27 years old Alcohol abuse Lack of sleep Poor diet Poor general health, and feet. Low self esteem Rough sleeper Vulnerable to crime, drugs alcohol and high risk of serious illness and premature death. Dual diagnosis schizophrenia and alcoholism? David
What happens next • Building a relationship • Treat as an individual • Important to build a rapport • Client centred approach • Client led goals • Does David want to change • Spend time to allow David to make informed choices • Forming strategies
Professionals involved • General Practitioner • General Nurse • Occupational Therapist • Mental Health nurse / CPN • Psychologist/ Psychiatrist • Podiatrist • Social Worker • Voluntary agencies
Legislation • Implement MHA 1983 if necessary for treatment • Section 4, section 2, section 5, place of safety section 136, section 7 guardianship (ASW) www.hyperguide.co.uk/mha/s4.htm • Key worker assigned following care program approach.
Overview • Goals • Short – To obtain past medical history to enable health professionals to move forward with his care. • Medium – To improve his physical and mental health, give him access to food, clothes and warmth. • Long – Look at and provide accommodation to endeavour keep David off the streets
This presentation was completed byJulia Miles student MH nurseAnne Lane student OTSharon Harris student OTHannah Blaney student OTMichele Jones student OT