| Subject Code : | 1007HSV | Country : | Australia |
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Assignment Task
Background:
The purpose of this report is to discuss a case study of 38 year old Sarah who is a mother of two children, Bella and Sam. Sarah separate from her partner Joe. She is been disgnosed with Bipolard Disorder and has addiction problem of alcohol and cigarettes. She is also been dismiss from work due to long extensive period of taking sick leave and currently receiving Centrelink. She presents intoxicated after a weekend bingeing on alcohol, by walking into the reception area of a drug and alcohol service and she asks to see a financial counsellor because she wants to manage her budget better in order to afford the alcohol and cigarettes. Sarah speaks very slowly, states that she has not been able to afford food recently, and looks like she has not eaten adequately or bathed recently.
Human rights
Human rights are essential to all human beings. Everyone is entitled to the rights without any discrimination (Reference). In regarding to Sarah case,article 25 inthe Universal Declaration of Human Rights states that “Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control. 2. Motherhood and childhood are entitled to special care and assistance”. It is evident that Sarah is lacking a lot of gears. Maslow Hierarchy of needs highlights vital elements of individual’s need as fulfillment of theirhuman rights. In his proposal, Maslow indicate that individuals need self-fulfilment needs. This include(1)Self-actualizations which seeks fulfillment of personal potential. (2) Esteem needs, Seeks esteem through recognition or achievement. (3) Belongingness and love needs,seeks affiliation with a group.Safety needs, seeks security through order and law. (4)Physiological (survival) needs which seeks to obtain the basic necessities of life such as food, water, warmth and rest. In Sarah case, she can be seen and she admits that she could not afford food. Orientation, Sarah looks like leaving and not listening. This could indicate that mentally, she is not well. Sarah was also object to have poor hygiene as she did not bath. This might indicate that she might be struggling from shelter, safety and security issues. In terms of her ex-partner Joe and the children, even though if Joe is the primary carer, it is a major concern that she cannot afford food and look after herself.This could mean that even children might be neglected due to her bipolar disorder andexcessive substance abuse of alcohol and cigarettes.Another issue that concerns Sarah is the fact that she is been dismiss from work unfairly. Article 23 in Universal Declaration of Human Rights suggest that “Everyone has the right to work, to free choice of employment, to just and favourable conditions of work and to protection against unemployment. This right for Sarah is been violate as her workplace did not provide support and consider her sickness.
Ethical issues
Ethical issuesare defined as what appeared to be legal or technical matters. With Sarah
The ethical issue concerning her include her engagement for support is voluntary and might not consent as she is not in proper mental state. Sarah need proper care plan written by medical practitioner. It might be necessary for ambulance to be called which hasto do with involuntary admission to the hospital given the fact that she is not functioning, and her mental illness could be impacting her ability to care for herself. The ethical issue is that she has come to the organisational for support and without her making proper consent, she might feel betrayed or mistrustful of the services in the future. This could stop her from accessing support due to the fear and betray she must have received from the organisation. Moreover if she is involuntarily admitted to hospital (mental health ward) or she is mandated to attend a services no one can force her and the healthcare team have to abide by confidentiality in terms of not sharing with anyone the extent of Sarah’s issues unless the healthcare received a request of information from a legislative body. Another ethical issue include the fact that she did not disclose her extent of her addition to her mental healthcare team. This could be a major issue in terms of supporting her.
