The Mental Health Act Social Work Essay

The kind Health stage complaisant Work EssayIntroductionWe be living in an ageing society where majority of population live longer and the age of the mickle oer 60 is to a greater extent than the children under the age of 16 years in United Kingdom. some of the older masses need c be. As Bracht (1978) noted, Social change by reversals uniqueness come from its persistent pore on the physical, societal-psychological and environmental wellness need of clients (p 13)1.1 Explain how principles of defy atomic number 18 applied to cover that the individuals ar scotch aidd in health tuition go undertings.All rung cast a province to ensure tidy standards of c be argon maintained and organisations need to stomach internal musical arrangements to monitor companionable like system arrangements.Communicate in an h anest, open, positive and friendly manner that is appropriate to the Patients/clients need. construe you have consent for everything you do with the lon g-suffering/client.Provide person-centred tuition and respect the persons individuality and dignity.Protect patients/clients from infection, shots, injuries and br individu completelyyes of confidentiality.Carry give away basic observations safely and effectively.Record and report your findings accurately in the appropriate ready.Use your interactions with patients/clients as an opportunity to promote health. have it a demeanor and respect your role and the roles of separates in the health mission team.Accept accountability for your actions and behaviour.Be open to scholarship new noesis and skills and to developing your role safely.All patients should expect the same standard of c be, whoever delivers it.The level of oversight provided essential(prenominal) be appropriate to the situation and take into account the complexity of the task, the competency of the detain actor, the needs of the patient and the setting in which the c be is being given.1.2 What are the proced ures for defend clients, patients and colleagues from ravish?M either health bearing settings are now intermit of national and international initiatives to promote runplace health. The Health promoting Hospitals cyberspace of the World Health Organization, for instance, recognizes the importance of drop deadplaces as settings for promoting the health of service users and service providers. A big part of looking later on others clients you care for, the multitude who live with, visit and accomp each them and the colleagues you work with and looking after your workplace. People pukenot remain healthy in unhealthy and unsafe environment.As individuals, all health professionals have a commerce to protect patients. All health care professionals are individualisedly accountable for their actions and mustiness be able to explain and justify their finiss. While the scope of their charge varies they all have a duty to safeguard and promote the interests of their patients and clients. Health care professionals must act quickly to protect patients, clients and colleagues from assay of harm especially if either their bear or another health care workers conduct, health or comeance whitethorn place patients or clients at assay.There are many things we dismiss do that will help to make workplace safer and healthier we for instanceMake sure keep on the job(p) environment clean and tidy, using organizations cleaning guidelines.Keep equipment and furnishings safely stored when not in use and discharge trailing electric cables from floors.Report damaged equipment, floor subordinationings and lights immediately.Look for signs that clients, staff and others, including yourself, may be in danger of harm or abuse or have been harmed or abused. This would include recognizing and dealing with previous(predicate) signs of violent or aggressive behavior.Always follow organizations waste disposal stream policies, particularly with sharps. invigorated away spilla ges immediately, using approved procedures and personal protective equipment if necessary guidelines.Work with patients/clients in a way that respects their dignity, privacy, confidentiality and rights.Keep equipment and furnishings safely stored when not in use and remove trailing electric cables from floors.1.3 What are the benefits of following person centered approach with users of health social care go.There is only one way and that is the person centered way it is a journey worth taking.Sally, member of the Transforming Adult Social (Care service user reference group)Recent survey shows that around 2.7 billion could be keep upd each year by providing person-centered support for raft with long-term conditions. Our society is found on the belief that everyone has a contribution to make and has the right to control their own lives. This value hinge ons our society and will as well drive the way in which we provide social care. Services should be person-centered, seamless and proactive. They should support independence, not dependence and allow everyone to enjoy a good quality of life, including the ability to contribute fully to our communities. They should treat people with respect and dignity and support them in overcoming barriers to inclusion. They should be tailored to the religious, cultural and ethnic needs of individuals. They should concentrate on positive outcomes and well-being, and work proactively to include the most disadvantaged groups. We call for to ensure that everyone, particularly people in the most excluded groups in our society, benefits from improvements in services.The trend towards a person-centred approach domiciliate be make up in the work of Carl Rogers (1958) and his approaches to client-centred psychotherapy (Brooker, 2004) initially developed to support people with learning catchyies. Person-centred castning has since influenced work across the range of social care services. Person-centered planning is for learni ng how people want to live, to learn what is primary(prenominal) to them in everyday life and to discover how they faculty want to live in the future. However, a plan is not an outcome. The only reason to do the planning is to help people move toward the life that they want and person-centered planning is only the first part of the process.In order for people to have real plectron and control over their life and services, the people who support them will want to consider the following questions- What is Copernican to the person, so that services and supports are built around what matters to them as anindividual instead of people being labelled accord to a condition, an impairment or a stereo typeface.