The Application Of Transtheoretical Model Of Change And Trauma-Informed Care For John’s

Discussion

John is a 20-year-old unmarried man living alongside his family and works as a trainee plumber. He does have three further brothers and sisters. He has been diagnosed with the first psychopathology and has had a number of hospitalizations for recurrence owing to non-adherence to medications. John does have a background of considerable trauma that he prefers not to discuss. He moved to Australia along with his family when he was 10 years old, fleeing a war-torn nation. In his own nation, he has been the sufferer of several heinous violent acts, including one that ended in the murder of his sister. Following one among such incidents, he was kept, prisoner. His initial encounter with psychological healthcare occurred whenever the policemen were summoned to his home since he had been acting aggressively against the household. He claimed that the family were scheming with them and can be observed murmuring to themselves on occasions. In this study, at first, based on the current mental situation of John will be analyzed by the transtheoretical model and motivational interviewing (Berger, 2019). After that, based on that, the best possible medical care to cure his current trauma will be identified.  Psychiatric Rehabilitation Discussion Paper

Motivational interviewing is a therapeutic strategy that encourages individuals to make concrete behavioural improvements in their life using a questionnaire conversation with a qualified psychologist (Miller et al., 2019). This strategy emphasizes transformation conversation, in which individuals express their needs desire to create lifestyle changes. Due to the obvious multiple advantages of MI for psychological wellness, it has proven a popular therapeutic strategy for those suffering from a variety of psychological wellness issues and founder illnesses such as substance misuse (Herrenkohl, Hong & Verbrugge, 2019). This treatment practice recognizes and respects the reality that people who really need to create changes in their life come to counselling at various stages of preparedness to modify their behaviour. In some circumstances, individuals might well have considered changing their behaviour but have not taken the required measures to accomplish that adjustment for themself. Throughout this vulnerable period, individuals may exhibit dread of change and cope with personal conflicts that must be resolved. Motivational interviewing can help with this. A MI teaches people how to successfully modify harmful behaviours in order to help them recover from addictions. There are several advantages to employing MI in the therapy of psychiatric issues, and this method has shown to be effective for several individuals. The following are some advantages of employing MI to cure the psychiatric disease: Encouraging clients to imagine a future free of drugs misuse and behavioural health issues (Sweeney et al., 2018). Assisting sufferers in realizing they have had the potential to transform their own life. Empowering individuals to discuss their issues. Increasing individuals’ receptivity to therapy. Assisting clients in discovering the drive to undertake essential adjustments as well as the causes for these adjustments. Empowering clients to accept accountability for their own actions. Increasing the patient’s self-confidence and trustworthiness. John needs this MI to analyze his current situation properly and, based on that, get the proper medication.

Application Of Transtheoretical Model Of Change And Motivational Interviewing

The Transtheoretical Model established by Prochaska and DiClemente mostly in the mid-1970s progressed and via research comparing the perspectives of addicts who give up on expressing personal with these others required therapies to help people who could give up their own (Bunting et al., 2019). The Transtheoretical Model (TTM) concentrates on personal judgement and is a theory for those who want to stop any mental trauma on their own. Transformation in behaviour, particularly regular behaviour, happens in a circular fashion. The TTM is a framework; other theoretical concepts and constructions can be implemented to alternative phases of a project, depending on wherever they are most successful. People, according to the TTM, experience six phases of transformation: pre-contemplation, contemplation, preparation, action, maintenance, and termination (Cutuli, Alderfer & Marsac, 2019). The cancellation had been not included in this same initial formulation and is now utilized less frequently in the implementation of periods of transition for wellness behaviours. Alternative treatment tactics are more successful in advancing the individual on to another phase of the process and across the paradigm to stabilization, the optimum level of behaviour, for every phase of the process. Individuals in the pre-contemplation phase do not aim to initiate anything throughout the coming years. Individuals within this phase ignore the advantages of changing their behaviour and focus on the disadvantages to modify their behaviour. Individuals in the pre-contemplation begin beneficial bearing for the future. Individuals notice current behaviour might be troublesome. And using all of this personal behaviour information, individuals generally hesitate to change personal characteristics. Patients in the Preparation stage were prepared to intervene in the following 1 month (Palfrey et al., 2019). Individuals start to modify their behaviour in this stage, thinking that it would help them in creating a better lifestyle. Patients in the Action stage generally have already done their modification in mental health and try to continue with such a change of mental health (Cook, Newman & Simiola, 2019). Individuals in the Maintenance stage typically keep their behaviour change continuing for a long. Individuals within this phase generally try to stop the repulsion process from the last phases. Finally, persons in the Termination stage have no interest in returning to their destructive behaviours. Because seldom achieved and individuals usually stay in the recovery phase, it is most of the time overlooked in medical promotional efforts (Earls, 2018). In this case study, John needs this TTM principle to follow the six stages to overcome his trauma completely. Like this way, John can get proper mental care by the combination of the MI and TTM principles.

