Case Study Analysis: Mental Health Concerns and Interventions

Running head: CASE STUDY ANALYSIS
CASE STUDY ANALYSIS (LISA)
Name of the student
Name of the university
Author note

1CASE STUDY ANALYSIS
While working with a patient requiring mental healthcare interventions, nursing
professionals should be aware of the collaborative and nursing priority care so that with effective
identification of the needs of the patients, accurate care could be provided (Mohammed et al.,
2016). This paper discusses one such scenario, in which the patient Lisa comes to visit Jenny, the
local drug advisor and through the course of assessment identifying three issues that may have
contributed in an adverse condition of the patient. The following sections mentioned these in
detail.
Multiple mental and psychological concerns were observed and collected after conducted
a detailed analysis of the case situation of Lisa, due to which her mental health condition
disrupted. In this case situation, Jenny (counsellor, local drug service) conducted a healthcare
interview with the patient so that her primary mental concerns could be understood. There are
three aspects that were identified in the case scenario and the factors that contributed to her
problematic substance. These are her irregularity to medication due to which her mental health
is deteriorating, her substance abuse (cannabis and speed) due to which she is suffering from
severe risk of self- harm and violence and her loneliness due to lack of support.
While analysing the case situation, it was observed loneliness is one of the crucial
condition, due to which patient developed a severe mental health condition. Lisa’s parent
did not want her to date John and hence, this was the primary reason for conflict between
Lisa and her parents. This leads Lisa to separate from her family and she moved in with
John. This incidence increased her metal stress as Lisa mentioned that her mother used to
take care for her medication and she was close to her mother and rejection and separation
from her parents increased her feelings of isolation and loneliness. Several psychological

2CASE STUDY ANALYSIS
researches have been conducted that indicated the effect of loneliness and isolation on the
mental health of patients. As per Kvaal, Halding and Kvigne (2014), while suffering from
loneliness and social isolation, patients develop anxiety, agitation and are not confident
about them, because they feel they are unable to maintain their relationships. Similar
aspect was observed in the case situation of Lisa, as she was constantly fidgeting on her
chair, had improper concentration and was nervous due to which was unable to make eye
contact with Jenny. Therefore, as per Oslen et al. (2016), Lisa was suffering from social
isolation and loneliness and the rejection from her parents and lack of her mother’s
support affected her mental health condition. Hence, as per the TICP, she lacked support
and empowerment as in the absence of her mother, she missed medications regularly and
those medications were provided by her mother that indicated that her mother used to
support her mental health condition. Hence, her absence affected Lisa by making her
lonely and isolated.
The second concern of Lisa, identified in the case scenario was related to her
irregularity to medication due to which her mental health condition worsened and she was
unable to improve her mental health condition. In the case scenario, Lisa mentioned that
she was close to her mother and after understanding her mental health condition, her
mother used to take care of her medication. As mentioned in the case study, she was
admitted to the anti-psychotic facility last year and was provided with anti psychotic
medications, however she was unable to use them in the absence of her mother because of
her impaired memory. The level of her mental imbalance, anxiety, and fear could be
because of her irregular medication administration which increased her negative emotions
(Stomski, Morrison & Meyer, 2016). Therefore, as per Khasawneh and Shankar (2014),

3CASE STUDY ANALYSIS
lack of proper medication routine and regularity in compliance with the dose was primary
reason due to which Lisa developed harmful emotions such as insecurity, stress, fear and
anxiety. Further, as per Correll et al. (2015), medication is an important aspect to treat
mental illness that helps to improve the symptoms related to mental illness by developing
abilities with which patients are able to overcome the mental trauma. Hence, as per the
TICP, her safety and awareness of correct and regular medication was one of the crucial
healthcare situations, due to which she constantly developed severe mental health condition
(Cleary & Hungerford, 2015). Further, she was unaware of her medication and the way it
helps her to overcome her critical mental health condition, hence lack of awareness was
also an important factor that was required in this condition. Therefore, the lack of this
aspect could be the primary reason for her increased psychological complications (Beckett
et al., 2015).
The third aspect which was identified in the healthcare interview of the patient was
associated to her recurrence of cannabis and speed related substance abuse that negatively
affected her mental health condition (Hooper, Woolley & De Bellis, 2014). In the case study
it was mentioned that Lisa visited the healthcare facility since last 6 months and due to her
mother’s support and regularity in medication, she was able to decrease her substance
abuse conditions. However, after separating from her parents, and developing
hallucination, and vigilance related complications, she again fall into substance abuse and
started consuming higher amount of cannabis and speed. As per Cadet, Bisagno and
Milroy (2016), substance abuse in mental health condition is a critical condition as it
increases the self- consciousness or insecurity related emotions due to which low self-
esteemed and lack of confidence arises. While conducting the interview it was seen that