Report Of A Case Scenario - Case Study

Introduction of Report Of A Case Scenario Case Study

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The overall evaluation of the case scenario is based on the 25 years old boy who has been suffering from mental health issues for 4 years. The boy's name is P and he was living with his mother and brother. All of the risk factors, complications, and intervention planning for his issues have been evaluated through this analysis.

Criteria 1

The term service formulation of the service user can be referred to as the process of making a hypothesis regarding the cause and the possible influencers of the psychological condition, interpersonal condition, and the behavioural issues of the patient.

The study will shades upon the Bio-psychosocial model for the formulation of the service users, which is based on the chosen case scenario. Engel first proposed this model in the year of 1980. This model is based on the health and sickness associated with the mental side of a patient. Therefore, this model is based on the identification of the biological needs, psychological needs as well as social needs of the patient for the formulation of the service user.

The study is going to formulate a framework for service users based on the Bio-psychosocial model regarding the provided case scenario of Mr. P.

The Bio-psychosocial model helps in the formulation of the hypothesis based on the biological needs of the mental health of the patient (Engel G 1980). The patient in the case study, Mr. P, is aged 25 years old and is suffering from several mental health disorders. He went through an incomplete COAST assessment in the past due to a lack of missed appointments and a gradual lack of clinical necessities. The biological needs of Mr. P. are visual hallucinations, auditory hallucinations, excessive headache, and taking an extra dose of medicine. Therefore, the biological needs of Mr. P. are caused by the poor mental health condition of this patient. This model will focus on the psychological needs of the patient. This biological need of the patient needs proper treatment and treatment planning.

The psychological needs of the patient are based on several mental and psychological health-associated disorders (Engel G 1980). The patient in the case scenario was suffering from persistent schizophrenia, psychosis, anxiety, aggression, and several episodes of hallucination, which are the risk factors. Therefore, these poor mental health symptoms result in an increase in anxiety, fear, low mood, deterioration of mental health, and deterioration in physical functioning. These symptoms are caused due to lack of treatment due to negligence, and improper medication in the past phase. Therefore, the other causes are associated with poverty and lack of family support for the betterment of the mental health condition (Sharma et al. 2019). Therefore, as per the case study, the lack of the proper treatment plan and the implication of the treatment plan results in the deterioration of the mental health condition of Mr. P. The psychological needs of the patient in the case scenario are caused due to severe headache that leads to verbal hallucination and visual hallucination, which make the patient unconscious and sometimes aggressive

The Bio-psychosocial model also focuses on the social needs of the patient for the development of the service user framework. Therefore as per the case study, the patient is suffering from a severe social crisis. The risk factors are that the patient is very aggressive towards his mother, and the police. Therefore, he was suffering from major depression due to his brother. On the other hand, he also attempted suicide a time in the past. His family had stated that he was getting angry due to no specific reason. This condition was caused due to his mental health disorder. The social needs of the patient are based on the proper treatment, proper communication, and proper recognition of the issues.

Criteria 2

This section of this study will focus on the development of the biological interventions, psychological interventions, and social interventions of the patient in the case scenarios based on the needs.

The biological intervention of Mr P is based on his biological needs. The main biological tissues of the patient are headaches and mental health disorders. Therefore, these biological conditions are caused due to poor mental health; the intervention planning should be based on the development of mental health to solve the biological tissues of the patient. The doctors, as well as nurses and the healthcare provider, have an important role to improve the mental health condition of this patient through the proper medication and treatment along with effective communication with the patient. “Person-based cognitive therapy” care is essential for the development of the biological condition of the patient as this is effective for the betterment of voice using voice therapy (Dannahy et al. 2011).

The psychological intervention is based on the risk factors for psychological needs. The risk factors are lack of proper relation with the family, lack of self-realization, lack of treatment, lack of the relation with the siblings, and trust issues. Thai risk factors can be developed by evolving the treatment process and the planning. Therefore, person-centred care can play an essential role in the betterment of psychological issues. Therefore, effective communication and the proper medication need to be incorporated. The betterment of the relationship with the family and the family's efforts is essential for the management of the risk factors for the betterment of the condition. Psychological intervention is a non-pharmacological intervention. The “Positive Psychology Interventions” is an effective intervention tool that implies positive cognition through positive psychotherapy. The “person-based cognitive therapy” is the person-centred care that will have an impact on the betterment of the behavioural issue, aggression, and depression-like mental health disorders (Chadwick et al. 2006). This is person-centred intervention care. This intervention will result in the enhancement of happiness, and positive thoughts. Therefore as per the study, the effect of this intervention will be longer if applied appropriately.

