Dave Case Study - Mental Heath Act 2014 - Truck Driver - High Low Moods - Mental Health Assessment Answer

Dave Case Study - Mental Heath Act 2014 - High Low Moods - Mental Health Assessment Answer

Assessment Task:

Dave Case Study

You work for a non-government organisation, and your job is to provide support, advice and advocacy for people subject to involuntary treatment under the Mental Health Act 2014. You are a very experienced social worker, and you get a phone call from Dave, who is a 35-year-old truck driver. He has been detained in the inpatient ward of a suburban hospital on a Temporary Treatment Order for 14 days. He was pulled over while speeding, in his truck, and the police brought him to hospital. 

He has made an application to the Tribunal to have this Order overturned, and in response, his psychiatrist has applied for an Inpatient Treatment Order of six months duration. His psychiatrist has diagnosed him with bipolar type I – a mental illness characterised by extreme high moods and extremely low moods. 

Dave wants to leave the hospital, and keep driving his truck. He tells you that he loves driving his truck, sometimes four or five days without sleep, helped by trucker’s pills and thrash metal. Other times, he can’t work for months – can’t even get out of bed, but as a freelance truck driver, with no family, that isn’t a problem for him. He tells you that sometimes when he can’t calm down he might smoke some dope, just to chill out. Other times, when you don’t seem to have any energy, he might smoke some ice to get himself moving for the day. 

Dave was pulled over on a remote Victorian highway, driving 120 in a 110 zone. The police were very aggressive, and in response, he pushed one of them away. They brought him to the inpatient unit, where he is being injected with medication as he refuses to take oral medication the doctors have prescribed. If he is found not to have a mental illness, he is likely to be charged for assaulting a police officer.

Dave is getting very frustrated at being on the ward, and in the last day or two has become quite aggressive to staff. He has no prior police record for violence, but the staff are regularly putting him in seclusion until he calms down – although this doesn’t always seem to work. Dave has made some friends on the ward, who does seem to calm him down – a young woman in particular who he is spending a lot of time with. He complains to you that the staff won’t leave them alone together and that he isn’t allowed to go into her room. 

You speak to the social worker on the ward, who says he uses a recovery framework. Dave asks you what this is – he says he doesn’t have anything to recover from. You ask for a copy of the assessments that the clinical team have done, and Dave asks you to explain them to him.

When you acknowledge Dave’s frustration with the system, he asks you what you’re doing to fix it.

Question

• What theories do you draw on when thinking about Dave’s situation?
• What do you tell Dave in response to his questions and why do you respond this way?

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