Discuss about the Fundamentals of Mental Health Nursing.
Trauma Informed Care is a particular framework as well as an organizational structure which deals with the thoughtful, distinguishing and responding to the proper effects of all types of trauma. Further, it puts emphasis on the physical, emotional as well as psychological safety for both care providers as well as care users. Thereafter it ultimately makes the victims or the survivors to rebuild a proper sense of control as well as empowerment (Art.uts.edu.au, 2017).
Trauma is that action that engrosses many individuals, families as well as communities that affect the relationships and healthy development. Further, it results into contributing towards the rise of mental health issues within the individuals. Therefore this essay is formulated to clearly describe the situation of how the approach of trauma informed care is help in guiding the people in mental health care in Australia. In addition, this essay will also show the proper approach by which the trauma-informed care will influence the mental health nursing practice. It is very clear that every individual has their different level for tolerating the impact of trauma.
Generally, as per (Atkinson, 2013), the trauma had its impact on the core parts of the individual which gets clearly reflected by their nature through profound and life-altering experiences of the individuals. In that case, it is quite clear that with exposure to trauma the individual increases the risk of vulnerabilities in its life.
As per Evans et al, due to the effect of trauma on the mental health the individual develops the relationship problems, difficulty in thinking clearly, sexual challenges, low self-esteem, social alienation and many physical problems (Evans et al., 2014).
Due to these problems they get isolated from their social life and result in behaving in abusive pattern with others. Further, it resulted into experiencing a social phobia, self-blame, self-doubt, anxiety problems and disruptive fear. With these experiences, (Scott et al., 2017) said that, the individual will also face issues in sexual capabilities or show sexual aggression. It is also seen that the trauma effects in childhood will result in mental issues in the adult period.
Various researchers have shown that maximum numbers of care users in the mental health care across Australia are having a high level of exposure to trauma cases. In that case, the researchers have found an effective way to deal with trauma is to provide an effective mental health care to the patients suffering from trauma.
According to Foa et al, Trauma is the reaction in an individual that can be resolved with proper treatment irrespective of any age group. For that reason to treat the trauma, it is necessary to treat the fear and anxiety. And if fear and anxiety are not the reason for then the trauma can be treated through the trauma-specific treatments which are delivered to the patients by trauma informed care (Foa et al., 2008).
Therefore it is necessary to provide proper interventions for the treatment depending on which the treatment can be individualized basing upon each and every person’s needs. The sources from various professionals and care providers show that the impact of the trauma can be understood by eliminating the restrictive practices like restraint and seclusion with the creation of sympathetic non-coercive settings for the care users. It will benefit both the staff members as well as the care users with the impact of the victimization on the development of an individual along with their capacity to cope with their mental problems (Haider et al., 2013).
The approach of Ho et al related to trauma-informed care in the mental health care of Australia validates the person’s experience and enhances the safety feeling along with their recovery. In that case, the trauma-informed care has set the primary objective that involves the possible recovery from the past trauma by the application of specific trauma services. This can be done by providing proper relationship and environment. In all these activities the professionals say that the trauma-informed care is the approach that involves providing choice and ensuring safety to the care users. Moreover forcing them for any kind of specific treatment is not allowed in this approach (Ho et al., 2015).
It is because forcing someone to face their traumatic past creates a bad impression of the care providers and the fear of the patients will increase. On the flip side, the behaviour and reaction of the patient should be such that he or she can present the traumatic past by defined, organized and informed process. And most importantly it only depends upon that individual that he or she wants to express the experiences or not. Therefore, on the whole, the consumer or the care user only decides his or her recovery agenda which is the core concept of trauma informed care.
Next, by going through various mental health care centres across Australia it is seen that the health practitioners or the nurses take care of three things in dealing with the consumers. First is they take care of the patients making the acknowledgment of overwhelming and devastating effects of trauma impact upon the development of the human behaviour along with their capacity of copying (Ho et al., 2015). Second is the practitioner nurse asks the patients regarding their live experience in relation to the trauma. The third is the nurse or the practitioner should respond correctly to the patient for the proper disclosure of the trauma.
Trauma-informed care is quite well grounded with the proper understanding of an individual’s biological, psychological, neurological and social effects caused due to trauma. Moreover, I think the existence of the traumatic experiences provides any individual the need of the mental health services that would take him or her towards recovery. For that reason, a proper knowledge of the trauma is quite necessary which could be extracted from the patients with much ease without hurting their sentiments. It, therefore, involves the trauma impact along with its interpersonal dynamic and various paths to recover the individuals from trauma. With the application of various traditional approaches, I think I could be become person-centred that can re-traumatize the patients and their family members by improving the member’s wellness with its core principles.
These principles help me to know about the proper culture by which I can provide a proper treatment to the trauma-informed care by including all the essential factors that are needed for recovery. Therefore the core principles of trauma-informed care involve the trauma understanding, safety and security, cultural humility and responsiveness, compassion and dependability, collaboration and empowerment and finally resilience and recovery (Potter et al., 2016).
Trauma Understanding: By the proper knowledge of the action of trauma as well as stress the practitioners in the care centre can treat the patient properly with compassionate touch and will head properly towards recovery.
Safety and Security: The assurance of the safety needs whether it is physical or emotional it minimizes the stress activities of the individuals and will head towards the wellness of the individuals (Moorhead et al., 2014).
Cultural Humility and Responsiveness: As per (Muskett, 2014), the understanding nature within the care centre enhances with the increase in the interaction with the care providers and care users. The increase in interaction will help in understanding the cultural differences along with the response that indicates the wellness is enhanced.
