This essay is about my involvement with the management of care and the impact of social and political issues relating to social exclusion that contributes to a client mental illness. There are numerous interrelated social and political factors that influence mental health; these include unemployment, prejudice, housing, media influences, stigma and discrimination. Percy- Smith (2000) defined social exclusion as a ‘shorthand label for what can happen when individuals or areas suffer from a combination of linked problems such as unemployment, poor skills, low incomes, poor housing, high crime environments, bad health and family breakdown’. The name of the client and others including practice area will be concealed in accordance with Nursing and Midwifery Council (NMC 2007) Code of Professional Conduct on privacy and confidentiality. This essay will proceed to focus on the impact of unemployment with the client I worked with during my placement experience, who suffered from a mental health problem. I will also examine other issues associated with unemployment in a mental health setting, such as component of recovery. I will also look into government policy in promotion of employment among people with mental health problems. According to WHO (2000), Mental health can be conceptualised as a ‘state of well-being in which the individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community’. Finally the feedback from formative assessment will be highlighted.
For the purpose of the issue of confidentiality, the client in the discussion will be referred to as “Sophie”. Roberts et al (2002) defined confidentiality as ‘an implicit promise that is present when one person discloses information to another, whether through words or an examination; and the person to whom the information is disclosed