Case Study Analysis of Lisa

This assignment analyzes the case study of Lisa using the Trauma-Informed Care approach to provide holistic care and help her overcome mental and physical health barriers.

Running head: CASE STUDY ANALYSIS OF LISA
CASE STUDY ANALYSIS OF LISA
Name of the student:
Name of the university:
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CASE STUDY ANALYSIS OF LISA
Introduction:
The trauma-informed care approach mainly helps in understanding the whole of the
individual who is seeking for services. Studies are of the opinion that when a trauma takes place,
it mainly affects the sense of self of an individual along with the sense of others and their beliefs
about the world. It has been found that such beliefs mainly impact the ability of an individual or
their motivation for connecting with and utilization of the services (Berliner et al., 2016).
Professionals in these situations need to utilize the Trauma-Informed Care approach that works
by realizing the direct impact that trauma can induce on the access to services and thereby this
approach responds to the situation by the changing of the policies, procedures as well as
practices for minimizing the potential barriers. Such systems are seen to fully integrate the
knowledge about the trauma into all the aspects of the services as well as for training staffs so
that they can fully recognize the signs and symptoms of trauma and thus avoid any possibilities
of re-traumatization (Lindgrel et al., 2014). This assignment would mainly analyze the case study
of Lisa with the help of the TICP approach so that a holistic care is provided to Lisa and to help
her overcome various mental health and physical health barriers and live better quality lives.
Problems identified and care principles that were followed:
On close analysis of case study of Lisa, it can be seen that her parents were not
supportive of her relationship with her boyfriend John. This made her leave her parents and
move in with John. However, this separation from her parents has affected her emotionally to an
extent where her mental stability was disrupted. This resulted in making her feel lonely and
isolated. Studies are of the opinion that isolation as well as loneliness is two important aspects
that can expose people towards different types of psychological and mental ailments. After close

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observation of the video, it was seen that Lisa was constantly fidgety during communication and
were also found to be anxious and restless and she was also failing to have eye contacts with the
counselor. The counselor named Jenny was closely following her movements and found out that
she was feeling uneasy as well. Jenny also noticed that Lisa was untidy in her appearance and
this could be an indication of her lack of self-esteem and confidence (McKenna et al., 2014). As
per the principles of the Trauma care approach, she was found to lack empowerment. Even the
rejection of her family had added to the present situation of Lisa where she suffered from
complete lack of support from others mainly her family. Her mother used to provide her with
medication and with the withdrawal of such support; she could not maintain her medication as
well. Hence, the professionals need to empower her. Empowering individuals requires them to
develop self-coping abilities as well as self management skills by which she can manage her
medications and also conduct her activities of daily life like cleaning, coking, bathing, being tidy
and others besides taking actions for withdrawal of the substances.
Another concerning issue of Lisa that the mental health professionals should also take
into consideration is the constant auditory hallucination where she felt the need of protecting
herself from her surrounding environment and her boyfriend. Lisa had stated that she was
constantly hearing voices which warned her to protect herself from her boyfriend. She was also
of the opinion that she had several cameras in her house that concerned her of continuous
vigilance. Believing this to be true, her mental peace and her feeling of safety was affected which
made her sleep in the garden shed with that of knife under her pillow so that she could protect
herself from any intruder. She had a constant fear of being watched and this made her sleep
outside the house. Fear plays an important role in the disruption of well-being which can affect
the mental stability of individuals (Hales et al., 2017). Fear is a core process which includes

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CASE STUDY ANALYSIS OF LISA
discrimination, pwer and control strengthening the attribute of fear by further means (Pearson et
al., 20150. A number of stressors were identified for Lisa like her boyfriend trying to harm her,
keeping a watch over her and also even insertions of transmitter in her stomach. She even
thought that all her thoughts were open to all and she could not maintain her individuality. From
this discussion, it can be seen that transparency and trustworthiness and also from the problem of
feeling of safety. She was not being able to trust anyone because of her auditory hallucination
stating her that she is unsafe. She also could not trust anyone and these two principles need to be
followed by the professionals who would care for her.
The third aspect that is also believed to affect her psychological and mental ability was
her insecurity as well as stress. While interacting with the councilor, she was constantly found to
be distracted and she was even seen to communicate with some virtual individual. A lack of
concentration was also noticed among the client and this can be evidenced where she asked
Jenny to repeat the questions a number of times as he was not attentive in her communication.
She was of the opinion that she cannot adhere to the medication regimen as it was used to be
done by her mother and moving out of the house had affected her medication regime. She had
started taking on more cannabis that further worsened the situation. Insecurity can be considered
as one of the contributors of psychological and mental stability as individuals with insecurity
cannot control their feelings and thinking and constantly feel unsafe even in protected
environment (Sweeney et al., 2015). Another cause of her insecurity was that she always had the
feeling of being harmed by her boyfriend. This further enhances her feelings of insecurity which
had made her addicted to the use of cannabis. In order to help Lisa overcome her insecurity, it is
important for the professional to follow the principle of choice where the professionals would
first put her needs as the main priority and honor her dignity with judging them in any place

