Mental Health and Mental Wellbeing


Recovery-Oriented Approach (ROA)

Planning Considerations.

Prioritizing Problems.

Immediate Safety and Wellbeing.

Immobilizing Distress.

Basic Human Needs.

Level of Support

Social Work Theories.

Ecological System Theory.

Crisis Intervention Theory.

Ethical and Legal Implications.


Recovery-Oriented Approach (ROA)

Recovery can be understood and attaining and holding hope, comprehension of a person’s abilities, and incapacities, involvement in an energetic life, individual independence, social identity, connotation and purpose in life, and a constructive sense of personality. There are usually six principles of this approach that certifies mental health services are offered in a manner that assists the recovery of mental health clients (Waldemar et al., 2016). The principles of ROA are the uniqueness of the individual; real choices; attitudes and rights; dignity and respect; partnership and communication; and evaluating recovery. As per principle uniqueness of the individual, the ROA authorizes individuals so they identify that they are in the middle of the care they get. Moreover, real choices state that ROA assists the people to build on their strengths and take as much responsibility for their lives as they can. The principle of attitudes and rights inspires confidence in an individual about their forthcoming and ability to live a significant life. Dignity and respect entails being humble, polite, and truthful in all interactions. Moreover, the partnership and communication principle values the significance of distributing suitable information and the need to communicate evidently. The last principle of evaluating recovery enables an individual to track their progress in regards to career (The department of health, 2020).

Planning Considerations

Before meeting Henry, the planning factors that must be considered are the importance of mindful case note reading abilities; aspects to do with the policies of the referral and self-reflective aspects. Firstly, the mental health worker must be aware of the assumptions made by him while reading the entire case of the client. Furthermore, self-reflective practice is the best suitable planning consideration that entails the self-analysis to comprehend, assess, and interpret the whole case study and determine the issues that are involved. It can be done by writing all the issues and concerns briefly by a mental health worker. The areas that must be covered in this entail socio-biographical information, key socio-environmental aspects, mental health concerns, lawful & ethical specialized duty of care factors, and any other relevant information. Moreover, the planning consideration must include the aspects of referrals by understanding the initial diagnose report of the general practitioner of the client who has referred him to a mental health worker.

Prioritizing Problems

Immediate Safety and Wellbeing

Firstly, it is essential to take into consideration the issues related to the immediate safety and wellbeing of an individual. The life domain that can be linked with this principle is emotional and mental well-being (Baker & Sen, 2016). The issues related with Henry’s wellbeing and health entail the panic attacks that he got in tutorials and lectures at University. He, sometimes, also left class speedily as he sensed extremely self-conscious and embarrassed about his panic assaults. Further, he was terrible that other scholars might have seen such panic attacks in him. He was facing with the concentration problems in his studies. Panic attacks refer to sudden, arbitrary feelings of terror and nervousness that cause physical indications such as a racing heart, wild breathing, and worrying. It is the most essential issue that henry was facing and it must be cured by doing a suitable therapy. Panic attacks generally occur when a person is having mental health issues, a family history, or substance abuse problems (Stock & Levine, 2016). In Henry’s case, there was a mention of confusion also wherein he was so confused and frightened with what to do. These kinds of symptoms are risky to the health and wellbeing of Henry at a small age of 19 years.

Immobilizing Distress

After considering the immediate wellbeing of an individual, mental health worker must help the client to prioritize the need to stabilize high level of distress so he can return to normal functioning levels. It can be linked with the life domain of housing issues in the form of conflicts between the parents of Henry. His parents usually do lots of fights and verbally abusing each other for many years in their relationship. This is the worst situation for the Henry to deal with as when he tried to intervene between conflicts of his parents, he was a sufferer of anger of his parents. Mental health worker can help Henry to take him to a normal level by first establishing and maintaining affinity. It is the first vital step in the effective crisis intervention model (Murphy et al., 2015). It includes all of the typical tools that a psychotherapy psychologist would use in other healing situations, though crisis entails a dense time frame. This step is to be followed by ensuring safety; assessing client; set goals; producing possibilities; assessing options; choosing plan; applying plan; assessing outcomes; and follow up (Westefeld & Heckman-Stone, 2003).

Basic Human Needs

The next priority area is the consideration of the basic needs of the client by looking at his financial security, safety needs, his self-esteem, and more. This principle of prioritization can be linked with the life domain of financial concerns. It can further be best understood by using Maslow’s hierarchy of needs model to know the needs and rights of the client properly. This model assumes that individuals are inspired to meet basic needs before moving on to others. The most basic needs entail needs for security and safety. There are five levels in total that are named as physiological, safety, belonging & love, esteem, and self-actualization needs (Ghatak & Singh, 2019). Henry was much pressurized by his father to do engineering and he was not interested to do so. Furthermore, he was pressurized to attain good marks in this course and earn a higher income. Due to his panic attacks, and financially weak position, he was unable to get away from home. Henry wants to satisfy his needs in terms of finance and wants to leave his home.

