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Work Collaboratively to Support the Recovery Process

Question 1: Main Issues Pertaining to the Nominated Client

The client has Schizophrenia; he has been interpreting reality in an abnormal way and believes that other people are plotting to harm him, controlling his thoughts, and reading his mind. This has made the client terrified and has made him to be extremely agitated and withdrawn. The client does not make sense when he talks and has been sitting for hours without talking or moving. He is also showing various symptoms and signs, which include excessive worries and fears, feeling sad, reduced ability to concentrate and confused thoughts, extreme mood changes of lows and highs, drug and alcohol abuse, inability to cope with stress and daily problems, withdrawal from activities and friend, low energy, significant tiredness and problems sleeping, extreme guilty feelings about irrelevant issues. In addition, the client is also experiencing hallucinations, paranoia, as well as detachment from reality, suicidal thoughts and excessive, anger, violence and hostility. This is interfering with the client ability to function in his daily life and is finding it difficult to handle work and family responsibilities.

Question 2-Importance of a person-centred and holistic approach

The person centered and holistic care approach is important as it provides a systematic approach for promoting the client through integrating their mental, physical, spiritual and well being. This approach is also important, as it will help to reduce dropout, relapse, and recurrence rates of the condition thus increasing recovery from the condition. The person-centered relationship, which is based on genuineness, acceptance, as well as emphatic understanding will enable the client to make sense of the psychological challenges during the recovery process. The care approach maximizes the potential for rehabilitation and the collaborative relationship helps the client to deal with the mental distress in their lives (Ruddick, 2010).

Question 3-Information for a Holistic Assessment for the Client

The patient details including the medical notes that relate to a hospital admission or referral, premorbid functioning and personality and previous psychiatric illness experiences are some of the information that can assist in the recovery process of the client. Any family history of the schizophrenia should also be thoroughly explored as the condition has a genetic component. People with close relatives with the condition are usually at a higher risk of developing the disorder (Stern, Rosenbaum, & Fava 2008). This information will help to provide a complete picture of the client as possible to facilitate rehabilitation and treatment. Information on hallucinations, delusions, thought disorders, movement disorders, trouble paying attention, or focusing, poor executive functioning, deterioration of social skills, lack of interest, sleep disturbance, and other deviations from the usual behaviors can also help in the client treatment. The holistic assessment will help the client in the recovery process. The best assessment tool appropriate to use with the client is the Diagnostic and Statistical Manual-IV (DSM-IV), which spells a criteria that, has to be met for a person to be diagnosed with schizophrenia (Kupfer, First & Regier, 2005). According to the criteria, the client should meet at least two of the common disorder symptoms such as presence of negative symptoms, catatonic or disorganized behavior, disorganized speech, hallucinations, and delusions (Stein, Philips, & Bolton et al. 2010). In addition, he should have had the symptoms for no less than six months and have experienced considerable impairment in performing normal everyday tasks, and ability to work.

Question 4: Barriers that Impede the Schizophrenia Patient Health Recovery

Some of the barriers that have impeded the patient recovery are discrimination and stigma. This led to the social isolation for the client and adversely affected his morale, which led to the deterioration of the condition. The stigma and the discrimination by society members also led to the client to develop self-stigma, which led him to undermine his self-esteem generating a negative attitude towards himself and this generated feelings of social aversion and exclusion to seeking support and help. The client found it difficult to access and use health services and resources because of the prejudicial representation of the illness in the society, which lead to discrimination and stigma and lead to social isolation. Drapalski, Milford and Goldberg et al. (2008) noted that a mental patient reconnection with the society and inclusion usually promote recovery and decrease chances of relapse.

Question 5: Client Support Services

The client has used several support services to assist in his recovery. Some family members, friends, and carers have helped the client to recover. Various support groups such as use of crisis resolution, psychosocial interventions, as well as home treatment teams have helped the client to connect with mental health and addiction resources. The family members have supported the client by seeking out resources about the illness, educating them about the illness, reaching out for support, encouraging the client to talk to a mental health professional, and establishing equality-not stigmatizing. Frahm (2009) argued that family and social support are vital for overall functioning and mental health.

Question 6: Importance of Collaborative Approach to Care

The collaborative approach to care for the client is important as it facilitates key mental illness comorbidities. It ensures holistic care for the client as it includes integration of behavioral and physical health services. It improves mental health outcomes by significantly improving anxiety and depression outcomes. The collaborative approach will also optimize the client access to the competencies and the skills of a wide range of health professionals and hence will recover physically and emotionally. According to the “Community Preventive Services Task Force” (2012), collaborative care usually improve a patient access to various types of care and ensure delivery of the care in a more effective and efficient way.

