Discuss About The Fundamental Principle Of Mental Health Care?
Schizophrenia is a disabling mental condition that affects a person’s thinking process and capabilities and behaviour. The clinical manifestations of schizophrenia are poor memory and difficulties in being attentive (Marder & Galderisi, 2017). The goals of managing schizophrenia are targeting the symptoms, improving adaptive functioning and preventing relapse (Patel, Cherian, Gohil, & Atkinson, 2014). This assignment will incorporate the National Recovery Framework and Principles to explore the lived experience of mental health predicaments of Jeremy Oxley as depicted in the SunnyBoy documentary. Jeremy was diagnosed with schizophrenia at the peak of his music career and left the band. He became stigmatised, isolated and alcoholic for about 30 years. Fortunately, Jeremy met Griffiths Mary, a nursing professional, who helped change his circumstance through social support and medication (ABC, 2016). Firstly, this assignment will discuss the principle of the uniqueness of the individual. Secondly, it will explore the theme of real choices, self-determination and autonomy. Thirdly, it will discuss the principle of attitudes and rights. Fourthly, the paper will explore how the principle of dignity and respect is manifested in the SunnyBoy documentary. Fifthly, the easy will discuss the principle of partnership and communication. Finally, it will delineate the principle of recovery evaluation, feedback and reflection.
The lived experience of Jeremy Oxley buttresses the concept that recovery is not necessarily about the cure but having the ability to develop and live a meaningful life and contribute to the community. As narrated in the SunnyBoy documentary, Jeremy experienced stigma and isolation for many before he met Mary (ABC, 2016). Mary initiated Jeremy’s recovery by upholding the principle of the uniqueness of the individual. Based on this principle, recovery entails being a valued member of the community, personal empowerment and emphasis on the quality of life. Also, this principle notes that the recovery outcome is personal and unique for each person (Department of Health, 2010). These factors cause patients with schizophrenia to undergo the process of acceptance. In the process of acceptance, individuals assert that recovery from schizophrenia is an ongoing process due to its long-term nature, which can be described as coping. Coping involves regaining a sense of self when a person has control over their symptoms (Eklund, Hermansson, & Håkansson, 2012). Reengagement follows this process. One study notes that patients who have been diagnosed with schizophrenia show signs of reengagement, mainly involving social interaction and setting goals like have a job and living independently (Phillips, 2008). In the SunnyBoy documentary, Mary helped Jeremy to regain self-control as well as in the process of reengagement. She was determined to link Jeremy to the other band members and his brother Peter. As such, social inclusion was an important principle in Jeremy’s recovery process.
In the process of recovery, a patient should be allowed the opportunity to make decisions on issues that are fundamental to their lives. Throughout the recovery process, the patient should be supported to make real choices about how they want to lead their lives. This principle is portrayed in the lived experience of Jeremy because Mary promoted autonomy and self-determination (Department of Health, 2010). According to the documentary, Jeremy continued to write and play music even though he had been separated from the other members of the SunnyBoy band. In fact, Jeremy did not drop his passion for music for the 30 years he had schizophrenia. Due to this aspect, Mary supported him to make creative and meaningful decision of reviving the music career (ABC, 2016). Mary’s approach and decisions show that recovery-oriented mental health practice supports an individual to build on their strengths and take responsibility for their lives. Additionally, it shows a balance between the duty of care and support for a person to take positive risks. There is further an aspect of informed risk-taking within a safe and supportive environment (Barnicot, Insua-Summerhayes, Plummer, Hart, Barker, & Priebe, 2017). Through Mary’s support, Jeremy started to take responsibility for his life and regain focus. He took the risk to meet fellow band members and organise a gig and thus exhibiting the holistic nature of a person. Conclusively, Jeremy recovery can be associated with the support and empowerment to make creative decisions.
The SunnyBoy documentary propagates the theme of attitudes and rights in recovery-oriented mental practice. Based on this theme, mental health practice should promote individual’s legal, human and citizenship rights (Poreddi, Reddemma, & Math, 2013). Besides, the theme insists on the importance of instilling hope in individuals about the future. Mary observed this principle by instilling hope in Jeremy. When Mary met Jeremy, he had lost hope about the future. Mary explained to Jeremy that he could still achieve the dream to spreading music around the world and have a meaningful life. Hope is an important element in managing individuals diagnosed with mental health illnesses (Davidson, Bellamy, Guy, & Miller, 2012). Through hope, Jeremy was empowered and become hopeful that in future he could play music on an international stage. Apart from hope, the recovery process should value and uphold the rights of a patient. The recovery of Jeremy shows the importance of promoting human, civil and legal rights. The Australian Charter of Healthcare Rights preserves the right to access high-quality and safe healthcare (Department of Health & Human Services, 2017). As narrated in the documentary, Mary took Jeremy to a doctor who designed a treatment plan. Medication was helpful for Jeremy in managing the symptoms of schizophrenia. Adherence to medication for patients diagnosed with schizophrenia might have positive effect on the patient (Higashi, Medic, Littlewood, Diez, Granström, & De Hert, 2013). Evidently, the SunnyBoy documentary shows how hope and respect for individual rights help in the recovery of persons diagnosed with mental illnesses mainly schizophrenia.
