Today was a long first day; I was at Mendota Mental Health Institute (MMHI) from 8:00am to 7:30pm. I attended a interdisciplinary clinical meeting, gardening group, Mindful eating, “Zen for 10” (meditation), a work therapy meeting, “Mindfulness Skillz”, art group, and “make stuff Monday”. The OT exclusively leads groups, with the exception of individual assessments and evaluations. This was in direct contrast to most of the OTs I have shadowed in that past who almost exclusively treats on an individual level. The first observation I had when entering the unit was how strong the sense of community was among clinical team members. Each morning begins with a meeting with the OT (and two COTAs), social workers, head nurse, psychologist and unit manager to go over what happened during the PM shift and identify priorities for the day. I had never observed in a setting that met daily before. The professionals care about each other; I heard teasing and questions about each other’s weekend. They also clearly cared about their patients. A horticulture therapist led gardening, a role I had never heard of. She spent some time leading the group through weeding and planting. She took some time to explain about each …show more content…
The first gummy bear we explored slowly. We looked at it closely, smelled it, touched it, even “listened” to it. The next one we ate as we normally would, mindlessly. We discussed how this principle of being mindful is applicable to everyday lives. I learned so much from watching my supervisor teaching this principle. She cared about the quality of life of her patients. Many of them are depressed or anxious and find it hard to have a positive attitude. She was equipping them with a skill that has the potential to make their lives even a little more purposeful and positive. The patients really seemed to react well to
There are many ways to communicate and incorporate therapeutic aspects into dealing with any patient, but this also applies to group therapy as well. Yalom’s therapeutic
At the beginning of the day all of the nurses have a meeting to discuss the patients and the patients families. This meeting is a lot like report at the hospital, except they are discussing the patient’s family as somebody that they are there to care for as well. These nurses are available to talk to 24 hours
Some of the patients had children, which really broke my heart because I have kids and I couldn’t imagine being away from them for any period of time. In relation to the lecture content covered in this week’s lectures, I felt they related to clinical when describing the layout and description of the milieu. For example, I was able to see how the doors were securely locked, and the nursing station was behind an encasement called a bubble. In addition, we discussed the different type of therapies that were conducted on the floor.
These close relationships with other clients helped to create a sense of collaborative healing and, in the study conducted; the clients did not feel as much loneliness. It is imperative that the staff in inpatient settings help to cultivate an environment that allows close relationships among patients to form. Unfortunately, the findings of this article showed that very few institutions have policies in place to provide and maintain an environment where such relationships are possible (2014). This article can support the ideas presented in Rosenhan’s experiment which seemed to prove institutions themselves were not providing adequate environments. This article also supports the idea that pseudopatients and patients were negatively affected by the staff’s inability or lack of attentiveness. By not recognizing these issues within the environment, staff members could not provide adequate personal contact to promote healing
This is a reflective essay based on my attendance at a multidisciplinary team (MDT) meeting whilst on my two-week placement at a local mental health day hospital. The aim of this essay is to discuss the importance of the multidisciplinary team within the mental health environment and discuss factors that can influence the success or failure of multidisciplinary teams.
...en who are there each week are incredibly inspirational, and they never seem to be discouraged, even though some of the patients have been there for five to six weeks in a row. I look forward to seeing their smiling faces each time I visit, yet I cannot help but hope they will not be there but will be at home the next time I visit. The children and youth I have met at Children’s Hospital have become dear friends, and they have taught me that leadership involves making the most of the talents we each have been given, and seeking excellece, not perfection.
Prisons act as a total institution where inmates are put on a strict schedule and fall under one of the most gruesome forms of social control. Because of this, many inmates rebel resulting in prisons having to increase security and impose stricter punishments. As a result of this, less effort has been put into helping mentally ill inmates. The term panopticon, coined by Bentham illustrates the concept that the prison design would allow guards to see into cells but not allowing prisoners to see out. Thus, this would allow guards to have omniscient power over the inmates. Fortunately, this never worked as a prison, however prison has created a type of mental health panopticon. This allows for mentally ill parents to feel like they are always being observed; similarly to that of an experiment. Despite prisons best attempt to equally serve all inmates to the best of their ability, prioritizing security and punishment has lead to a mental health panopticon. As a result, prisons environments have exacerbated negative behaviours, created an inhumane environment for prisoners and lack the means to aid in mental health.
