Scenario

John is 19 years old. He has not lived at home since he left school at 15. He is a rough sleeper with a long history of complex disorders. He has a dual diagnosis of drug dependency and mental health disorders. He is supposed to take antipsychotic medication but does not do so unless reminded or in hospital. When unmedicated, he has paranoid delusions that he is being watched or followed and has previously been charged with a minor assault because of this. He has a grade ten qualification and has never worked. He may be unfit to work or study. He is not receiving any benefits and lives by begging and stealing. John has attended the service today because one of his street 'friends' were coming and dragged him along. John was initially reluctant but has agreed to a case management assessment of his circumstances.

Analyse the scenario and address the following issues in your answer:

• Question 1 A What are the client's rights and responsibilities regarding their circumstances and engagement with the service?
• Question 1 B What are your legislative requirements in this scenario, including your duty of care?
• Question 1 C How will you ensure you address confidentiality and privacy concerns in this case?
• Question 1 D What specialist services may be required?
• Question 1 E Are there any issues requiring mediation? (Resolving any relationship issues) If so, how will you address them?
• Question 1 F How will you ensure you maintain appropriate relationship dynamics in your interactions with this client
• Question 1 G How will you address the clients right to self-determination?
• Question 1 H If there are relationship issues, what strategies will you use with this client to help them engage in exploration?
• Question 1 I How will you ensure you meet your ethical and organisational responsibilities with this client?