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Mental illness in our families summary
Mental illness in our families summary
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Mental health conditions (MHC) affect people across the world without discrimination. As individuals are affected by a MHC, it will also affect family members as well. Along with a MHC come stigmas and biases. As a family nurse caring for a person with a MHC, it is important to integrate the whole family in care. This will help not only the patient with a MHC, but also the family as well to produce a constructive outcome. In this discussion, the benefits and barriers to incorporating the family into the care of the mental health patient will be examined.
There are numerous benefits in encompassing the family to assist in caring for the individual affected by a mental health condition. According to Kaakinen, Coehlo, Steele, Tabacco,
and Harmon Hanson (2015), a family-focused approach will support families in the different caregiving roles in ways that boost family alliance and choice in making decisions for care. The family nurse should ensure a positive and open line of communication to establish trust and repertoire. Education and strategies for coping need to be provided to develop the recognition of early symptoms and behavioral changes that accompany the MHC. As a result, this will reduce stress for the family and at the same time, allow family members to continue to be socially functional (Kaakinen, Coehlo, Steele, Tabacco, & Harmon Hanson, 2015). Engaging family in therapy for the individual with a MHC will also increase willingness to comply with medical treatment and the road to recovery. Furthermore, a family nurse can discover underlying family dynamics. According to Stiles (2013), a family nurse needs to teach family members about the specific MHC, ensure understanding that they are not alone, provide resources for crisis intervention, and offer a sense of solitude during the acute phase. It is also advantageous to incorporate family members in providing transportation, making follow up appointments, and assisting with medication adherence. There are also many barriers presented in trying to incorporate family into caring for the individual with a MHC. According to Breunlin and Jacobsen (2014), economical barriers such as financial constraints may prevent family therapy. Family members of an individual with a MHC could also be an enabler during an acute phase which would hinder treatment. On the contrary, some family members may even believe that the individual with a MHC are intentionally exhibiting behaviors instead of recognizing the actions as part of the illness. The family nurse should provide social support systems that can cushion the family from the emotional anguish, provide resources and support groups, and set limitations on what can be done during an exacerbation (Kaakinen et al., 2015). According to Kaakinen, Coehlo, Steele, Tabacco, and Harmon Hanson (2015), research has proven that family members of an individual with MHC endure emotional and physical distress such as embarrassment, guilt, grief, decreased immune response, and inadequate health. A family nurse should provide empathy without passing judgement and guide family members to seek additional support. A family nurse must be diligent in balancing benefits and barriers when incorporating family into the care of the mental health patient to be effective in providing a successful outcome. Family members can be beneficial in providing emotional support. On the other hand, family members can hinder care of an individual with a MHC. A family nurse must be able to adequately assess the family’s situation without bias or judgement. Working with the family as a whole is integral in caring for the individual with a MHC.
Jiji, T. S. (2007). Family care giving to psychiatric patients: its impact on care givers.
From reading and reflecting her personal experience and journey with her sister, Pamela, I acquired a personal outlook of the deteriorating effects of mental illness as a whole, discovering how one individual’s symptoms could significantly impact others such as family and friends. From this new perspective mental health counseling provides a dominate field within not only individuals who may suffer mental illness such as Pamela, but also serve as a breaking point for family and friends who also travel through the illness, such as Carolyn.
Mental health counselors must first assess the family’s problems. Assessment begins with a history of the presenting problem, which includes making notes of exact dates and checking them for their relationship to events in the extended family, becoming aware of the history of the family, including the history of the parents’ courtship, their marriage, and childrearing years (et, al., 2017, p77). The counselor must be aware of where the family has lived, the history of the spouse’s births, sibling positions, and significant parts of their childhood history, and the functionality of their parents, which should be recorded in a genogram covering at least 3 generations (et, al., 2017, p77). The mental health counselor also must always practice confidentiality, and cultural competence in dealing with
The stigma and negative associations that go with mental illness have been around as long as mental illness itself has been recognized. As society has advanced, little changes have been made to the deep-rooted ideas that go along with psychological disorders. It is clearly seen throughout history that people with mental illness are discriminated against, cast out of society, and deemed “damaged”. They are unable to escape the stigma that goes along with their illness, and are often left to defend themselves in a world that is not accepting of differences in people. Society needs to realize what it is doing, and how it is affecting these people who are affected with mental illness. If we continue to not help them, and to foster their illness, it will only get worse.
