Mental Health Care Assessment

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For confidentiality (NMC, 2008) purposes, patients’ real names will not be used. Introduction Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning. In practice, there are other assessment tools such as….which I could have used but the CPA is a recommended National Standard Framework for Mental Health, introduced in 1991, to supply a framework for effective mental health care (DOH 1999; DOH 2008) and to safeguard all service users (SU) by appropriate assessment and review (Gamble, 2005). But it is time consuming, in practice and paperwork. Service users’ participation has been repeatedly disappointing; studies constantly report little awareness of the CPA policy (CPAA, 2006; McDermott, 1998). Analysis/Discussion The literature regarding assessment, communication and interpersonal skills is vast and extensive. Upon reading a small amount of the vast literature available, the student was able to analyse the OSCE and look at how badly this situation was handled. However, although I felt at the time that I did not communicate effectively (due to anxiety), it was found on reflection and reading literature that I did do something positive. Environment There was a good choice of room, as physical environment is very important and should not be overlooked. We were placed approximately 20 inches apart diag... ... middle of paper ... ...beck, SL (2009) Lippincott Manual of Psychiatric Nursing Care Plans. 8th ed. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins. Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171. Stickley,T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18. The Care Programme Approach Association (2006) National Standards and CPA Association Audit Tool for the Monitoring of the Care Programme Approach. Chesterfield: CPAA. Walsh, A & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press. Norman I and Ryrie I (2004). Assessment and care plan cited in Norman I and Ryrie I (2004) The Art and Science of Mental Health Nursing: Maidenhead, Open University Press

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