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Application Of Trauma-Informed Care

Trauma-Informed Care recognizes and addresses the pervasiveness of mental damage and supports healing process settings instead of practises and treatments that might also help unwittingly re-traumatize. An Emotional pain Treatment program seeks to comprehend the full person requesting care. When trauma happens, it impacts a patient’s all internal and external characteristics. Various kinds of treatment procedures in this trauma-informed care therapy generally have a direct and indirect effect on the patient’s trauma and mentality (Bartlett et al., 2018). In this case, by starting this trauma-informed care, John’s previous medication can be stopped. So he can avoid having the high drugs for his medication and increase his mental and physical wellbeings. A trauma-informed care system recognizes the immediate implications that these types of mental damage may have on access to treatment. A Trauma-Informed method additionally fully analyze the information of the trauma throughout from the root of starting of the issue which causes the trauma. Finally, based on the past record, it teaches the patients to detect all kinds of indications of their trauma, avoiding the danger of re-traumatization (Barto et al., 2018). TIC is guided by five Core Concepts, which function as a foundation for just how treatment professionals and health institutions should collaborate to lessen the possibility of re-traumatization (Maynard et al., 2019). Such ideas apply to a wide range of professional environments. Instead of giving a collection of methods and processes, the concepts could be understood and implemented in a manner that really is suitable for a particular kind of business context. Safety, decision, cooperation, honesty, and empowering are the Five Governing Concepts (Bartlett & Steber, 2019). The initial and most critical stage in delivering TIC is to ensure a person’s psychological and psychological wellbeing. Following that, the client must be confident in the therapist’s reliability (Javakhishvili et al., 2020). In this case study, the lifestyle and improper guidance of parents of John may be shown in the creation of his trauma. Moreover, the greater a patient’s selection and influence regarding their treatment experiences through some kind of cooperative process with treatment givers, the greater individuals will attend various kinds of therapies and increase its success rates (Bailey et al., 2019). Therefore after analyzing the current mental states of John with the help of the Transtheoretical model of change and motivational interviewing to increase these internal abilities of John here this TIC is used. After the implication of this trauma-informed care, the mental carers are recommended to observe the changes in the mental health of John. Based on his changes done by the five factors of trauma-informed care, the further modification of his future medication can be done properly.

Conclusion

From the above study, it can be concluded that MI and TTM theories can be used to identify and propose a plan to cure the trauma of John in this case study. Based on these two theories, trauma-informed care can be planned. Before incorporating this, he has acknowledged being experiencing hallucinations. After his first admittance, he was advised on an uncommon schizophrenic drug, which he unwillingly accepted before but eventually discontinued due to negative symptoms from the medicine. He turned to illegal narcotics to conceal his problems, which he claims is performing better than all those dreadful medicines.  His family are similarly suspicious about medicine usage and has been looking into options. Therefore, based on this study, analyzing John’s current situation, this combination of mental health medication is recommended to John.

References

Bailey, C., Klas, A., Cox, R., Bergmeier, H., Avery, J., & Skouteris, H. (2019). Systematic review of organization-wide, trauma?informed care models in out?of?home care (Oo HC) settings. Health & social care in the community, 27(3), e10-e22. https://onlinelibrary.wiley.com/doi/abs/10.1111/hsc.12621

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Berger, E. (2019). Multi-tiered approaches to trauma-informed care in schools: A systematic review. School Mental Health, 11(4), 650-664. https://link.springer.com/article/10.1007/s12310-019-09326-0

Bunting, L., Montgomery, L., Mooney, S., MacDonald, M., Coulter, S., Hayes, D., & Davidson, G. (2019). Trauma informed child welfare systems—A rapid evidence review. International journal of environmental research and public health, 16(13), 2365. https://www.mdpi.com/490904

Cook, J. M., Newman, E., & Simiola, V. (2019). Trauma training: Competencies, initiatives, and resources. Psychotherapy, 56(3), 409. https://psycnet.apa.org/record/2019-36160-008

Cutuli, J. J., Alderfer, M. A., & Marsac, M. L. (2019). Introduction to the special issue: Trauma-informed care for children and families. Psychological Services, 16(1), 1.  Psychiatric Rehabilitation Discussion Paper