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Unit 11 - Psychological Perspectives

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The second assignment for unit 11.2 Distinction level

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  • June 21, 2022
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Unit 11.2


BTEC LEARNER ASSESSMENT SUBMISSION AND DECLARATION



Learner Name: .



Assignment Title: Unit 11: Moving forward-a-therapeutic
approach



Date Assignment Submitted:




Please list the evidence submitted for each task. Indicate the page numbers where the
evidence can be found or describe the nature of the evidence (e.g. video, illustration).



Assignment task reference Evidence submitted

Assignment : Learning Aim B Report



Learner declaration

I certify that the work submitted for this assignment is my own. I have clearly
referenced any sources used in the work. I understand that false declaration is a form
of malpractice.




Learner signature (D number and email address):.

Date: .




References:
https://www.orri-uk.com/?utm_campaign=Brand&utm_source=adwords&utm_medium=ppc&utm_term=orri
%20eating
%20disorders&hsa_net=adwords&hsa_ver=3&hsa_ad=531144776633&hsa_src=g&hsa_mt=b&hsa_acc=861322
6101&hsa_cam=1654933917&hsa_kw=orri%20eating%20disorders&hsa_grp=72680374460&hsa_tgt=kwd-
1389721732009&gclid=Cj0KCQjwm6KUBhC3ARIsACIwxBiinpFk7QpumhsDre1Mwt52fYGpqabFF9Or4HDvs61n
UBzzoI13k9waAmeWEALw_wcB

,Unit 11.2


https://www.designcurial.com/news/watermead-mental-health-ward-opens-in-leicester

http://www.leicestereatingdisorders.co.uk/

Olugbenga: Desireoluwa: 📄 File: Services available in Leicester.pptx




Within this assignment, I’m going to talk about the treatment available locally for both Debbie and
Ahmed and compare their treatments with the type of care that will be given to both Ahmed and
Debbie if they were referred to a GP. The services are available in Leicester only as it will be easier
for them to access.

Social functioning
The term social functioning can be identified as someone who adapts to the values and norms that
they reside in e.g. obeying the law, having a job and making sure that the taxes are payed on time. It
is a way a person interacts within the environment and how capable are they to complete their role
as a responsible person such as working, how they behave within their relationships with their
families.

This functioning can be measures with the GAF known as the global assessment of functioning scale.
This is useful within hospitals how severe it is for a person to not being part of society because they
deal with mental illness. By using this technique professional workers can use this to work alongside
people that need help recovering normal functioning.
In 1989, two psychologists named Seligman and Rosenham, introduced signs that can be seen on
people that don’t cope with the normal functioning. They have found that that this group of people
will demonstrate a dangerous behaviour that can be towards other people or themselves. They also
demonstrate difficulty on maintain visual contact with the other person when having a conversation
with them.
By understanding these categories, it is noticeable that Ahmed falls into all the aspects, and when it
comes to Debbie T., she falls into the personal distress category, due to constantly keeping her
hands sanitised because of her fear of germs.

Care for both Ahmed and Debbie T by their GP.
It is vital that the GP must be able to protect both Ahmed and Debbie T as well as protecting them
from having a disease and promote health, because it is both a legal and moral requirement for the
professional to follow. GP’s are required to follow the law, health policies and acts of which include
the Equality Act of 2018 and Data Protection Act 2021. In the case of Debbie T, since she has been
on seed in cleaning her hands and being annoyed when her husband wouldn’t do it regularly as her,
Debbie has been recommended by the family GP for Debbie to take some time away from her
family. While the GP is taking this action, it is evident that she or he has took this action by working
with the Act of Mental Capacity of 2005. The GP will have to admit Debbie T. to the Watermead
Mental Health Ward Leicester. In this specific mental ward, Debbie T will be having hospital sessions
about her OCD conditions.

What the GP will have to do in the case of Ahmed is to make sure that even thou Ahmed is an adult
now, he would have to be treated as an inpatient which mean staying at the hospital while receiving
his treatments and then when he will be able to normal function, he will be referred as an
outpatient- being able to go home after receiving his treatment. Ahmed will be referred at the
Leicestershire adult Eating Disorder service which is based at Glenfield Hospital, Leicester. Within

,Unit 11.2


this care setting,, Ahmed will be provided with a free app if he might have anxiety called Weathering
the Storm, which helps to ease any type of anxieties that service users might face in hospitals.

Application of the theorists
By talking to the GP, it means that the service user will have to go through an intervention. The GP
will have to use two of the main therapies such as Rogers and Maslow. This will help both Ahmed
and Debbie T to open up about their issues from their own point of view as the GP will take the final
decisions on what to do regarding their matter. The GP will apply different techniques such as
listening skills, empathy when applying the humanistic approach. The biological approach might also
be used regarding Ahmed’s situation as he’s currently at the specialist treatment centre as he is not
eating enough food for the day. In Debbie’s case she might be treated with antidepressants
categorised as a serotonin reputable inhibitor that will help with her OCD. Another medication for
Debbie will be Propranolol that will help her with the reduction of panic attack when she might see
her hands being dirty. Mental health issues such as OCD they need to be treated quickly and because
of this Debbie’s GP has a duty of care that he/she must obey by referring her to Mental Health Crisis
team that will assist her by having different visits in hospitals that won’t affect the GP hours. If this is
not done accordingly, the GP night face consequences of not obeying the Duty of Care of Debbie as
well as Ahmed. Finally the GP has the duty of care of contacting the Team of Mental Health who will
support both Ahmed and Debbie to create their personal care plan. By having a care plan it will help
their social functioning and from there both Ahmed and Debbie will be able to be around their
families as well as their environment.

