Discuss The Importance Of Service User Participation Social Work Essay

Discuss The Importance Of serve up User Participation Social Work EssayTraditionally, great deal experiencing intellectual wellness problems were removed from society and placed in asylums across the country, indefinitely (Thornicroft and Tansella, 2002, pp. 84-90). Patients inside the psychological wellness organisation were expected to take a compliant role in the management of their tuition and leave the finis making to the professionals. In todays society that is non the case. In this appointment the author lead begin by exploring the publication pot for multifariousness period questioning the main theme of this publication which is the grandeur of attend drug exploiter beguile group and the importance of empowering the overhaul drug substance abuser in the rational wellness system of Ireland (Ireland, Dept of Health Children, 2006). To empower the dish user requires the control of power to be transferred from the professionals to the now known Service User. The writer depart discuss the issue of this change and the importance of this change within the cordial health system. The cordial Health Act 2001 requested the closure of m either asylums and the move towards a partnership based framework of care. The deinstitutionalisation of m any perseverings and relocation back into the community required changes in the way the psychiatrical go for and benefit user operate.Evidence has shown the importance of value users familiarity in research, didactics and in practice by out the mental health care system. The writer in this assignment will discuss the importance of improvement user engagement in the delivery of psychiatric care for care, focusing on the nursing assessment using a holistic approach.Finally, the writer will discuss the importance of military service user participation in the last out stages of the nursing process the nursing diagnosis, outcomes, planning, implementation and evaluation while explor ing the hold for a therapeutic family between service user and psychiatric nurse to complete the nursing process successfully.With people experiencing mental health difficulties, who now reside in the community, it is live that service users become convolute in the nurture and delivery of mental health work, such as self-help services, drop-in centres, and in providing assistance with activities of daily living. The aim of this is to sensitise society to the study of integrating people with mental health difficulties back into community life.As quoted in a imagery for ChangeService users essential be at the centre of decision making at an individual train in terms of the services available to them, through to the strategic development of local services and national policy. To use a slogan of the deadening rights movement nothing about us, without us.To reduce the firebrand attached to people with mental health difficulties the term enduring was changed to service user, as versedly of the care they receive is provided in the community. The moral Health Act, 2001 suggests the term patient is used to describe someone who is involuntarily admitted. Patient does not wherefore refer to all individuals in an approved centre. In the Vision for Change it states that the correct way to describe someone with a mental health illness was to see the person before the illness, for example someone with anorexia nervosa was not to be described as an anorexic rather than as a person with anorexia nervosa. Stereotyping in mental health is as damaging as any other stereotype (Ireland, Dept of Health Children, 2006). People, who escort mental health difficulties, can be the experts through their own experience (Bee et al, 2008, pp. 442-447).Psychiatric nurses remain the largest staff group involved in the provision of mental health care, (Bee et al, 2008, pp. 442-447). Therefore, to ensure the mental health care service abides by legislation, it is vital for psy chiatric nurses to re-evaluate their role to ensure priority is given to including the service user. An Bord Altranais recommend that a holistic approach is adopted and it is listed as one of the requirements in nurse registration education programmes (An Bord Altranais, 2005). It is fundamental that the service user participates in the nursing assessment especially where the holistic modeling of assessment is used. The biopsychosocial model uses a holistic view, addressing the biological, psychological and social factors contributing to a persons mental health problems. According to Boyd (2004, p.190) it proposes a person-centred treatment approach which addresses each of these elements through an integrated care plan agreed with service users and their carers and involves participation of the service user throughout the assessment. This assessment requires the service user to answer a series of questions, some being of intimate nature about themselves. This enables the tax asse ssor to obtain relevant info required in making a nursing diagnosis. To ensure accurate nursing diagnosis it is critical that the services user listens carefully to the questions asked and is completely honest when answering the questions. This process likewise requires the service user to be patient while the assessor records the info received. However, it is important to remember that an initial assessment can occur when a service user is first admitted into psychiatric care. According to Boyd (2004, p.194) the assessor essential have empathy and an understanding of how difficult it is for a person to discuss intimate details of ones lifes to a complete stranger, even if it is in the persons best interest.Although the nursing assessment is the starting point of the nursing process, the writer feels that service users participation remains of equal importance throughout the nursing process. The freedom of discipline act 1997 requires that all services users can request access to any in holdation stored about them. While, it is now a legal requirement for service users to be involved at all stages of the nursing process, the writer suggests that it is overbearing that the service user is informed of the nursing diagnosis. This will empower the service user, by encouraging the service user to find relevant information regarding their diagnosis which can assist in them becoming experts of their own mental illness.Following the diagnosis it is required by law that the psychiatric nurses discuss all details