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Professionalism in the healthcare setting
Professionalism in the healthcare setting
Trauma informed care essay
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Stigma is an important issue for healthcare providers who work in the field of mental health because it put clients at risk for ineffective coping. For organizational purposes, this paper uses the DEAL reflection model developed by Sarah Ash and Patti Clayton (2004). This critical reflection explores nursing students’ role in promoting professionalism and preserving clients’ dignity through the use of trauma-informed practice and anti-stigma health education. For health professionals, realizing the existence and influence of stigma is important for care planning. According to Emma Lindley, a senior researcher, stigma is “a socially mediated phenomenon which is co-created by social difference and prejudice”, though it is possible that …show more content…
There are 6 principles of trauma-informed care: safety, trustworthiness and transparency, peer support, collaboration and mutuality, empowerment, and cultural sensitivity (Bair-Merritt, 2015). During my clinical placement, I noticed that clients with a lack of social support tend to have prolonged periods of hospitalization with multiple readmissions and rely heavily on social services. Many hospitalized clients expressed concerns regarding taking “Assured Income for the Severely Handicapped (AISH)”, though AISH helped clients to relieve financial stress and improve the homeless condition (Duguay & Malacrida, 2009). Many clients feared of becoming dependent on disability funds and being labelled as “useless” or “lazy”. From N309, I learned that stigma arises from labelling, stereotype, otherness, lost of social status, and discrimination. The cause of stigma lies in between client’s ineffective coping with stress (“fear”) and people’s misconception of mental health (“blame”) (Gergel, 2014). People with traumatic experience tend to have more difficulty coping with stressful life events, and trauma-informed care encourages healthcare providers to help clients to produce positive self-perceptions and build resilience with the use of support and encouragement. Hence, I should put myself in the clients’ shoes and be non-judgmental towards …show more content…
According to the transtheoretical model, moving forward to the next stage of change requires health education and support (BehaviourWorks, 2017). Nonetheless, I noticed that it was essential to explain to the client that compliance with pharmacotherapy could improve clients’ mood and help them gain clarity in the thought process. According to Lindley’s qualitative research, sending anti-stigma message with inclusive dialogue suggestions during the interview will potentially enhance client’s understanding and confidence when talking about mental illness (2012). Thus, I learned that I could provide health education with anti-stigma messages to help clients prevent
On November 17th approximately 30 people and I congregated to the OSU College of Nursing to watch The Anonymous People, a documentary film about American’s who are living in long-term recovery from alcohol and other drug addiction. The film addressed the stigma related to alcoholics and drug addicts, including their experiences to the track of recovery. Applicable to what we have discussed in class, I was able to understand more into the healthcare stigma and healthcare disparities that people around us deal with daily. The eye opening video provided an example into the lives of people, famous or not, being mistreated and judged due to their life choices. As a group frequently misunderstood, the film tries to teach the audience to a new view
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.
...llness. A Report on the Fifth International Stigma Conference . June 4–6, 2012. Ottawa, Canada
This stereotype contributes to the stigma individuals’ face and encourages social exclusion and intolerance, especially in schizophrenia (Ray & Brooks Dollar, 2014). Ken sought out help and went to the emergency room because he recognized he was severely depressed. There, the doctor promised he would not be put in restraints, yet when he was taken to the hospital, he was placed in restraints because it was company policy (Steele & Berman, 2001). Due the stigma that individuals with mental illness are violent, Ken was not treated fairly (Stuart & Arboleda-Florez, 2012). Stuart and Arboleda-Florez (2012) are very credible authors to be writing on the effects of stigma in mental health. Both authors have experience in psychiatry, combatting stigma and mental health issues.
Rusch, et al. "Mental Illness Stigma: Concepts, Consequences, And Initiatives To Reduce Stigma." European Psychiatry 20-8 (2005): 529-539. Print.
