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Mental Health Nursing: Psychosocial Treatment

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Mental Health Nursing: Psychosocial Treatment

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Mental Health Nursing: Psychosocial Treatment

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Question:
Discuss about the Mental Health Nursing for Psychosocial Treatment.
 
Answer:
Introduction:

The paper explains a case of patient (Cassidy) a mother of two and a divorcee that has embarked on taking alcohol as a form of a solution in her problems. Consequently, she finds herself in a cycle that most patients get stuck and thus seeking professional nursing help. Through different forms of strategies, the paper explains stage by stage the necessary action taken.
Identified Social Factors in Context of Using for your (Vignette) Patient
There are various social factors that affects Cassidy such as the act of alcohol consumption at her adolescent stage (16 years). She drank primarily during weekends and not so much on working days. In actual sense, the cycle started when she was in the mood to enjoy or relax. However, regular drinking started after 12 months after the birth of her last child and the divorce with her husband must be a major factor affecting her. (11) There is also the issue of loneliness that has developed due to lack or minimal support from her family. With her two parents aging and only one brother, she must be feeling the pressure to pay her bills and maintaining her family without expecting outside help. (12) Boredom is also a factor that mainly emanates from her having no one to interact with except while at work thus she opts to take vignette instead. It is so because after she begins drinking at night while cooking tea, it goes on until she retires to bed. (15) There is also the concern of her lacking activities outside her home chores and work-related tasks. It is projected from her increased drinking while she is not working and during the weekends. (6)
 
Special Considerations Identified for your (Vignette) Patient
The patient is a woman and a mother thus she requires gender-sensitive information and concern. The patient also working as a nursing assistant requires being properly treated because she has dealt with many patients herself and making her the patient will require cautious deliberation of information. Moreover, the patient is divorced and dealing with issues of translation from a joined family to becoming a single parent. The issue that her family members have been known to be social drinkers, and her maternal grandfather a heavy drinker influencing her to continue partaking this destructive activity. (13)
Rationale for abstinence or harm minimisation approach (and definition) for your (vignette) patient
Harm minimization is the process persons take little to no alcohol when she or he is recovering from alcohol addiction. On the other hand, abstinence involves avoiding taking alcohol always and staying clean for a given period of time. Abstinence and minimization of problem approach applied in this case of Cassidy are based on social activities and changing the monotony in her daily undertakings. The patient is in need of increased social talks with friends that are non-drinkers and surrounding herself with such a group will decrease the time spent on alcohol. (12) Cassidy is now 40 years; she will require help in taking care of the children, and any other related bills in the coming years and also her involvement in supportive groups. It may be through her applying education kits and pension fund for the future. This surety will enable her to be more relaxed and engage in other development activities that will benefit her aging parents.
Cassidy also needs to be involved in activities that are less work related to lifting the burden of work from her shoulder and stop draining her free time in alcohol consumption. (4) 
Selected Appropriate Treatment(s) for your (Vignette) Patient
The patient requires a combined therapy sessions to ensure that treatment is most effective. Cognitive behavioral therapy, family, and marital therapy, as well as motivational therapy, are the most effective and necessary for the patient. One type of treatment might not be enough and consequently, may lead to relapse in the future days. (14) 
 
Demonstrated an Understanding of the Theory for the Selected Treatment(s) for your (Vignette) Patient
Cognitive behavioral therapy, which is predominantly focused on situations, as well as feelings that cause the dependency of alcohol in this case vignette. This type of therapy is also useful in managing stress and will limit the chances that the patient. Cassidy has also got patterns that need to be broken such as while cooking tea in most cases that when she start taking vignette. This therapy will help her to start developing skills that will allow her to avoid or abstain from the situations that lead her to start drinking. (4)
Motivational therapy is also an option that encourages the patient to alter the patterns that have to be in her family such as her maternal grandfather being a heavy drinker. More so consequently will help them build confidence in herself to move forward in her life especially marriage. Finally, developing the appropriate skills that are required to conquer the menace of alcohol and sticking to the set plan. (3)
Family and marital counseling which will allow the entire process finalization through calling upon the whole family and involved parties such as Cassidy husband to get involved in the therapy are necessary. Also, the children too ought to bring in their inputs so as to avoid alienating them in this issue. The family bond will enable the patient to see the future vividly. In most cases, she will be able to abstain more or even stop drinking when undergoing family therapy more than in the individual therapy. (3) 
 
