Mental Health Case Study

This assignment will provide evidence and knowledge of understanding the concept of care based on a service user who has a mental health need and had potential of further deterioration. In order to maintain confidentiality pseudonym has been used throughout this essay to comply with the Data Protection Act 1998 (last modified date June 2011) and the NMC code of confidentiality (2015). In this essay I have named the service user as Polo.

Polo is a 39 year old gentleman from Indian origin with a diagnosis of Severe Depression with Psychosis. He was referred to the Crisis Team by concerns raised from his GP as he presented as depressed with psychotic symptoms and significant functional impairment. He had recently been diagnosed with Hepatitis

MSE is an important part of the clinical assessment process in psychiatric practice. It is a systematic appraisal under the domain of the appearance, behaviour, Speech, Thought process, thought content, perception, cognition, biological symptom, insight, mental functioning and overall demeanour of a person. This framework will provide me with a comprehensive background on the patient's medical or psychological condition. Mental state examination is fundamental in determining a person’s capacity of functioning and follows by a risk assessment such as suicidal or homicidal ideation, harm to self or to others (Baker RW 1993). The assessment and management of risk of a mentally ill patient is an extremely important part of psychiatric practice. It is the determination of the possibility of danger in relation to a given situation or threat. However, according to the ‘KLORA guidelines’, risk assessments should not be focused simply on keeping residents safe at all costs; they should be person-centred and promote independence, choice and autonomy. It is integral to providing safe and effective care and should be reviewed regularly during consultations and also making decisions on transition between services. (Social care service

He attended school up to secondary school and then joined University and did BA in Commerce. He described himself as average student and came to UK via student visa for further studies. He married his wife 8 years ago and have two daughters aged 5 and 6 who were both born in south India. The family moved to the UK 4 years ago and have no other family in the UK except from a friend.

Past Psychiatric History

Polo was first introduced to mental health services the day after his father's death, June 10th 2015, as he was in denial of the death and was expressing suicidal ideation to join his father in the afterlife. As a result of his psychosocial issues and presentation it has been decided that a period of assessment in a psychiatric inpatient unit would be beneficial during this period of time. At that time he had declined admission by demonstrating capacity of his decision and insight of his illness preferred to be treated in the Community Health Team which he had failed to engage with the service. Due to noncompliance of his medication and relapsed in his mental health he was admitted informally in the mental hospital for a period of five weeks then he was discharged under the care of his GP and also a follow up by his local CMHT (Community Mental Health