Primary and Secondary Mental Health Care

This essay examines the multifaceted aspects of primary and secondary mental health care, using dementia as a case study. It analyzes mental health legislation, the roles of statutory and non-statutory agencies, structured care pathways, and the impact of policy on service provision. The essay also explores the concept of safety and security within secondary care, ethical considerations, and challenges faced by mental health care organizations. Desklib provides past papers and solved assignments for students.

Primary and
secondary mental
health care

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Mental health legislation ............................................................................................................1
The role of both statutory and non-statutory agencies in mental health care..............................3
Role of structured care pathways in mental health care and service delivery.............................5
Policy and legislation influencing mental health service provision. .........................................7
Concept of safety and security within secondary care..............................................................10
CONCLUSION .............................................................................................................................12
REFERENCES..............................................................................................................................13

INTRODUCTION
Dementia is a disease that has direct impact on working of brain. This disease
is commonly as Alzheimer’s disease. This is a long term disease that affects
thinking capacity of individuals. This brain disorder affects daily functioning of an
individual. The person suffering from this disease faces difficulty in understanding
language. Individual becomes emotionally weak and this decreases self-esteem and
makes them emotionally weak (Gene-Cos, 2006). Dementia diagnosis affect usual
functioning of individual. Basic reason behind this disease is ageing. there is cure of
this disease. It is mental disorder where brain stop functioning. Individual can face
various problems like short term memory loss.
People suffering from this disease suffers gradual changes in their thinking
skills. Doctor help in evaluating the symptoms and providing them with professional
treatment. Dementia can cause damage to brain cells. In this situation, brain fails
to communicate information to different parts of body. Brain is responsible for
different functions like memory, judgement, etc. if a particular cell get damage
brain will stop functioning properly. Alzhemeria is a disease circulates level of
protein inside and outside of the brain. Changes in circulation can lead to various
types of problems like depression, medication effect, excess use of alcohol, vitamin
deficiency. There is no specific test that helps in identifying dementia. Further this
project discuss about mental health legislation and policy, the role of both statutory
and non-statutory agencies in mental health care, the role of structured care
pathways in mental health care and service delivery and policy and legislation
influencing mental health service provision.
MAIN BODY
Mental health legislation
Mental Health Act 1983 is very fast, it consists of more than 100 parts which
are known as sections. This section suggest that people suffering this disease
should be admitted to hospital. It is important to take care of people suffering from
dementia because people are not able to perform their normal routine work. Once
they are admitted to hospital they are given proper care (Marmot and Grady, M.,
2010). People generally do not like to get admitted in hospital. This act provides
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right to people suffering from mental illness. This act encourages participation of
mentally disabled people in society inclusion plans.
Disability does not mean that individual has to put end to their life. This act
focuses on capability of individual to perform specific task. People suffering from
this disease can enjoy their life in way they want to. National law policies suggest
that society should behave friendly with people suffering from dementia. Mental
Care Health Act defines obligation of health care service provider. This section was
implemented when all other alternatives of supporting mentally disabled people
failed. This is act play major role in protecting rights of mental disabled people.
Patient suffering from Dementia are given special health care services, so that they
feel safe and secured. Health care service providers look after the needs and
requirement of patient. Due to loss of their thinking capacity people behave
inappropriately.
Admitting people suffering from dementia to hospital, to provide them with
good care and better environment. they will be properly assessed and treated by
the doctors. Two doctors should agree that people is suffering from dementia. If
patient agree to get admitted to hospital in their own will, this section will not apply
on this situation (Wang, P.S. and Kessler, R.C., 2005). According to Mental Health Care
Act patients are not allowed to leave hospital without close examination. Hospital
staff are suggested to help patient in best possible way. This section last for
maximum 28 days. If situation is uncontrollable this section last for six months.
Section 117 suggest to deliver quality care services from home. This legal
advice given by the people of council. Doctors of hospital suggest that people
suffering from dementia need guardian order or support. Mental Health Act allows
individual to stay with patient and provide them with guardian support and
suggestion. Guardians are the person who always take care best care of patient.
Guardians are allowed take important decisions related to medical treatment of
service user. They cannot force patient to something. Guardians focuses on
maintaining good relationship with person suffering from dementia. They are
responsible for all important decisions related finance and money.
Doctors can only discharge patient after observing and examining health
condition of patient. If family members of patient are not satisfied with the decision
of doctor. They can apply their appeal to first tier tribunal. This is an independent
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local body, which listen and understand argument of both parties. The decision of
tribunal can be favourable or unfavourable.