- How, when and where the person wants support or services delivered -rather than a standard one size fits all approach.1.4 What are the ethical dilemmas and conflict that a care worker may face when providing care, support and protection.Ethics map a central role in the clinica l decision making of all healthcare practitioners however dilemmas can arise with practitioner morality and eventually professional judgment being central to the correct worry. As healthcare professionals there is a duty of care to increase the quality of life of those who present for manipulation and above all else to cause no harm.The social worker can also provide emotional support and clarification to the patient and family as things unfold. Many times, the social worker acts as the voice of the patient and family, explaining to the consultants what their wishes are and advocating for them to be respected (Rothman, 1998). healthcare practitioners must incessantly place the welfare of the patient before all other considerations (College of Optometrists MembersHandbook, 2007) Example of practical dilemmas includes being asked to prescribe the contraceptive pill to under 16s without parental consent.(Health and social care Book 2 Level -2)2.1 Explain the implementation of pol icies, legislation, regulations and codes of act that are relevant to own work in health social care.UK government had make numerous policies, legislation and regulation in order to protect everyone in health and social care setting including employers, employees, service users and their families as well.Care Standards Act (2000)Ensures all care provision meets with the National Minimum Standards.Sets standards for the level of care given to individuals requiring social care.Requires that all staff have a thorough police check before they begin work with children and adults and that a list is kept of individuals who are unsuitable to work with children or vulnerable adults.Children Act (1989)Made major changes to childcare performIntroduced concept of significant harm.Introduced concept of parental responsibilities rather than rights.Made wishes and interests of the child paramount.Children Act (2004)Introduces Childrens Commissioner, Local Safeguarding Children Boards and prov ides sanctioned basis for Every Child Matters.Disability Discrimination Act (2005)First came into force in 1995 and was amend in 2005.Requires the providers of public transport to reduce the amount of discrimination towardsPeople with disabilities on their buses and trains.Requires public facilities and buildings to be made accessible to those who have disabilities.Requires employers to make reasonable adjustments to allow an individual with a disability to establish employment.Data Protection Act (1998) Data Protection Amendment Act (2003)Access to Medical Records (1988)Provide for the protection of individuals personal data with regard to processing and safe storage. The Acts coverStorage of confidential randomnessProtection of paper-based expressationProtection of nurture stored on computerAccurate and appropriate record keeping.Health and Safety at Work Act (1974)Aims to ensure the working environment is safe and free from hazards.Employers and employees should share respon sibilities forAssessing risks before carrying out tasksChecking equipment for faults before useUsing appropriate personal protective clothingHandling hazardous/ pollute waste correctlyDisposing of sharp implements appropriately.Management of Health and Safety at Work Regulations (1999)Explain to managers and employers what measures they must take to keep staff safe. The main focus of the regulations is risk assessment.The regulations explain how to conduct a risk assessment and what the assessment should contain.Mental Health Act (2007)Updates the Mental Health Act 1983. The main changes are16 and 17 year olds can pass judgment or refuse admission to hospital and this decision cannot be overridden by a parent.Patients who are detained in hospital under a section of the Act are entitled to an independent advocate who will speak for them at a review to conclude on their future.Under Supervised Community Treatment Orders, patients who are discharged will be visited at home by a menta l health professional to ensure that they take their medication.There are many much policies and legislations which are relevant and need to be earn in health and care such as Food Safety (General Food Hygiene) Regulations (1995), Lifting Operations and Lifting Equipment Regulations (1998), Manual Handling Regulations (1992), Mental efficiency Act (2005), Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (1995) (RIDDOR).2.2 Explain how local policies and procedures can be developed in conformation with national and policy requirements.Several stages are gnarled in shaping care policies, and nurses can play an important role in all of these. When trying to disentangle policies, it makes sense to look at the roles of the various organisations that develop them. Things that seem to be a matter of local decision-making, for example, what type of incontinence aids to use, can be determined by policies at a regional or national level. These might cover how suppli ers or equipment should be chosen (for example, through tendering processes), or set budget or resource levels. In turn, national policies might be shaped by international policies for example, a trade embargo might preclude the