Dignity and respect have also been manifested in the SunnyBoy documentary. The dignity of each person in the community can be achieved when all people, even the marginalised, are treated and addressed as equals (Saxena & Hanna, 2015). This principle encourages honest, courteous and respectful interactions. In addition, the principle advocates for the respect of each person, mainly for their beliefs, culture and values. Mary exhibited unwavering respect for Jeremy despite his mental condition. Also, she did not doubt the belief and values of Jeremy, specifically about being a musician. Responsiveness to diversity, where mental care entails delivering personalised care that is responsive to each person’s values and circumstances, is important. The kind of care offered to Jeremy was responsive to his circumstances, values and beliefs. Further, the domain of respect and dignity discourages discrimination within the service and the broader community (Department of Health, 2010). When Jeremy was diagnosed with schizophrenia at the early age of his music career, he experienced self-denial and later discrimination from his fellow band members and family members. However, Mary challenged discrimination and drew Jeremy closer. According to Mary, Jeremy was a lovely person who was unmedicated and misunderstood. She notes that falling in love with Jeremy was normal and natural. Social relationships have been found to have beneficial impacts on health outcomes (PLoS Medicine Editors, 2010). Indeed, the relationship between Jeremy and Mary was important in the process of recovery. Their story shows how discrimination can be challenged to initiate and enhance recovery for persons diagnosed with schizophrenia.
According to the National Recovery Framework and Principles, partnership and communication are an important theme in the recovery process. This domain encourages providers to work in collaboration with individuals to offer support in a manner that makes sense to them (Department of Health, 2010). The story of Jeremy and Mary is a clear example of the application of partnership and communication to promote recovery. Mary provided emotional, social and material support to Jeremy to aid the recovery from schizophrenia. Positive relationships enable patients with mental illness to cope with their condition and make progress in recovery (Evenson, Rhodes, Feigenbaum, & Solly, 2008). Friends are very important because they offer the much-needed support in the recovery process. In the SunnyBoy documentary, Mary even agreed to stay in one house with Jeremy, which offered a suitable social environment for recovery. When the couple started living together, they started to communicate intensely sharing their experiences and aspirations (Oxley, Mary, & Oxley, 2013). This aspect shows that patient-provider partnership and communication is fundamental in promoting recovery-oriented mental health practice.
Finally, the national recovery principles emphasise on recovery evaluation, and reflection and learning. The mental health professional should get feedback from the persons accessing the service to evaluate the ongoing service improvement. On the other hand, individuals can track their own progress. Various outcomes can be used as indicators for recovery including employment, social and family relationships, employment, housing, health and well-being (Department of Health, 2010). Based on the SunnyBoy documentary, the indicators for Jeremy’s recovery are his social and family relationships, the revival of his music career and the ability to take personal responsibility. The SunnyBoy documentary delineates that recovery from mental illnesses is patient-centred and physician-patient relationship is essential for positive outcomes.
Conclusion
In conclusion, the SunnyBoy documentary presents a real example of schizophrenia prognosis and the application of both pharmacological and non-pharmacological interventions to manage the illness. The non-pharmacological interventions that were applied for Jeremy manifest the observation of the National Recovery Framework and Principles. The documentary explains how the theme of hope, self-autonomy, collaboration and partnership, focus on an individual’s strength and social support can help to improve outcomes for people diagnosed with schizophrenia. Jeremy recovered from schizophrenia because Mary challenged discrimination, instilled hope and supported him to make meaningful decisions. Evidently, recovery is not synonymous to cure but entails creating and living a meaningful life.
References
ABC. (2016). The Sunnyboy. Retrieved 9 19, 2017, from https://www.abc.net.au/tv/programs/sunnyboy/
Barnicot, K., Insua-Summerhayes, B., Plummer, E., Hart, A., Barker, C., & Priebe, S. (2017). Staff and patient experiences of decision-making about continuous observation in psychiatric hospitals. Social Psychiatry and Psychiatric Epidemiology , 52 (4), 473-483.
Davidson, L., Bellamy, C., Guy, K., & Miller, R. (2012). Peer support among persons with severe mental illnesses: a review of evidence and experience. World Psychiatry , 11 (2), 123-128.
Department of Health & Human Services. (2017). Australian Charter of Healthcare Rights. Retrieved 9 19, 2017, from https://www2.health.vic.gov.au/about/participation-and-communication/australian-charter-healthcare-rights
Department of Health. (2010). Principles of recovery oriented mental health practice. Retrieved 9 19, 2017, from https://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc~mental-pubs-i-nongov-pri
Eklund, M., Hermansson, A., & Håkansson, C. (2012). Meaning in life for people with schizophrenia: Does it include occupation? Journal of Occupational Science , 19 (2), 93-105.
Evenson, E., Rhodes, J., Feigenbaum, J., & Solly, A. (2008). The experiences of fathers with psychosis. Journal of Mental Health , 17 (6), 629-642.
Higashi, K., Medic, G., Littlewood, K., Diez, T., Granström, O., & De Hert, M. (2013). Medication adherence in schizophrenia: factors influencing adherence and consequences of nonadherence, a systematic literature review. Therapeutic advances in psychopharmacology , 3 (4), 200-218.
Marder, S., & Galderisi, S. (2017). The current conceptualization of negative symptoms in schizophrenia. World Psychiatry , 16 (1), 14-24.
Sunnyboy, T. (Producer). (2013). The Sunnyboy [Motion Picture].
Patel, K., Cherian, J., Gohil, K., & Atkinson, D. (2014). Schizophrenia: overview and treatment options. Pharmacy and Therapeutics , 39 (9), 638-645.
Phillips, J. (2008). The experience of hope in those diagnosed with schizophrenia: A qualitative study. ProQuest Database .
PLoS Medicine Editors. (2010). Social relationships are key to health, and to health policy. PLoS medicine , 7 (8), e1000334.
Poreddi, V., Reddemma, R. K., & Math, S. B. (2013). People with mental illness and human rights: A developing countries perspective. Indian Journal Psychiatry , 55 (2), 117-124.
Saxena, S., & Hanna, F. (2015). Dignity- a fundamental principle of mental health care. Indian J Med Res , 142 (4), 355-358.
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