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REFLECTION 2: PRACTICE CROYDON ASSERTIVE OUTREACH TEAM FOR MENTAL HEALTH
Croydon assertive outreach team for mental health provide crucial services for various groups of people in the society. Firstly, they deal with people who have severe mental health problems. Secondly, they assist people who find it difficult to observe medical and treatment schedules. Thirdly, they dealt with people with weak social functioning and considered as threats to the peaceful society. Fourthly, the outreach team deals with multiple needs such as the history of violence, poor response to treatment, homelessness, and dual diagnosis of substance misuse (Nelson, Johnson & Bebbington, 2012).
PRACTICE EXPERIENCE: HOW MY EXPECTATIONS WERE MET AND THE CHALLENGES
There are several ways in which the practice enhanced my expectations. First of all, I expected that the practice would play a vital role in reducing admission to hospital. At the end of the practice, I realized that admission to hospital especially of the violent and those with poor compliance to treatment programs substantially reduced. Secondly, my expectations were met in that the practice enhanced stability in the lives of those who we assisted and their families. In addition to the above, the practice played a vital role in reducing the duration of stay for the clients who needed hospitalization (Burns at al., 2013).
Fourthly, the practice substantially improved the social functioning of the service users. The majority of the patients began talking with the family members and attending social functions. As well, the practice enhanced the engagement of the clients with mental health care. This was achieved through the development and implementation of meaningful engagement with the people with mental health issues. The support that we provided to the clients and their families as well played a crucial role in promoting social inclusion (Killaspy at al., 2012).
On the other hand, there are various challenges that were faced in the process of meeting these expectations. The most crucial challenge faced is that the provision of evidence-based interventions and promoting recovery was substantially costly. In addition to the above, some of the family members were uncooperative making it difficult to engage the clients socially. Finally, the hours of operation were minimal to ensure that social inclusion if fully achieved (Nelson, Johnson & Bebbington, 2012).
HOW THE EXPERIENCE ENHANCED DEVELOPMENT OF COMPETENCY TOWARDS REGISTRATION AS A NURSE
It is imperative to note that the practice played a vital role in improving my nursing competency. Firstly, the provision of intense and long-term relationship with the people with mental health problems enhance my experience when dealing with them. The experience is as well improved my competency when dealing with all patients regardless of their problems or situations. In addition to the above, the outreach team consisted of various professionals with varied skills. As such, I learned various nursing skills from my colleagues during the practice. The practice also enhanced my skills of helping the patients comply with their treatment plans and how to assist them in the case of side effects (Burns at al., 2013).
The practice of ensuring that the clients with poor social engagement are included in the society improved my skills of interaction and communication. This is because in most cases we encourage the clients to interact with their family members and other members of the society (Nelson, Johnson & Bebbington, 2012). Working with the social workers, various ways of giving expert and practical assistance to patients based on their social care needs. In addition to the above, the practice enhanced my skills on how to effectively assist people with complex needs in the society. Some of the most common of these people are those who are violent and those who find it difficult to comply with the treatment programs (Killaspy at al., 2012).
HOW WORKING IN THIS PRACTICE SETTING HAS EXPANDED MY UNDERSTANDING OF NURSING AND RELATED HEALTH CARE PROFESSIONALS
Moreover, working in this practice setting substantially expanded my comprehension of nursing and health related professions. First of all, I learned that this field requires team work to achieve success. For instance, the practice entailed a team of various professionals such as social workers, therapists, psychiatrists, and psychologists. Psychiatrists are medically trained, and they solved various mental illnesses and psychological problems. The psychologists offered psychological assessment and therapy to the individuals with mental issues. As such, I realized that the combination of skills played a significant role in achieving the set goals and objectives (Williamson, 2014).
In addition to the above, the practice enhanced the believe that there is a solution to every problem in nursing and healthcare field at large. For instance, we assisted various individuals with complex needs such as violent behavior, poor response to treatment, homelessness, and serious self-harming among other multiple problems. As well, I learned that nursing goes beyond providing the stipulated objective in health care. This is because, after assisting the patients to resolve their mental health problems, we went ahead to assist them to find stable education, employment, and training (Burns at al., 2013).
As well, the practice enabled me to learn that the needs of individuals in the society substantially vary. Those with mental health problems such as violent behavior requires special attention to their needs. When these needs are fulfilled, their behavior changes and the become interactive and social members of the society. Therefore, their families and the population around them should be encouraged not to isolate them with the objective of engaging them socially. Through the practice, I also learned that nursing and other health related professions require working with patience, determination, and inspiration (Williamson, 2014).
GUIDING PLAN FOR LEARNING ON EACH PEP
There are various guiding principles for learning on each PEP that should be ensured by the Nursing and Midwifery Board of Australia (NMBA) Registered Nurse Standards for practice. First of all, the most crucial guiding principle is the composition of service. NMBA must ensure that such outreach teams consist of various professionals such as psychologists and psychiatrists. The second principle concerns the hours of operations whereby each PEP should be scheduled adequate time for successful completion. In addition to the above, referrals and assessment procedure needs to be conducted effectively. Other guiding principles that must be planned well include risk management and safety, team meetings, and clinical records and information (McAdam & Wright, 2015).
Burns, T., Catty, J., Dash, M., Roberts, C., Lockwood, A. and Marshall, M., 2013. Use of intensive case management to reduce time in hospital in people with severe mental illness: systematic review and meta-regression. BMJ, 335(7615), p.336.
Killaspy, H., Kingett, S., Bebbington, P., Blizard, R., Johnson, S., Nolan, F., Pilling, S. and King, M., 2012. Randomised evaluation of assertive community treatment: 3-year outcomes. The British Journal of Psychiatry, 195(1), pp.81-82.
McAdam, M. and Wright, N., 2015. A review of the literature considering the role of mental health nurses in assertive outreach. Journal of psychiatric and mental health nursing, 12(6), pp.648-660.
Nelson, T., Johnson, S. and Bebbington, P., 2012. Satisfaction and burnout among staff of crisis resolution, assertive outreach and community mental health teams. Social psychiatry and psychiatric epidemiology, 44(7), pp.541-549.
Williamson, T., 2014. Ethics of assertive outreach (assertive community treatment teams). Current Opinion in Psychiatry, 15(5), pp.543-547.