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Mental Health: People Living With HIV

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Mental Health: People Living With HIV Question: Evaluate the needs of people with specific mental health problems and disabilities   Promote mental health care that is culturally and ethnically sensitive   Demonstrate knowledge and understanding of effective care provision for disabled people with mental health problems   Review provision for disabled people with mental health problems.   Answer: Mental health is the level of psychological well-being and people having mental health disorders have some problems with the psychological state who is not having a satisfactory level of behavioral and emotional adjustment. Holistic care for mental health patients includes delivering care so that they can have a healthy life and achieve psychological stability. As per World Health Organisation, mental health includes subjective well-being, competence, autonomy, perceived self-efficacy, intergenerational dependence, and self-actualization of one’s intellectual and emotional potential, among others (Elliott, Huizinga and Menard 2012). The present essay discusses the evaluation of the needs of people having a specific mental health problem, that is depression, and disabilities, promotion of mental health care that is culturally and ethnically sensitive, effective care provision for disabled people with mental health problems. Evaluation Of The Needs Of People Having Specific Mental Health Problems And Disabilities Depression may be a result of different factors, in combination or separately, that compels the patient to seek medical aid. Social exclusion is the crucial aspect that needs to be addressed as the basic need. A major factor that leads to social exclusion is a change in moods that vary with phases of depression. A quite and faithful environment is what these people seek for apart from no wanting to manifest the behavior. Patients suffering from depression have feelings of hopelessness and helplessness that need to be improved. Loss of interests in daily activities are often the sign of depression, and these patients need encouragement to get back into the normal form of life. People often have increased the level of irritability and anger. Therefore, these people need care and support when they show anger, restless and agitation. Tolerance level towards such people must be high and attempts must be made to reduce their levels of guilt or worthlessness. Escapist behavior is often shown by these people who have a tough time in making decisions related to significant issues (Brown and Harris 2012). In people with learning disabilities, there is a tendency to have a complex and varied set of needs and there is a necessity to assess the needs of each person suffering from a disability in an individual manner. They find everyday activities, like speaking, writing and reading more challenging significantly. This may cause significant barriers to accessing health services. Patients need the strongly personalized approach for service provision laid for them. Receiving appropriate care can make huge differences in the financial position of the person and thus is crucial for all those entitled to receive special care. Entering employment triggers a review of the eligibility of the people to receive the benefit. Carers have a crucial role and people having disabilities get better treatment through this route. Information and Web-based help are possible of increased significance for the younger patients. People in the group may require help with remembering things and timekeeping. Advocates play an important role in removing some of these barriers. Older people are more likely to consult their general physicians regularly and those having mental health conditions view an understanding and sympathetic general physician as being very significant. Therefore, information and advice received from a general physician about health services are likely to be decisive (Fellinger, Holzinger, and Pollard, 2012).    Promotion Of Mental Health Care That Is Culturally And Ethnically Sensitive Patient-centered care that is culturally and ethnically sensitive possess the specific features that it puts the focus on displaying patient-desired provider and staff attitudes executing policies, conceptualizing the relation of patient-provider as partnership emerging from patient-centeredness and patient empowerment oriented. The care given to people having mental health problems must be unique and based on the culturally diverse patients instead of views of the professionals working in health care settings. Policies taken up in health care settings must be conveying cultural sensitivity. Patients are to be empowered to share the views regarding culturally sensitive health care, and this would be the demonstration of patient-centeredness. Health care givers must be receptive to such views and needs of patients by undertaking behaviors and promoting clinic policies and features identified as vital by patients who are culturally diverse. The patient-provider partnership approach to health care will ensure culturally diverse patients for experiencing patient-centered culturally and ethnically receptive health care. Such care has been demanded by health care professionals in the reception of findings that indicate that patient-centered care that is culturally and ethnically sensitive has relation with positive health outcomes and behaviors for both majority and minority patients. on the contrary, some health researchers state that cultural competence and cultural sensitivity are negatively related with ethnicity-related discrepancies in health (Paniagua and Yamada 2013). Huey et al. (2014) state that therefore, language and culture are indispensable means