Abstract

Casework Approach in Psycho-Social Rehabilitation of Person with Bipolar Affective Disorder

Author(s): Guddo*, Tripathi S

Objectives: The concern of mental health is affecting the psychosocial well-being of the people worldwide. Its impact can be seen on every age group, gender, and country. Mostly, the biological and social factors trigger mental health issues among individuals. Similarly, the psychiatric disorder like bipolar affective disorder, which is a multifactorial disorder causing of severe episodes of mood disorders, including depression and mania. It also triggers physiological changes and functional impairment among the patients. Mostly, the onset of the bipolar affective disorder is observed higher during late adolescence age, but sometimes it appears in children as well. Therefore, the impact of bipolar affective disorder along with physical and emotional changes during adolescent age produces worse health outcomes. Though the symptoms of bipolar affective disorder may differ over time, but lifelong recovery and treatment management become critical task for the individual. Therefore, the closed supervision and better quality of life of the person with bipolar disorder can be ensured by family members along with other available support systems. In the present study the casework approach was used to investigate and understand the various aspects of client’s demography, psychological wellbeing, social environment, and genetic risk factors. This study tried to address the on-going concerns and prioritize the short-term and long term intervention plans for the overall recovery of the client. It includes various psycho-social intervention like activity scheduling, anger management techniques, psycho-education, occupational counselling, supportive therapy with family and vocational rehabilitation for the client during her hospitalization. The outcomes of the intervention were satisfactory and acknowledged by the client and family members. Apart from the individual factors, the demand of complex societal system, competitive environment, technological advancement and service driven economies act as push factor causing poor mental health outcomes among peoples. Therefore, the availability of adequate healthcare facility, including mental health professionals and physical infrastructure, can manage the increasing demand of the people.

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