purchase of equipment from suppliers a certain country. One type of continence pad may be more comfortable for patients, more absorbent or more secure, but if it is too expensive, or made in a country that does not trade with the UK, it will not be used at local level.National policies have a major usurpation on the resourcing of health-care services but, increasingly, they also set performance indicators and evaluation criteria. For example, if one criterion for evaluation is that every patient should have a named nurse, because this will fall upon how you organise work, or at least the way you welcome a patient into your unit. Similarly, if a set of performance indicators set by national government focuses on measuring throughput of patients, you may fi nd yourself under pressure to discharge people from your care more quickly than otherwise.The first type of policy-making process has the advantage of transparency everyone knows what the process and outcomes are. It can, however, be very slow to respond to ever-changing dowery. If every change has to be discussed and debated by the full committee, and then formally communicated across the organisation (perhaps with opportunities for people to give their responses before the policy is finally adopted), it can take a long time for things to change.The stake type of policy-making process is more flexible, and arguably more responsive to change, but its informality can mean people in the organisation are not clear about what policies are, or how they were developed. It can sometimes be difficult to have an open debate if there is no process for doing this, and it is difficult for people to be updated on policy change with no clear dissemination mechanisms.2.3 Evaluate the impact of policy, legislation, regulation and codes of practice on organizational policy and practice.Every organization has some policies and producers that promotes equal opportunities and strengthen the codes of practice of specific professional bodies. Organizational policies are the mechanism by which legislation is delivered and implemented.Policies in organizations are includesHealth and safetyHarm MinimizationRisk AssessmentEqual OpportunitiesConfidentialityBullying and Harassment dispute of InterestsSince 2000, health and social care services have stick strictly regulated and then it became inwrought for all settings to have a professional code of practice.Organizations have to follow government policies strictly. The code of practice for everyone working within the social care sector includes information on protecting the rights, and promoting the interests, of individuals who are receiving the care and their careers. Policies, legislation and regulation enable the organizations to perform their role efficiently and professionally.3.1 Explain the theories that underpin health social care practiceSocial Care Theory for Practice is a major component in Social Care. Professionals role can often be a powerful one. As a care worker you are potentially able to exercise a relatively high degree of control in a situation.French and Raven (1959) identified five types of powerReward Power based upon the perceived ability to guarantee positive consequencesCoercive Power based upon the perceived ability to ensure negative consequencesLegitimate Power based upon the perception that someone has the right to expect certainbehaviors (sometimes called position power) denotive Power based upon the desire of subordinates to be like leaders they believe have desirable characteristics sharp Power based upon the perception that a leader has expert knowledge theSubordinates dont have (sometimes called information power). need TheoryAccording to Stefanle Haffmann(2006), Moti vation is a psychological process and it can be explained as willingness of individuals to do something for satisfies a need. When a worker motivated about his job/work employer can get more efficiency. (Robbin and Coulter, 2002) said that, in everyday life, people ask themselves the question wherefore they do something or why not. A need is a psychological or physiological deficiency, which makes the attainment of specific outcomes attractive.Maslows Hierarchy of requireAbraham Maslow (1908 1970) along with Frederick Herzberg (1923) introduced the Neo-Human Relations School in the 1950s, which focused on the psychological needs of employees.Physiological hunger, thirst, etceteraSafety and SecurityBelongingness and LoveEsteemCognitive understanding, knowledgeAesthetic order, beautySelf-Actualization fulfillment and actualisation of potentialSelf-transcendence connection with something beyond the ego or to help others fulfill their potentialMaslow put advancing a theory that th ere are five levels of human needs which employees need to have accomplish at work.Maslow Hierarchy of NeedsTaylor TheoryFrederick Winslow Taylor (1856 1917) put forward the idea that workers are motivated generally by pay. His Theory of Scientific Management argued the followingWorkers do not naturally enjoy work and so need close inadvertence and control. Therefore managers should break down production into a serial of small tasks. Workers should then be given appropriate training and tools so they can work as efficiently as possible on one set task. Workers are then paid according to the number of items they produce in a set period of time- piece-rate pay. As a result workers are encouraged to work hard and maximise their productivity.3.2 Scrutinize how social processes impact on users of health social care services.Marginalization and social exclusion describe the process whereby individuals or groups are pushed to fringes and edges of mainstream activity, where minority g roups are excluded from the available to the majority of people. The effect of marginalization is to disadvantage many people and sideline any social, economic and moral lines for their wellbeing. It is possible that if a group of people experience discrimination and social exclusion, they are also experience health inequalities.Since