Case study 1
John’s mother is worried about him. Previously an excellent student and an active sportsman he is not doing well at school. He has missed football practice a few times now. He doesn’t seem to want to go out with his mates on Saturday night and doesn’t want to talk to any of them on the phone. His girlfriend broke off the relationship with him a couple of months ago and he has been morose and withdrawn since then. When his mum tried to talk to him about it he snapped that it was “none of her business” and that he was “over it”. John also had a bad bout of the flu and needed antibiotics to treat a respiratory infection after the flu.
John is in his final year of school and his mother wants him to do well. She thinks he is studying late at night because she can see that his bedroom light is on and he is on the computer. He finds it difficult to get up in the morning to go to school and is very irritable when she comes in to get him out of bed to get breakfast and go to school. He has been skipping breakfast saying he will eat at school when he gets there. His mum doesn’t know what to do. John is 18 so he is an adult and she feels she can’t force him to go and seek help. She has asked her GP what to do and the GP has said she is happy to talk with John but that he should make the appointment and come in on his own.
Case study 2
Mrs. Jones is worried about her daughter Katie. She has asked her GP if it is normal for young women to go on diets and to be obsessed about losing weight. Her GP reassured her that it was a usual part of growing up – particularly for girls – and that they usually grew out of it.
Mrs. Jones is not sure about this advice from her doctor, but she thinks perhaps Katie will get over it now that she is working and not under a lot of stress. Katie assures her that she is all right and that she is eating ok now. But when she thinks about it, Katie’s mum hasn’t actually seen Katie eat in the last few months. She skips breakfast and tells her mum she gets a cappuccino and a muffin on the way to work. When she gets home, she tells her mum she has already had a snack before she left work and she had a large lunch anyway.
Mrs. Jones is still worried but accepts Katie’s assurances. Then one of Katie’s workmates rings and says that Katie has fainted at work and could she come in to take her home. Her workmate says she wonders if it is because Kate hadn’t been eating anything that day. Her workmate says that she also wonders if Kate has a stomach bug or something because Kate has been throwing up at work lately. Mrs. Jones goes into Katie’s work to pick her up and bring her home.
Case study 3
Julie and Ben have been married for 12 years. They have a son (10) and daughter (3). Julie is a full-time carer to their children and Ben currently works two jobs. Julie experienced postnatal depression following both of her children’s births. In the last 6 months, Ben has been so pleased to see how his wife is coping and that the depression has lifted, and she seems to be enjoying life again. She has become more social, planning lots of activities, running again in the mornings at 4 am and cleaning the house into the early hours of the morning.
In recent weeks, however, he has noticed that when he returns home from work at 7.30 pm before his night job the children are complaining of being hungry. Ben has started to realize that Julie has not been cooking the kid’s dinner. When Ben attempts to talk to Julie about the children she changes the subject.
Ben has also received a call from the bank who tells him that their mortgage payments are two months behind. Ben investigates further and notices that their savings account has been completely depleted. Julie has recently purchased a $100, 000 car.
Case study 4
Mark has been an excellent student throughout high school. He has been captain of the cricket team and very popular amongst his classmates and teachers.
Last year things seemed to fall apart. His grades fell and he didn't seem to be able to concentrate on study. His mother was concerned and took Mark to the local GP who couldn't really see what was wrong. He gave Mark an antidepressant drug and said he would like to see Mark in a couple of months.
The antidepressant didn't seem to help much. Mark's mother noticed a few other things. Mark seemed to have some odd thoughts - he said he could hear things and became upset when she told him she couldn't hear them. Mark became more withdrawn and stopped going out with his friends. He spent a lot of time in his room. His mother thought perhaps he was studying but he wouldn't talk to her about what his schoolwork was about. Sometimes Mark is quite animated. He talks excitedly about science projects and says he has some unique ideas but that he can't talk about them in case someone steals them. Mark has done well in science, so his mother thinks he probably does have some good ideas but is puzzled as to why he won't talk about his ideas.
His mother doesn't know what to do or where to go for help. His exams are coming up and she is concerned that he doesn't seem to be studying or focussing.
Psychosocial factors related to the issues that negatively impact one’s relationship with the family or friends along with producing symptoms of being depressed and this condition could make the person inclined towards having drugs or alcohol abuse in the future. The psychosocial symptoms encompass that these patients might suffer from anxiety, nervousness, grief, powerlessness, exhaustion, impairment in having sleep or stern concentration, psychic or cognitive reservation, psychological stress, and mental disorders. A psychiatric disorder is a condition exacerbated or impacted by personal experiences, along with unjust procedures of cognition and behavior. The focus must be paid on how psychological factors engage in health contexts of social, political, economic, and climate. Themes might also relay an effect and might include an effect on the heaven of social inclusion, socioeconomic factors, inequality, health beliefs, and affective responses ("HOLISTIC APPROACH TO MENTAL HEALTH", 2014). Since the case study, it could be analyzed that Mark has been a superior student who has been excelling in most of the activities along with which he was quite popular among his friends and teachers. After when his grades fell, he was quite distracted and didn’t seem to be working on things like before.