Compassion and Dependability: The presence of compassion and dependable relationship helps the patients in regaining their trust with others in the care centre. This trust builds up the mutual wellness among the patients that helps in speed recovery (Mhcc.org, 2017).
Collaboration and Empowerment: The provision of facing real opportunities help the trauma victims feeling empowered that eventually promotes the wellness of the individual in the care centre.
Resilience and Recovery: One and only strong reason to achieve the recovery the trauma victims should focus on their strengths. By having a regular increase in the strength the individuals can be able to head towards their wellness.
In addition, the behavioural aspects of mine can also affect the enhanced wellness of the individuals. In that context, the trauma-informed care also enhances the nursing practice in the mental health care by enhancing the collaboration, trustworthiness, choice, and control, physical emotional safety, skill building, communication, and language (Moorhead et al., 2014).
The nurses or the practitioners working all along the mental health care in Australia dealing with the patients dealing with physical and sexual assault, being secluded and restrained, being frightened or witnesses any traumatic events. I think, the staffs are not supposed to neglectful, abusive and insensitive which can provoke distress, fear, and humiliation. These actions are further handled by National Mental Health Consumer and Career Forum in Australia and take care of improving the quality of life to the patients of trauma.
Conclusion
The essay formulated basing upon the traumatic behaviour make sure that the trauma is the main key issue of the mental health services. But on the whole, there are clear rationales by which these issues can be addressed that are associated with the interpersonal violence from the grass root level. Therefore after having a keen observation of all activities the initial part is the early and proactive interventions which are followed by an understanding of the practitioners about the exposed trauma by the person. Depending upon the emotion, cognitions, physiology and behaviour the treatment is carried out. Specialist treatment of trauma makes it as a healing procedure that is quite social and interpersonal while the now- specialist treatment deals with it by creating healthy relationship and safety as heading towards recovery. Therefore the trauma-informed approach is good for the patients as well as their families and community. Moreover, the nursing practice will get more developed and enriched by providing appropriate treatment to the trauma patients in the mental health care in Australia.
References
Art.uts.edu.au. 2017. Video: Transgenerational Trauma – Tracey Moffatt ‘Up in the Sky’ · UTS ART. [online] Available at: https://art.uts.edu.au/index.php/video-transgenerational-trauma-tracey-moffatt-up-in-the-sky/ [Accessed 28 Mar. 2017].
Atkinson, J., 2013. Trauma-informed services and trauma-specific care for Indigenous Australian children.
Evans, C.C., Tallon, J.M., Bridge, J. and Nathens, A.B., 2014. An inventory of Canadian trauma systems: opportunities for improving access to trauma care. CJEM, 16(03), pp.207-213.
Foa, E.B., Keane, T.M., Friedman, M.J. and Cohen, J.A. eds., 2008. Effective treatments for PTSD: practice guidelines from the International Society for Traumatic Stress Studies. Guilford Press.
Haider, A.H., Weygandt, P.L., Bentley, J.M., Monn, M.F., Rehman, K.A., Zarzaur, B.L., Crandall, M.L., Cornwell, E.E. and Cooper, L.A., 2013. Disparities in trauma care and outcomes in the United States: a systematic review and meta-analysis. The journal of trauma and acute care surgery, 74(5), p.1195.
Ho, A.F.W., Chew, D., Wong, T.H., Ng, Y.Y., Pek, P.P., Lim, S.H., Anantharaman, V. and Hock Ong, M.E., 2015. Prehospital trauma care in Singapore. Prehospital Emergency Care, 19(3), pp.409-415.
Kaldis, V., Mourelatos, N., Markopoulou, D., Venetsanou, K., Diogou, E., Papadaki, E., Chroni, D. and Alamanos, I., 2015. Evaluating trauma care: comparison of early versus late tracheostomy ICU data outcome on injured patients. Critical Care, 19(1), p.P317.
Muskett, C., 2014. Trauma?informed care in inpatient mental health settings: A review of the literature. International Journal of Mental Health Nursing, 23(1), pp.51-59.
Mhcc.org.au. 2017. Mental Health Coordinating Council – Trauma-Informed Care and Practice: a national strategic direction. [online] Available at: https://www.mhcc.org.au/policy-advocacy-reform/influence-and-reform/trauma-informed-care-and-practice-a-national-strategic-direction.aspx [Accessed 28 Mar. 2017].
Moorhead, S., Johnson, M., Maas, M.L. and Swanson, E., 2014. Nursing Outcomes Classification (NOC): measurement of health outcomes. Elsevier Health Sciences.
Osler, T., Glance, L.G., Li, W., Buzas, J.S., Wetzel, M.L. and Hosmer, D.W., 2015. Trauma Care Doesn’t Discriminate: The Association of Race and Health Insurance with Mortality Following Traumatic Injury. The journal of trauma and acute care surgery, 78(5), p.1026.
Potter, P.A., Perry, A.G., Stockert, P., Hall, A. and Peterson, V., 2016. Clinical Companion for Fundamentals of Nursing: Just the Facts. Elsevier Health Sciences.
Scott, J.W., Upadhyaya, P., Najjar, P., Tsai, T.C., Scott, K.W., Shrime, M.G., Cutler, D.M., Salim, A. and Haider, A.H., 2017. Potential impact of ACA-related insurance expansion on trauma care reimbursement. Journal of Trauma and Acute Care Surgery.
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