Saturday, November 30, 2019
Wellbeing And Autistic Spectrum Disorder Essay Example
Wellbeing And Autistic Spectrum Disorder Essay I work as the Health A ; Safeguarding Manager at a residential school for kids aged 5-19 with Learning Disabilities. Over 50 % of these have a diagnosing of Autistic Spectrum Disorder ( ASD ) . For the intent of this TMA I am traveling to concentrate on those of this group who have severe larning disablements and associated disputing behavior and are placed with us as a 38 hebdomad residential arrangement ; hence traveling place to household during school vacations. This amounts to 42 % ( 20 ) of the entire population I work with. ASD is defined as holding communicating jobs with address, facial looks, gestures, and organic structure linguistic communication ; jobs in societal interaction such as relationships, hapless societal accomplishments, deficiency of apprehension and empathy/insight, and inappropriate oculus contact ; and jobs with flexibleness of idea, being stiff and immune to alter, and showing obsessive and ritualistic behaviors. OASSIS describes ASD as compromises childhood, and has a ruinous consequence on mundane life.A It impairs effectual communicating with and understanding of others, societal ability and flexibleness, and sets apart those with ASD from their more normal equals ; it besides gives rise to high degrees of anxiousness ( World Wide Web. oasis.co.uk ) . How so to analyze the significance of wellbeing and show the publicity of this in a group of kids and immature people already at a disadvantage through how their diagnosing impacts on them daily. As wellness and well-being is an of import portion of my function I thought it peculiarly relevant to concentrate on this more complex group who can non pass on their demands and wants efficaciously. We will write a custom essay sample on Wellbeing And Autistic Spectrum Disorder specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Wellbeing And Autistic Spectrum Disorder specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Wellbeing And Autistic Spectrum Disorder specifically for you FOR ONLY $16.38 $13.9/page Hire Writer What is wellbeing? The Cambridge Dictionary Online defines wellbeing as the province of experiencing healthy and happy , which fits with my initial ideas on the significance of this. But, as discussed in Unit 5 of Block 2 the term is a wide one and based on a more holistic attack ( K346, Block 2, Unit 5, p.68 ) . Health plays a big portion in a individual s well-being, with wellness in itself being a wide topic. Health covers both physical and mental/psychological wellness. The BMA ( 2006 ) cited a scope of factors that can impact mental wellness, such as exercising, diet, speaking about feelings and larning new accomplishments, entree to originative activities, and the environment a individual lives in ( K346, Block 2, Unit 10, Activity 10.9, Child and Adolescent Mental Health: a Guide for Healthcare, p. 33 ) . This fits with the holistic accent of the term as it is based in the basic demands of mundane life. In my workplace we were, up until April 2011, inspected by OFSTED under the five results from Every Child Matters: Change for Children that the Department for Education and Skills ( 2003 ) stated were cardinal to wellness and well-being in childhood. These were, as listed in Unit 5 ( K346, Block 2, Unit 5, p.69 ) Bing healthy Staying safe Enjoying and accomplishing Making a positive part Achieving economic well-being Indeed, the personal attention files for our immature people were based on these results which placed wellbeing at the Centre of service bringing, and aimed to supply grounds that wellbeing was being monitored, addressed and promoted. We now know that ECM is defunct and it appears there will be more accent on safeguarding and cultural and diverseness demands from an inspectorate point of position. This is following the Munro Review into Child Protection ( hypertext transfer protocol: //www.education.gov.uk/munroreview/ ) which is presently driving the policy in monitoring and farther developing societal attention services for kids and immature people. I feel this so demonstrates that the significance of wellbeing on paper in my workplace and company is led by the current policy driver and inspectorate outlooks. Indeed, attention staffs are being asked to get down looking at accommodating attention files to show grounds that the new cardinal results during review are covered within the certification available. This so appears to be policy led instead than led by the demands of the kids and immature people we care for. Bradshaw and Mayhew ( 2005 ) compartmentalise wellbeing into four groups. Physical wellbeing which includes diet, maltreatment, disregard, mortality, morbidity and accidents ; cognitive well-being related to education attainment ; behavioral well-being related to alcohol, drugs, baccy and offense ; and emotional well-being related to mental unwellness, self-esteem and felicity ( K346, Block 2, Unit 5, p.68 ) . I would reason this concept of wellbeing encompasses best the wide significance of such a subjective term, and though policy accent may alter, new constructs can be incorporated into at least one of the four groups. Before I look at the significance and publicity of wellbeing within my chosen group based on Bradshaw and Mayhew ( 2005 ) wellbeing groups, I besides need to see how well-being is measured for this group. Subjective tools such as a Quality of Life Tool as discussed in activity 5.6 and 5.7 ( K346, Block 2, Unit 5 ) rely to a great extent on kids and immature people holding the cognitive ability to be able to reply the simple inquiries. My chosen group map at a really low degree and utilize augmentative communicating AIDSs such as Picture Exchange Systems ( PECS ) merely to let them to hold a successful twenty-four hours without intensifying anxiousnesss. For this group of people their wellbeing depends on placing schemes to understate their anxiousness, this is a precedence. I would reason that a step of wellbeing for this group is based on the recording of what they have been able to entree and accomplish daily without presentations of disputing behavior. Though I concur with Action for Children s stance that kids s positions need to be listened to in estimating their positions on their ain well-being ( K346, Block 2, Unit 5, Activity 5.4 ) , the profound communicating troubles within this group make immense barriers to enable this. By interceding closely with the parents and other professionals involved in the attention of my identified group we are able to advance their personal well-being through the voices of those closest to them. This was felt to be of import in Annette Koshti-Richman s article Listening to parents and carers of kids with disablements which emphasised the demand for professionals to keep unfastened communicating channels with parents ( K346, Block 2, Unit 9, Activity 9.13 ) . My ain experience has shown me that parent s