Level of Support

Lastly, the priority must be given to understanding the immediate environment of the client and the level of support he gets from his family, friends, and community. This principle can be linked with the life domain named as friendship and social interactions (Ponce & Rowe, 2018). It can be understood using the Bronfenbrenner ecological systems theory that focuses on the significance of studying children in numerous environments in a bid to comprehend their development (Eriksson, Ghazinour & Hammarström, 2018). It is noteworthy that friendship and social interactions are the vital components of a person’s mental health. However, it is also important that the place where a person interacts with others is of that person’s interest or he was not pressurized. In terms of friendships and social relationship, Henry was more comfortable to socialize and interact with his peers at work in a local supermarket. However, he was not having any strong relations with the students in his engineering studies at University. Social support is a must for an individual to recover from mental illness whether it may come from family members, workplace peers, or students at university. Thus, overall, Henry was not getting good support from his family members. His friends at work are much supportive and understand his concerns.

Social Work Theories

Ecological System Theory

It is one of the most accepted elucidations about the impact of social environments on human development. This theory was given by Bronfenbrenner who recognized the five systems are interrelated. These five elements are microsystem, mesosystem, exosystem, macrosystem, and chronosystem. This social work theory is best to know the client’s immediate environment including aspects like family members, classmates, neighbours, and teachers who are in direct contact with the person. Furthermore, it enables the mental health worker to know the family behaviour towards his child, therefore, In Henry’s case; the practitioner understood that if he has been neglected by his family then he has a low chance of developing positive attitudes towards others like peers, teachers, and friends. Furthermore, it can be seen from the case study Henry’s environment has impacted his development in respect of mentally and emotionally (Crawford, Snyder & Adelson, 2020).

Crisis Intervention Theory

Crisis intervention theory refers to a practice that defines the influence of the crisis on individuals and provides a supportive outline for specialists working with people in crisis. The major purposes of this social theory is to relieve the client’s symptoms; restore the client to his prior level of functioning; recognize the factors led to crisis state; recognize remedial actions; help him connect present stresses with past life experiences, and help him develop adaptive coping approaches. Four main techniques can be used by mental health worker in respect of crisis intervention. These are sustainment, direct influence, person-situation reflection, and dynamic and developmental understanding (Zhen-zhen, 2018).

Ethical and Legal Implications

It is noteworthy that ethics play an essential role in every aspect of life. Likewise, there is the extreme importance of ethics in respect of the case study scenario for the mental health of Henry. There must be adherence to AASW (Australian association of social workers) that defines the code of conduct for the mental health social workers (Hosken, 2018). These codes of conduct are based upon the overall principles like esteem for individual; autonomy; social fairness; and privacy. Furthermore, there must be adherence to MH (mental health) legislation and human rights. It states that all individuals with mental health issues have the right to get higher-quality treatment and care provided via responsive health care services. They must be secured against any form of callous treatment and discernment (Lund, 2020).

References for Henry Mental Health Case Study

Baker, K., & Sen, S. (2016). Healing medicine’s future: prioritizing physician trainee mental health. AMA journal of ethics18(6), 604.

Crawford, B. F., Snyder, K. E., & Adelson, J. L. (2020). Exploring obstacles faced by gifted minority students through Bronfenbrenner’s bioecological systems theory. High Ability Studies31(1), 43-74.

Eriksson, M., Ghazinour, M., & Hammarström, A. (2018). Different uses of Bronfenbrenner’s ecological theory in public mental health research: what is their value for guiding public mental health policy and practice?. Social Theory & Health16(4), 414-433.

Ghatak, S., & Singh, S. (2019). Examining Maslow’s Hierarchy Need Theory in the Social Media Adoption. FIIB Business Review8(4), 292-302.

Hosken, N. (2018). Practices of exclusion and injustices within social work education. Social Work Education37(7), 825-837.

Lund, C. (2020). Reflections on the next ten years of research, policy and implementation in global mental health. Epidemiology and Psychiatric Sciences29.

Murphy, S. M., Irving, C. B., Adams, C. E., & Waqar, M. (2015). Crisis intervention for people with severe mental illnesses. Cochrane Database of Systematic Reviews, (12).

Ponce, A. N., & Rowe, M. (2018). Citizenship and community mental health care. American Journal of Community Psychology61(1-2), 22-31.

Stock, S. R., & Levine, H. (2016). Common mental health issues. New Directions for student services2016(156), 9-18.

The department of health (2020). Principles of recovery-oriented mental health practice. Retrieved from

Waldemar, A. K., Arnfred, S. M., Petersen, L., & Korsbek, L. (2016). Recovery-oriented practice in mental health inpatient settings: A literature review. Psychiatric Services67(6), 596-602.

Westefeld, J. S., & Heckman-Stone, C. (2003). The integrated problem-solving model of crisis intervention: Overview and application. The Counseling Psychologist31(2), 221-239.

Zhen-zhen, Y. (2018). Evolution and Reflection of Crisis Intervention Theory in Social Work Practice. Social Construction, (1), 4.

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