Discuss the relevant theorical approaches require to inform assessment and intervention
Healay et.al (2008) both argues that substance abuse in people with bipolar disorder is known to be three times more high. Negative impact of bipolar disorder and comorbid substance missuse include suicide attempts, poor insight and denial of the illness and treatment non-adherence. Moreoevr substance abuse in Bipolar disorder patience is viewed as self-medication as substance misuses can be used as a coping mechanism for managing the early symptoms of Bipolar disorder (reference). Furthermore, Chenoweth & McAuliffe’s (2014) explain that addition is a strong psychological or physiological dependence on a substance or particular behaviour. Individual who suffer from additions crave the substance even when it causes serious harm to them. Causes of the factors are unknown but environmental factors such as stress, for example can contribute to substance misuse and addiction. In Sarah casethe theorical approaches require to inform assessment and interventionmay in include cognitive behavioural therapy. Medication alone are argued to not help patients with bipolar disorder attain optimal levels of functioning. (reference) believes that patients with bipolar disorder have better outcome (e.g reduced likelihood of relape, improved adherence to their medication regiment) when they receive psychotherapy such as cognitive behaviour therapy along with medication (reference). Patients with the bipolar disorder need to learn skills to cope with the psychological stressors that may trigger a symptomatic episode (reference). CBT can help foster a sense of personal empowerment while reducing the social stigma of having mental illness. Patients go through treatment of bipolar.
The Case Study:
Sarah Jones
Background information:
Mental Health (Chenoweth & McAuliffe, 2017)
Substance misuse (Chenoweth & McAuliffe, 2017)
Sarah is a 38 year old mother of two children, Bella, 10, and Sam, 8. Sarah was diagnosed with bipolar disorder six years ago and has spent time each year in the acute mental health ward of her local hospital after an episode. She separated from her partner, Joe, soon after Sam was born. Joe is very supportive of Sarah, they have an amicable co-parenting relationship and both agreed that Joe is better placed to be the primary carer of Bella and Sam.
Sarah has been unable to maintain a stable employment history due to her illness, including being unfairly dismissed due to requiring extended sick leave, and is receiving Centrelink payments. Sarah struggles with addiction to alcohol and nicotine, and spends most of her money each week on alcohol and cigarettes. While her mental health care team are aware she has a drinking issue that are impacting upon her quality of life, she has not disclosed the serious extent of her addiction.
She presents intoxicated after a weekend bingeing on alcohol, by walking into the reception area of a drug and alcohol service in the city centre near where she lives. However, she asks to see a financial counsellor because she wants to manage her budget better in order to afford the alcohol and cigarettes. Sarah speaks very slowly, states that she has not been able to afford food recently, and looks like she has not eaten adequately or bathed recently. She begins to wander out the door as if not listening to what is being communicated to her. She does not make clear responses to questions. It is clear to the intake worker that she has other needs for support as well.
Possible interventions and organisations/agencies that could serve as points of referral/assistance.
Addiction is a complex phenomenon that includes physiological processes or a combination of both. Active drinking or drug-taking clients can be some of the most difficult to work with because of their extreme denial, lack of self-awareness insight and capacity to rationalise their behaviour. Addiction also severely affects others in the person’s life as family members. Possible intervention for Sarah may include first gathering information about food services and then referring Sarah to it. Sarah might need food vouchers as she might go and spend the money in alcohol. As a social worker, collaboration with multiple disciplinary team is important. The social worker needed to collaborate and refer Sarah to GP so formal written care plan can be written. It is uncertain if Sarah supposed to be on medication so GP would need to address this issue. With the food issue, organisation such as foodbank might be of help. This organisation is Australia’s largest food relief organisation that helps hungry people. Partners of foodbank include 3rd Space Brisbane (New Farm) also known asThe 139 Club. This charity organisation is a drop-in service for the homeless. Services include meals, showers, laundry, mail pickup, rest on day beds, storage facilities, second hand clothing, welfare support, financial relief, nurses and doctors (bulk bill), mental health outreach, Medicare staff, Centrelink staff, legal support, drug and alcohol outreach. Another service is Wesley Mission. (Fortitude Valley). Offering food parcels and emergency support.
Her being referred to service in the field of substance abuse and addiction, specialist inpatient facilities or therapeutic communities that provide detoxification or rehabilitation community-based methadone maintenance and counselling therapy andself-help programs such as Alcoholics’ Anonymous or Narcotics anonymous (reference). With the counselling therapy, key intervention for Sarah would be motivational interviewing
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