGinty, E., Crum, R., &Daumit, G. (2019). Need for cardiovascular risk reduction in person with serious mental illness: Design of a comprehensive intervention. Frontier in Psychiatry, 1, 1-15. https://doi.org/10.3389/fpsyt.2018.00786
Furber, G., Leach, M., Guy, S., & Segal, L. (2017). Developing a broad categorisation scheme to describe risk factors for mental illness, for use in prevention policy and planning. Australia & New Zealand Journal of Psychiatry, 5, 23-240.
Thomas, S., Jenkins, R., Burch, T., &Nasir, L. (2016). Promoting mental health and preventing mental illness in general practice. London Journal of Primary Care, 8, 1-22. doi: 10.1080/17571472.2015.1135659
Votruba, N. &Thornicraft, G. (2015).The importance of mental health in the sustainable development goals.Bjpsych International, 12, 1-10. DOI: 10.13140/RG.2.1.3804.2325
WFMH.(2018). Young people and mental health in a changing world. Retrieved from:https://www.consaludmental.org/publicaciones/Young-people-Mental-Health.pdf
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