Nobody downloaded yet

Dual Diagnosis - Case Study Example

Comments (0) Cite this document
Summary
Introduction: Substance misuse and addictive behaviour are very common and are regarded as a major public health problem in the United Kingdom. In this critical review, the author, a mental health value stream worker critically reviews the assessment and engagement processes of a client with dual diagnosis…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER95.1% of users find it useful
Dual Diagnosis
Read TextPreview

Extract of sample
"Dual Diagnosis"

Download file to see previous pages This is designed to demonstrate the scientific rationale and clinical efficacy of an assessment tool and the engagement process that would have been used while assessing a client of this kind. The primary diagnosis of this client was paranoid schizophrenia with a subsequent secondary diagnosis of a substance-related disorder, drugs and alcohol dependence.
The patient has been with Early Intervention Services since July 2007. The client has a recent exacerbation of symptoms with deterioration of mental health, and the paranoiac component of schizophrenia has increased recently in that he developed evident persecutory delusions. He believes neighbours are tracing him with electronic devices. He was verbally abusive and threatening to the attending community team, and the mother reported threatening behaviour. He had also assaulted mother in the recent past. He is on psychotropic medications, and despite being on those, he continues to abuse illicit drugs and alcohol.

Clients with a dual diagnosis are difficult to assess because they are not a homogenous group. In addition, these clients often are poor historians and are noncompliant during the assessment process (O'Connell DF, 1998). Individuals with dual diagnosis often have complex and multiple needs that are difficult to assess in a comprehensive manner. The key process is engaging with the client that can lead to a successful interview to extract information from the client. This interview process also would need to be a medium of developing a therapeutic relationship with the client. When this interviewer approaches the client, the client may appear isolated and lost in thought. This interviewer needs to introduce him/herself and explain the reasons of the interview to the client. The lack of knowledge and skills in assessing mental health or taking a drug and alcohol history and exploring the attitude towards substance misuse is difficult. Often during the first encounter, the client would not respond. The assessor must ensure that the place of interview is private, secluded from outside, and ascertain that all the client's conversations remain confidential. With this, most of the clients would ease a little bit, opening up would demand more.
During this process, it is important to face the patient with an open mind taking care to exclude social prejudice, negative attitudes, and stereotyped perceptions about the substance misusers. When the patient needs utmost care, these factors in the mental health workers may lead to inappropriate assessment and consequently inadequate care, and the patients may end up receiving minimal care. Due to the basic mental condition and social stigma associated with substance abuse, the patients would normally be very reluctant to answer questions. Most clients would verbalize after the initial screening period is over, provided the assessor persists to develop an empathic attitude. When the client starts verbalizing, this opportunity needs to be taken to facilitate both verbal and nonverbal communication, taking care to ensure empathic statements. During the conversation, the content must be summarized and recapitulated frequently, gradually advancing from points of dissent to negotiation. As things would start falling in place, the nature of questions needs to be changed from open to closed questions. The interviewer must remain guarded in terms of normalizing statements, making premature reassurance, false reassurance, switching topics, and asking leading questions.
In his psychiatric history, his presenting complaint was that neighbours are following him with electronic gadgets, and his mother is ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 words”, n.d.)
Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 words. Retrieved from https://studentshare.org/health-sciences-medicine/1509729-dual-diagnosis
(Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 Words)
Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 Words. https://studentshare.org/health-sciences-medicine/1509729-dual-diagnosis.
“Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 Words”, n.d. https://studentshare.org/health-sciences-medicine/1509729-dual-diagnosis.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document
CHECK THESE SAMPLES - THEY ALSO FIT YOUR TOPIC
Treatment plan for Paranoid- type Schizophrenia
The research gives detailed information about promoting the safety of the client and others, management of medications and side effects. This essay is also being carried out discuss establishing a therapeutic relationship, coping with alterations in thought process and promoting adequate nutrition and proper hygiene.
6 Pages(1500 words)Case Study
Assessment/diagnosis/theory
Betsy is an Army veteran after having spent time in the Middle East as a supply technician. She states that this was difficult for her because she was afraid for her life. She married man she felt could protect her there, but he turned out to be very abusive and he also abused drugs.
17 Pages(4250 words)Case Study
Nursing Care of People with Substance Related Disorder and Dual Diagnosis
He was married to Fiona with whom they have a child named Liam but now they are divorced, with Fiona taking custody of their child. Currently, he is a client of Alcohol and Drug services. Joe has a drinking problem that has developed gradually over years.
6 Pages(1500 words)Case Study
Behavioural integrated treatment
The author states that a fundamental problem is a lack of clear operational definitions of “dual diagnosis”. In many areas a significant proportion of people with severe mental health problems misuse substances, whether as “selfmedication”, episodically or continuously. Many people suffer from a common mental health problem such as depression or anxiety.
11 Pages(2750 words)Case Study
Diagnosis and the Treatment Planning
His disease is inadequately controlled and is manifested by alcohol intake and delusions. For schizophrenia, an approach of psychoanalytic psychotherapy would be the best which can be incorporated into the need-adapted approach of therapy. A psychodynamic understanding of this patient's situation is imperative.
2 Pages(500 words)Case Study
Addiction problems
This was treated surgically on 2 December 2009. She died of a pulmonary embolism following a deep vein thrombosis on 10 December 2009.One scenario is that the nurse could be sued for the fractured neck of the patient's femur.
6 Pages(1500 words)Case Study
Diagnosis and Treatment Planning
He has a beautiful, trusting, and responsible wife, two daughters, and parents, both of whom are elderly and unwell. As the father, he is loved by his daughters. Not that his wide does not love him or vice versa. Somewhere within this opulence and business of success and professional excellence, which seemingly appear so full and content, he senses gap and keeps coming to a nearby psychiatrist, where he fails to communicate.
5 Pages(1250 words)Case Study
Diagnosis
The picture is consistent with microcytic hypochromic anaemia. There is an associated inflammatory component of the disease suggested by leukocytosis. Since there is normal platelet count, one can freely rule out bone marrow inflammation. 2. In this setting, small-bowel involvement may lead to malabosrption.
3 Pages(750 words)Case Study
Alcoholism Case Study
It is considered the “third leading preventable cause of death in the United States and is associated with multiple adverse health consequences, including liver cirrhosis, various cancers, unintentional injuries, and
3 Pages(750 words)Case Study
Complexity of dual diagnosis treatment
Complex needs are defined as needs affecting more than one perspective of a human life: physical, mental, social or financial. People with mental co-morbidities are usually included in this category. (All Party Parliamentary Group, 2013) 2) Complex
4 Pages(1000 words)Case Study
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Let us find you another Case Study on topic Dual Diagnosis for FREE!
Contact us:
+16312120006
Contact Us Now
FREE Mobile Apps:
  • About StudentShare
  • Testimonials
  • FAQ
  • Blog
  • Free Essays
  • New Essays
  • Essays
  • Miscellaneous
  • The Newest Essay Topics
  • Index samples by all dates
Join us:
Contact Us