401013 Promoting Mental Health And Wellbeing

On critically evaluating the facts presented in the case study, it can be said that the identified risk factor is the presence of ‘suicidal ideation’. The client has stated that he had been feeling extremely low and incapable of performing well in his concerned workplace. It has further been mentioned, that the client feels hopeless and thinks of his own self as a failure in being able to carry out the duties as an able father and a husband. Studies have predicted the existence of a relationship between the presence of self-loathing thought-content and suicidal tendency in patients with a susceptible mental health disorder (Ribeiro et al.,2016).

Response 1b:

The first intervention that could be taken up the midwife on detecting the risk factor would involve engaging a psychotherapist to provide care to the client. The psychotherapist would devise interventions such as involving the client in counselling sessions so as to understand the underlying reason for the dearth of suicidal thought in the client. Further, based upon the risk assessment the psychotherapist could proceed with suicide prevention cognitive behavioural therapy. Research studies show that the administration of suicide prevention cognitive behavioural therapy can effectively help in minimising the risk factors and can also prevent the possibility of a relapse (Forkmann et al., 2014).

Response 2a:

In close association it can be said the client is vulnerable to develop a major depressive disorder. It should further be mentioned here, that the client has already developed the initial symptoms of depression and the symptoms must be managed immediately in order to prevent further deterioration. The client has reported to feel low and has also revealed to be stressed on account of homesickness and stress in the professional field. Studies predict that the prevalence of depression is extremely common among immigrants placed at a different country for an academic or a professional purpose (Bhugra et al., 2014). The primary reason accountable for the same is cultural distance and the lack of awareness related to knowledge about coping strategies (Bhugra et al., 2014).

Response 2b:

The immediate intervention proposed for the client would include a family counselling session. The counselling session would be conducted by a psychotherapist who would be responsible for devising a care plan for the patient. The psychotherapist would educate the family members of the patient about the critical mental health status. It should be noted here that the root cause of depressive symptom is primarily because of his professional stress and family related issues. Planning an effective intervention would involve the client as well as his family members in a one to one counselling session so as to create a positive recovery environment (Sanders & Hill, 2014). Research studies show that the use of antidepressant drugs in combination with counselling therapy can help in effectively treating depression (Antoniades et al., 2014).

Response 3:

The professional issue could be issues related to the maintenance of confidential information. It should be noted here, that the case study states that the client has already been under investigation because of the drug error. Hence, dispensing confidential information about his mental health can lead to disastrous consequences. Negative consequences related to poor mental health among health care professionals can be as adverse as temporary or permanent suspension.

The ethical issue would involve the caregiver in delivering a culturally safe intervention to the client. As has been mentioned, the client is an immigrant. The delivery of a culturally safe treatment is important as it might contradict the traditional methods used to cure mental health illness within the client’s community (Antoniades et al., 2014).

References:

Antoniades, J., Mazza, D., &Brijnath, B. (2014). Efficacy of depression treatments for immigrant patients: results from a systematic review. BMC psychiatry, 14(1), 176.

Bolton, J. M., Gunnell, D., &Turecki, G. (2015). Suicide risk assessment and intervention in people with mental illness. BMJ: British Medical Journal (Online), 351.

Bhugra, D., Gupta, S., Schouler-Ocak, M., Graeff-Calliess, I., Deakin, N. A., Qureshi, A., ...& Till, A. (2014). EPA guidance mental health care of migrants. European Psychiatry, 29(2), 107-115.

Forkmann, T., Wichers, M., Geschwind, N., Peeters, F., van Os, J., Mainz, V., & Collip, D. (2014). Effects of mindfulness-based cognitive therapy on self-reported suicidal ideation: results from a randomised controlled trial in patients with residual depressive symptoms. Comprehensive psychiatry, 55(8), 1883-1890.

Ribeiro, J. D., Franklin, J. C., Fox, K. R., Bentley, K. H., Kleiman, E. M., Chang, B. P., & Nock, M. K. (2016). Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: a meta-analysis of longitudinal studies. Psychological medicine, 46(2), 225-236.

Sanders, P., & Hill, A. (Eds.). (2014). Counselling for depression: A person-centred and experiential approach to practice. Sage.pp.57-63