Case Scenario:
Application of understanding of mental health systems in a recovery-oriented model to a contemporary case:
Purpose: On successful completion of the course, the students are expected to be able to:
Knowledge
K1. Demonstrate an advanced understanding of the national recovery-oriented framework for the provision of mental health services and the recovery principles that support recovery-oriented mental health practice
K2. Demonstrate advanced professional knowledge of mental health promotion, prevention, and early intervention strategies and methods as a critical aspect of the current mental health system.
K3. Demonstrate an advanced understanding of the theoretical, legal and ethical frameworks for mental health practice;
Skills
S1. Utilise advanced critical reflection skills to enhance clinical practice in mental health.
S2. Initiate, plan and implement approaches which support the rights of people with mental health issues and their carers to access and participate in their care and recovery;
Application of knowledge and skills
A1. Interrogates the concepts of risk and safety from the basis of person-centred care considering social protection, legal, moral and ethical principles to balance risk in recovery
A2. Critically appraises the nature and extent of influences (social, political, economic, and organisational) to address constraints in negotiating nursing care options.
A3. Develops and maintains partnerships in care with consumers and their families/carers which focuses on the person, their right to choose and self-determination, and their inherent capacity for recovery
Graduate Attributes:
Students will be equipped with advanced-level knowledge in recovery-oriented care, which influences the provision of mental health nursing care from both clinician and consumer and the skills, motivation, and confidence to engage in continuous learning to meet the personal, professional practice challenges of an ever-changing world.
Resources: Modules 1-9 and resources provided in the modules. Independent research and critical analysis of relevant peer-reviewed articles are also essential.
Case study Myles (Adapted from the American Psychiatric Association, 2016)
Myles, a 20-year-old man, brought to the emergency room by the college police of the college he had been suspended several months ago. A professor had called and reported that Myles had walked into his classroom, accused him of taking his tuition money and refused to leave. Although Myles had much academic success as a teenager, his behaviour became increasingly odd during the past year. He quit seeing his friends and no longer seemed to care about his appearance or social pursuits. He began wearing the same clothes each day and seldom bathed. He lived with several family members but rarely spoke to any of them. When he did talk to them, he said he had found clues that his college was just a front for an organised crime operation. He had been suspended from college because of missing many classes. His sister said that she had often seen him mumbling quietly to himself, and at times he seemed to be talking to people who were not there. He would emerge from his room and ask his family to be quiet even when they were not making any noise.
Myles began talking about organised crime so often that his father and sister brought him to the emergency room. Myles was found to be a poorly groomed young man who seemed inattentive and preoccupied on the exam there. His family said that they had never known him to use drugs or alcohol, and his drug screening results were negative. He did not want to eat the meal offered by the hospital staff and voiced concern that they might be trying to hide drugs in his food.
His father and sister told the staff that Myles’ great-grandmother had had a severe illness and had lived for 30 years in a state hospital, which they believed was a mental hospital. Myles’ mother left the family when Myles was very young. She has been out of touch with them, and they thought she might have been treated for mental health problems.
- Myles agreed to sign himself into the psychiatric unit for treatment; you are the admitting nurse: Prepare initial assessments
- Initiate and update Myle’s recovery plan including the discharge plan
- Myles is now refusing medications too, found him listening to voices, no sleep at night, paranoid, minimal food and fluid intake. Treating team is discussing the option of ECT. What are the necessary steps you would take to ensure recovery-oriented person-centred care for Myles