Mental Health Team’s benefits
With the help of the care plan, both Ahmed and Debbie will be supported by the team and their
needs will be met alongside with the agreed decisions due to their beliefs and views.
The multidisciplinary team, that consists of different professional workers, will be able to manage
the care plan by supporting both Ahmed and Debbie and protecting them from self-harming. When
a person goes through a Mental Health Crisis like Debbie, they might struggle to communicate with
the members of their family, looking after themselves regarding personal care and appearance.
Because if this situation, the Mental Health Team is also able to support the members of the family
with financial help. The available help will be PIA which stands for Personal Independence Allowance
can help assist the service user with money if they are sick or ill. The benefit of having this support
set by the team is that it provides additional help called ‘carer’s allowance’ to the family members
that is taking care of the sick service users.
If the Mental Health Team refused to treat and take care of both Ahmed and Debbie, their social
functioning would have been worse due to lack of monitoring. Both Ahmed and Debbie will be
indoors as Ahmed wouldn’t want to feel judged by every person he might encounter every day and
Debbie not wanting to be contaminated with germs. By not monitoring them, both Ahmed and
Debbie could have committed suicide and self harm.

Available Support
If Ahmed’s severity of mental health increases, which will resulting if not eating no food at all, the GP
must follow the duty of care which is to admit Ahmed in the hospital. Because Ahmed has pretended
to eat food but instead he will vomit it all, he will successfully be admitted in the hospital without
going through an intervention. This will allow Ahmed to be supervised for 24 hours without leaving
the setting. He won’t be able to see his family members all the time as the multidisciplinary team will
try see the health picture of Ahmed without him having any influence from his family members. If
the health risks of Ahmed will increase, the members of the unit will have to increase her supervised
hours from 24 to 28 hours. This step is only done if Ahmed is at major risk of self harming and it is a
delicate decision that psychiatrists in the unit will have to make, as they will also have to follow the
Mental Capacity Act instructions.

, Unit 11.2


In Ahmed’s case, it is evident that he might have a EUPD diagnosis which stands for Emotionally,
Unstable Personality Disorder. People with this disorder will develop maladaptive behaviour that will
cause self harming, or even dangerous than this, suicide. Ahmed manifestation’s could be self
harming and underrating as he is currently doing so. The reason why Ahmed is doing this is due to
his school days where he was constantly bullied by his peers due to his appearance. The therapies
that will work on Ahmed’s case are both humanistic approach and the Maslow Hierarchy to detect
his goals that he wants to achieve now and in the future times. These goals of Ahmed will be
included in his care plan as well as the intervention that he might undergo for his goals to be
achieved. If Ahmed will still struggle with the treatments that he is receiving as well as his social
functioning, the professional will have to utilise other therapies. One of the alternative therapies will
using rewards in order for the service users to improve their behaviour e.g. awarding Ahmed when
he’s following his care plan and treatments. This will help Ahmed’s social functioning to improve.
By Ahmed making his own decision he will be able to follow along with his treatment and he will be
more motivated to be around other people. A system that the Bradgate unit will help Ahmed to be
around people, meaning that his social functioning going to increase. If this is not in place, Ahmed
wouldn’t be capable to socialise.


Specialist centres
Debbie will be referred to the Mental Health Ward in Leicester.
Her therapist will reach out to Debbie for her first assessment about her phobia to have an estimate
on the magnitude of her fear on germs. The therapy that will be selected will be the cognitive
approach as this include asking questions that will require Debbie to answer as detailed as possible
about where has her phobia commenced. By applying this technique, the professional workers will
use a treatment called group therapy (1:1 therapy technique)- but it is unexpected that Debbie will
participate in a group therapy as she is going to be scared to be close with other people as she will
think they are in contact with germs as this is her phobia.
In that case, here treatment will come down to be a 1:1 treatment alongside her therapist where, in
each session, she will have to set her goals with her therapist. By doing this, Debbie will be very likely
to engage in the treatment and this is going to boost her social functioning in a positive way. One of
the things that will be done to Debbie by her therapist is showing her different pictures of dirty
hands and this will be done for a period of a month (4-5 weeks) until she won’t be panicking seeing
dirty hands anymore.
This treatment will allow Debbie to have more freedom in her life and some sense of control by
being around her family. It will boost her social functioning into a better way and she will be a good
parent. By applying the humanistic approach, Debbie will be reach the outcome of not dipping her
hands into sanitary constantly.
Dynamic approach might also be used by the therapist when treating Debbie to find out how her
phobia of germs started. This could help Debbie to recover as she is not only telling the situation to
her therapist but also herself so she will be able to come act against her phobia.Debbie wouldn’t be
able to beat her phobia without intervention and she will be struggling getting over her fears in
germs. With the intervention instead, Debbie will be able to connect in society normally e.g. being
around her family members and her husband , going to her work, being in the environment etc.
However this doesn’t mean that the treatment is over- Debbie’s GP may still use the biological
approach support in order that other phobias from Debbie will not develop in the future and this
means that she will still use treatments like propranolol.

Cognitive Behavioural Therapy (CBT)
In order for both Debbie and Ahmed to overcome their problems, they must engage in the
treatment of CBT.

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