discovery, or are still happening coming to footings with their kid holding an ASD diagnosing really hard. As described in Unit 9 ( K346, Block 2, Unit 9, p.106 ) parents speak of a sense of loss-of the possible activities, accomplishments and escapades that the kid will non be able to hold .. By keeping communicating channels with parents, and recommending for the kids within the wellness services that can happen their ambitious behaviors hard to pull off ( a barrier to wellbeing ) , the well-being of both the kid and parent/s is promoted through family-centred attention. In unit 7 ( K346, Block 2, Unit 7 ) we looked at resiliency theory based on doing good despite inauspicious fortunes , which focuses on kids s strengths instead than exposures ( K346, Block 2, Unit 7, p.91 ) . Though the parents of my mark group do by and large hold high outlooks for them, the immature people s exposures are overpowering and bound development of resiliency. They have no penetration into how their behavior impacts on others, or if others behaviour is harmful to them. They have no job work outing or life- accomplishments and need motivating from a cardinal grownup at all clip to run into their basic day-to-day life demands. The accent is more around maintaining safe ; but in making so we are restricting their experiences based on their behavior presentation and unwittingly non advancing resiliency. For the parents resiliency is promoted. As this group pass the school-holidays at place the bulk of parents have support from paid carers which provides consistence and supports the parent s well-being. This provides modus operandi for the immature people so advancing their well-being. We can mensurate whether their degree of well-being is maintained through vacation periods by whether parents have to entree the exigency contact for support due to escalation in behavior, or return early to school on an exigency respite footing. To avoid this parents are encouraged to take portion in developing behaviour support programs which can go on over the vacation periods. Returning to Bradshaw and Mayhew ( 2005 ) wellbeing groups how is wellbeing promoted or challenged within my mark group? Physical well-being: in activity 6.11 we looked at the wellness of kids in attention ( K346, Block 2, Unit 6, Activity 6.11 ) . The article by Rodrigues ( 2003 ) indicated that kids in attention have higher physical and mental wellness demands and that local attention services do non run into these demands. Unmet needs encompassed alveolar consonant, GP, and optician. Through service degree understandings we guarantee wellness appraisals are completed six-monthly, our GP visits hebdomadally to help building-up a curative relationship with the immature people helping wellness monitoring and signposting to secondary attention services. Our tooth doctor is a specific larning disablements dentist pro-active in run intoing unwritten wellness demands. An optician visits yearly and is adept at function drama and accommodating trials to single tolerance degrees. I therefore feel we do non hold any unmet wellness demands in a group in attention with complex demands. Due to a profuseness of hazard appraisals and a civilization of continual dynamic hazard appraisals accidents are minor ; hurts tend to happen in staff due to aggressive behaviors. Diets are individualised and height and weight are closely monitored. Due to the stable and monitored environment the immature people are in, disregard and maltreatment is non in grounds. This may be more of a hazard during school vacations when parents have the force per unit areas of caring for the immature individual. Cognitive well-being: through being placed with us cognitive wellbeing has been identified as a concern and documented within statements of educational demands. Through statutory reappraisals this is monitored and governments are happy that they attend school daily. The educational attainment of my mark group is improbable to of all time be that above a three twelvemonth old. Through the Education Act 1996 ( www.legislation.gov.uk ) for those aged 5-16 instruction is mandatory. Due to the low degree of operation of this group it is difficult to show how their cognitive well-being is being addressed via schoolroom activities. The school does integrate a life-skills attack concentrating on bettering self-care accomplishments which will be more good to them in maturity, therefore bettering long-run well-being. Behavioral well-being: within my group entree to drugs, intoxicant and baccy is limited. The immature people are neer entirely within the residential environment or in the community. Their behaviour presentation when dying and therefore disputing creates barriers to overall well-being and may take onto the demand for drug therapy ; when inauspicious side-effects develops this so impacts on well-being. Emotional well-being: in Activity 5.6 ( K346, Block 2, Unit 5 ) we looked at what is of import in stripling s quality of life ; relationships with equals was found to be really of import. Due to my groups really hapless societal accomplishments their relationships tend to be merely with the grownups caring for them. I can happen no research that demonstrates deficiency of equal support for this group is damaging to them, possibly as they lack the penetration to seek it out in the first topographic point. In activity 10.3 ( K346, Block 2, Unit 10 ) we examined psychological emphasis and anxiousness in immature people and how this impacts on wellbeing. Inability to develop accomplishments in deciding jobs and stressors was found to be damaging. My group live in a ageless anxiousness province and can non get by with the slightest alteration. Their emotional well-being is continually undermined through their status. By supplying an environment that is unagitated and familiar and fixing them for alteration we try to equilibrate this facet of well-being, though it is a changeless challenge. In activity 10.6 the nature of kid and adolescent mental wellness jobs ( K346, Block 2, Unit 10 ) the article discussed that those with terrible larning disablements have a high incidence of mental wellness jobs every bit good as their upset. We monitor mental wellness through our service degree understanding with CAMHS. The complex demands of this group mean they receive regular reappraisals. In decision the significance of wellbeing in this group is difficult to specify due to their associated jobs through their diagnosing. Though their well-being is promoted through robust wellness monitoring and run intoing their daily life demands, we can non supply any longer than that as they can non pass on their demands more to the full. They are to the full safeguarded to such an extent that their every move is monitored ; and for this group of immature people I feel this is necessary as to make any other would direct them gyrating as they are unable to get by with the normal challenges of mundane life, and that in itself would be barbarous.