This paper will discuss the case history of a service user worked with whilst on placement as a student mental health nurse, within a community mental health team (CMHT). A critical appraisal of an intervention implemented and a reflection on the challenges to recovery will also be presented.
Real names will not be disclosed in this paper in conformity with the Nursing and Midwifery Council's (NMC) guidelines on confidentiality. Jay is a 46 year old Vietnamese lady who has a diagnosis of schizophrenia, she has been known to mental health services for around two years. Schizophrenia is a serious, chronic and comparatively common mental illness, that affects a persons perception of reality (U.S department of health and human services., National Institute of Mental Health., National Institutes of Health 2012). It influences a person's thinking, feeling, behaviour and the ability to function in everyday life. The National Survey of Psychiatric Morbidity in the UK found a population prevalence of Schizophrenia to be as high as 5 in 1000 (NICE 2010).
Jay and her family came to the united kingdom in the eighties following the Vietnam war. Thousands of people fled Vietnam by sea on thousands of tiny boats to escape the new communist regime, they were regarded as the 'Vietnamese boat people' (Trueman, F. 2013). The Vietnamese boat people experienced terrible traumas on their journey to the United Kingdom and other countries. Moreover, the Vietnamese Mental Health Service in south London empirically declare that the proportion of people with mental health problems in the community is much higher in the Vietnamese population, than that of the general population. A high percentage of Vietnamese people in the united kingdom are said to be suffering from schizophrenia and depressive disorders, thought to be a result of the traumatic events they have experienced.
Furthermore, Jay has five siblings two of whom also have diagnosis of Schizophrenia, and one who has severe learning disabilities. This correlates to the belief that schizophrenia and other mental illnesses are caused by a combination of biological, psychological and sociological factors (Campbell, H, W., Rohrbaugh, M, R. 2006). For some time now it has been believed that schizophrenia runs in families, and people who have first degree relative with the illness, such as a brother or sister are more likely to develop schizophrenia than the general population (U.S department of health and human services., National Institute of Mental Health., National Institutes of Health 2012). Although research has attempted to find a specific cause, there is now empirical agreeable evidence that trauma and stressful life events, social adversity such as migration can increase the risk of developing schizophrenia (Arseneault et al., 2004; Bebbington et al., 2004; Moore et al., 2007; Read et al., 2005; van Os et al., 2005).
When Jay was previously admitted to hospital for a relapse in her mental...