Introduction and context
Luke is a 19 year old man who was brought in to the Department of Emergency Medicine (DEM) in protective custody under an assessment order and an interment treatment order to an acute mental health facility with a diagnosis of drug induced psychosis and querying schizophrenia.
Luke comes from a low socioeconomic background and is currently receiving youth allowance payments. Luke is a smoker with a history of illicit drug use and alcohol abuse. Luke has recently moved back to Tasmania after living in Queensland for the past nine months, and is now currently homeless.
Schizophrenia is one of the more sever mental illnesses, characterised by a major disturbance in thought, cognition, perception and psychosocial functioning …show more content…
Declaration to be medication non compliant once discharged.
Auditory and visual hallucinations.
Risk of injury and violence to family/ public.
Risk of relapse due to alcohol and drug abuse.
Poor nutrition.
Social isolation/ family conflicts.
Side effects of medications, increased drowsiness and sedation.
Luke has limited to no insight in to the severity of his condition and his need for continuous treatment. While Luke continues to be compliant with medication as an inpatient, he continues to tell nursing staff that he will not comply with a medication regime once he has been discharged. Non adherence to a medication regime can have particularly negative effects on clients suffering from schizophrenia and psychosis, leading to a higher likelihood of representing to mental health services (Morken, Widen & Grawe 2009).
Diagnostically Statistical Manual (DSM 1V -tr)
Axis 1: Drug induced psychosis, Schizophrenia, Excessive THC use
Axis 2: Cluster A traits
Axis 3: Nil medical conditions
Axis 4: Homeless, unemployed, multiple family conflicts
Axis 5: Global assessment of functioning score 26
Collaborative Plan and …show more content…
Providing Luke with a case manager will also allow him to receive the psychosocial support they offer, such as counselling and social support. Case managers are responsible for the on going mental health assessment and risk assessment of their client, allowing them to identify if their client may need to be readmitted to inpatient mental health services for their own safety (DHHS 2008). As Luke openly states that he is not willing to be compliant with medication once is the community it is essential that he has a case manager assigned that is able to keep a level of supervision on his medication
Luke is a 19 year old man who was brought in to the Department of Emergency Medicine (DEM) in protective custody under an assessment order and an interment treatment order to an acute mental health facility with a diagnosis of drug induced psychosis and querying schizophrenia.
Luke comes from a low socioeconomic background and is currently receiving youth allowance payments. Luke is a smoker with a history of illicit drug use and alcohol abuse. Luke has recently moved back to Tasmania after living in Queensland for the past nine months, and is now currently homeless.
Schizophrenia is one of the more sever mental illnesses, characterised by a major disturbance in thought, cognition, perception and psychosocial functioning …show more content…
Declaration to be medication non compliant once discharged.
Auditory and visual hallucinations.
Risk of injury and violence to family/ public.
Risk of relapse due to alcohol and drug abuse.
Poor nutrition.
Social isolation/ family conflicts.
Side effects of medications, increased drowsiness and sedation.
Luke has limited to no insight in to the severity of his condition and his need for continuous treatment. While Luke continues to be compliant with medication as an inpatient, he continues to tell nursing staff that he will not comply with a medication regime once he has been discharged. Non adherence to a medication regime can have particularly negative effects on clients suffering from schizophrenia and psychosis, leading to a higher likelihood of representing to mental health services (Morken, Widen & Grawe 2009).
Diagnostically Statistical Manual (DSM 1V -tr)
Axis 1: Drug induced psychosis, Schizophrenia, Excessive THC use
Axis 2: Cluster A traits
Axis 3: Nil medical conditions
Axis 4: Homeless, unemployed, multiple family conflicts
Axis 5: Global assessment of functioning score 26
Collaborative Plan and …show more content…
Providing Luke with a case manager will also allow him to receive the psychosocial support they offer, such as counselling and social support. Case managers are responsible for the on going mental health assessment and risk assessment of their client, allowing them to identify if their client may need to be readmitted to inpatient mental health services for their own safety (DHHS 2008). As Luke openly states that he is not willing to be compliant with medication once is the community it is essential that he has a case manager assigned that is able to keep a level of supervision on his medication