NURBN1004 Video Reflection: Analyzing Community Health in Berwick

This assignment is a video transcript reflecting on a fieldwork experience in the Berwick community, focusing on mental health issues. The student identifies isolation, lack of community activity, workload-related anxiety, socioeconomic disadvantages, and disrupted family relationships as key social determinants contributing to mental health problems. The reflection details the student's evolving understanding of the role of nurses in community care, the surprising prevalence of mental health issues, and the need for transitioning mental health care to primary care. The student also shifts their perspective from institutionalization to a more compassionate, community-based approach, emphasizing the importance of addressing the shortage of mental health nurses and integrating mental health care into primary care centers. The action plan involves more extensive fieldwork and advocating for increased government funding and community-based initiatives.

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Running head: VIDEO TRANSCRIPT
VIDEO TRANSCRIPT
Name of student:
Name of university:
Author note:

2VIDEO TRANSCRIPT
Introduction for the vlog
The health issue that I have chosen for this narrative video is mental health issue in
the Berwick community. The main rationale for choosing mental health for this community is
due to the fact that 11.5 % of the population suffer from mental health issue. 16.8% have
been diagnosed with depression and anxiety .Anxiety and depression is mainly found among
the younger age groups due to professional issues or substance abuse. The mental health issue
among the older age group is mainly associated with dementia.
Determinants
The fieldwork in the Berwick region has helped me to identify some of the social
determinants that are responsible for the prevalence of the mental health issues in people
residing in this region. They are- isolation, lack of interactive community activity among the
elders, anxiety and depression among the younger age group due to excessive workload,
socioeconomic disadvantages, disrupted family and relationship issues (Holwerda et al.,
2012).
As stated by Allen et al., (2014), anxiety among the older people is caused by some
factors - many of the older couples have to live in isolation, may be as their children stays
away from them due to employment requirements or due hostile relationships.
In order to reduce the level of the mental health disorder, government have funded
many community health care centres .But a gap is still left in regards to the availability of
trained mental health nurses. Nurses can provide therapies such as counselling and verbal
therapy or cognitive behavioural therapies (Goldberg & Huxley, 2012).
Description
In order to obtain these handful of information I had to conduct an extensive field
study in the Berwick region. Truly this field work had changed my perception regarding the
roles of a nurse that is nowadays not confined to assisting of physicians. Nurses now play an
active role in any community care approaches.
Feelings

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As I came across the surprising statistics of the wide range of the mental health issues
among the community members of Berwick. While researching about the predisposing
factors behind the mental health disorder I came across several determinants, which I had
never identified so far. This research gave me a vivid idea about the probable percentage of
the mental health disorders in this community, which I feel is strongly required bringing
about any changes in the community.
Side by side with the direct reasons, I have also found some indirect reasons like
stigmatisation and the neglect, contributing to mental health illness within the adolescents
belonging to low socio-economic background.
Evaluation
However, I have gained a wide range of knowledge from this fieldwork. Sometimes
the work had been hectic, while collecting and analysing the collected responses. However,
the extensive research has helped me to understand the different factors contributing to
mental illness among elderly people and the adolescents.
Analysis
I had never realised that mental health illness could be such a common issue among
the community members of the Berwick, but the statistical data proved my beliefs wrong.
Previously I never considered mental health issue to be included in primary care, but a lot of
research has made me understand that credibility of this issue and hence I strongly feel that
mental health care should be transitioned from secondary care to primary care. Additionally
before this fieldwork, rather before meeting with people having mental health issue, I
believed that institutionalisation might be helpful for managing these patients. But my
viewpoint changed drastically and I prefer love, freedom and strength based approach to be
more effective in addressing the needs of these mental health patients.
Conclusion
As per the analysis, it can be concluded that extensive community based approaches
are required and more information is needed for estimating the exact number of the mental
health care issues.

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Action plan
I intend to do more extensive field work in future for my next project involving larger
sample size. Moreover, based upon this field work, I should recommend that that there is a
huge shortage of mental health nurse if compared to the total number of patients visiting the
day care centre every day. Robust community based approach and government funding is
required to integrate mental health care in the primary care centres.

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References
Allen, J., Balfour, R., Bell, R., & Marmot, M. (2014). Social determinants of mental
health. International review of psychiatry, 26(4), 392-407.
Goldberg, D., & Huxley, P. (2012). Mental illness in the community: the pathway to
psychiatric care. Routledge.
Holwerda, T. J., Deeg, D. J., Beekman, A. T., van Tilburg, T. G., Stek, M. L., Jonker, C., &
Schoevers, R. A. (2014). Feelings of loneliness, but not social isolation, predict
dementia onset: results from the Amsterdam Study of the Elderly (AMSTEL). J
Neurol Neurosurg Psychiatry, 85(2), 135-142.
Tew, J., Ramon, S., Slade, M., Bird, V., Melton, J., & Le Boutillier, C. (2012). Social factors
and recovery from mental health difficulties: a review of the evidence. The British
Journal of Social Work, 42(3), 443-460.