Question
Case Study: John John is a 23-year-old male who lives at home with his parents and two older brothers. John has a history of depression
Case Study: John
John is a 23-year-old male who lives at home with his parents and two older brothers. John has a history of depression and violent behaviour when feeling hopeless. He has attempted suicide twice in the last eighteen months. John is an Electrician by trade and was working with a local company up until six months ago when he was asked to resign because of his inability to get to work on time, to concentrate on his work and being aggressive toward colleagues.He has been living on his savings and the ongoing support of his family. He has been paying off a loan for his car but he is considering selling it as he can't afford the repayments now.
John describes his family as "loving and supportive" he likes all kinds of sport but "hasn't got the energy to get back into anything at the moment" and feels really "angry" at how his life is going at the moment. John has a family history of suicide; his paternal grandfather had depression and died from suicide when John's father was very young. John has been referred by his GP to the local community mental health centre where you work for an assessment of his current risk for suicide and to assist him with strategies to reduce the risk, keep him safe and manage his aggression. John is currently prescribed an antidepressant, which he has been taking for the past two weeks.
John presents to the Centre today, he looks very sad but also angry/ agitated at times, and he is walking and speaking very slowly, except for when he shows anger at his perceived circumstances. He finds it difficult to speak about his illness and what has happened to him over the last eighteen months.During the assessment, John tells you the following: he has a small circle of friends but has never really explained to them about his mental illness. "They wouldn't understand and might think I'm just a loser." My life is not like theirs, they've got a job, I haven't". "They have girlfriends; I don't." "They have things to look forward to, I don't." "My life is non-existent, and I'm really peeved that everyone else seems to have good lives and I don't."
Question 6: Based on your answer to question 3; to reduce his level of risk and to maintain his safety describe five strategies you could include in the initial safety plan you develop with John today?
Put your answers in the table provided below:
GOAL | STRATEGY | WHO IS RESPONSIBLE | REVIEW DATE / TIME | MEASURE OF SUCCESS |
Appendix 1
Critical Incident Report
The incident resulted in:
Injury to an individual Damage to property/environment A near miss
_________________________________________________________________________
Persons involved in incident/ accident
Client: Staff Member: Volunteer General Public:
Date of incident: ____/_____/_____ Time of incident _______________________
Location of Incident:________________________________________________________
Name of person completing form _______________________________________________
Position of person completing form ________________________Contact no: ___________
Persons involved in incident:(complete details for all involved insert additional details as required)
Surname: _______First name: ________ Age _____
Address: ______________________
____________________________ Postcode:
Relationship to agency:(client, staff, Management, community member) _____________________
Were there any witnesses? Yes No
Name of witness/es: _Contact details: __________
Name of witness/es: _Contact details: __________
Description of incident and background (state relevant Information/ facts leading up to the incident, circumstances, whether the incident was witnessed and other relevant issues):
Was first aid or further treatment required? Yes No
If YES what first aid provided
Who was informed about the incident (Manager, Police, Fire Brigade)?
Actions taken to date: (including date and time of contact that Manager and other agencies were informed, as well as details of support provided):
1. | |
2. | |
3. | |
4. |
Follow up action planned:
1. | |
2. | |
3. | |
4. |
Does this incident require further investigation? Yes No
(If yes, refer to Manager or management committee
Does the severity of this incident require notification to Work Safe NSW? Yes No
Critical incident report form submitted by:
____________________________________Date: _________________
(Signature of Employee)
Critical incident report form received by:
____________________________________Date: _________________
(Signature of Manager)
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