Caring for Young People- Free-Samples for Students- Myassignment

Question: Mental Health nursing practice and delivery has changed significantly over the past two decades in caring for young people and people from different Cultures. Critically analyse how these changes have affected the Clinical and Psychosocial Outcomes for one of these groups. Answer: Introduction Mental health nursing practice and delivery has changed significantly over the past two decades in caring for young people and people from different cultures. But, recent reviews and researches show that young people are still vulnerable to offensive relationships and exploitations, in spite of several legislations and health care interventions for promoting meaningful relationships with them. It is alleged, the problems lie in the tendency of health care professionals becoming more bureaucratic with rigid procedural requirements, leaving no room for the social workers develop healthy relationships with the young people (Winter, 2015). The issue arises, in spite of the enhanced care planning processes stipulated by the new legislations, making it mandatory for the professionals to identify and support relationships for improving the lives of young people. The 2013 Care Inquirys report that the care system continues to fail too many children and families, and that tackling this proble m is increasingly urgent (Findings and recommendations of the Care Inquiry, 2013) is a warning about the existing erroneous care delivery system. In this context, this essay analyses how these changes have affected the young people in consideration of the clinical and psychosocial outcomes. Legislations in caring for young people The introduction of the children's legislation and the 'looked after child' (LAC) system in the 1990s has made it obligatory for an effective assessment, management and planning for all young people in care systems, since a long time back. The subsequent Children Leaving Care Act 2000 and The Care Leavers (England) Regulations 2010, as well as the Getting it Right for Every Child (GIRFEC) Act 2012 (Scotland) and The Children and Young People (Scotland) Act 2014, were all supplementary legislations, recognizing the vulnerability of the young people when they transition-out-of-care (Winter, 2015). All of these legislations have envisaged the assessment practices for benefitting children and young people, and therefore, the nursing practices should culminate in a meaningful relationship with every young person. When the children and the young people are placed in care, the prescribed care planning process must include the help of social services, in collaboration with the practicing professionals, for ascertaining their social and individual needs. The legal right of the young people, which was proclaimed under the articles of the UNCRC (1989), allowed them to have their relationships and identity promoted and protected, while the professionals remain the duty bearers and promoters (Winter, 2015). Professional-caring Even though the managerial approaches and risk-free practices have protected and safeguarded the young people for the last 20 years, the system seldom created an environment for nurturing their relationships or practiced what learned from evidences. Their distress, love, resilience, and emotional well-being were discarded altogether. Times have changed, and now professional-caring is the need of the hour to lessen the instability in care delivery. It is because, the young people can build positive relationships only if they get enough support and patronage from the professionals. The current care system should become inspired by this knowledge and swirl away its bureaucratic outlook and procedure, so that the young people shall not be deprived of the caring relationships and safe environment they are always craving (McGhee, 2016). Creating a safe environment Safeguarding the environment is a preventive, but a cautious approach to planning and procedures for protecting the children and young people from all sorts of latent and potential harm. The policies must be conceived in such a way to organize an environment, devoid of negligence and avoidable exposure to risks. If there is a risk, the safeguarding policies ensure that the communication is well calculated and managed, so that it is effectively communicated to the young people, the carers, and others. It is evident that the children have a right to take part in decisions affecting them, and that means supporting their cause in its entirety. Therefore, the policies instill activity orientation and spirit of adventure, while building trust between people (Department of Social Servies, 2009). Clinical Psychosocial outcomes The health issues of young people are mostly psychosocial in nature, such as suicide tendencies, sexual activity, alcohol, drugs, illicit substances, and self-hurt. A recent survey has revealed that over 22% of looked after children and 39% of children from residential units had attempted to kill themselves. This confirms that the emotional and mental health problems are more among the young people who are looked after, than those from deprived backgrounds (CELCIS, 2016). However, given the opportunities, the adolescents would love to discuss their health problems, such as contraception, drugs, sexually transmitted diseases, and the like, with health care providers (Health Insights, 2017). It is generally believed that the young people hesitate to visit the primary services for mental health because of the insufficient youth-oriented