Holistic Approach to Mental Health Care: Treating Patient A Disorder Case Study

Holistic Approach to Mental Health Care: Treating Patient A Disorder

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Introduction: Holistic Approach to Mental Health Care: Treating Patient A Disorder

Start with an introductory paragraph

The following essay report is intended to address the provided case study of patient A who is a 40-year-old male and diagnosed with thought disorders as well as auditory command hallucinations. The essay is based on presenting formulations towards the identified service users such as Patient A while demonstrating his mental health issues along with biological, psychological and social interventions. This is followed by addressing risk management and multi professional collaboration to provide person centred planning and care processes for the patient and providing an analytical account towards the effectiveness of the care process. Besides, it is also intended to address legal and ethical issues in regards to the policies and guidelines for meeting required patients in care approach.

Introducing the client and state that the issues of confidentiality and consent are addressed

While introducing patient A, it can be stated that he was born and grew up in London and he started his support of services in 2006 when he was 14 years old. His and details are kept hidden under the guidance of "Privacy and the Right to Information Act 2005" with the aim of managing ethical obligations and maintaining confidentiality regarding their details (Ncbi.nlm.nih.gov, 2023a). Besides, it is also kept confidential as the patient was not ready to reveal his identity. The concept of support services refers to the functions within the hospital premises which is mostly done by doctors and nurses while providing care facilities for the patients (Bozdemir and Aygin, 2021). While his mother has the medical history of schizophrenia, the patient has been continuing the role of care providers for his mother since the age 14 and this has affected him by interfering with his thoughts and resulted in mind games.

Discussion

Criteria 1

Use the information from the client assessment to summarise the factors which have led to the client’s current episode of involvement with the service

The individual formation is aimed to address changes in mental health states of the identified patients while shedding light on the roles, values as well as the purposes of the formulation in the clinical field (Cox, 2020). For the identified patient, the biopsychosocial model is implied with the aim of addressing biological, psychological as well as social factors and their complex interaction in case of understanding the patient's health illness and the overall healthcare delivery (Saxena et al. 2022). While provided case study does not specify patient A's biological heath, but as it was observed his condition of being carer since the age of 14 and continuously working, he did not receive proper rest. It resulted in patient A constantly sleeping in his class and making very less money that addressed his condition of malnourishment and not being able to afford a healthy and balanced diet. In addition, sleep deprivation is linked with other chronic health issues in the form of heart disease, problems with kidney function, high blood pressure as well as diabetes, obesity and depression (Nhlbi.nih.gov, 2023). Besides, sleep deprivation is considered a significant reason that leads to the hallucinations as well as delusions and paranoia which are crucial symptoms of Schizophrenia (Tong et al. 2022). In addition, schizophrenia is also considered to have occurred due to genetic influence and the gene C4 impact on harbouring this disease (Pachi et al. 2022). While patient A already has the family history of Schizophrenia and reported to have experiencing hallucinations and paranoid ideation, this situation could lead him to be affected by the disease.

On the other hand, addressing the patient’s psychological health conditions, the patient is showing constant aggression as well as hallucinating things and on the basis of that he has a history of attacking a police officer. While he is dealing with being care providers of schizophrenia patients for a long time, the prolonged symptoms of anxiety alongside paranoia and hallucination are linked with depression regardless of the stage of progression of the disease (Pan et al. 2022). While the patient is on a slow-release form of medication by using depot injection, it mostly includes antipsychotic drugs for maintaining his treatment. In addition, he is also facing issues in the form of managing his moods alongside aggressive behaviour boiled dealing with people and that impacts on his psychological well-being.

Apart from that, while addressing social conditions, the patient is currently facing with homelessness and has the record of frequently changing his locations while managing a secure and safe accommodation. Besides, he is single right now without any offspring and currently living with his mother as her career alongside having very few friends.

Discuss the factors which have caused the client’s current episode of mental health problems. Demonstrate how these interrelate

While addressing his aggressive outburst and hallucination, it can be that factors such as stress, family problems and financial issues are significant factors that trigger anger (Shevidi et al. 2023). In addition, "intermittent explosive disorder'' also impacts patients with impulsive thoughts and triggering aggression (Ciesinski et al. 2022). Both of these conditions are interrelated with paranoid schizophrenia and are capable of showing in acute and chronic phases of mental health issues. This factor is shown in patients while increasing tendency towards his violent behaviour which is known to be associated with schizophrenia and is capable of committing violent or aggressive acts (Shevidi et al. 2023), similarly patient a has done by attacking patients for his thought of changing faces.

Criteria 2

Focus on current interventions in relation to needs identified in the formulation

The patient is currently involved under MHA while associated with CMHT schemes with his mother that covers cashless health protection for the family. Besides, the community mental health team is there to support the patients while recovering from his identified held issues by providing long term care and treatment in the community (Abrams and Duggan, 2022). The patient who is eligible for acclaiming this scheme is suspected of establishing symptoms to showcase the sign for mental disorders and shows severe complexity due to lack of treatment (Hawton et al. 2022). Patient A is eligible for this scheme and that of the community team.

Address biological interventions for physical health and mental health medication and symptom management

While meditation plays a crucial role in terms of treating mental health disorder and conditions the use of psychotherapy as well as brain stimulation therapy are equally impactful (Nimh.nih.gov, 2023). However, therapies have high side effects in comparison to the medicine and thus it is used for developing treatment plans for the patients. The use of anti-depressions such as "selective serotonin reuptake inhibitors along with norepinephrine dopamine reuptake inhibitors" along with anti-anxiety medications to improve symptoms related to the depression and anxiety alongside behaviour issues. While these medications take time of about 4-8 weeks to work, it also helps with sleep privation appetite as well as energy and concentration while improving mood and behaviour (Deng et al. 2022). This medication can be used in depot form for the identified patient while treating physical health.