the sick Report of 1980, it has been acknowledged that those from the lowest social grouping experience the poorest heathland in society. Iike in UK inequalities in heath is still persisting. The statistics are stark For exampleYoung Black men are six times more likely to be sectioned under the Mental Health Act for compulsory treatment than their white counterparts.Gay and bi cozy men are seven-spot times more likely to attempt suicide compared with the general population.GPs often do not accept Gypsies or Travellers on their lists or refuse treatment after first visits.24% of deaf or hearing impaired people miss appointments, and 19% miss more th an five appointments because of poor conference (such as not being able to hear their name being called).Take-up of breast book binding is just 26% in women with a learning disability compared with over 70% for other women.Children in the lowest social class are five times more likely to die from an accident than those in the top class.Someone in social class five is four times more likely to experience a stroke than someone in class one.Infant mortality adjudicate are highest among the lowest social groups.Under the age of 65, men are 3.5 times more likely to die of coronary heart disease than women.Women experience more accidents in the home or garden, term men experience more accident in the workplace or while doing sports.Suicide is in two ways as common in men as in women.The poorest people in England are over ten times more likely to die in their fifties than richer people.Obesity and smoking, two of the leadership causes of preventable death, are more common in lower s ocio-economic groups.Over recent years, we have become increasingly aware of our responsibilities in regard to issues such as equality, diversity and human rights. Like other public sector services, the NHS is under a legal and moral obligation to provide services to all people, regardless of gender, ethnicity, age, disability, sexual orientation, religious or cultural belief. From a public health perspective, the key concern is the extent to which people who are socially excluded or disadvantaged as a result of their ethnicity, sexual orientation or religious belief etc. all too often experience the poorest health and poorest experience of healthcare services.3.3 Evaluate the effectiveness of inter-professional working.According to Barrettet et al, (2005) Quality of service depends on how effectively distinguishable professionals work together. Schein (1972) believes that education of health professionals should be mixed in order for professionals to obtain new blends of knowledge and skills.Recently Government stressed the need of inter-professional working which making a difference that our health system must move from one in which a multitude of participants, work alone focusing mainly on managing illness, to one in which they work collaboratively to deliverquality effective care to clients. Professionals working in collaboration provide care which is designed to meet the needs of clients .When a person seeks hospital care they will interact with more than one healthcareprofessional. The number of professionals involved and the importance of their ability to work collaboratively increases with the complexity of the clients needs. New initiatives to improve management of diseases such as asthma and diabetes invariably points to the need for a morecollaborative approach (Iah and Richards, 1998)4.1 Explain own role, responsibilities, accountabilities and duties in the context of working with those within and extracurricular the health social care workplac eHealth service providers are accountable to both the immoral and civil courts to ensure that their activities conform to legal requirements. In addition, employees are accountable to their employer to follow their contract of duty. Registered practitioners are also accountable to regulatory bodies in terms of standards of practice and patient care (RCN et al., 2006).The law imposes a duty of care on practitioners, whether they are HCAs, APs, students, registered nurses, doctors or others, when it is reasonably foreseeable that they might cause harm to patients through their actions or their failure to act (Cox, 2010).HCAs, APs and students all have a duty of care and then a legal liability with regard to the patient. They must ensure that they perform competently. They must also inform another when they are unable to perform competently. This applies whether they are playacting straightforward tasks such as clean patients or undertaking complex surgery. In each instance there i s an opportunity for harm to occur. at a time a duty of care applies, the key question to ask is what standard of care is expected of practitioners performing particular tasks or roles?In order for anyone to be accountable they mustHave the ability to perform the task.Accept the responsibility for doing the task.Have the authority to perform the task within their job description, and the policies and protocols of the organisation.Registered nurses have a duty of care and a legal liability with regard to the patient. If they have delegated a task they must ensure that the task has been appropriately delegated.This means thatThe task is necessary and delegation is in the patients best interest.The support worker understands the task and how it is to be performed.The support worker has the skills and abilities to perform the task competently.The support worker accepts the responsibility to perform the task Competently.Employers have responsibilities too, and as HCAs and APs develop and extend their roles the employer must ensure that their staff are trained and supervised properly until they can demonstrate competence in their new roles (Cox, 2010).Employers accept vicarious liability for their employees. This means that provided that the employee is working within their sphere of competence and in connection with their employment, the employer is also accountable for their actions.Delegation of