Wellness self-management and mutual aid.

Carefully review the required readings for this week on wellness self-management and mutual aid. Write a 500 word forum post with a three point wellness self-management plan for Mr. Jones that includes mutual aid as it relates to interventions for people with SMI. Textbook Reading Assignment Module 5 Drake, R. E., Merrens, M.R., & Lynde, D.W. (2005). Evidence-based mental health practice: A textbook. New York: W.W. Norton. Chapter 17. Miller, R., & Mason, S.E. (2002). Diagnosis schizophrenia, pp. 95-103, Coping with Positive and Negative Symptoms, (chapter 10), pp. 104-113, Coping with Other Symptoms and Side Effects, (chapter 11). Evidence based pharmacologic treatment for people with severe mental illness: A focus on guidelines and Algorithms IM INCLUDING MR JONES CASE SO THE WRITER CAN KNOW WHO IS MR JONES Case Study: “Joe” General history Thirty-two year old white Roman Catholic male. Born in New Jersey; oldest of three children, two younger sisters. Two step-sisters and one step-brother from father’s remarriage. Natural mother abandoned family when patient was four years old. Father remarried; stepmother and he did Joe didn’t get along well. Joe reports that she pushed him down the stairs, hit him with a knife, and would tie him to the bedpost for hours when he misbehaved. Patient lived with father until he was about sixteen years old and began running away. Patient searched for his natural mother, found her in California, lived with her for a period of time. Mother died in 1975 of alcohol and drug addiction (as reported by step-mother). Patient tried to help his mother but became involved in using alcohol and drugs with his mother. (Patient abused substances prior to reuniting with mother). Patient states he never did well in school and was simply passed along from grade to grade. He dropped out in the ninth grade. Patient has had various jobs over the years, generally menial and short-term. Patient was married at age twenty-one and has an eight year-old daughter. He and his wife have been separated for seven years at his wife’s request due to patient’s drug problems and abuse of his wife. Patient’s estranged wife and daughter continue to live in California. Patient has experienced homelessness and traveled around the country due to what he describes as “paranoia” fears; that after considering that some people might be after him, it became generalized that everyone was out to harm him. Patient describes himself as “living on the street” for approximately five years and hitchhiking from place to place; at times he has indicated that he saw another homeless man murdered (set on fire) by a group of kids. He himself was attacked once and fell, hit his head, and was knocked unconscious.

Patient has history of arrests and incarcerations, some which are drug related. History of mental illness Patient stated at separate times: 1) that his mental illness began in his teens, and 2) that it began in his late twenties and was precipitated by drug abuse. Patient has been hospitalized six times within the last five years. Paranoia and the interaction effects of substance abuse have precipitated each of these hospitalizations. At times patient has been considered dangerous to himself and others, and has made two suicide attempts; and he has had paranoid thoughts that he must kill others to protect himself from their potentially killing him. Preceding his last hospitalization patient was aggressive and inappropriate and needed restraints when hospitalized. Diagnosis: Schizophrenia, chronic paranoid 295.30 Alcohol Dependence 303.90 Cannabis Abuse in remission 305.20 Hallucinogen Abuse (LSD) in remission 305.30 Substance abuse history Patient states that he was prescribed Tranxene for relief of acute anxiety. This prescription was renewed for eight years from the time patient was eighteen to twenty-six years old. Patient stated that he was detoxified from the drug in a Drug Rehabilitation Center. Other treatments include two two-week long rehabilitation programs. Patient began drinking alcohol at fifteen years old and began smoking marijuana at seventeen years old. Patient has a history of multi-drug abuse. Patient reports that he is unable to have just one drink. When he drinks he consumes very large quantities of alcohol. Other pertinent information Patient has a history of elopement from treatment and non-compliance with medications. Patient’s last hospitalization was one and one-half to two years. During his hospitalization there may have been some continued substance abuse. However, during the last six months of the patient’s hospitalization it was thought that the patient was abstinent, and that his abstinence was motivated by wanting to be discharged and live in the community. Present situation At the time of readiness for discharge from the hospital patient’s only family contact was with his father. Patient’s wife has begun divorce proceedings. Patient has very limited contact with his daughter after a period of no contact when he was homeless. Patient has difficulty interacting with other patients. He tends to identify with staff members and to seek their company. Patient approaches work-oriented tasks in an obsessive-compulsive manner. He is task-oriented and has competent skills in some areas. Patient reports having strong urges to drink and use drugs