Question 7: Range of effective communication skills

There effective communication skills include listening, questioning, summarizing, paraphrasing, therapeutic, and non-verbal communication. Listening will help the client to feel significant and respected, feel accepted and care about, feel less alone and isolated, offer feedback about their care, ask for assistance, and connect with other people (Stevenson, 2008). Paraphrasing entails expressing the main message in own words and demonstrated that the provider is listening and can be used to check for clarity. Summarizing entails providing the client a summary of the information that they are given. Questioning enables the provider to probe into various issues and invite a full descriptive response. Being able to read body language or nonverbal message and sending messages through nonverbal behavior will also be important in maintaining as well as establishing relationship. Therapeutic communication will help the client to cope with his mental state.

Question 8-Importance of conducting client assessment in line with defined guidelines and agency protocols

This is important as it ensures good quality care and ensures that the delivered serves meet the client needs. The client is entitled to proficiently delivered services. It is also ensures that the provider maintains good practice through keeping up to date with the latest knowledge and also respond to changing circumstances.

Question 9: Importance of an intervention and recovery plan

It is important to implement an intervention plan that supports the clients’ interests, strengths, and sense of well being and self-determination as it is an important aspect of holistic care and improves the client outcomes. It is also important to work with the client needs holistically. The recovery plans ensures that all the client needs are addressed and any unexpected outcomes are handled accordingly (Gilburt, Rose & Slade, 2008). It also offers justification for various interventions.

Question 10: How to provide a regular review of the progress of your client’s recovery

The nurse should take notes to determine the progress of the client recovery and note all the care on the care plan. There are rapid changes in the mental status of the clients and hence the notes will enable the nurse to monitor any changes. The note will enable the nurse to note any changes that have occurred in the client status. Documentation of the client provides ongoing information on the effect of the intervention (Gask, Lester, & Kendrick et al., 2009)

Question 11: Importance of updating the intervention of the recovery plan

It is important to update such problems as this enables the physician to determine whether the patient condition is improving or deteriorating. This gives room to change the client treatment or therapeutic intervention. It also provides a forum for including significant others in the implementation as well as review of the client treatment (Thornicroft &Tansella, 2009).


Community Preventive Services Task Force (2012). Recommendation from the Community Preventive Services Task Force for Use of Collaborative Care for the Management of Depressive Disorders. American Journal of Preventive Medicine, 42(5), 521-524.

Drapalski, A., Milfrd, J., Goldberg, R., Brown, C., & Dixon, L. (2008). Perceived Barriers to Medical Care and Mental Health Care among Veterans with Serious Mental Illness. Psychiatric Services, 59(8), 921-924

Frahm, K. (2009). Family support and mental health care quality in nursing homes serving residents with a mental health history. Dissertation, University of Central Florida. Orlando. Florida.

Gask, L., Lester, H., Kendrick, T., & Peveler, R. (2009). Primary Care Mental Health. London: The Royal College of Psychiatrists.

The importance of relationships in mental health care: A qualitative study of service users’ experiences of psychiatric hospital admission in the UK. Gilburt, H., Rose, D., & Slade, M. (2008).BMC Health Serv Res, 8(1), 92.

Kupfer D., First B., & Regier, D. (2005). A Research Agenda for DSM-V. Published by the

American Psychiatric Association.

Ruddick, F. (2010). Person-centred mental health care: myth or reality? Mental Health Practice, 13(9), 24-28

Stein, D., Philips, K., Bolton, D. & Fulford, J. et al. (2010). What is a Mental/Psychiatric Disorder? From DSM-IV to DSM-V, Pscyhol Med, 40(11): 1759-1765

Stern, T., Rosenbaum, J. & Fava, M. (2008). Massachusetts General Hospital Comprehensive Clinical Psychiatry. Philadelphia, PA: Mosby Elsiever.

Stevenson, C. (2008). Therapeutic Communication in Mental Health Nursing’, In: J. Morrissey, B. Keogh & L. Doyle. (Eds) (2008) Psychiatric/Mental Health Nursing: An Irish perspective. Gill & Macmillan: Dublin

Thornicroft, G., &Tansella, M. (2009). Better Mental Health Care. Cambridge: Cambridge University Press.