of the outcome with the service user. The psychiatric nurse inevitably to ensure that the service users values and beliefs are priority when planning the outcome. If any treatment is deemed undeniable for the road to recovery, then it is compulsory that the service user is subject of understanding the set up of the treatment proposed, this requirement is stated downstairs the Mental Health Act, 2001the service user must be capable of understanding th e nature, purpose and likely effects of the proposed treatment and the consultant psychiatrist has given the patient adequate information in a form and language that the patient can understand, on the nature, purpose and likely effects of the proposed treatments (Section 56). Factors for consideration include the capacity to comprehend and decide, risks involved, patients wishes to be informed, the nature of the affair and the effects of information on the service user.The service user must be informed of the benefits of taking the medicinal drug prescribed, for what duration the medication is to be taken and what side affects may occur when taking the prescribed medication. Forcing an grudging inpatient to receive medication has been considered an unnecessarily coercive, traumatic, and even punitive round on a persons privacy. It has been stated that the patients refusal of medication is indicative of a pass between their experience and understanding of the medication and the intention of the prescribing physician. (Kaltiala-Heino et al, pp. 290-295) In todays mental health care system, many service users receive treatment in the community therefore, it is critical that services users listen to information regarding their prescribed medication while raising any concerns they may have.Planning and the implementation stages of the nursing process are not possible without the involvement of the service user. communication and agreement between the service user and the psychiatric nurse is necessary. electric potential obstacles need to be pointed out, and methods of overcoming these obstacles, discussed. Potential risk areas for the service user needfully to be discussed and a therapeutic risk assessment carried out by the psychiatric nurse to ensure the service user is not at risk or danger of harming themselves or others. Awareness of patients perceptions of their impaired tint of life gives psychiatric nurses important information for planning indiv idually betrothed interventions (Pitknen, A. et al, 2008, pp. 1598-1606).Finally, the evaluation stage evaluates client progress and reviews plans in accordance with evaluated selective information in consultation with the client. Evidence shows that the evaluation of a services users experience is of vital importance in shaping the future of service users outcomes within the mental health service. It similarly enables the psychiatric nurse to take the necessary steps required to ensure that the individual service user is conform to with the service received. The Department of Mental Health, UK stated that the experience of service users, including those from foul and minority ethnic groups, is a recognised national marker in the performance of the UK mental health services. In 2006, the UK National Service mannequin (NSF) in line with the Mental Health Unit of the Regional affair for Europe carried out a systematic review of empirical service user views and expectations of UK -registered mental health nurses. Feedback from this review was both positive and negative, with service users holding mental health nurses in high regard. However feedback also reveals that there was a strong need for nurses to be more good in interpersonal communication and relationship building, whilst spending more cartridge clip with the service user (Bee et al, 2008, pp. 442-447).Throughout the nursing process it is necessary for a therapeutic relationship to exist between the service user and the psychiatric nurse to. Relationships are central in fostering and maintaining hope (Byrne et al 1994). Psychiatric nurses are required to have a genuine interest in services users, listening in a non judgemental way to what is being said. In a user-led study evidence has shown service users identified the importance of therapeutic relationships and how they inform patient experiences. Communication was highlighted by all participants as necessary. One participant in the survey quote d As soon as you come they can see that you are angry. Then someone will say, sit down, lets talk about it, make a cup of tea. misfortune to show a therapeutic relationship between the service user and the psychiatric nurse can result in negative patient experiences. Participants identified coercion as the main reason for failure to establish a therapeutic relationship (Gilburt, H. et al, 2008).ConclusionThe writer in this assignment briefly exposed the treatment of patients within the mental health care prior to the introduction of the Mental Health Act 2001 and the publication of Vision for Change. Then, the writer discussed the major changes within the Mental Health Services as a result of this act and publication. The Mental Health Act 2001, pore on the closure of many asylums and a community based model of care to be adopted, however, both the Mental Health Act and the Vision for Change also focus on the importance of service user involvement and empowering the service user. The writer demonstrates how a new psychiatric and service user role was required to adapt to policy changes within the Mental Health Service and to ensure all parties were adapting to policy requirements that aims at service user involvement at all stages, thus empowering the service user. The writer reports how the publication Vision for Change also hoped at reducing stigma by aiming to involve services users in developing and delivering mental health services. The writer mentioned the importance of service user involvement in research, education and practice, while focusing on the practice area by exploring the nursing process, starting with the assessment. Evidence is clear that it is not possible for a psychiatric nurse, even with the necessary skills required to proceed with the nursing process without the participation of the service user at all stages. The writer concluded this assignment by exploring evidence which reveals that service users regard a therapeutic relationshi p and good communication between the service user and the psychiatric nurse of high importance.