Mental Health Act section is a relief for people suffering from dementia
because it focuses on security and safety of service users. This disease make
person mentally weak. They are not in condition to think and understand any
situation. Due to improper functioning of their brain, they can even harm family
members (Ormel and Oldehinkel, T., 1994). This act suggests that people suffering
from dementia should be admitted to hospital where service providers should take
proper care of individual suffering from mental disorder.
The role of both statutory and non-statutory agencies in mental health care.
Planning play a major role in establishing of statutory body. This help in
proper functioning of public health care services. Public health care organisation are
affected by various things. Statutory organisation are created to offer various
benefits related to health care. Development of mental health care program face
many difficult challenges. Mental Health Foundation that are established throughout
the country, play major role in success of mental treatment. They are mainly
associated in remote areas or urban areas, which face may problems like poverty
and transferable disease. They have appointed mental health specialist, that help in
growth and development of services related to NGO.
There are certain areas of the country, which suffer largely from mental
disease. Mental Health Foundation that are located in urban areas provide quality
treatment to individual suffering from mental illness. This community provide
services to more than one geographical regions (Thoits, 2011). Alzheimer and related
disorder situated in Cochin, has spread worldwide to deliver services related mental
health care. Mental Health Foundation is among the oldest community that is
providing treatment to people suffering from mental illness. They are working for
development of child mental health care. Children mental disability is closely
related mental retardation among child. Non profit organisation are serving people
from several decades. Mental retardation in child refers to problems related to
mental health problems.
Research society of London suggested various reasons behind mental
retardation of a child. Mental Health Foundation has established various
rehabilitation centre for treatment of people suffering from mental illness. They
have adopted appropriate methods of rehabilitation. Service providers focus on
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rendering quality services to their clients. Mental Health Foundation has designed
to fulfil needs of clients. They have adopted various management approaches to
serve people suffering from mental health illness. This community has all facilities
like family counselling, rehabilitation. They provide clients with regular diagnosis,
to make their brain healthy.
Mental Health Foundation provide greater attention towards need of their
clients. In order to get rid of this disease people start consuming excess amount of
alcohol. National mental health care program was started to ensure minimum
standard of health care services. It is significant to improve existing health care
services. Non profit organisation has started various communities based on mental
health care development programs. These communities greatly influenced on
satisfying requirement of their clients (Morin and Lichstein, K.L., 2015). They offer wide
range of services like home based treatments, etc. these programs are designed to
spread awareness about rehabilitation centre. NGO has adopted various approaches
that will help them to gain trust of local authorities. Community establish
relationship with their development programs in order to satisfy requirement of
customer's. They focus on minimising mental illness.
Mental Health Foundation primary concerned with providing services related
to public support. This community focus on developing skills of stakeholders. They
form collaboration and partnership with other communities to increase base of their
services. innovation in practices help in meeting the changing needs and attitude of
clients. Mental Health Foundation focus to serve large number of clients suffering
from this mental illness. This provide various facilities like diagnosis related
treatment of mental illness.
The important element of Mental Health Foundation is providing quality
services to their patient. They assure safety and security of client as they are
mentally unstable. The main aim of NGO is to treat people suffering from mental
disorder. Their main objective is to take quality care of clients and patients. People
from different backgrounds come to community. NGO main purpose is to treat and
serve patient irrespective of their paying ability. Mental Health Foundation are
monitored by flexible set of rules and regulations.
NGO community play major role in providing funds to large project. Periodic
arrangement of funds can save time and energy. Mental Health Foundation is
suffering from high rate of turnover because people are appointed on temporary
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basis. Staff are hired for specific time duration to complete particular project.
Continuity of project depend upon the availability of funds and raw materials
(Streissguth and Bookstein, 1996). Mental Health Foundation play significant role
promotion and care of mental health services. They spread awareness about mental
illness in order to motivate individual suffering from dementia.
Mental illness can hinder the growth and development of the country.
Government should implement various policies to control issues related to mental
health and development. Mental disability has destroyed life of many people.
Society ignore or separate such individual, this can lead to fall in morale of
individual. Government has introduced official bodies in order to transform the way
society treat people suffering from mental illness.
Statuary body has implemented various plans to tackle injustice caused to
people suffering from mental illness. Community work for the welfare people
suffering from dementia. They have introduced new schools in the country that
provide training related mental health. It help in strengthening links between
schools and local staff of community. Statuary body provide treatment and other
facilities related dementia. Mental Health Foundation help in meeting all
requirement related to treatment of mental disease.