Social intervention is based on the risk factors for social needs. The risk factors for the social needs are poor communication, poor relation with the family members, behavioural issues, schizophrenia aggression, as well as mental health disorder. The study suggests that social intervention is based on the betterment of the mental health condition, and the betterment of the legal and the medical service. The socialization of the patient is the way out of risk management. The study based on the evidence suggests that Art therapy is a positive intervention for patients with schizophrenia (Crawford et al. 2010). The study suggests that social intervention is based on the betterment of the mental health condition, and the betterment of the legal and the medical service. The socialization of the patient is the way out of risk management.

Criteria 3

From the analysis of the case scenario, it can be stated that Mr. P, which includes aggregation, self-harm, unpredictable behaviour, and problems in social interaction and communication has faced some major risk factors. All of those risk factors can negatively influence his treatment process.

Based on that reason, he needs effective care from his family or organization. He that can help in improving his treatment process has addressed several kinds of effective care. Mainly the “integrated care evaluation frameworks' ' that are part of the “CPA (care program approach)” have been recognized by the multiagency and professionals. This framework helps in supporting the intervention, which is parent, delivered for family-centred care (Franck and O'Brien, 2019). By using this framework, the patient can get effective care that helps in improving his health condition. As he was avoiding any kind of appointment and feared coordinating with the monthly depot's injection due to that reason, this framework helps in giving a motivation for reviewing his plan by learning socialism through effective communication and coordination. Apart from this, as he has been feared for engaging any kind of community team, so he made him isolated from them. This kind of intervention framework helps in giving some encouragement through the counselling for joining in the social and group engagement. By using this approach, the improvement of this mental health or reduction of hallucination problems can be done. Moreover, the distress level and unpredictable behaviour deterioration also can be done (World Health Organization, 2019). Another part of this process is the monitoring process. By using this framework, it can be monitored that he has faced some low mood, disorders, sleeping changes, and some psychological dys-functioning has been observed. Due to that reason, by using this intervention plan, support can be given to Mr. P that helps in reducing all of those issues in his treatment plan. The high degree of collaboration and effective communication among healthcare professionals helps in identifying the need of the patient that helps in recognizing a fixed intervention for the mental health illness.

For that reason, Mr. P that helps in deducting the concerned risk after returning home has assured effective care. Along with this, it also helps in downsizing the associated risks like distress, aggression, and some behavioural issues. Based on that approach, the service user that is Mr. P helps in recognizing some significant exchange of mental health. For that reason, Mr. P has assured the slow development of his mental health and the stability of his mental health can be raised.

Criteria 4

The evidence-based practice or EBP model in this case study is based on care that helps in integrating the best value with patients' values and clinical expertise through modernizing the community services for improving the mental health intervention. In this case, Mr. P has faced some distress and sleeping issues in the hospital (Singer et al. 2019). This method helps in improving the recovery model that helps in reducing the mental health illness and mainly the distress level.

In this case, the study analyses the policy and ethical issues mainly the vision of a “national mental health policy” helps in promoting the mental health and helps in preventing the illness and recovering the mental illness (Langellier et al. 2019). As Mr. P has faced behavioural issues, this policy helps in ensuring the inclusion that is based on the socioeconomic of Mr. P by providing affordable and quality health improvements.

The main problem that has been faced by Mr. P is communicating and socializing with the community. For addressing this problem, mainly some of the guidelines need to be addressed by the hospital and services that help in reduce this problem. In that case, mainly the service providers try to connect with Mr. P, which helps in giving support for mental wellbeing. However, the guideline of the mental health well-being approach helps in learning about making social connections (Zisman-Ilani et al. 2021). This learning helps in reducing unpredictable behaviour and social isolation, which helps in reducing his distress and hallucination level.

Apart from this, the organization also needs to implement the mental health legislation that helps in reducing all of the complications that have been observed in this case study analysis. Mainly in the UK, the “The mental health act (1983)” helps in reducing mental health problems. This act helps in giving them some rights for treatment and assessments within the hospital and treatment within the community that helps in reducing the problems that have been faced by them (Keown et al. 2021).