of communication and in cases where barriers are present, they have to be sufficiently addressed. This requires integrity, resources, recruitment and sustained efforts. The most important aspect is that cultural competence needs self-criticism and training to fight stereotypes, such as the bequest of ethnic prejudice and racism. According to Barrera et al. (2013) poverty, ethnicity and race affect treatment of people suffering from mental health conditions, and active programs are necessary for promoting linguistic and cultural competency. The author outlines the recommendations for health care settings delivering mental health services. The settings must assess the needs an diversity of community they are serving. This would help in developing plans and practices. A written linguistic and cultural competency plan would be beneficial. Advisory councils and form planning and governing boards would respect the communities served. Educational materials in different languages and Braille would be beneficial. Recruitment of people with skills in leadership and having cultural competencies would be the best approach. Consumers are to be directed to culturally acceptable treatment modalities. A high quality monitoring program would be needed. Health care systems are to ensure that providers have knowledge of the cultural attitudes about healing systems, family dynamics are skilled in specialized assessment and treatment methods for serving consumers with diverse ethnicities and cultures.   Effective Care Provision For Disabled People With Mental Health Problems Having a disability does not imply that a person has chances of suffering depression. Not all people with disabilities suffer from depression, and for those who do, their depression may have little to do with their disability. However, depression is associated with certain life experiences that are more common among individuals with disabilities. Besides, people with disabilities face many unique problems and challenges which may place them at increased risk for depression. Care provision for disabled people with depression must address the issues the patients face in their daily lives. Counseling is the best possible approach given towards such people as sharing of thoughts and ideas gives effective remedial of depression. Group interventions with other disabled people suffering from depression are the key intervention that benefits most of the patients suffering from depression as they get to take lessons from other people’s experiences. Support is to be provided so that environmental and social barriers are overcome and a difference can be made in this way. Interaction and meaningful rewarding provide opportunities to such people for an advocate for themselves. Stress management needs to be taken up adequately for helping the people cope up with the level of stress suffered (, 2016). The factor of Social Exclusion Unit Report highlights towards the role of discrimination along with unemployment, low expectations and the lack of community engagement caused due to the formation of mental illness. As per the NHS plan structure, the implementation of the new worker in the primary care unit, especially a graduate mental health worker was introduced. This was also added to several other general practices, which seemed to have input on a variety of specialists (Patel et al. 2013). This included mental health practitioners, counselors, and the psychologists. The main factors of mental health workforce associated with the primary care staff include a framework of ‘Ten Essential Shared Capabilities’ parameter. These are as follows: Application of care Ethical practice Specific interventions The protocol of care According to ‘The National Programme for Improvising Mental Health and Well-being’, it can be analyzed that the there are several scientific protocol which is associated with the development of efficient care facilities, especially for the disabled candidates (Wiener et al. 2015). Based on the novel vision of “Improving the mental health and wellbeing of everyone living in Scotland and to improvise the quality of life and social inclusion of people who experience mental health problems”, it can be predicted that the organization solely concentrates hugely in developing the conditions of these target groups (Hockenberry and Wilson, 2014). The program helps in portraying the picture of positive mental health and wellbeing to improvise the funding, shaping ad supporting the key initiatives. The four main aims of the project supporting the patients’ critical condition are as follows:   Raising effective awareness and thereby promoting the state of mental health and wellbeing Eliminating the stigma and thereby discriminating the mental ill health Preventing the factors of suicide and thereby supporting the people bereaved by the factors of suicide Finally, promoting along with supporting the parameters of recovery from the situation of mental health problems Based on these key aims, the program intends to develop a framework to support the mentally effected people. The six priority areas of the program are stated below: Improvising the infant mental health during the early years Improvising the mental health of the children along with the young people Improving the mental health along with wellbeing in the working life Improving the mental health of the later life of the patient Improving the community mental health and the wellbeing Finally, improving the ability of the public services associated with the various platforms and thereby supporting the promotion of mental health, hence preventing mental illness .   