service, confidentiality, inhibition, and ignorance. Hence the intricate psychosocial nature of youth-health-risk behavior requires a collaborative approach between the primary care providers and mental health service professionals or other substance abuse welfare services. Though practice nurses and other mental health care professionals are aware of the widespread psychosocial health problem of the young people, the lack of good communication skills and proper training creates problems in the preventive care of young people. To ward off this challenge, effective integration of preventive care into regular clinical practice is essential (Health Insights, 2017). Analysis of care for the young What stated above, unambiguously attest that the psychological wellbeing services for the young people are short of the real requirement. The existing services are fragmented, complex, and mostly limited to referral systems. The rampant inequalities make the vulnerable young people more disadvantaged. What is left as the young peoples resource of mental wellbeing does not meet any emergent situation at all. Though the effort is there to augment the effectiveness and competence of the services, there is further need to reduce the demand by keeping the young people healthy, by preventing mental health risk factors. This can be achieved through interventions against poverty, social inequality, and health disparity in health care settings at different community levels. Community psychology can mold psychologically safe environments, through resilience and healthy lifestyles. This kind of community led approach can generate sustained psychological well-being and increased system capacity for benefitting them in the long run. In addition, effective planning and monitoring the psychological workforce can provide efficient clinical leadership (Faulconbridge et al., 2016). Conclusion The growing body of evidence reveals that there is a need to develop quality relationships between professionals and young people, as well as their families. Several researches and reviews have convinced that the integration of the services of all branches of the present health care system and social workers is necessary for developing meaningful relationships with young people. Fixing shared responsibility for safeguarding children and young people, and building quality relationships with them is a feasible step to combat their health disparities and social inequalities (Winter, 2015). Such stringent measures are required, considering the legal rights of the young people, stipulated by the several legislations in force, since two decades back. This is significant as the children and young people living in local authority care are becoming vulnerable to the policies and procedures of the authority. Therefore, enabling young people in care build positive and meaningful relationships f or changing themselves is very important for both local authorities and other agencies (Participation Works, 2016). Thus, the evidences and arguments stated in the pre-paras clearly prove that the mental health nursing practice and delivery has changed significantly over the past two decades in caring for young people and people from different cultures. However, in order to cope with the recent failures in eliciting the desired outcome in health care delivery for young people, more legislations are required to make it compulsory for the health care professionals to foster effective and meaningful relationship with these vulnerable people. References CELCIS (Centre for excellence for looked after children in Scotland). (2016). Response to consultation on mental health in Scotland-A 10 year vision. Retrieved 26 August, 2017 from https://www.celcis.org/knowledge-bank/search-bank/consultation-response-mental-health-scotland-10-year-vision1/ Faulconbridge, J., Gravestock, F., Laffan, A., Law, D., OCurry, S., Taylor, K.,Taylor, J. Zlotowitz, S. (2016). What good could look like in integrated psychological services for children, young people and their families: Preliminary guidance and examples of practice. Child Family Clinical Psychology Review, No 4. Retrieved 26 August, 2017 from https://www.basw.co.uk/resource/?id=6064 Findings and recommendations of the Care Inquiry. (2013). Making not breaking. The Care Inquiry. Retrieved 26 August, 2017 https://www.basw.co.uk/resource/?id=2004 Health Insights. (2017). How Practice Nurses Contribute To Preventative Healthcare. Heatlh Times. Retrieved 26 August, 2017 from https://healthtimes.com.au/hub/practice- nursing/67/practice/healthinsights/how-practice-nurses-contribute-to- preventative-healthcare/1793/ McGhee, K. (2016). The power of caring relationships. Center for excellenc Retrieved 26 August, 2017 from https://www.celcis.org/knowledge- bank/search-bank/blog/2016/09/power-caring-relationships/ Department of Social Services. (2009). National Framework for Protecting Australias Children 20092020. Retrieved 26 Augu from https://www.dss.gov.au/our-responsibilities/families-and- children/publications-articles/protecting-children-is-everyones business?HTML Participation Works (2016). Children and Young People In Care. Retrieved 26 August, 2017 from https://www.participationworks.org.uk/topics/children-and- young-people-in-care/ Winter, K. (2015). Supporting positive relationships for children and young people who have experience of care. Insight 28. Retrieved 26 August, 2017 from https://www.iriss.org.uk/resources/insights/supporting-positive-relationships-children-young-people-experience-care