Informal Supports to the person-
Informal support is that there are several aspects of helpfulness but also assist that individuals willingly give one another in their daily lives. This could include assistance that a person receives within their society from their parents, siblings, certain family members, friends, acquaintances, peers, neighbors, and other individuals. The safeguarding of informal supports is quite important. These Provisions include interventions that support and protect the fundamental rights, decision making, well-being, and standard of living of the person (Brown et al., 2014). While people are afraid of losing their privileges, protections include answers to mitigate the damage. Informal carers spend much of their time coping with realistic care activities. Large percentages of care staff often see an important role in supplying the client and simply have supervision upon the individual (Parliament of Australia, 2020). Everyone requires a great supporting network, especially whenever we go through hardships. Likewise, in the case of students also it becomes necessary to gain the support system so that they could learn efficiently from their shortcomings.
Professional/ agencies that could be helpful for Mark-
Agencies or organizations such as SANE, One Door Mental health, Helping Minds, Welcome to Head, and Health are some of the renowned ones that help in managing this condition and help the student to progress through the signs and symptoms that Mark is witnessing. headspace, Kids Helpline, Lifeline, Young Carers, EPPIC program, Mental Health Carer Australia, and OnTrack, all these assist and provide the online as well as offline help for the patients who lately have been experiencing the issues related to it. These agencies generally indulge in activities that help the person by focusing upon building the strength of the individual. These have various psychoeducation program which could be encompassing informal support association.
Gaps in delivering the service and advocacy needs for such people-
The Australian government has recognized key service deficiencies that impact the ability of mentally ill people in Australia to get aid and retrieve there in society. The state data review shows that about a quarter of the need for assisted accommodation options is addressed at the national scale. Also, there is a lack of community-based psychiatric mental health treatment programs to help people to control their condition and improve within the group. Just 62 percent of the estimated number of staff needed to provide care and insufficient ability in specialized childhood and adolescent programs as well as strategic planning benefits offered by both provinces and territories are identified (Furber et al., 2015). The most important drawback to authenticate GP is the relatively high-cost services, especially to early assessment. The complete absence of multi-morbidity recognition in general practice may make significant contributions to insufficient evaluation and control of procedures and health which include medicines. Reduce the cost limit to acquiring GP services and strengthen the existing situation. Priority should be given to sponsoring schemes to promote the provision of quality, readily available, and care coordination for people who are mentally ill (RANZCP, 2015).
Aquilina, F., & Fondacaro, D. (2016). Outlining the psychopathology behind a case of conversion syndrome: Is a holistic approach beneficial?. Psych Journal, 5(1), 31-35. https://doi.org/10.1002/pchj.125
Blank, R., Barnett, A., Cairney, J., Green, D., Kirby, A., & Polatajko, H. et al. (2019). International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder. Developmental Medicine & Child Neurology, 61(3), 242-285. https://doi.org/10.1111/dmcn.14132
Brown, J., Evans-Lacko, S., Aschan, L., Henderson, M., Hatch, S., & Hotopf, M. (2014). Seeking informal and formal help for mental health problems in the community: a secondary analysis from a psychiatric morbidity survey in South London. BMC Psychiatry, 14(1). https://doi.org/10.1186/s12888-014-0275-y
Cesare, P., & King, R. (2014). Social Workers' Beliefs about the Interventions for Schizophrenia and Depression: A Comparison with the Public and Other Health Professionals—an Australian Analysis. British Journal Of Social Work, 45(6), 1750-1770. https://doi.org/10.1093/bjsw/bcu005
Furber, G., Segal, L., Leach, M., Turnbull, C., Procter, N., & Diamond, M. et al. (2015). Preventing mental illness: closing the evidence-practice gap through workforce and services planning. BMC Health Services Research, 15(1). https://doi.org/10.1186/s12913-015-0954-5
HOLISTIC APPROACH TO MENTAL HEALTH. Childrensal.org. (2014). Retrieved 29 May 2020, from https://www.childrensal.org/workfiles/Clinical_Services/CBH/Holistic_Approach_To_Mental_Health.pdf.
Mental health in Australia. (2020). Mental health in Australia: a quick guide – Parliament of Australia. Aph.gov.au. Retrieved 29 May 2020, from https://www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/pubs/rp/rp1819/Quick_Guides/MentalHealth.
Mind Australia. (2020). Our Advocacy Activities - Mind Australia. Mindaustralia.org.au. Retrieved 29 May 2020, from https://www.mindaustralia.org.au/about-mind/advocacy-and-campaigns.
NSW. (2018). Mental health organizations and advocacy groups - Get involved. Health.nsw.gov.au. Retrieved 29 May 2020, from https://www.health.nsw.gov.au/mentalhealth/participation/Pages/groups.aspx.
Parliament of Australia. (2020). Chapter 10 - Support services for people facing mental health problems – Parliament of Australia. Aph.gov.au. Retrieved 29 May 2020, from https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Former_Committees/mentalhealth/report/c10.
RANZCP. (2015). Minding the Gaps Cost barriers to accessing health care for people with mental illness. Ranzcp.org. Retrieved 29 May 2020, from https://www.ranzcp.org/files/resources/reports/minding-the-gaps-cost-barriers-to-accessing-health.aspx.
WHO. (2015). ADVOCACY FOR MENTAL HEALTH. Who.int. Retrieved 29 May 2020, from https://www.who.int/mental_health/policy/services/1_advocacy_WEB_07.pdf?ua=1.
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