Monday 7 December 2015

Mental Health

Mental health is necessary in order for an individual to undertake their day to day activities in a normal way and at an optimal level of human activity. However, cases of mental disorders tend to disrupt or even halt the normal functioning of a human being (Harris, 2013). In the recent past, there have been numerous cases of reported variations of mental disorders. This has been brought about by the medical scientific advancement that has been on the rise in the recent years. It should be noted that the inadequacy of knowledge by the people of the past often led to non-diagnosis of these mental disorders, hence the neglect of the victims; as the cases were treated as a curse from the ancestors.  With the recent effort of awareness creation, most of the cases of mental disorders are being diagnosed, leading to the medical specialists and practitioners taking the necessary steps which will ensure the absolute control of the disorder.
One of the most common cases of mental disorder is the Post Traumatic Stress Disorder abbreviated as PTSD. PTSD refers to a mental condition whereby its symptoms are observed especially in the victims that have survived trauma or psychologically terrific event (England 2009). These events usually revolve around cases of physical or sexual assault, an abrupt death of a relative, family member of loved ones, and also during deadly cases of natural disasters like earthquakes or tsunamis (Brewin, 2003). To assess and diagnose such case of a mental disorder, it takes skills and expertise of experienced social works professionals. Subsequently a social worker will be tasked with the counseling of the patients and the overall process of that ensures the recovery of the victims from the disorder. Therefore, this paper seeks to explore the ideal role of social work professionals in relation to gaining control and effectively eradicating cases of Post Traumatic Stress Disorder (Harris, 2013).
Social Work
Social work refers to a profession seeking to raise the life quality of an individual or a group of persons via various means which are inclusive of crisis intervention and overall care for the victims of natural disasters and political instabilities (Chilman, 1984). Essentially, social workers aim at ensuring the eventual achievement of social justice especially to the victims of marginalization in the society, mostly resultant from witnessed oppressions (Dziegielewski, 2003).
Global warming and climate change have led to the sharp increase in cases of PTSD. This is especially so given the cases of natural disasters that come as a result. In fact, the most recent case of earthquake in Japan and Nepal led to thousands of deaths, with the survivors suffering from PTSD. Furthermore, outbreak of diseases which scientists are yet to find medication has soared in the past decade; with the most recent being the Ebola outbreak in Africa, the survivors of the disease are yet to overcome the psychological effects from the trauma of loss of friends and relatives. Further, the spiraling cases of terrorism and political instability that triggers civil war in the Middle East have, in turn, lead to the adverse mental effects and disorders to the civilian and the military forces as well. Considering all these cases, it is therefore clear that social workers have an ever-widening role to play on the global scale, especially with major focus on neutralizing the rising cases of PTSD among adults and children as well.
The Role of Social Workers
There are numerous roles of a social worker in relation to PTSD. These include the following:
Assessment of the Possible Victims for a Diagnosis.
Social workers are specially trained individuals to handle the cases of PTSD. Therefore, they have enough knowledge on the symptoms of the disorder. Usually, the potential victims undergo various stages of medical checkups conducted by social workers. Notably, the stages are specifically designed to fit into the patients’ context and the level of the disorder. In addition, medical facilities for such tests are equipped with necessary medical tools which assist the social worker in conducting a successful assessment to the victims for a possible diagnosis. In case of positive results to the test, a social worker has an authority to diagnose the disease and take the necessary precautions for PTSD neutralization. This involves medical prescription and recommendation for specialized care and treatment of the patient in case of advanced chronic PTSD (US&IM, 2006).
Providing Psychotherapy and Counseling Services to the Patients
After confirmation that the patient is suffering from a mental disorder such as PTSD, a social worker is tasked with counseling the patient in order to deal with and overcome the psychological effects and trauma. Social work training involves empathy conditioning that enables the professional to listen to the patient with high levels of empathy (Üstün et. al, 1995). Therefore, as the PTSD patient disclose their personal problems and openly express feelings to the professional, the show of care, concern and understanding greatly helps the patient towards a healing path.
On the other hand, psychotherapy conducted at an appropriate environment has the ability of enabling the patient to have a deeper knowledge of their mental condition, personal mood status, thoughts at any given time, individual feelings and the overall behavior pattern. This knowledge enables the patient to have a control of the personal mindset and thus be set on a recovery path and personal healing procedure from PTSD. In this case, the social worker has a role of regulating the conversation in a way that enables the patient to come up with the personal in-depth realization and self-awareness.
Prevention Role
One of the main roles of the social workers is to ensure that further cases of PTSD mental disorder are prevented from occurring to a population that survived natural calamities, diseases, and war. This usually involves the social worker using their skills and experience to effectively modify the clearly stressful environmental situation and therefore strengthening the capability of the survivors to accept and cope with the situation (O’Hagan, 2007). In an environmental setting where most of the population is prone to the PTSD, social worker activities that ensure preventive measures include; educating the public on the need for their emotional self-care measures, the need for building healthier relationships with their colleagues as well as taking steps towards boosting the level of community knowledge and skill base. Additionally, the social workers should ensure the presence of societal social action and engage in advocacy activities aimed at ensuring the eventual realization of social justice.
Rehabilitation
