Critically review and evaluate relevant theories, models and evidence relating to the nature of crisis in people with often complex mental health needs and the services that may be assessed.
Assignment Brief
(1) Demonstrate the following knowledge and understanding:
Critically review and evaluate relevant theories, models and evidence relating to the nature of crisis in people with often complex mental health needs and the services that may be assessed.
(2) Demonstrate the following skills and abilities:
Articulate and critically discuss holistic assessments of the person with a mental health problem, whilst involving the service user and their family/carer, to make evidence-based informed decisions about required interventions for promoting recovery.
Scenario
Chomy was brought in by ambulance to the A&E after taking an impulsive overdose of 150mg paroxetine and 250mg of quetiapine, following multiple mental and social stressors. She is known to Mental health services with a history of psychotic depression and emotionally unstable personality disorder (EUPD). She was struggling to cope following her father’s death, who was her protective factor and she break-up of an online relationship recently, the termination of the home visit with her two young children, and the problem with her house utilities and outstanding repairs. She was experiencing poor sleep, poor appetite, self-neglect, and a lack of motivation to attend to Activities of Daily Living (ADL). She reported feelings of loneliness and isolation, and she does not know how she feels about the overdose or surviving the suicide attempt. The psychiatric liaison service (PLS) referral document suggested that due to her lack of social support and the interaction between her mental health illnesses and excess alcohol intake, Chomy was referred to the crisis resolution and home treatment teams (CRHT) for follow-up in the community to manage her current risks and with the view to refer onwards to the community mental health teams (CMHT), Triage, Assessment and Brief Intervention (TABI), Path 2 Recovery (P2R), and Wellbeing Service for, psychological therapies once stability has been achieved.
What is required to do in this assignment and guidelines for the assignment
You will identify a critical event from your mental health nursing practice at the crisis resolution and home treatment team (CRHT) that was necessary to make a team-based decision about the care of a service user in a mental health crisis. Use the scenario on the assignment brief attached. You will critically analyse the decision-making process, reviewing and evaluating relevant theory, models and evidence relating to the assessment and decision making in your chosen scenario. You should structure the assignment with the Introduction/ Identify, Situation, Background, Assessment, Recommendation (ISBAR) model of communication.
Your critical event analysis will be specific to your practice experiences and is aimed at exploring the impact this has on your development as a student nurse. You are required to select an example where you observed and/or participated in practice in which the team-based decision was made about a patient or service user. The assignment scenario should be based around the main topic in the Assessment and Decision-making in Mental Health Nursing listed as follows.
Physical and mental health assessment, social needs assessment, risk assessment and management, Short Term Assessment of Risk and Treatability (START), Shared decision–making in healthcare; theories and models like the DECIDE and SHARE Approach of decision–making. Suicide prevention and self-harm minimisation, principles of person-centred and holistic assessment, safety, and care planning. Understanding integrated care and co-morbidities, ethical issues relating to complex health and social care, Implementing mental health legislation and policy the need for Emotional Intelligence and resilience in mental health nursing practice.
Others are patient’s consent, family/carer involvement care, principles of biomedical ethics, implementing mental health legislation and policy, emotional Intelligence, resilience, and conflict resolution, safeguarding and supporting vulnerable people with mental health problems, recognising, and responding to the needs of people with mental health illness.
Theories to consider are the information-processing model, intuitive-humanistic decision-making model, and O’Neill’s clinical decision-making model. Some mental health nursing theories that could be relevant to use in this report are Roberts’ seven-stage crisis intervention model, Erickson’s Modelling and Role Modelling theory and King’s Theory of Goal Attainment.
What do I need to do to pass? Threshold Expectations!
You are required to apply the patient’s crisis scenario to your literature/theories/models throughout the essay. You are required to critically analyses the decision-making process, reviewing and evaluating relevant theory, models and evidence relating to the assessment and decision making in your chosen scenario. Your critical event analysis will be specific to your practice experiences and is aimed at exploring the impact this has on your development as a student nurse.
