David

1
David

• 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?

2
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

3
Professionals involved

• General Practitioner
• General Nurse
• Occupational Therapist
• Mental Health nurse / CPN
• Psychologist/ Psychiatrist
• Podiatrist
• Social Worker
• Voluntary agencies

4
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.

5
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

6
This presentation was completed byJulia Miles
student MH nurseAnne Lane student OTSharon
Harris student OTHannah Blaney student
OTMichele Jones student OT