They focus on serving underprivileged children of our society. Mental Health
Foundation participate with various committees in order to serve society. They have
established primary mental health care centres in various parts of the country.
Health care services provide residential facilities to children and adults suffering
from mental illness. NGO provide livelihood to people living in rural areas.
Government agencies take good care of people suffering from mental disorder.
Role of structured care pathways in mental health care and service delivery
Pathway refers guidance that are provided statutory bodies in order to ensure proper
health treatment of individual. This ensure that mental health care services supportive and
safety services to their customers (Schroede and Fekadu, 2017). This is person centred
process, which focus on need and requirement of customers. Pathway refers to as general
guidelines that promotes well being of individual. These guidelines generally consist of
theoretical advantage and disadvantage. It helps in improving mental health care and
support. This help in collecting data and services as a part of quality assessment. This help
in improving health care services. Path way is a self assessment tool. With help of given
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data is to be focus on help care services is to be mental health care and person is to be
focus on other factors.
The Children and Young People’s Mental Health Care pathway purpose to help
missionary post and render improve entrée to high choice NICE-recommended intellectual
health care and activity for children and immature group. There are different kinds of health
care services is to be provide by overall improvement in health care issue and will point to
supply and missionary post areas to reference point for service improvement and choice
better. Some other factors is to be improve current as well as some future changes must be
improve for mental health care issue and provide the best path way.
Intellectual health services in England will complete a web-based self-assessment
tool relating to their relevant pathway, following which they will receive an individual report
of their performance (Henderson and Herzog, T., 2017). There are some different kinds of
services is based on self-assessment of personal level and identify the different facts about
any information related to such kind of is faced by different sectors. To be focus and
measure the quality of care services is to be provide by such types of patients. There are to
be focus on and safety services is too needed, relevant pathway guidelines. There are many
path way are to provide by health care services of special persons.
First-string and alternate care practitioner, decision maker, and missionary post
should work jointly to germinate local care tract that further admittance and attention that
are incorporated across capital and subsidiary care employment; entree to employment
should be accomplish able via assorted routes see including self recommendation and
written record points (Kohrt and Patel, V., 2018). To be focus on effective communication is
most important to solve any such kind of facility improvement and communication level will
be help for mental kind of case. On the other hand, family member and care worker is
support is most important in such kind of problem. In addition, care worker are behaved like
a normal person and improve current environment of condition must be improved for such
case.
 To be alert of the possible depression : To be focus on particular people, a
different kind of history of depression and different physical health issue at the time
of other factors. There will be long terms observation is needed for such kind of
mental issue.
 To be alert on possible anxiety : See asking the person about their sensitiveness
of anxiousness and the quality to stop or power worry using the 2 item generalised
anxiousness upset scale of measurement. If a person is three or more than 3 GDA
scale and to be consider the recommendation and improve condition level.
There are development of effective and efficient local care path way is help to solve any
such kind of issue and improve quality of care. There are to improve collaboration and
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connection with patient, which is one of the most important part and understand them in
easy way, so remove any kind of problem and improve condition day by day ( Schroede and
Fekadu, 2017). There are some guidelines is to be provide clear information on such kind of
condition and long term treatment and give therapies programme, which is help to
overcome such kind of problems. These factors, concerted with the deficiency of an
accordant plan of attack to the improvement and execution of care nerve pathway for joint
mental command, have led to incompatibility in the conveyance of involution and in the
skilfulness of precaution for citizenry with joint mental well-being state. There are to be
focus on each and every services, which is to be give direct impact on overall improvement
of mental disorder. Memory assessment services are specialist social unit that assess mental
representation problems or similar psychological feature damage. Mental Health
Foundation advise on the activity persevering and their carers may need from their GP or
older grouping mental health services. There are some changes is made as per the need of
medial treatment is most of the essence and meliorate future transformation as per the
need of such kind of problem. On the other hand, Medical specialist multidisciplinary
postnatal teams survive in many, but not all, local domain. They give direct services,
interview and advice to gestation services, other intellectual health employment and
community employment. Mental Health Foundation provide specialist expert advice on
the risks and benefits of using Medical such as antidepressant drug and major tranquillizer
during pregnancy and breastfeeding. There are different kinds of resource is to be provide
by different factors as per the need of future changes on it. On the other hand, new resource
will be viable on time and improve other factors of mental health care services. This will be
improve such kind of changes on improvement as well ass future conditions must be change
on it.
policy and legislation influencing mental health service provision.
