Socio-Political Factors

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This essay is about my involvement with the management of care and the impact of social and political issues relating to social exclusion that contributes to a client mental illness. There are numerous interrelated social and political factors that influence mental health; these include unemployment, prejudice, housing, media influences, stigma and discrimination. Percy- Smith (2000) defined social exclusion as a ‘shorthand label for what can happen when individuals or areas suffer from a combination of linked problems such as unemployment, poor skills, low incomes, poor housing, high crime environments, bad health and family breakdown’. The name of the client and others including practice area will be concealed in accordance with Nursing and Midwifery Council (NMC 2007) Code of Professional Conduct on privacy and confidentiality. This essay will proceed to focus on the impact of unemployment with the client I worked with during my placement experience, who suffered from a mental health problem. I will also examine other issues associated with unemployment in a mental health setting, such as component of recovery. I will also look into government policy in promotion of employment among people with mental health problems. According to WHO (2000), Mental health can be conceptualised as a ‘state of well-being in which the individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community’. Finally the feedback from formative assessment will be highlighted. For the purpose of the issue of confidentiality, the client in the discussion will be referred to as “Sophie”. Roberts et al (2002) defined confidentiality as ‘an implicit promise that is present when one person discloses information to another, whether through words or an examination; and the person to whom the information is disclosed pledges not to divulge that information to third party without the confider’s permission”. Sophie is a 30 years old Caucasian female who has a long history of depression and was recently diagnosed with Bipolar Affective Disorder. Sophie says that “I’ve lost time, I’m having delusions and anxiety” which she began to experience when she 24 years old, as a result of not having a job. She was referred to the Community Mental Health Team from the Crisis Team when she was about to be discharged. Initially, Sophie refused to engage with the team, but her CPN was very professional in motivating her and, later, gained her trust. Sophie started to engage with the CMHT for treatment and support to improve her mental state. I decided to work in Sophie’s case because I was familiar to her previously in the in-patient ward, and I was appointed to monitor her progress under the supervision of my mentor. The full assessment was done by my mentor at the recovery centre where she attended as part of her recovery process. I decided to focus on the social aspect of life relating to employment in Sophie’s case. Sophie has been looking for a job, and was doing a voluntary job in the MIND organisation. Sophie says that she is bored of staying at home all the time, which she believes has contributed to her relapse in the past. She also believes that her mental health problem could not really allow her to get a paid job. Sophie has become very depressed, withdrawn and tearful, as she used to have delusions of the world coming to an end resulting in her death as a result of mental health and social exclusion about getting a job. In the history of mental health services, work is considered in terms of an activity or therapy known to provide many valuable benefits to those who suffer from mental health problems. Repper (2000) indicated that “In 1796, work was used as a therapeutic strategy for psychiatric disorders as part of the “moral treatment” at the York Retreat, and smaller Asylums adopting...
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