For addressing all of the ethical issues, the providers related to mental help live out some of the specific ethical principles like justice, respect, and beneficence in their efforts for appreciating, understanding, and emphasizing the value of Mr. P that helps in giving the excellent service for improving the patient cares (Peters et al. 2020). All of those practices help in addressing the issues in mental health that help in improving mental health development. However, all of those also help in denoting some of the ethical considerations within the case. Therefore, this kind of consideration has been controlled with the designing and planning for this major intervention. For that reason, Mr. P can be addressed as one of the most effective case studies for demonstrating the health deliverables and some interest and collaboration have been involved in the patient-management band performance development.

Conclusion

The study can conclude that suitable service user model for this case scenario is the Bio-psychosocial model. By adopting this model, the study focused on the identification of the biological needs of the delivered case scenario of Mr. P. according to this model it can be concluded that the patient in the case scenario is suffering from several mental health disorders. This model is also beneficial for identifying the physiological needs of the patients that are based on their poor physiological health. As per the model, the patient is suffering a social crisis such as a lack of attachment with family and community. That is why as per the model the condition of the patient also demands social needs.

Conclusively, it can be framed that the incorporation of the hazard appraisal in this mental health illness profits in decreasing the association of threats that assists in enhancing care involvement and person-centred care planning. The effectiveness of the intervention helps in improving the mental health, and social health of Mr. P. the study can conclude that the biological intervention is based on the “Person-based cognitive therapy” which is considered the important factor in the case scenario for mitigating the biological needs of Mr. P. In this concluding section of the overall study, it can be stated, “Positive Psychology Interventions' ' can be the essential intervention that can mitigate the psychological needs of the patient in the case scenario. The study also found that Art therapy can impact positively adopt the social needs of the patient as well. The study also concluded, "integrated care evaluation frameworks” which is a particular section of CPA can reduce the negative impact of the chosen intervention process and can make it more effective. Conclusively it can be stated that ethical principles, justice, and respect can improve the service care of the patient. 

References

Chadwick, P., 2006. Person-based cognitive therapy for distressing psychosis.John Wiley & Sons.

Crawford, M.J., Killaspy, H., Kalaitzaki, E., Barrett, B., Byford, S., Patterson, S., Soteriou, T., O'Neill, F.A., Clayton, K., Maratos, A. and Barnes, T.R., 2010.The MATISSE study: a randomised trial of group art therapy for people with schizophrenia.BMC psychiatry, 10(1), pp.1-9.

Dannahy, L., Hayward, M., Strauss, C., Turton, W., Harding, E. and Chadwick, P., 2011.Group person-based cognitive therapy for distressing voices: Pilot data from nine groups.Journal ofbehaviour therapy and experimental psychiatry, 42(1), pp.111-116.

Engel G (1980). The clinical application of the biopsychosocialmodel.American Journal of Psychiatry. 137(5): 535-544.

Franck, L.S. and O'Brien, K., 2019. The evolution of family?centred care: From supporting parents?delivered interventions to a model of family integrated care. Birth defects research, 111(15), pp.1044-1059.

Keown, P., Murphy, H., McKenna, D. and McKinnon, I., 2018. Changes in the use of the Mental Health Act 1983 in England 1984/85 to 2015/16.The British Journal of Psychiatry, 213(4), pp.595-599.

Langellier, B.A., Yang, Y., Purtle, J., Nelson, K.L., Stankov, I. and Diez Roux, A.V., 2019. Complex systems approach to understand drivers of mental health and inform mental health policy: a systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 46(2), pp.128-144.

Peters, D., Vold, K., Robinson, D. and Calvo, R.A., 2020. Responsible AI—two frameworks for ethical design practice. IEEE Transactions on Technology and Society, 1(1), pp.34-47.

Sharma S, Breckons M, Lambelet BB et al (2019). Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain. Journal of Oral Rehabilitation.47: 87-100.

Singer, J.B., Erbacher, T.A. and Rosen, P., 2019. School-based suicide prevention: A framework for evidence-based practice.School Mental Health, 11(1), pp.54-71.

World Health Organization, 2019.The WHO special initiative for mental health (2019-2023): universal health coverage for mental health (No. WHO/MDS/19.1). World Health Organization.

Zisman-Ilani, Y., Chmielowska, M., Dixon, L.B. and Ramon, S., 2021. NICE shared decision-making guidelines and mental health: challenges for research, practice and implementation. BJPsych Open, 7(5).