Healthcare Administration - PDF

Running head: HEALTHCARE ADMINISTRATION
HEALTHCARE ADMINISTRATION
Name of the student:
Name of the University:
Author note:

1HEALTHCARE ADMINISTRATION
The purpose of the assignment is to provide a case study in order to investigate, analyze
and evaluate the assessment and management of a client whom I have provided care within a
clinical environment. In addition the paper will include effective interventions based on the
target consumers as a part of recovery oriented practice with adequate support of relevant
evidence. In order to maintain the ethics and maintain confidentiality the personal information
about the patient such as name and other identity have been changed.
Alen is a Caucasian male, who used to live with his mother and three siblings of aged 12,
13 and 14 in government housing in Albany creek. Alen is in 12th grade now. He does not have
many friends and has high percentage of absenteeism. He had experienced physical abuse during
childhood due to his abusive father and has been addicted to cannabis. Due to such complications
he has decreased functional capability. Coming from a low socio-economic status [SES] and
significant anxiety in family caused a poor ability to develop friendships and social relationship
with the peers. The consumer has supportive grandparents who are ill and cannot be present
physically to take care of the consumer.
Alen was being admitted to the department of emergency medicine after an episode of
psychosis secondary to the chronic use of the cannabis by his mother. He has reported that he has
been experiencing visual hallucinations. The consumer had once been under the Treatment
Authority in the mental health adolescent area of the Psychiatry Emergency Centre. This was for
safety containment but his mother has reported that the past counselling was not helpful and he
had been using cannabis and spending $100 per week before school in order to get rid of
hallucinations. The consumer has family history of mental illness such as anxiety and depression.
During conversation with Alen’s mother regarding his condition, it has been found that he has
reported about feeling about physically and mentally drained. As mentioned by the client’s

2HEALTHCARE ADMINISTRATION
mother, such deteriorating mental health condition has led to the consequence of school
absenteeism, poor concentration in studies, inner restlessness, poor sleeping pattern, and
anorexia as well. His mother has reported that Alen did not want to admit in the hospital and
sometimes he become so violent and started to harm others and the properties as well.
Sometimes restraints need to be used by the health professionals in the hospital in order to
control him.
Alen has explained about his stressful childhood. He has been physically abused by his
father. He and his mother had to struggle in every phase of life. The patient stated that his father
wished the boy was never born. Such experience during childhood has impact negatively on his
mind. Furthermore, the despair and hopelessness of being the older child and his upcoming
responsibilities might also be the predisposing factor that has contributed to the development of
his poor mental health (Solberg, 2015).
The patient was detained under Child Youth Mental Health Services or CYMHS in order
to assess the mental health condition and provide adequate treatment to help the patient recover
faster. Multidisciplinary team of CYMHS has been appointed for the assessment of the patient.
The team was consisted of a psychiatrist, mental health nurse, a dietician and some other health
care staffs managing the patient. Before starting the assessment and multidisciplinary team has
described about the advantages of the service such as availability of adequate resources, support
from the skilled service providers, continuity of care and ability of the staffs to take holistic and
comprehensive decisions regarding the needs of the clients and others (Vancampfort et al.,
2013). In order to understand the condition of the Alen the multidisciplinary team has arranged a
face to face interview where he has described about himself, family, his life, expectations and

3HEALTHCARE ADMINISTRATION
goals. Such session has helped the multidisciplinary team to understand the issues of the patient
in an effective manner.
Mental state examination has been done for the consumer. During the MSE Alen
appeared grubby with average height and slim build, short brown hair and pale skin. He was
dressed in casual t-shirt and pants. Poor eye contact though still able to engage reasonably. He
was looking cooperative and behaving politely. Speech was not spontaneous and mostly in
response to questions. Normal rate tone and volume. The consumer has reported his mood as low
and congruent with restricted affect. In addition Alen has reported auditory hallucinations of the
neighbour discussing him through the floor, laughing and making fun of him. Incident of
hallucination has been described by him such as numbers flowing in running water. Alen has
reported about suicidal thoughts and his concern regarding his poor concentration in studies,
inner restlessness, poor sleeping pattern, and anorexia has been found. Forms of thought disorder
such as feeling like a zombie and constant derealisation such as feelings of becoming
disconnected from one’s self occurred within the client from various hallucinations. Due to the
fear that somebody would kill him, the patient was afraid of hospitalisation. In the MSE the
judgement has shown that Alen has continued to seek treatment in this hope that his symptoms
will improve. It has been found that the patient was partial-aware that he is unwell and he has
been found to admit the appearance of some psychotic symptoms. Cognitive behaviour has not
been assessed formally.
The mental state examination was successful in showing that Alen was experiencing
auditory as well as visual hallucination, which clearly indicates towards the occurrence of
psychosis. He had explained that, sometimes he assumed a snake in his hand, later found his
hand turning into a snake and was trying to attack him. He often feels that his mother is not his