Question

You have been asked to make a short presentation to the manager of your local community mental health centre about the value in adopting a MedTEAM or an Illness Management and Recovery (IMR) approach to working with people with psychiatric disabilities.

Pick ONE aspect of MedTEAM or IMR that you'd like to promote.

state:

1. how that aspect will benefit client outcomes and at least one point of evidence (with reference) supporting your claim.
2. also discuss the psychiatric rehabilitation guiding principle/s (week 5) underpinning the aspect you select
3. discuss the global or national influence/s (week 6) underpinning the aspect that you selected (ie. you could draw on one of the priority areas underpinning the current Fifth National Mental Health and Suicide Prevention Plan).

Answer 1

Ans) a) With the application of EBP comes better patient outcomes, which can decrease the demand for healthcare resources. Thus, healthcare organizations can reduce expenses. For example, outdated practices may have included supplies, equipment or products that are no longer necessary for certain procedures or techniques.

b) Principle 1: Psychiatric rehabilitation practitioners convey hope and respect, and believe that all individuals have the capacity for learning and growth.

Principle 2: Psychiatric rehabilitation practitioners recognize that culture is central to recovery, and strive to ensure that all services are culturally relevant to individuals receiving services.

Principle 3: Psychiatric rehabilitation practitioners engage in the processes of informed and shared decision‐making and facilitate partnerships with other persons identified by the individual receiving services.

Principle 4: Psychiatric rehabilitation practices build on the strengths and capabilities of individuals.

Principle 5: Psychiatric rehabilitation practices are person‐centered; they are designed to address the unique needs of individuals, consistent with their values, hopes and aspirations.

Principle 6: Psychiatric rehabilitation practices support full integration of people in recovery into their communities where they can exercise their rights of citizenship, as well as to accept the responsibilities and explore the opportunities that come with being a member of a community and a larger society.

Principle 7: Psychiatric rehabilitation practices promote self‐determination and empowerment. All individuals have the right to make their own decisions, including decisions about the types of services and supports they receive.

Principle 8: Psychiatric rehabilitation practices facilitate the development of personal support networks by utilizing natural supports within communities, peer support initiatives, and self‐ and mutual‐help groups.

Principle 9: Psychiatric rehabilitation practices strive to help individuals improve the quality of all aspects of their lives; including social, occupational, educational, residential, intellectual, spiritual and financial.

Principle 10: Psychiatric rehabilitation practices promote health and wellness, encouraging individuals to develop and use individualized wellness plans.

Principle 11: Psychiatric rehabilitation services emphasize evidence‐based, promising, and emerging best practices that produce outcomes congruent with personal recovery. Programs include structured program evaluation and quality improvement mechanisms that actively involve persons receiving services.

Principle 12: Psychiatric rehabilitation services must be readily accessible to all individuals whenever they need them. These services also should be well coordinated and integrated with other psychiatric, medical, and holistic treatments and practices.

c) The significant risk factors for fatal suicide includes presence of previous suicidal attempt, interpersonal conflicts and marital disharmony, alcoholism, presence of a mental illness, sudden economic bankruptcy, domestic violence, and unemployment. Individuals completing suicides did not have a positive outlook toward life, problem-solving approaches, and coping skills.

In an analysis of suicide attempters which distinguished between those who had intended to die but accidentally survived (failed suicide group) and those who had not intended to die (deliberate self-harm group), Sarkar et al. found that, in the former, the attempts were planned, intentionality and lethality were high, and most attempted to conceal the act. The latter comprised adolescents and young adults who were unmarried and had emotionally unstable and/or histrionic personality traits. The attempts in this group were impulsive, of low intentionality and lethality, and most sought help after the attempt.