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CASE STUDY ANALYSIS OF LISA
(Raja et al., 2015)). The next principles that should be applied are the collaboration and
mutuality. Professionals would make sure that well-being can be only achieved when
professionals work in collaboration with the patients and include them in shared decision-
making. This helps in developing a strong emotional bond with patients which increases
adherence of the patient with the treatment. Hence, these principles would be followed.
Collaboration with mental health professionals to achieve collaborative practices:
Collaborative mental healthcare services describes the health approach that includes
consumers, their families as well as their caregivers along with that of the healthcare providers
coming from different health settings with their specific training and experts to analyze and
develop the health care planning structures. This approach focuses on the promotion of mental
health of the patients in a more coordinated manner with all experts encouraging complete
participation of the patient and working according to the autonomy and dignity of the patient to
ensure best mental healthcare for the patient (Wolf et al., 2014). Collaboration mainly involves
joint assessment as well as the care delivery with the several providers present with the
consumers as well as with the families and caregivers. It might also take place through that of the
telephone or written communication. Studies have clearly stated that effective collaboration do
not require the healthcare professionals to be present in the same physical position (Buckley et
al., 2016). In case of Lisa, it was seen that the counselor Jenny had tried to establish a respectful
relationship with Jenny and wanted to work with her by maximizing her participation in the care
process. She was empathetic towards Lisa who helped her feeling comfortable and she was
opening up gradually. She tried to work collaboratively with Lisa asking her permission before
she initiated any actions on her behalf which made Lisa feel that she was not judged but her

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issues were understood by the counselors. In this way, she was encouraged to be included in her
won care and accordingly work accordingly to her wishes.
Apart from effectively collaborating with the patient, it is also important for the counselor
to work along with other experts to ensure that the care plan developed for Lisa would bring out
the best benefits for the patient. The counselor was seen to call and summarize the details of the
case to the mental health worker so as to fix the appointment of Lisa with the mental health
worker who can develop evidence based interventions for Lisa. She can also include
psychotherapists who can engage Lisa in talk therapies. Studies are of the opinion that cognitive
behavioral; therapies can help in overcoming addiction and help in developing motivation to
develop healthy lifestyles (Kassam et al., 2015). Moreover, psychotherapists can also include
family centered approach for Lisa. Family centered intervention can be described as the way of
working with the families both formally and informally across the service systems. It mainly
helps in enhancing their capacity of caring for and protecting the affected members (Reeves,
20150. Lisa’s family can be included in her care where both her parents can be guided about how
to communicate and treat Lisa so that she can come out of the mental health issues and live
quality lives. Besides, psychotherapists, the counselors can also include social workers or
community mental health nurses. They can work with her in her homes and provide her care so
that she can gradually overcome her mental health concerns and at the same time be able to live
better quality lives (Hanson et al., 2016)).
Application of Trauma- Informed Care Principles:
However, in order to ensure that the mental healthcare team provides the best care to
Lisa, they need to ensure that TICP principles are made them aim foundation of the care

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planning. Creation of a physically as well as emotionally safe environment and also establishing
trust and boundaries would form the main principles of the care that would be provided to Lisa
by the mental healthcare teams. They should also try to support her autonomy and choices and
create collaborative relationships and even participation opportunities by using strength and
empowerment focuses perspectives for promoting resilience (Isobel et al., 2017. Keeping these
principles as the foundation principles, the care strategies would be developed that enhances
these mentioned attributes in Lisa. Lisa is suffering from lack of support, fear and even anxiety.
Successfully following the care principles, would help in developing a better quality life for Lisa.
Lisa is found to suffer from insecurity where she feels unsafe in her home and believes
that she is constantly watched by cameras. Her insecurity has even led her to think that her
boyfriend had inserted transmitter in her stomach to keep a watch over her activities. She sleeps
outside in the garden with a knife under her follow as she had auditory hallucination of someone
stating her that she might be killed. This shows that her high level of insecurity is bothering her
well-being. Hence, the professionals should ensure following the first principle of TICP that
would include developing physical and emotional safety of the individual. This can be ensuring
family centered approach where Lisa can be cared for by her family members and development
of their relationships with Lisa can help her in feeling secured under the governance of her
parents and make her feel safe both emotionally and physically. The second principle is
trustworthiness and transparency. Lisa is fearful about the life conditions which have made her
stressed and made her feel that her life is in risk (Green et al., 2015). Constant stress and fearful
feelings affect mental peace of patients. Hence, healthcare teams should try to establish
trustworthiness and transparency with Lisa to make her feel comfortable and develop a bonding
through which she can be counseled to overcome her fearful feelings. Studies state that

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trustworthiness can be evident in establishment and in constancy of the boundaries and the
clarity in what is expected in regards of the task. She is also seen to suffer from lack of support
and feel isolated and lonely. She should be given the choice by her healthcare professional team
to select the form of care services she feels comfortable with. This would respect her dignity and
autonomy (Baker et al., 2016). Finally, the mental healthcare teams would focus on the strength
of the individual in empowering them and building those strengths while helping her to develop
stronger coping skills to provide healthy foundation for Lisa so that she does not fall back on
when she would stop receiving services.
Conclusion:
From the above discussion, it can be seen that the patient named Lisa is suffering
substance abuse disorder. Her present living conditions with her boyfriend and her estranged
relationship with her parents had aggravated the use of cannabis. She is suffering from three
problems of fear, insecurity and well as lack of support and loneliness. Mental healthcare
professionals should engage in collaboration while developing care plans for her and this
collaboration would include active participation of Lisa. This would make her feel included and
respected. The five principles of TICP should be followed to develop better quality life for the
patient.

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CASE STUDY ANALYSIS OF LISA
References:
Baker, C. N., Brown, S. M., Wilcox, P. D., Overstreet, S., & Arora, P. (2016). Development and
psychometric evaluation of the attitudes related to trauma-informed care (ARTIC)
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Berliner, L., & Kolko, D. J. (2016). Trauma informed care: A commentary and critique. Child
maltreatment, 21(2), 168-172.
Buckley, A. M., Lotty, M., & Meldon, S. (2016). What happened to me? Responding to the
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Mete, M. (2015). Trauma-informed medical care: A CME communication training for
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Hanson, R. F., & Lang, J. (2016). A critical look at trauma-informed care among agencies and
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acute inpatient mental health unit: A practice development process. International journal
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