• Address social interventions: Related to the client’s current social circumstances and occupational and vocational need

While addressing social intervention for patient A, the patient is admitted in PICU as emergency detainment under the section 4 "mental health act (MHA)" due to having mental disorder and confirmatory admission for a second opinion to reduce the chance of undesirable delay (Mentalhealthlaw.co.uk, 2023). While being in the support service system, the patient was admitted in LEO for early intervention to treat his paranoid ideation and aggressive behaviour alongside was discharged later under the care administration of COAST team for his primary diagnosis of acute and transient psychotic disorders and unspecified. The "crisis outreach and support team (Coast)" helps patients with the service to reduce the impact of crisis in regards to mental health issues and addiction (Scie.org.uk, 2023). This team works in a multidisciplinary system while involving care providers for the improvement of the user's conditions.

Address psychological interventions (CBT)

The use of CBT or “cognitive behaviour therapy” is effective for psychological intervention for patients as it is a time sensitive structure and present oriented therapy to solve the patient's current issues (Hertenstein et al. 2022) such as thought disorders, hallucinations and aggressive out to modify his thinking and behaviour.

Risk management

The primary risk for the patient refers to developing depression alongside schizophrenia along with the development of chronic disease without the continuation of medication and treatment (Karyotaki et al. 2022). He was discharged with Olanzapine 10 mg at night which is an important drug to prevent the symptoms of schizophrenia and reduce aggressiveness and unusual thinking (Reinholt et al. 2022). This can be managed by providing him with a balanced and healthy diet alongside increasing his physical activity and regulations of treatment procedure.

Criteria 3

Revisit the identified goals and present the evidence which demonstrates whether or not these have been met

The overall process is done by using "Care program approach (CPA)" and it relies on the planning, reviewing and coordinating the overall treatment and care process to deal with mental health issues (Isaac-Momoh et al. 2022) While the identified goal relies on the providence of proper treatment plan for the patient A along with improvement of his overall diet and medication by involving multidisciplinary team, he is prone to change his places which disrupts his depot medication. This indicates the use of community care intervention for his treatment and medication. However, there are severe factors such as fear and shame along with lack of inside and limited awareness as well as hopelessness and unavailability of continuing treatment impact on the unmet needs for patients (Mills et al. 2022). Besides lacking community awareness and high levels of poverty and social deprivation (Briggs, 2022) is liable for patient A which refers to his unmet needs of treatment and thus him facing aggressive outburst and paranoia.

Include the evidence presented by the client, their careers and the members of the team

For the identified patient’s care plans, the involvement of the PICU team along with coordinating with COAST and community mental health teams (CMHT) under the guidance of MHA were implied to involve the use of a multidisciplinary team to reduce the impact of issues for the patient and reviewing the effectiveness. It also helped the patient to get a second opinion while putting his case under the supervision of MHA and managing his discharge.

Criteria 4

Discuss any legal and ethical issues involved in working with the client

The patient was charged with assaulting a police officer and hallucinating and in present time, due to homelessness, he is required to access safe and secure accommodation to meet his care requirements and continuation of medication. As per MHA 2017, it includes right for the patient to access treatment and illness along with the right for addressing the reasons for unsoundness of mind in favour of receiving treatment (Ncbi.nlm.nih.gov, 2023c). While the patient has multiple admission under the guidance of MHA, due to his frequent changes of accommodation, he is considered non-adherent to the depot medication to treat his "auditory command hallucinations and thought disorders" (McCarrick, 2022). Under the MHA 2017, the liabilities towards the patients refers to the maintenance of basic records of the patients along with their psychological assessments that helps with nominated representation of patients to decide their care aspects (Ncbi.nlm.nih.gov, 2023b).

However, the ethical issues in terms of treating patients with mental health illness refers to the improper management of morality and desirability of behaviour while treating patients. This also includes the implementation of medical ethics that are considered essentials (however not desirable for the patients) requirements to the patient on the basis that the physician is mandated to act (Woodhead et al. 2022). While the treatment of patient a requires him to maintain his treatment with depot injection from similar places, he changes it frequently impacting the doses and continuations of intervention that affects his treatment progress. This also includes identifying patient and physician relationships on the basis of moral and ethical sanctity of confidentiality. Where patient A's and details are kept confidential, his medical records were used without his consent for further treatment plan and his best interest for treatment. 

Summarise any areas of unmet need and plans

While the patient is constantly running to secure a safe accommodation alongside adhering to depot meditation, the patient is required to continue his treatment under the guidance of medical officers and caregivers (Hudson, 2022). The role of these officers and caregivers is important on the basis of the inpatient observation while providing treatment for patients with charges (Spurrell et al. 2023). This address identifies patients and meets the needs of proper resources to continue the treatment and addresses proper documentation that is associated with the involvement of officers and careers in the treatment plan.

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Conclusion

In terms of concluding the overall context on the basis of a given case study of patient A, it can be stated that the context is successfully discussing the issues with identified patients and his treatment plan that is continuing or due in terms of treating the identified disorders. This is followed by discussion of the implementation of a biopsychosocial model for addressing biological psychological and social factors of the patient's conditions and meeting their interventions while maintaining the treatment process. The following context has successfully addressed the identified intervention alongside managing identified risk to understand the goals of treatment for the patient and providing evidence on the basis of care give us and the members of a multi-disciplinary team.

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