Provided Evidence that the Treatment(s) Selected are Evidence-Based for your (Vignette) Patient
Cognitive behavioral therapy application in different problems such as addiction to alcohol is used to break behavioral patterns leading to overconsumption of alcohol. Most patients in their early life take alcohol as a social activity just as in the case of Cassidy at the age of 16 which is the adolescent stage. They finally graduate with time to regular drinking persons in certain periods such as during weekends. (5) It becomes a habit of killing boredom, and when lonely the patients take a sip of alcohol to create the environment that alcohol brings around psychologically. Also, the therapy also helps breaks cycles from the past such as family members who continually pass on the culture of alcohol dependency to others such as in the case of Cassidy. (16)
Motivational therapy whereby the patients are encouraged to be more active thinkers and also involve themselves more in positive affirmation. This type of therapy has increased self-love and decreased dependency n people allowing the patients to avoid relapse and encourage one another to stay clean. It allows the patient to participate in constructive activities that are beneficial to their family and other persons of her or his condition. (1)
Family and marital counseling are used in creating an environment conducive for the patient to flourish and succeed in abstaining from alcohol. This type of therapy has shown to depict better results compared to individual therapy since the patient feels loved supported. He or she can use the therapy to meditate and focus her energies towards the right group of people which is family. (2)
Identified Appropriate Relapse Prevention Strategies for your (Vignette) Patient
The process of recovery is ongoing requiring continued efforts. The setbacks that emanate from time to time leading to relapse. Thus it is paramount for the patient to be persistent this is because mostly the patient goes back into the same problem and the subsequent times call for more effort to overcome.(10) However, relapse is part of the process and strategies to prevent relapse from occurring are necessary. In the case of Cassidy, certain strategies are necessary which includes family support, increased monitoring through a professional therapist, increased participation in groups focused towards changing their drinking habits and even medication if all other options fail. (9)
Advice and support from the family will give Cassidy a sense of belonging and allow her to focus towards changing her situation of drinking. Constant meeting with professional helpers such as therapist will diffuse any attempt for Cassidy to shift back into the former situations through their reminder. (8) Cassidy also needs to join the groups that are targeted towards overcoming the same issue of drinking through stories and lessons from people in a similar situation she is in. This enables her to draw courage and confidence to keep going even when she feels she is losing it. Finally, medication may be her last resort in case the therapies fail to yield positive results. However, through recommendations from a specialist, she can combine therapy and medication to avoid or conquer any form of relapse. (16) 
 
Integration of Pharmacotherapies into Psychosocial Treatments for your (Vignette) Patient
The pharmacotherapies into the psychosocial treatment of Cassidy may be the last form of solution sort. She may respond little to negative result in therapy alone. Therefore, specialist and professions may find it necessary to use drugs that aid in reducing the problem of drinking. Some of the available medication includes Acamprosate, disulfiram, and naltrexone that will yield similar results to therapy or when combined with therapies. (8)
Pharmacotherapies aids the patient to abstain and prevent any form of relapse. However, different patients respond differently to medication thus the need to combine the two to avoid failing to yield the positive results. (7) Finally, medication is expensive and with Cassidy tight on a budget she might be unable to buy the necessary drugs thus therapy might be a better option.
Conclusion
The paper helps Cassidy to overcome her vignette overconsumption and dependency. Through different types of treatment and engaging various parties such as the patient’s family the, it has captured all the aspects of the patient ought to take part in and implement.
 
References
Wilson A, Bravo A, Pearson M, Witkiewitz K. Finding success in failure: using latent profile analysis to examine heterogeneity in psychosocial functioning among heavy drinkers following treatment. Addiction. 2016;.
Olmstead T, Abraham A, Martino S, Roman P. Counselor training in several evidence-based psychosocial addiction treatments in private US substance abuse treatment centers. Drug and Alcohol Dependence. 2012;120(1-3):149-154.
Oh S, Han C, Seo J, Joe K, Lee H, Yoon H et al. Korean Addiction Treatment Guidelines (III) : Psychosocial Treatment of Alcohol Use Disorder. Journal of Korean Neuropsychiatric Association. 2014;53(4):221.
Chalmers J, Ritter A, Berends L. Estimating met demand for alcohol and other drug treatment in Australia. Addiction. 2016;.
Lee,Kyung-Soon. Meta-Analysis of the Effectiveness on Psychosocial Interventions for Alcohol Addiction. Korean Journal of Health Psychology. 2012;17(4):911-926.
Johnson B. Psychoanalytic Treatment of Psychological Addiction to Alcohol (Alcohol Abuse). Frontiers in Psychology. 2011;2.
Hajela R. SY06-2 * Assessment, Diagnosses and Treatment For Addiction is Addiction. Alcohol and Alcoholism. 2014;49(suppl 1):i8-i9.
Faine B, Nunge M, Denning G, Nugent A. Implementing Evidence-Based Changes in Emergency Department Treatment: Alternative Vitamin Therapy for Alcohol-Related Illnesses. Annals of Emergency Medicine. 2012;59(5):408-412.
Faine B, Nunge M, Denning G, Nugent A. 349 Implementing Evidence-Based Changes in Emergency Department Treatment: Alternative Vitamin Therapy for Alcohol-Related Illnesses. Annals of Emergency Medicine. 2011;58(4):S295.
Shawn LHoffman R. Implementing Evidence-Based Changes in Emergency Department Treatment: Alternative Vitamin Therapy for Alcohol-Related Illnesses. Annals of Emergency Medicine. 2013;61(1):119-120.
Kennedy S. Contingency Management For Substance Misuse Treatment: A Guide For Implementing This Evidence Based Practice. Alcohol and Alcoholism. 2012;47(3):360-361.
Baker ALewin T. Psychosis and comorbid substance misuse: integrated motivational interviewing and cognitive behavioural therapy reduces alcohol intake. Evidence-Based Mental Health. 2011;14(2):51-51.
O’Brien C. In Treating Alcohol Use Disorders, Why Not Use Evidence-Based Treatment?. American Journal of Psychiatry. 2015;172(4):305-306.
O’Brien C. In Treating Alcohol Use Disorders, Why Not Use Evidence-Based Treatment?. FOC. 2015;13(3):354-355.
Nylander P, Holm C, Jukic E, Lindberg O. Drug treatment in Swedish prisons – moving towards evidence-based interventions?. Nordic Studies on Alcohol and Drugs. 2012;29(6).
Baker ALewin T. Psychosis and comorbid substance misuse: integrated motivational interviewing and cognitive behavioural therapy reduces alcohol intake. Evidence-Based Mental Health. 2011;14(2):51-51.

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