duties is summarised in this statement from NHS Wales (NLIAH, 2010) Delegation is the process by which you (the delegator) allocate clinical or non-clinical treatment or care to a competent person (the delegatee).You will remain responsible for the overall management of the service user, and accountable for your decision to delegate. You will not be accountable for the decisions and actions of the delegatee.Delegation must always be in the best interest of the patient and not performed simply in an effort to save time or money.The support worker must have been suitably tr ained to perform the task.The support worker should always keep full records of training given, including dates.There should be written evidence of competence assessment, preferably against recognised standards such as National Occupational Standards.There should be clear guidelines and protocols in place so that the support worker is not required to make a clinical notion that they are not competent to make.The role should be within the support workers job description.The team and any support staff need to be informed that the task has been delegated (e.g. a receptionist in a GP surgery or ward clerk in a hospital setting).The person who delegates the task must ensure that an appropriate level of supervision is available and that the support worker has the opportunity for mentorship. The level of supervision and feedback provided must be appropriate to the task being delegated. This will be based on the put down knowledge and competence of the support worker, the needs of the pat ient/client, the service setting and the tasks assigned (RCN et al., 2006).Ongoing increment to ensure that competency is maintained is essential.The whole process must be assessed for the degree of risk.4.2 Evaluate own contributions to the development and implementation of health and social care organizational policy.You will need to know and understandCodes of practice and conduct, and standards and guidance relevant to your setting and own and the roles, responsibilities, accountability and duties of others when developing, implementing and reviewing care plansCurrent local, national and European legislation and organisational requirements, procedures and practices fordata protectionhealth and safetyrisk assessment and managementemployment practicesprotecting individuals from danger, harm and abuseyour responsibility for keeping yourself, individuals and others safemaking and dealing with complaints and whistle blowingmulti-disciplinary and multi-agency workingworking in integr ated ways to promote the individuals well-beingthe planning and provision of servicesdeveloping, implementing and reviewing care plansHow to access, evaluate and influence organisational and workplace policies, procedures and systems for developing, implementing and reviewing care plansHow to access and record information, decisions and judgements for care plansHow different philosophies, principles, priorities and codes of practice can affect inter-agency and partnership working when developing, implementing and reviewing care plansKnowledge of the physical, emotional and health conditions of the individuals for whom you are developing, implementing and reviewing care plans and how to use this information to make informed decisions for the content of the care plansThe factors to take account of when evaluating whether your organisation has the resources (human, physical and financial) to provide the services and facilitiesMethods of supporting staff to work with individuals, key pe ople and others to deliver, implement and evaluate care plansThe stages, procedures, paperwork and people involved in developing, implementing and reviewing care plansThe use of evidence, fact and knowledge based opinions in records and reports and why it is important to nock between these and make clear the source of evidenceLegal and organisational requirements on equality, diversity, discrimination, rights, confidentiality and sharing of information when developing, implementing and reviewing care plansKnowledge and practice that underpin the holistic person-centred approach which enable you to work in ways thatplace the individuals preferences and best interests at the centre of everything you doprovide active support for the individualsrecognise the uniqueness of individuals and their circumstancesempower individuals to take responsibility (as far as they are able and within any restrictions set(p) upon them), and make and communicate their own decisions about their lives, act ions and risks (when developing, implementing and reviewing care plans)How to manage ethical dilemmas and conflicts for individuals, those who use services and staff/colleagues when developing, implementing and reviewing care plansContribute to, participate in and run meetings and discussions to agree revisions to care plans, taking account of any benefits and risksEnsure that review meetings are arranged and run in ways which promote the full alliance of individuals and key peopleCollate review information and revise care plans within agreed timescalesEnsure that individuals and key people understand the revisions that have been made to the care plans and the implications of these for the health and care services that individuals retrieveComplete, and support individuals to complete, any necessary paperwork when the final plan has been agreedEnsure that the plan is stored and able to be accessed within confidentiality agreements and according to legal, organisational and any serv ice requirements4.3 Make recommendations to develop own contributions to meeting good practice requirements.Protect the rights and promote the interests of service users.Strive to establish and maintain the trust and confidence of service users. advertize the independence of service users whileprotecting them as far as possible from danger or harm.Respect the rights of service users whilst seeking to ensure that their behaviour does not harm themselves or other people.touch public trust and