Rehabilitation aims at minimizing the levels of the long-term effects of the PTSD on patients after undergoing successful treatment and recovery from the disorder. Essentially, the rehabilitation measures to the PSTD patients involves undergoing a re-training program on the personal strength areas so that the individual can be able to regain their former optimum productive levels and capabilities in the society( Willey, 2013). For instance, the victims of the Nepal earthquake require rehabilitation measures that will enable them to accept the situation of loss of kin, friends and relatives; and subsequently recover from PTSD from such. Eventually, they are needed in the entire process of rebuilding the hard-hit city and restore its former glory. Thus, it is necessary for them to be retrained in order to become productive and assist in the entire process of rebuilding Nepal capital.
Reducing Isolation and Neglect
Chances of recovery of a neglected and isolated patient are slim. To counter this, social workers strive to ensure that these patients get constant care and company which is of a significant important in their recovery process. Most of the older population is affected by the PTSD due to their lowered self-esteem levels and feeling of lowered self-worth. This is a common phenomenon if a partner dies, and an individual further neglected by the rest of the family members and friends. In such an occurrence, a social worker is tasked with ensuring that the victim has a constant social contact and support in order to fully recover from the mental disorder.
It has been observed that there are other areas, especially the rural areas where the cases of mental illness are can be transferred from one individual to the other. Such lack of enough knowledge has made most of the PTSD patients to be abandoned and isolated. The intervention of social workers in such cases is to ensure that the creation of understanding to the community members of the need to assist the patient and the nature of the disease they are suffering from. Additionally, they ensure that the community undergoes a capacity building program so that in case of occurrence of traumatic events in the future, they will have the capability if dealing with them without necessarily requiring the intervention of the social workers (Bentley, 2002).
Advocacy of Reforms
In the cases of the trauma caused by political instability that leads to civil war, the social workers have a role of ensuring that there are subsequent constitutional and political reforms being implemented in the country so as to avoid future cases of political turmoil that leads to war, hence trauma to the citizens. These traumatic events often lead to the mental disorders such as PTSD. In fact, social workers Aare usually involved in activities that leads to the revolutionary steps by the citizens which are aimed at restoring the political stability, harmony, and peace. It should be noted that some peaceful protests are led by social workers who see the need of social justice and equality in the society. Social workers trigger movements through their educative policies meant to create awareness to the public and thus leading to the toppling of repressive government and installing of those that have clearly set policies to ensure that human rights and dignity is conserved. In the long run, the efforts tend to bear fruits in that the cases of traumatic events such as war brought up by political tensions are greatly minimized and eventually diminished. Eventually, PTSD will be curbed (O'Hagan, 2007).
Boosting Economic Status.
Some cases of PTSD are as a result of high poverty levels and lack of employment especially in third world countries. The social worker has a responsibility of limiting such cases in these regions through finding means and ways with which to eliminate poverty. On the other hand, ways in which to ensure self-employment and finding jobs to the unemployed workforce goes a long way towards the realization of a mentally healthy society. Most social workers are attached to non-governmental organizations that aim at improving the living standards of citizens of a given country. Through such connections, aid can be provided to the vulnerable in the society. It has been observed that happiness greatly minimize chances of stress related mental conditions. Therefore, ensuring that the disadvantaged in the society have lesser problems to worry consequently means that the stress related disorders such as PTSD is kept at bay (Zastrow, 2010).
Provision of Care to the Disabled
The disabled have higher chances of being affected by the PTSD. This is because their self-esteem level are mostly lower than those of a normal person, therefore, any signal of neglect directed to them have a lasting effect to them psychologically.  Therefore, long periods of isolation leads to them feeling lonely and losing self-worth, which adds to the complications and chances of a mental disorder. In this consideration, social workers ensure that the disabled in the society gets equal chances of education and other social amenities as in the case of a normal person. In fact, social workers ensure that extra specialized care is accorded to these individual in order to meet their individual needs in the society. To achieve this, social workers are involved in the efforts of setting up specialized institutions that offer specialized education and other services to the disabled and the marginalized groups. The success of these institutions is usually measured from the ability of interaction by the disabled, which makes them have a sense of belonging hence tremendously raising their self-esteem (Zastrow, 2009). 
In other instances, social workers have been involved in an activism of ensuring that the persons with disabilities are well represented in the workplaces and legislative bodies. This is targeted at ensuring that the marginalization of these individuals in any country is greatly inhibited. Notably there has been a significant rise in the number of associations led by social works which are aimed at ensuring that the needs of the vulnerable and the marginalized in the society are met. Therefore, all these efforts have enabled the minorities including the disabled to feel important and thus minimizing their stress level which, in the long run, is a preventive factor for cases of mental disorders such as PTSD.
Conclusion
In conclusion, social workers play an important role in the society today. Their expertise, skills, and ingenuity have helped in assessment and diagnosis of the rampant cases of PTSD mental disorder in the society today. Furthermore, they help in the creation of awareness on the society on the need of constant care to the mentally ill patients. Their efforts in advocating for human rights and equality highly aids in ensuring that the stress levels of the minority are diminished hence preventing the cases of trauma.