Clients experienced stigma in regards to three factors including discrimination, stigma related to disclosure of their mental illness, and rejection of any positive aspects regarding their mental illness. When clients experienced any type of stigma mentioned above, this caused a regression in their treatment. This study found that 89.7% of the participants in the study experienced discrimination for their diagnosis, and 88.4% felt uncomfortable when disclosing their diagnosis (2015). This article supports Rosenhan’s findings that suggest the inpatient staff members’ attitudes and preconceived notions about the psuedopatients and patients created an environment that cultivated depersonalization. Treating those with a diagnosis as “insane” and avoiding contact (or abusing the patients in much more severe circumstances) caused clients to experience stigma and therefore regress in their treatment (1973), much like the participants in the study conducted in San
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
Family health is receiving substantial attention in the contemporary decades, following a growing number of unpredicted health issues. Family health assessments have become common techniques within the health care systems across the world to promote good health. Nursing Family assessment and intervention models have been developed in to assists nurses and families to identify the family issues and develop the best.
Although medical social workers have always played a role in helping loved ones adjust to significant illness in a family member and in securing needed resources to pay for medical care (Furstenberg & Olson, 1984), a new role for mental health professionals in the care of those afflicted with disease has emerged. D...
Chien, W. (2010). Stress of Family Members in Caring for a Relative with Schizophrenia. New York: Nova Science Publishers.
In today’s society, the stigma around mental health has caused many people to fear seeking medical treatment for problems they are dealing with. With an abundance of hateful outlooks and stereotypical labels such as: crazy, psycho, and dangerous, it is clear that people with a mental illness have a genuine reason to avoid pursuing medical treatments. Along with mental health stigma, psychiatric facilities that patients with a mental health issue attend in order to receive treatment obtain an excessive amount of unfavorable stereotypes.
Community psychiatric nursing entails collaboration and coordination making nurse eminently suitable to participating in community service. The greatest advancement in community psychiatric nursing is home care which is an array of health related services to clients and families in their place of residence, which includes residential care facilities, group homes, and private homes. Home health is one aspect of community health nursing, not an alternative to institutional care. (Stanhope & Lancaster, 2008). Services given by psychiatric home care are medical care, social work, family building pharmacy services, and various services such physical, recreational, speech, etc. Valuable principle play a key role in is type of care setting such as
When dealing with an individual that is suffering from a behavioral or mental illness can be challenging, due to the fragile balance within their life. Not only do these members have to deal with the day to day changes of life, they must also deal with the reproductions caused by this instability. Moreover, the stigmas associated in these various contexts can lead to a plethora of problems. As social workers, it is our job to help navigate around these problems and help create success for the lives of our clients.
middle of paper ... ... It is important to let friends and family know that support is available, just in case someone is tackling some form of mental illness. Just because someone is experiencing a hurdle in their lives, it is essential to continue to help them carry on in striving for the happiness that they deserve. We should all be aware of the effect our actions could have, to try a little bit harder to eliminate the stigma that exists within our society.
Living with a family member with mental illness is very hard for their families, Family members do not count with the help of the institutions. On the one hand, because resources are scarce; and secondly, because many of their relatives do not meet the profile required to join existing community services. Many are families already deconstructed and with limited material and personal resources to cope with the care of a mental patient, and with little awareness of both disease and positive care skills. After much suffering, many of them see the prison the release for a problem that destabilizes the family and for which there are neither supports nor valid solutions. The most difficult work from the point of view of reintegration is that many
Mental illness not only affects the individual, but it affects the entire family. Families are often the primary caregivers to a family member with mental illness, caring for that member can be a strain and a burden. The events leading up to the individual’s diagnosis alone, can be traumatizing for the family of that individual. When a diagnosis is made, the family can experience a sense of sorrow, and extreme loss. Suddenly they are in a position of having to care for their family member, while often lacking the knowledge of the mental illness. It can be emotionally and financially stressful, with many disruptions within the family, adding strain on the family. Providing support to families caring for family members with severe or persistent