- How the service user understands health, wellbeing and the social determinants of health, and how you engaged with this understanding to build rapport
- Describe how you demonstrated social work competencies for practice, including your legal, policy and statutory responsibilities, thinking about what worked
and what could be improved next time
- Reflect and describe the social work approaches and / or policies that influenced your decision-making process, and what programs and services might be
helpful for this service user.
You are required to utilise eight scholarly articles to complete this assessment. The following readings will assist depending on the case study.
Understanding of health, wellbeing and social determinates
As per the case study, Karun feels that the medications he takes for anxiety and depression are the major reason for which he firmly lacks the energy of spending family time or maintaining consistency in his mood. Researcher Allen et al. (2014), claims that social determinates of health are non-medical, social factors that lead to firm influencing of health outcomes for any individuals suffering from mental or other health problems. Through this evidence, I precisely understand that social factors like inclusion, early childhood development and working conditions majorly affects the health affirmatives of any person. Karun as he was suffering from anxiety and depression strongly felt that his attribute of mental health was related to his early childhood development and working condition resulting in the deteriorating of his family life and work-life balance. Karun being the service user also feels that his wellbeing to revive his mood and energy is associated with the elimination of the medication he takes since quite an early stage for anxiety and depression. Mental disorder as defined by the world health organization is particularly claimed to be a stage in an individual’s life in which an individual encounters problems that incur varied symptoms resulting in the furnishing of abnormal thoughts and improper behavior and relationship towards others (Singh, 2016). Advocating the understanding of Karun regarding his social determinates of mental disorder I strongly felt that to build a rapport with him and to engage in a systematic understanding of his wellbeing the assessment of Karun should be induced under-recovery models of mental health. Slade & Wallace (2017), further defines that the recovery model of mental health ensures accepting and overcoming the mental health condition for an individual entrusting them with the belief that all individuals even with severe mental health problems can methodically recover from it.
For supporting mental health patients and helping, them to revive a general state under the recovery model it is crucially important for medical accessors to understand their concept of wellbeing while eliminating situations for confrontation thus assuring them with firm practical information. Social work under the context of mental health reflects upon accessing and diagnosing emotional and behavioral issues among individuals and so support them through therapy, advocacy and managing of other social determinates (Gould, 2016). Through this, I understand that for supporting the case of Karun I firmly need to analyze his evaluation of social determinates and wellbeing through talk therapy and support him by implanting him with practical information. Karun believes that the depression and the anxiety he encounters are all because of his childhood development, which he genetically inherited from his parents and so the only way he could recover from this stage is through stopping his medications and consulting a psychiatrist for counselling sessions. The importance of social work under the context of mental health reflects ensuring individuals with the need of specific treatment as well as furnishing them with the importance of family, friendship and other relationships (Bland et al. 2021). Thus, I strongly felt that for understanding and building a strong rapport with Karun I needed to ensure him that how his friends, families and other relationships are important for his recovery as most of them including his children are completely dependent on him to survive. Besides this, I also ensured him with practical information stating how his medications like antidepressants are important to survive him from major psychological attacks and heart palpitations.
Social work competencies for practice
As a social worker, the first thing that I have suggested to Karun witnessing his deteriorating mental health is to participate in support groups. (Better health, 2021), defines support group as an informal meeting of varied people who feel overwhelmed among their company and thus share different factors regarding their experience, problems and so collectively seek for solution. This research also claims that support group are quite useful for people facing acute depression and anxiety as they feel they are being surrounded by equally supportive people and so values the development of new skills. Accordingly, this was my first practice of social work towards Karun while I asked him to participate in certain support groups around his locality, this can tremendously change his perspective towards life, and other versatilities, as well as his depression, might be eliminated as he can start having friends with the same problem. The recovery model for mental health visualizes unique ways in which accessors can help individuals facing mental illnesses through amending their attitude, feelings, values and goals thus raising their life satisfaction and hope for new developments (Bland et al. 2021).