At Penrose Hospital in Colorado Springs, Colorado, the staffing is determined by the patient census. Ideally, on the Surgical/ Trauma unit, Registered Nurses will have approximately 4-5 patients, with a post-operative nurse that comes in at 10am to assume care of the post-operative patients that discharge from PACU to the floor. The post-operative nurse typically receives up to five patients per shift. The CNA’s on the unit will have anywhere between 7-13 patients depending on the staffing on the floor, with the help of a unit secretary that rovers the unit, and offers help as needed. In 2014 the unit grid for the 9th floor was re-vamped by the assistance of the unit practice counsel. After discussion with a nurse leader on the 9th floor, the clinical manager sat down with the unit practice counsel, and the unit practice counsel chair to discuss budget, and staffing. It was noted after slight changes, the increase in employee satisfaction. The staff members felt their voice was heard, thus they were able to make slight changes that the entire unit was able to agree upon, with staying within budget. Furthermore, with the ability for the unit practice council members to be able to visualize what goes into maintaining a budget, and getting budgets approved, there was a greater appreciation for decisions that were made. Finally, with the new changes, and tweaks there was a decrease in unapproved
When I first started this assignment, I was a little lost. I did not know how many services that are provided on a daily could be considered types of groups in social work. According to Johnson and Johnson, a group may be defined as two or more individuals in face to face interaction, each aware of positive interdependence as they strive to achieve mutual goals, each aware of his or her membership in the group, and each aware of the others who belong to the group. (2009) I am in the field of education, so I chose to do my research in this area. I spent my time within the Bowman school district with Ms. TG, who is over the early childhood department. Ms. TG is responsible for getting together monthly with parents who have children
Cooperative students will become future leaders in the initiation of faculty development. They will demonstrate ideas and alertness of the encounters that may occur. Quality development of safety and communication among the staff and patients are improved when staff members have a supportive relationship with their clinical partners. Good communication will lessen errors in the system.
The provision of patient/family-centered care, which assure safety and quality in the service, would have a team work approach as a foundation and underpinning. In a healing process or in the preservation of health intervene several factors, some of them are closely related with the environment. Healthcare providers constitute an important part of that environment, and definitely, communication with patients, families, and among themselves, have a significant impact on it. The environment would influence the patient’s perception of care, and the staff’s level of
The importance of mental health and its effect on individuals has been underestimated. The stigma and discrimination of those affected by mental disorders still exists today. The advancing technology and thorough research are slowly moving towards a less discriminating and better understanding of mental health. More and more patients especially children and adolescents are being diagnosed with different mental disorders. Not enough programs and grants are given to screen and protect children from developing mental illness conditions. In order to maintain mental health’s importance and decrease the stigma associated with it, further education, prevention, and promotion is necessary.
Especially, when it comes to physical and emotional responsibility. In our sessions, I felt as though the group leaders provided an enormous sense of emotional support. I felt as though the environment was stable and conducive to learning. The setting at first was somewhat tense, but this was acceptable considering that many of us were unfamiliar with the group therapy process. I myself had never undergone a group therapy session, whatsoever. I did, however, appreciate the fact that the environment was quite fair and impartial. The leaders were very nonjudgmental and affirmative in their responses when it came to each and every person’s comments and feedback. Everyone was engaged and actively participated. The group was not hostile and everyone participated in the conversations as well as the exercises chosen. I also felt as though everyone was emotionally tied in. Meaning that if someone was dealing with a personal issue or their emotions were all over the place then the group was susceptible to that individuals needs. For example, we experienced group member who had experienced the loss of a friend. Immediately, each group member became involved and concerned. We were immediately concerned with whether or not she was taking time to grieve or if she was simply doing enough to take time out for herself. In all, the environment over the course of each therapy session displayed a great sense of empathy, concern and support. Another session, in particular, that truly stands out to me in terms of support was when we were asked to share our life experiences and dreams. I can recall stating that I was going to school in order to finally do something for myself. I had completed my bachelor’s degree at the age of 40 and had plans to continue education until I complete my PhD. What was so different was the fact that they understood. They understood, I was trying
According to the American Psychiatric Association (APA), it defines mental illness as Mental illnesses are health conditions involving changes in thinking, emotion or behavior (or a combination of these). Mental illnesses are associated with distress and/or problems functioning in social, work or family activities. (What Is Mental Illness? (n.d.). Retrieved June 26, 2016, from https://www.psychiatry.org/patients-families/what-is-mental-illness). Mental Disorders are a wide range of mental conditions that affect mood, thinking, and behavior. There are a lot of different psychological disorders here is a list of the major psychological disorders and their definitions:
Living in the present allows me to live and tend to my thoughts and emotions that I often suppress or ignore. Working as a school counselor, I think that I will use mindfulness to help students with anxiety, behavior problems, and depression. I hope to use mindfulness in the future as I teach students how to use mindfulness in their own lives so that they can exist in the present and connect their mind with their body. Through using mindfulness in sessions with students and possibly in the classroom setting, I will give them a tool to help manage and become more self-aware of the thoughts and emotions they experience so they can learn how to better tend, express and manage them. However, without practicing mindfulness myself I would not have understood its power in the work of my client’s