Because the underlying reason of learning disabilities is related to genetics or with the brain, therefore, trying to challenge the thought of a client with this disability would be inappropriate. Furthermore, CBT emphasizes on assertiveness, independence, verbal ability, rationality, cognition and behavioural change of an individual and this might limit its usage on certain cultures which has different values and core beliefs (Corey, 2005). This can be a challenging task for therapist unless the therapist has dealt with a client of a same culture and has already have some understanding of the culture background and learned to be sensitive to their struggles. Besides that, people have different coping mechanism such as they cope either using emotions or cognitive. For client who uses emotional-focused coping mechanism, they would feel that CBT is not suitable for them as they are always being talked out of their emotions and are being forced to deal with problems in a more structured problem-focused way.
The fist con of the public health model is that to focus on an individual’s health is more difficult to do, due to it also looks at the social issues that are happening that may be causing the individual to have their current issues (Woodside & McClam, 2015). The public health model emphasizes prevention more than treatment which is a great concept but if the client needs treatment than this can lead to them not understanding the steps to prevent the issue in the future which is another con of the public health model (Woodside & McClam, 2015). There are pros with the public health model and one of those pros it that the focus is on a larger population and not an individual so more people are getting the treatments that they need while preventing others from having the same issue (Woodside & McClam, 2015). A second pro of the public health model is that in today’s society health has a more positive meaning because people want to live a full life and be able to cope with circumstances in a positive manner (Woodside & McClam, 2015). The final of the three models is the human service model which I will discuss in the next section because it is also used to help clients with their daily
An objection that he replies to is that by treating a patient that wishes not to be treated, is requiring a patient to live a life that she does not want to live. Varelius argues that treating the patient based on objective prudential values is better for the patient than respecting her subjective values. Also, when the patient is presented with the idea, she will realize that her decision was based on false reasoning and she will change her mind. This makes Varelius paper much stronger and much more likely to
Professionals should tell patients about the costs of tests to be transparent. No doubt, testing, and screening are costly, and some may be labeled preventive care that isn’t covered by insurance may not pay for. Further testing may be better to establish a diagnosis. Repeated testing may be overwhelming to patients, but it’s preferable to giving a wrong diagnosis. In the video of the story of HELA, the ethical barriers are portrayed because Henry’s family was confused by the language health professionals used.
The evidence presented in this study also suggests that there are many reasons which prevent individuals with learning disabilities accessing effective health care. Further organisational barriers were presented which may impede effective communication between patients and staff. It may be that the need for written forms of communication or the use of poor signage caused issues for these individuals as reduced literacy skills may make it difficult to comprehend these types of communication. Rigid appointment systems may be a barrier to accessing health care if the patient is unable to tell the time or manage their time effectively. Tuffrey goes on to suggest that it is essential that staff have the appropriate attitude and knowledge to treat vulnerable patients and reasonable adjustments need to be made to address some of the barriers preventing this.
Lancaster Advocacy (2006) cited in Community Care (2006), believe that “Older people can be particularly vulnerable”. Many, older people will go straight into a care environment straight after hospital. Some may have been treated poorly in hospital but “find it difficult to challenge doctors, nurses or social workers”. The ageing process can suppress people; consequently, they not strong enough to face the stress of taking on complaints systems alone (Lancaster Advocacy, 2006 cited in Community Care, 2006). Therefore, advocacy can ensure that if the person wishes to make a complaint, they will be well informed of the options open to them and will be able to access external independent support in order to pursue said complaint (Advocacy QPM,
While a patient navigator can guide a patient through the complex healthcare system, he/she can also facilitate interdependency such that synergy emerges between healthcare professionals. This process is depicted by the bidirectional arrow in Appendix A. To promote IDC, many literatures suggest incorporating interdisciplinary professional practice in curriculum and having interdisciplinary team training programs; however, these tactics do not address the immediate organizational constraints (resources, support, time and funding), which is another major culprit to ineffective IDC (Hermann, Head, Black & Singleton, 2016; O’Connor & Fisher, 2011). Professionals and even patients have reported time constraints as a barrier to developing team
It is not appropriate for pervasive disorders that require long-term treatment (Duncan, T.M., Davey, M., & Davey, A., 2010). Besides pervasive disorders, Functional Family Therapy does not have good evidence-based support for other disorders (Practicewise.com, 2012). Other possible limitations involve adaptation and implementation to diverse agencies and other settings, and adequate training
The concept of unconscious bias could have implications for Sanjay’s treatment; this is the idea that people hold judgements about others, without conscious awareness of it, which could influence the way professionals view and treat Sanjay. Sewell (2017) suggest that the relationship between the client and therapist is important for delivering the best outcomes from treatment, however, these prejudices could present barriers to a relationship. Stereotypes about Sanjay’s ethnicity may also affect the type of treatment he receives; Eleftheriadou (2010, cited in Sewell, 2017) suggest that service providers sometimes hold the stereotype that counselling is not appropriate for black people, demonstrating how stereotypes about ethnicity may impact on the type of treatment
Although, this therapy has limitations effective for effective counseling, such as the need for specific set of techniques. Existentialism is limited in its effectiveness since it depends on the clients’ level of maturity, life experience, and the practitioners’ requirement for intensive training. In my opinion, although this therapy has limitations it can be beneficial for clients with PTSD. Existential therapy helps clients find the meaning of their life and helps them get back into central focus. Therapy helps clients understand that anxiety is a part of life.