Advocating this recovery model as a social worker, I started manifesting the practice of talk sessions with Karun in which I continuously supported him with hope and the value for his life so that the suicidal tendencies he incurs can well be curtailed. I also started accessing his relationship problem with his wife and asked her not to compare Karun with his brother but instead start influencing him to stay optimistic and make him understand his responsibilities towards his children thus amplifying him with the strength of working together. Social workers according to their work practices can systematically assist patients with their mental health problems through resolving their psychological conflicts and educating their family and colleagues regarding the illness. Given resolving the psychological conflicts social workers can ensure regular exercises for the patients, monitor a healthy diet and sleep cycle for them as well as listen to their problems patiently without jumping to conclusions (Singh, 2016). These are the competent practices and responsibilities that I being a social worker had undertaken for Karun and throughout all of these practices I encompass regular discussion with his wife and friends about his condition and I further advised his wife to implement self-care for him while he faces extreme stress being a retail store manager. All of the competent practices that I have endured for Karun is based upon the legal regulations of social work practice standards towards mental health patients devised by the Australian Mental Health Policy and Organisational Frameworks. The standards acclaim that social workers shall precisely be quite respectful and empathetic towards mental health patients as well as develop assessments regarding their physical, psychological and social variants. The standards also share that all kinds of psycho-social interventions accounted for by social workers should be aligned in the balance of human rights and the patient’s family shall be consulted before any minimal actions (Brennan, 2013). Thus during inducing any social work practice to support Karun I firmly advocated these legal policies before appraising any practice. I also feel that the talk sessions quite smoothly worked for Karun while he started feeling quite comfortable and safe while sharing with me his problems regarding the medications, family responsibilities and the cause of his suicidal attempts. The only thing, which I feel, could have been much better regarding the process of educating his family about his mental health condition as his wife and colleagues could have been made understand the problems more widely if illustrations could have been conducted.
Social work approaches
Social work approaches can accountably be defined as theories or models that reflect the system, process of social learning, psychodynamic and transpersonal factors (Turner, 2017). I understand that indulging in these approaches of social work, methods of welfare can be more systematic towards framing administration, research and group work given community and individual development. Thus while deciding for stipulating practices in supporting the case of Karun I identified the approach of social learning theory of cognitive behaviour theory to be more productive. Researcher Enright (1997), claims that cognitive behaviour theory developed by Albert Bandura is the phase of an individual through which the person learns widely from varied social elements and so gets motivated through actions and behaviour they witness in others. Evaluating this evidence, I always kept an optimistic behaviour in front of Karun so that he gets motivated by me and adopts my understanding of life. I also laughed and smiled a lot in front of him and gave him valuable thoughts regarding coping with hope in life so that he observes me and develops his actions to be hopeful and jolly. A talk session can be one of the most effective programs that can be beneficial for the case of Karun while in the talk session he might feel safe to speak out all problems from his heart. Subsequently, I also understand that showing him films of love, fun and family bonds can also make him motivated to seek responsibilities for his children and so might help in eliminating his suicidal thoughts.
Allen, J., Balfour, R., Bell, R., & Marmot, M. (2014). Social determinants of mental health. International review of psychiatry, 26(4), 392-407.
Better Health. (2021). https://www.betterhealth.vic.gov.au/health/servicesandsupport/finding-a-support-group
Bland, R., Drake, G., & Drayton, J. (2021). Social work practice in mental health: An introduction. Routledge.
Brennan, C. (2013). Ensuring Ethical Practice: Guidelines for Mental Health Counselors in Private Practice. Journal of Mental Health Counseling, 35(3).
Enright, S. J. (1997). Cognitive behaviour therapy–clinical applications. BMJ: British Medical Journal, 314(7097), 1811.
Gould, N., 2016. Mental health social work in context. Routledge.
Singh, R. (2016). Experiences of Canadian distance education social work students with mental health (dis) abilities.
Slade, M. & Wallace, G. (2017). Recovery and mental health. Cambridge Core. https://www.cambridge.org/core/books/wellbeing-recovery-and-mental-health/recovery-and-mental-health/66854F47C8AD6DFA2EF19AF315797CA5
Turner, F. J. (Ed.). (2017). Social work treatment: Interlocking theoretical approaches. Oxford University Press.