In mental health care global human rights play major role. Wide range of
people suffer from mental disability. People of many countries can not afford
mental health care treatment. Who play major role in developing and implementing
policies related to development of health care services. A plan should include all
activities that are associated with mental disability. These policies integrate mental
health care services to general services.
These policies support countries to provide multiple level. Heath care
services must follow the policy of confidentiality. Patient trust hospital and provide
them with their personal information. It is duty of service providers to keep
information of their customers confidential and private. They collect all personal
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information of customers, they are under obligation to keep them private . If any
information is released this will spoil image of client. Hospitals must provide
customers with detailed description of various types of treatment. Dementia has
adversely affected the economy of UK. Society has negative attitude towards
people suffering from mental issues. They believe that people suffering dementia
are danger to community.
Negative attitude of people and media has greatly influenced mental health
care provision. discriminatory attitude towards people suffering from mental health
illness has resulted to exclusion of people from the prevailing social system. It has
been observed substantial progress over the condition of people suffering from
mental illness. Government has suggested policies to improve the social, mental
and physical condition of people suffer dementia. Implementation of such policies is
possible, by making changes in legislation and social policies. Society has negative
attitude towards such people. They are avoided from all social gathering and
parties. Society think that people suffering from dementia can harm surrounding by
creating social violence. The Lunacy Act 1890 has been revoked after passing of the
Mental Health Act 1959. this act was proposed to strength the condition of people
suffering from dementia. According to this act patient are admitted to mental
hospital on voluntary basis. The main aim of this act is to provide treatment to
client with mental ailment.
This Act provide legal guidelines to detain people suffering from dementia.
According to decisions mentioned on Percy Reports legislation has made mandatory
detention of people suffering from mental disease. This act provide legal permission
to mental hospital to treat such people without their permission. Act 1983 has
provided wide range measures to protect people suffering from dementia. This act
has imposed various duties on local health care authorities. Service provider look
after need and requirements of people suffering with mental illness. This act
suggest patient should be provided with right treatment and care. It is significant to
look after mental condition of specific people. According to this act people can be
detained only if certain criteria mentioned in act are fulfilled. The Mental Health Act
2007 aim to implement certain changes in Mental Health Act 1983. these changes
has widened the definition of mental illness.
New act suggest that before giving electroconvulusive theory to patient,
they must take permission from relative or guardians. This has provided patient
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right to freedom. Now people suffering fro dementia can be admitted to hospital
only after permission of their relatives. People suffering from dementia can refuse
admission to mental hospital. Parents or relative has right to take any decisions
related to patient. Service provider offer treatment that is supervised by
community. Amendment of the mental health has resulted in over all development
of medical treatment and service. Expert people of the channel provide guidelines
related to mental care of patient. Professional interpret law on regular basis to
design code of practice.
These are basically guiding principles which help in delivering quality services
to customers. Code of practice are designed to satisfy desire of patients. All
requirement of patients should be included in order to provide them with effective
treatment. Service providers must look after needs of patient. The mental Health
Act 1983 which was amended in 2007 states importance of mental health
legislation in the UK. This act protect the right of people suffering from mental
health aliments. There are various other acts like The Mental Capacity Act 2005,
The Disability Discrimination Act 1995 that monitor every activities related to this
act. Government legislation and policy provide right to people suffering from this
mental illness. It is significant to look after need and requirement of individual with
dementia. Amendment in the act has helped in improving social status of people
with such ailments.
Mental health act has provided the area of social work In the field of mental
health aliment. There are engaged with social work which are engaged in area of
development of medical treatment. This act has lead to subsequent larger
dimensions in the field of medical treatment. Beverage report of 1942 has altered
different policy and legislation to provide treatment to people suffering from mental
health aliment.
This act has established day hospitals, which provide greater flexibility in
providing treatment to people suffering from mental illness. Government has
introduced advanced drugs for development of services provided to such people.
Social re habitation center was introduced to provide psychotic medicines.
Government has introduced resettlement methods to make people aware about the
benefits of such treatments. Media has captured all debates and discussion
between community in order to improve condition of people suffering from
dementia. Care program approach (CPA) 1991 has improved treatment procedure
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that is provided to people suffering from mental aliment. Amendment in mental act
aim to provide day and night services to patient. Changes in act has lead elaborated
the frame work of mental act. National standards have been introduced by mental
act which help in delivering quality services to customers.
They have developed various methods that help in measuring performance of
service providers. Workers play significant role in providing treatments to people
suffering from mental illness. Social work theory has provided various measures to
deal with people suffering from mental health problems. They have adopted wide
range of approaches that help in empowering treatments related to mental health.
