Adult Mental Health Services Patient Shuan Williams Identifies as Indigenous Male Case Study Medical Science Assignment Help

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Patient: Shuan Williams – Identifies as Indigenous male

D.O.B.: 01.07.1995 History: Wt. 74kg and Ht. 176cm Smokes cannabis daily which he started smoking at the age of 12 years. He has used ICE and MDMA. Significant alcohol consumption – rum and beer daily. Trauma history of being physically abused by his father as a child and witnessing domestic violence between his parents. Left school at the age of 14 – had numerous suspensions for aggression and truancy, and was academically challenged. MHC303: Assessment 1 Part B Updated Case Scenario 1: SHAUN WILLIAMS 2 IQ testing at primary school noted mild intellectual impairment. Previous incarceration for assault and stealing. History of drug induced psychosis and had been prescribed Olanzapine (Zyprexa) 10mg per day, but is non-compliant. Previous admissions under the Mental Health Act Disengages from case management for follow up. Family history of mental health conditions - ? Brother committed suicide at the age of 25 – Hx of PTSD secondary to a history of sexual abuse, and had a greater than 10 year history of illicit substance use

Father – schizophrenia secondary to illicit substance misuse

 Sister – depression Social Situation: Shaun is in a defacto relationship with his partner Vicki and they have 2 children – Brodie aged 6 and Tahlia aged 5 years. Shaun lives in a rural town in South-East Queensland. He is currently unemployed and receives Centrelink support. He lives in rented accommodation. Shaun’s extended family live in the same town and they have frequent contact. MHC303_Assessment 1 Part B_ Updated Case Scenario 1 – Shaun Williams 3 Current Situation: Shaun has been transferred, under the Qld. Public Health Act – Emergency Examination Authority, from the rural town where he resides, to the regional authorized facility for containment and further medical assessment, with the view to request a mental health assessment.

He was transported by the police following a significant disturbance at the family home where he was witnessed to be displaying verbal and physical aggression to his family, and appeared to be experiencing psychotic features possibly precipitated by illicit substance use. He presented as being a high risk of harm to self and others, including voicing to police that he wanted to kill himself after the police had restrained him for his own safety. Upon arrival to the emergency department he remains unsettled with both verbal and physical aggression, thus requiring a security guard to be present while you engage him to conduct MSE and Risk Assessment.

 

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