Provision For Disabled People With Mental Health Problems The review for Provision associated with the Mental Health Problems is found to be associated with important principles. These principles are found to be enlisted with the partnership of users and the carers. It helps in providing fairness of provision of the services, self-esteem, promotion of independence along with the factor of self-esteem (Scheerder et al. 2015). According to the concept of ‘Investing for Health’(which is a five-year strategy targeting for the promotion of health services) highlights towards various aims which need to be met by an integrated partnership approach within the factors of voluntary, community, statutory and the business sector associated with the Northern regions of Ireland (Department of Health, 2013). The strategies for the review of Provision designed for the disabled people with mental health conditions are stated below: Improvising the mental health along with the factor of emotional wellbeing, particularly for the people who are denoted to be vulnerable and are associated with the mental health issues Preventing and thereby reducing the incidence the occurrence of incidence entitled to emotional and mental distress, mental health, anxiety and suicide Raising the awareness associated with the indicators of emotional and mental health at a public, policymaking level, professional and reducing the discrimination against the people allotted with the mental health problems. Finally, ensuring the fact that contribution to the affected people along with the family members would help in implementing the factor of knowledge, awareness, skill and effective practice related to the emotional and mental health promotions According to the factors of NSF (National Service Framework) and an Action Plan for Wales, it can be analyzed that progressing the standards related to the national learning points of the homicide external reviews and thereby reviews the medium secure provisions. The program targets in incorporating the action plan of timetable associated with the mental health bill of a patient (Adams et al. 2016). According to the concept of Philip Chick (Director of Mental Health), it can be analyzed that conducting reviews on the mental health was an important move for the NSF department. It targets in developing eight distinct standards for the mentally ill patients (Stuart, 2014). Finally, the specialist registrar needs to learn from the carers along with the patients that by providing health reviews along with participating in the training practices of mental health activities would be considered to be an essential move to medicate these target group of people (American Psychiatric Association, 2013). They need to seek for the opportunity which would help in learning (or adopting) the shared care approach, which is common to the primary mental health care system in an organization. Moreover, this would also implement the sense of interconnection between the mental health team associated with the community with the intermediate care unit of the mental health teams. It can be clearly stated that all these programs would help in improvising the provision of effective care linked to the mental health patients.   References Adams, C., Zacharia, S., Masters, L., Coffey, C. and Catalan, P., 2016. Mental health problems in people living with HIV: changes in the last two decades: the London experience 1990–2014. AIDS care, pp.1-4. American Psychiatric Association, 2013. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. Barrera Jr, M., Castro, F.G., Strycker, L.A. and Toobert, D.J., 2013. Cultural adaptations of behavioral health interventions: A progress report. Journal of Consulting and Clinical Psychology, 81(2), p.196. (2016). Depression and Disability: What You Should Know | Alliance for Equality of Blind Canadians. [online] Available at: [Accessed 7 Apr. 2016]. Brown, G.W. and Harris, T. eds., 2012. Social origins of depression: A study of psychiatric disorder in women. Routledge. Department of Health, 2013. Patients First and Foremost: The Initial Government Response to the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (Vol. 8576). The Stationery Office. Elliott, D.S., Huizinga, D. and Menard, S., 2012. Multiple problem youth: Delinquency, substance use, and mental health problems. Springer Science & Business Media. Fellinger, J., Holzinger, D. and Pollard, R., 2012. Mental health of deaf people. The Lancet, 379(9820), pp.1037-1044. Fellinger, J., Holzinger, D. and Pollard, R., 2012. Mental health of deaf people. The Lancet, 379(9820), pp.1037-1044. Hockenberry, M.J. and Wilson, D., 2014. Wong’s nursing care of infants and children. Elsevier Health Sciences. Huey Jr, S.J., Tilley, J.L., Jones, E.O. and Smith, C.A., 2014. The contribution of cultural competence to evidence-based care for ethnically diverse populations. Annual review of clinical psychology, 10, pp.305-338. Murray, S.A., Kendall, M., Boyd, K. and Sheikh, A., 2013. Illness trajectories and palliative care. International Perspectives on Public Health and Palliative Care, 30, pp.2017-19. Paniagua, F.A. and Yamada, A.M. eds., 2013. Handbook of multicultural mental health: Assessment and treatment of diverse populations. Academic Press. Patel, V., Belkin, G.S., Chockalingam, A., Cooper, J., Saxena, S. and Unützer, J., 2013. Grand challenges: integrating mental health services into priority health care platforms. PLoS Med, 10(5), p.e1001448. Scheerder, G., Iris De Coster, M.A. and Van Audenhove, C., 2015. Pharmacists’ role in depression care: a survey of attitudes, current practices, and barriers. Psychiatric Services. Stuart, G.W., 2014. Principles and practice of psychiatric nursing. Elsevier Health Sciences. Wiener, L., Weaver, M.S., Bell, C.J. and Sansom-Daly, U.M., 2015. Threading the cloak: palliative care education for care providers of adolescents and young adults with cancer. Clinical oncology in adolescents and young adults, 5, p.1.

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