This person centered approach, which focus on providing satisfactory services to
their customers. The Mental Health Act of 1983 and 2007 provide training to social
workers in order to deliver quality services to people suffering from mental health
disability. This act provide guideline to treat people suffering from dementia.
Concept of safety and security within secondary care
Need for a violence and aggression: intrinsic factor consist of the
combination of personality and attitude of a individual. That help in dealing with
problems related to stress and anger. Extrinsic factor include physical and social
settings. Individual whose behavior is violent or aggressive are threat to people
living in the society. In order to provide them with violence management technique
it is important to understand their historical behavior. On the basis of understanding
service provider suggested approaches to control their anger and violent. Children
and adult suffering from mental disorder becomes violent and aggressive. Social
health care services suggest various measures to deal with this problem. This help
in identifying the high quality area for development. Care taker help individual in
controlling their anger and violence. Primary diagnosis help in improving learning
disability of individual. They analyses change in behavior of the individual and try
to identify the reason.
utilization of psychopharmacology
this study help in identifying the effect of drugs on the behavior and attitude
of individual. Doctors provide medicines and drugs to people suffering from
dementia. Consumption of these drugs can affect the mood sensation of individual.
These drugs should be consumed in limit. Excess consumption of drugs can
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negatively affect nervous system of people which can lead to changed in thinking
and behavior of individuals. Psychoactive drugs interact with the nervous system of
individual, which can lead to changes psychological function.
There are some types of psycho pharmacological substance like alcohol,
antidepressants, anti psychotics and benzodiazepines. The side effect of this drug is
user might feel drowsy. Consumption of right amount of alcohol may produce
amnesia that help in making individual happy and more confident. Drugs easily
penetrate into the brain of individual. This has direct impact on nervous system. It
help in curing dementia or memory loss. Antidepressants reduce mood disorder.
Drugs must be consumed in safe dosage. Overdose of drugs can block nervous
system.
ethical issues related to primary and secondary mental health care.
Government provide good care and treatment to people suffering from
mental health problems. They have introduced various strategies in order to deliver
quality services to customers. Mental health care are responsible fore treating
patients suffering from dementia. There are various ethical issues that service
provider come across while providing treatment to customers. It is significant to
maintain balance between profit and treatment of customers. Mental health care
service providers look after need and requirement of customer's. They must not use
faulty techniques or methods in order to maximize profit margin. Health care
organization must take crucial decision to provide good health care services. There
are chances of conflicts between doctor and nurse. It is important to maintain
coordination between attitude of doctor and other experts.
Challenges of mental health care
there are various challenges and issues that a individual suffering from mental
disease face. Society ignore or discriminate people suffering from mental disease
this will create depression and marital disharmony and substance abuse. People
suffering from mental disease need professional treatment. Many people of the
country are not aware about the mental health treatment. People living in remote
areas do not understand importance of treatment of medical healthcare. Service
provider fail to cover the gap between treatment and mental disease. Federal
government offer funds for mental health care treatment. Resources related to
mental heath care treatment are severely lacking in backward areas. Drugs should
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be consumed in minimum dosage. Another difficulty that mental healthcare
association face is lack of minimum standard. Individual suffering from mental
disorder may suffer through different problems. There is lack of coordination
between various groups. Mental healthcare center must assure that proper medication
facilities are provided to person suffering from mental illness. Government makes different
policy and rules for mental heath care organization which assist in providing effective
mental care services to the patients which enables their well being and good health
conditions. Lack of knowledge and understanding related to mental health become a barrier
for health care organization to effective care related to mental illness.
CONCLUSION
From the above report is concluded that Mental Health Care Act patients are not
allowed to leave hospital without close examination. Hospital staff are suggested to
help patient in the best possible way. This section last for maximum 28 days. If
situation is uncontrollable this section last for six months. As per the above report is
concluded that problems like poverty and transferable disease. They have
appointed mental health specialist, that help in growth and development of services
related to NGO. Form the above report is concluded that mental retardation among
child. Non profit organisation are serving people from several decades. Mental
retardation in child refers to problems related to mental health problems. As per the
above report is concluded that Statuary body provide treatment and other facilities
related dementia. Mental Health Foundation help in meeting all requirement
related to treatment of mental disease. For the above report is concluded that
improving health care services. Path way is a self assessment tool. With help of given data is
to be focus on help care services is to be mental health care and person is to be focus on
other factors.
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