There is a widely accepted stigma surrounding those suffering from mental illness. This narrow and often grossly misinformed perspective or single story has negatively affected countless lives and when left unchecked, can bring about a great deal of harm. Single stories and stereotypes are dangerous. A young woman by the name of Chimamanda Ngozi Adichie has both experienced them and participated in them. In her 2009 TED talk, Adichie discusses how the single story perspective negatively
Throughout her presentation, she explains how public stigmas, once again, cause label avoidance pushing many who need help away from treatment. She then goes on to explain how these stereotyped behaviors cause discrimination towards people with a mental illness from employment to housing which only leads to the creation of more stigmas. Finally, she states how the impact of stigmas is associated with the reduction of self-esteem, overall poor health, and problems with interpersonal relationships (Willits). By using this presentation I am able to connect what we have learned about mental health stigmas to my article. First off, for example, Morris explains how psychiatric units invoke people to imagine a frightening place where insane patients are strapped down and poked and prodded for care (Morris). This stereotypical idea relates to how Willits described general stereotypes associated with mental illness such as crazy and dangerous (Willits). On top of that, Willits explained how these stigmas have negative consequences for patients (Willits). This relates to Morris’s explanation on how the stigma around institutions has caused these units to shut down forcing many people to be homeless or live in jail
An important change that needs to happen within mental health services is for service users to be involved in all aspects of their care. This is called a working partnership where information is shared, choices are given and decisions are made together. The Department of Health (1999) states that service users should be involved in the planning and delivery of the care they receive. Drawing from course materials and external research this essay will discuss why developing this working relationship is important. It will look at past and current service provision, discuss what happens in practice, consider what change needs to take place for a working partnership to be achieved and how this relationship can benefit both service user and practitioner. The essay will also discuss whether there might be resistance to the idea of this working partnership and how these barriers might be addressed so that this change can be implemented in practice.
St. Patrick's Mental Health Service. (2013, September 10). Stigma Still a Significant Factor. Retrieved April 2014, from St. Patricks Mental Health Services: Empowering Recovery: https://www.stpatricks.ie/stigma-still-significant-factor
Claire Henderson, Sara Evans-Lacko, Clare Flach, Graham, Thornicrofi. "Responses to Mental Health Stigma Questions: "The Importance of Social Desirability and Data Collection Method." Canadian Journal of Psychiatry. Mar 2012. Vol 57, No3. Nursing/Academic Edition. Web. 01 Apr 2014.
The two different types of stigma have different effects on the attitude towards those with mental health issues. The public stigma can lead to discrimination and prejudice. The prejudice and discrimination that result from the public stigma can prevent those diag...
For a very long time, mental health was a disease people would not dare speak about. The stigma associated with mental health meant that it was viewed as a curse or simply poor upbringing. Crazy, right? (Pardon the pun). Although it’s not seen as a curse by us in this generation any more, many people with mental health issues still have to face ignorance, prejudice and discrimination from our society just because of their lack of understanding or reluctance to try and understand. Be that as it may, these attitudes directly impact upon how and if people choose to seek help, making the negative and ignorant opinions and attitudes of others potentially dangerous to many individuals and the people around them.
Most commonly, people are stated to be “depressed” rather than someone who “has depression”. It is a common perception that mental illnesses are not a priority when it comes to Government spending, just as it is forgotten that most mental health disorders can be treated and lead a normal life if treatment is successful. The effect of this makes a sufferer feel embarrassed and dehumanized. A common perception is that they should be feared or looked down upon for something they have not caused. People experience stigma as a barrier that can affect nearly every aspect of life—limiting opportunities for employment, housing and education, causing the loss of family and friends.... ...
Stigma is a powerful tool of social control. Stigma can be used to marginalize, exclude and exercise power over individuals who show certain characteristics. While the societal rejection of certain social groups (e.g. 'homosexuals, injecting drug users, sex workers') may predate HIV/AIDS, the disease has, in many cases, reinforced this stigma. By blaming certain individuals or groups, society can excuse itself from the responsibility of caring for and looking after such populations. This is seen not only in the manner in which 'outsider' groups are often blamed for bringing HIV into a country, but also in how such groups are denied access to the services and treatment they need.
Stigmatization is one of the barriers that trigger other psychological issue that obstruct clients from recovery, and therefore treatments that could untangle/ remove the internal traumatic and discriminative effect causes by social and biomedical labeling (Murphy, 2007, Estroff, 1989) is recommended. Removing internal stigma and discrimination is also a matter of “human right” that protect the client’s accessing equal rights on career, education and social services etc. (Jacabson & Greenley, 2001). In long term, celebrating the human right can “advocate for the reduction and ultimately the elimination of involuntary commitment and other forced treatment” (Jacabson & Greenley, 2001, p.