References
Bentley, K. J. (2002). Social Work Practice in Mental Health: Contemporary Roles, Tasks, and Techniques. Pacific Grove, CA: Brooks/Cole.
Brewin, C. R. (2003). Posttraumatic Stress Disorder: Malady or Myth?. New Haven: Yale University Press.
Chilman, C. S., Glasser, P. H., & University of Michigan. (1974). Social Work Roles and Functions in Family and Population Planning: Some Implications for Social Work Education. Ann Arbor, Mich: Social Work Education and Population Planning Project, the University of Michigan.
Dziegielewski, S. F. (2003). The Changing face of Health Care Social Work: Professional Practice in Managed Behavioral Hhealth Care. New York: Springer Pub. Co.
England, D. (2009). The post TraumaticSstress Disorder Relationship: How to Support your Partner and Keep your Relationship Healthy. Avon, Mass: Adams Media.
Harris, W. V. (2013). Mental Disorders in the Classical World. Leiden [etc.: Brill.
O'Hagan, K. (2007). Competence in social work practice: A practical Guide for Students and Professionals. London: Jessica Kingsley Publishers.
United States., & Institute of Medicine (USIS). (2006). Posttraumatic Sstress Disorder: Diagnosis and Assessment. Washington, D.C: National Academies Press.
Üstün, T. B., & Sartorius, N. (1995). Mental Illness in General Health Care: An International Study. Chichester: J. Wiley.
Willey T. (2013)  Handbook of Health Social Work. Hoboken, N.J:
Zastrow, C. (2009). Social Work with Groups: A Comprehensive Workbook. Belmont, CA: Brooks/Cole.

Zastrow, C. (2010). Introduction to Social work and Social Welfare: Empowering People. Belmont, CA: Brooks/Cole.

No comments:

Post a Comment