Theories and Models Flashcards
4 Models and Approaches Relevant to Mental Health
- Harm Reduction Model
- Recovery-Based Model
- Strength-Based Approach vs. Deficit-based
- Trauma Informed Care
What is harm reduction
Refers to policies, programs and practices that aim to reduce the harms associated with the use of psychoactive drugs in people unable or unwilling to stop
What are the origins of harm reduction?
began to be discussed frequently after the threat of HIV spreading among and from injecting drug users was first recognized; early 1980s.
similar approaches have long been used in many other contexts for a wide range of drugs.
Harm Reduction Principles and Examples
based on a strong commitment to public health and human rights.
examples: smoking patches, condoms, needle exchange
Traditional Model of Mental Health Care
Focuses on diagnosis, compliance, the eradication of symptoms and illnesses, and reducing risk
Recovery Model of Mental Health Care
Focuses on the person’s lived experience, choices and self-management, on achieving hopes and dreams and on encouraging positive risk-taking.
Clinical relationship moves from one patient to one of collaborative shared decision-making,
- Understanding that patients’ lived experiences make patients the experts in their own care
Recovery Approach does not mean:
Everyone needs to be hopeful or naively unrealistic about what is possible
Strength Based Approach
Concentrate on the inherent strengths of individuals, families, groups and organisations, deploying personal strengths to aid recovery and empowerment.
Deficit-based Approach
Focus is on the disorder, problems, signs and symptoms, high risk statistics
See Aboriginal populations as having barriers to good health as opposed to identifying strengths
Person Centred Approach
Focuses services on individuals’ strengths in terms of resources, abilities, skills, and capacities to maintain a positive perspective that encourages further positive developments.
Trauma Informed Care Approach
Can help health care providers to tailor care and establish a safe environment of understanding for Aboriginal clients who are impacted by historical violence such as residential schooling
Four Assumptions of Trauma Informed Care
Realization: of the widespread impact of trauma on individuals, groups, families, and individuals
Recognize: the signs of trauma
Respond: by integrating knowledge about trauma on all areas of functioning (e.g., policies, procedures and practices)
Resist Re-traumatization: of clients and of staff and prevent triggering painful memories
Florence Nightingale
1820-1910
Founder of Modern Nursing
Imporving Environmental Conditions
2 Theorists of Interpersonal Relations
- Hildegard Peplau
- Ida Jean Orlando
Hildegard Peplau
Interpersonal Relations
Nurse/Patient Relationship
Concepts in model
- interpersonal relations
- self system
- need
- anxiety
Ida Jean Orlanda
Interpersonal Relations
Dynamic Nurse–Patient Relationship Model (1961)
Studied the factors that enhanced or impeded the integration of mental health principles in the basic nursing curriculum
Existential/Humanistic Theoretic Perspectives
Joyce Travelbee
Rosemarie Rizzo Parse
Joyce Travelbee
Seeking Life Meaning
Provided an existential perspective on nursing
Believed that humans seek meaning in their life and experiences
Rosemarie Rizzo Parse
Human-becoming
Quality of life as perceived by a person and their family is focus of model
The individual is perceived as open and free to ascribe meaning to life and to bear responsibility for choices
Three Principles of Parse Human Becoming Model
Meaning: structuring meaning is the imaging and valuing of language
Rhythmicity: configuring rhythmical patterns of relation is the revealing-concealing and enabling-limiting and connecting-separating
Transcendence: co-transcending with possible is the powering and originating of transforming
Four Postulates of Parse Human Becoming Model
Illimitability: indivisible, unbounded knowing extending to infinity
Paradox: rhythm expressed as pattern preference
Freedom: contextually construed liberation
Mystery: the unexplainable