Discuss about the Mental Health Nursing Care.
Adolescence is regarded as one of the most vulnerable and impressionable time spans of life (Gournay, 2005) (Ballard, 2008). This phase of life has been considered to be an important age for the onset of various mental illnesses and disorders (Gournay, 2005) (Ballard, 2008). The risk of developing various mental disorders at this age or time phase attributes additional complexity to the age of adolescence in an individual (Gournay, 2005) (Ballard, 2008). The mental illnesses that present during adolescence are complex and have emotional inconsistencies in the background (Gournay, 2005) (Ballard, 2008). It is critical, therefore, to identify the onset of mental disorders at an early stage in adolescents along with providing timely and effective treatment (Gournay, 2005) (Ballard, 2008). However, the treatment of mental disorders in adolescents is much complex and requires effective and meaningful training to the health care providers and mental health nurses (Gournay, 2005) (Ballard, 2008). The optimization of mental health nursing is one of the most crucial aspects of psychiatric health service (Gournay, 2005) (Ballard, 2008).
The changing times have visibly had an inadvertent effect on the mental health and stability amongst the youth and adolescents (Gournay, 2005) (Ballard, 2008). Australia places great emphasis on the optimization of mental health nursing and eradicating the challenges that the Australian youth face during adolescence (Gournay, 2005) (Ballard, 2008). Research suggests that in the lifetime of an individual, mental health disorders predominantly present between the age of 14 and 24 (Gournay, 2005) (Ballard, 2008). The concerns of mental health in young people are primarily of a psychosocial nature (Youth Mental health report, 2015)(Hart et al., 2012). In the recent times, the youth across the world report a lack of knowledge about the various mental health services along with not knowing whom to approach to seek mental health guidance (Youth Mental health report, 2015) (Hart et al., 2012). The state of integrated mental health is defined as the state of being able to adjust to fellow humans and the surrounding environment of the world and society effectively along with the highest degree of happiness (Youth Mental health report, 2015) (Hart et al., 2012). Mental illnesses therefore constitute a disrupted peace of mind, moods, emotions, and thoughts or the inability to deal with the changes in the surrounding world (Youth Mental health report, 2015) (Hart et al., 2012). In adolescents, the severity of personal, physiological, hormonal, and emotional changes makes the concept of mental health additionally complex (Youth Mental health report, 2015) (Hart et al., 2012). The aetiology of mental illnesses includes biological, physical, chemical, and psychosocial factors (Youth Mental health report, 2015) (Hart et al., 2012). The societal expectations and the stress associated with these expectations lead to the development of mental disturbance resulting in illnesses (Youth Mental health report, 2015)(Hart et al., 2012).
The primary concerns of youth in the recent times include the topical factors including the likes of study-related stress, coping with normal stress levels, body image, substance and alcohol abuse, depression, body image issues, emotional abuse, safety concerns, school problems, and bullying (Youth Mental health report, 2015) (Hart et al., 2012).In the recent times, the adolescents and the young population are extremely concerned about the occurrence of stress and mental health disorders, according to a survey by the Australian commission (Youth Mental health report, 2015).
In nursing health practice, psychiatric nursing, and particularly adolescent mental health nursing are inevitable and the most challenging areas of nursing health care service (Kutcher et al., 2009).The practice of mental health nursing has evolved in the past two decades (Kutcher et al., 2009). The most initial division of mental illnesses was “neurosis,” characterised by anxiety and distress, and “psychosis,” characterised by complete impairment of understanding and disintegration in personality and understanding of reality(Kutcher et al., 2009).
The previous decades have witnessed serious changes in nursing practice (Kutcher et al., 2009). The primary changes have been that in the 1900’s, there was a resolute dominance of schizophrenia and related disorders that were treated in a single mental health care unit (Kutcher et al., 2009). However, the recent times have evolved into the provision of various tertiary and social health aids (Kutcher et al., 2009). The common health disorders, however, have become more complex (Kutcher et al., 2009). Critically, the outcomes of nursing have become more complex due to the increase in the number of mental health illnesses that are, in some way subsets of the previous larger disorders (Kutcher et al., 2009). The gross classification of mental health illnesses has been further divided to more complex and indistinguishable array of related disorders (Kutcher et al., 2009). According to research, the number of nurses and the social and tertiary care units has escalated (Kutcher et al., 2009). The primary reason for this is the development of several disorders that were absent or unheard of in the past (Kutcher et al., 2009). Despite several changes in the training provided to nurses, there is a marked lack of understanding on handling complicated conditions such as post-traumatic stress disorder, depression, panic disorder, phobias, obsessive-compuslive disorder, or learning disorders (Kutcher et al., 2009). In the recent times, there is dearth of nurse staffing in mental health care units and a resultant overlap of several responsibilities (Kutcher et al., 2009). Recently, interventions such as family group intervention, physical health monitoring, pharmacological treatment, and rehabilitation have gained momentum (Kutcher et al., 2009). The positive aspect of the changing nursing practice in adolescent psychiatric health, however, is the waning degree of stigma on the discussion of mental health concerns (Kutcher et al., 2009).
The alterations in the interventions that are received at most nursing health care units have significant psychosocial outcomes on the youth (Drew, 2014) (Drew et al., 2009). The youth constantly face rising levels of school or study-related stress, concerns regarding body image, bullying, social pressures, and expectations (Drew, 2014) (Drew et al., 2009). The changes in the recent practices of nursing have provided the opportunity to approach dedicated social care units with trained professionals who are capable of providing the required support to them (Drew, 2014) (Drew et al., 2009). However, these organisations need to have improved coordination and efficacy in providing effective health service to the youth. The primary reason for this is that there are a plethora of options and not enough guidance for choosing the most appropriate mental health service (Drew, 2014) (Drew et al., 2009). The clinical outcomes of the youth include the lack of information about their current condition and the help that they seek. Awareness of these organisations and their specific functionality needs to be propagated for effective resolution of clinical outcomes for the youth (Drew, 2014) (Drew et al., 2009).
The current essay deals with the complexity and the essence of psychiatric nursing in adolescents and young people. Providing mental health nursing care to young persons and adolescents involves the consideration of the socioeconomic and societal implications. The societal pressure and the stigma attached to mental health nursing stops several adolescents from seeking help. Social and tertiary care sectors have to enhance the association with the primary nursing care centres in order to address the issue adequately. The government health policies in adolescent mental health nursing have to adequately incorporated into the primary care sectors. There are several challenges in psychiatric nursing for adolescents that involve the influence of the changing times on the young persons. The changing times have seen an increase in the number of categories of disease development. The current essay critiques the complexity of divisions in mental health diagnoses and the reason for the difficulty in the incorporation of the individual diagnostic tool. The current nursing facilities lack enough personnel and knowledge of governmental policies in the primary care facilities. These are issues that lead to challenges in psychiatric nursing for adolescents.
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