Case Studies in Mental Health and Disability Support Services

This assignment presents a series of case studies focused on mental health and disability support. The first case study explores Mr. David, who is experiencing dissatisfaction and boredom in his job, relating his situation to Maslow's hierarchy of needs and suggesting strategies for mental health support and lifestyle changes. The second case study examines Luke Smith, a young man with an intellectual disability, and analyzes a disability support worker's negligence and its impact on Luke's safety, proposing strategies to prevent future incidents. The third case study discusses Rod, who has a physical disability and enjoys social outings, focusing on safety hazards, dignity of risk, and organizational responsibilities in protecting his preferences. The fourth case study involves Mr. Morgan, who lives in supported accommodation and is progressing in physiotherapy, addressing misconceptions about his mobility and the impact of family decisions on his well-being. Finally, the fifth case study covers Doris, who wishes to keep his relationship private from his family, highlighting privacy rights, relevant legislation, and organizational strategies for protecting client information. Each case study includes questions and answers with assessor feedback, providing a comprehensive analysis of the scenarios presented. Desklib provides access to this and many other solved assignments.

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CASE STUDY.................................................................................................................................3

CASE STUDY
Read case studies and answer the following questions:
Case study 1 Mr David
David, 38, attending psychologist due to feelings of frustration, dissatisfaction, and general
unhappiness. He expressed his concern to the therapist that he finds himself unfulfilled in his job
as a computer programmer. He does his job well and makes good money but finds himself
dreading going to work because he is so often bored. This boredom has spread to other areas of
his life, he explains the therapist that he feels difficulty becoming excited about anything in life,
and that his melancholy is affecting his relationship with his live-in girlfriend. He recognizes his
growing disinterest in his job but feels it is too late for him to embark on another career and says
that he does not even know what career he might be interested in.
1.What level of Maslow hierarchy of needs is the not satisfied for David?
Student response:
The Maslow’s hierarchy of needs brings about the pyramid of needs that will help people to
understand the depth of their needs. In this regard David is not satisfied which comes under self
esteem needs. The self esteem needs falls upon one’s ability to accept and get satisfied with
work and compensation. Therefore in this regard the self esteem needs are not gratified.
Assessor Feedback: Outcome:
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2. List any two (2) strategies that can be implemented to support mental health of David?

Student response:
Motivation: motivation is regarded to be one of the probable approach that determines the
worth of an employee in the organisation. When there are stress factors that are dominating an
individual and not allowing them to stand firm with their beliefs and policies then the
management will first have to identify and gratify them with the prospect of motivation.
Change: one of the very useful factors that will make a person lively enthusiastic and mentally fit
is the policies of change. Change of place or work can bring in variation which is therefore a
considerable entity for David to win over his mental state.
Assessor Feedback: Outcome:
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3. Name any one (1) lifestyle changes that are necessary to support David current situation?
Student response:
Change can be initiated in the process of taking things. People are usually not satisfied with their
work processes once they are under pressure and are away from peace. To be able to achieve
the depths of times where people will have to take in the concepts that are in work place they
will first have to adapt to change policies. Thinking ability will have to change and the.
Everything will automatically fall into place.
Assessor Feedback: Outcome:

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Case study 2 Luke Smith
Luke Smith is a 21 years old male who lives in the supported accommodation. He has moderate
intellectual disability. Luke is always supervised when getting on and off the Centre’s bus as he
has poor balance and is unsteady on his feet. Staff have to be vigilant in their supervision as Luke
likes his independence and has been known to try and get out of the bus by himself. On a
previous occasion, Luke tried to get off the bus before a staff member was ready and it was only
through the quick reflexes of the bus driver that he did not suffer an injury. One day the
disability support worker who has taken Luke, along with the other members of the group, on an
outing gets off the bus first to talk to the driver, leaving Luke and the others on the bus. Luke
tries to get off the bus by himself, falls down the steps, and breaks his arm.
1. Disability support worker ignores his duty of care towards Luke Smith. True/false
Student response:
False. This is because he did not intentionally take this step to leave Luke and get to the driver to
talk. Although it was his fault to leave him at the time of getting down from the bus, still this is
considered to be uncertain because of the work that he was into.
Assessor Feedback: Outcome:

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2. Who should be notified about the incident in the facility?
Student response:
The staff will have to be notified about the incident and the care that will have to be fortified in
bringing about the required mechanisms. The kind of careless behaviour must not be followed by
the staff and that has lead to deteriorating standards where Luke fell and broke his arm. The
medical consultation will first have to be ensure.
Assessor Feedback: Outcome:
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3. List any three (3) action of disability support worker that impacted Luke health and well being
as per case scenario?
Student response:

Bad memory: he was probably not in his senses when all that was in his mind was to speak to the
driver. This made him absent at the point of need and that effected Luke.
Carelessness: the careless attitude of the worker which can be portrayed here is in regard to the
fact that he did not remember his duty of not helping Luke.
Over confidence: this is also sometimes seen where the worker might have thought that he
would come back within time.
Assessor Feedback: Outcome:
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4. Explain any three (3) strategies that can be implemented to maintain Luke’s safety?
Student response:
1. Monitoring the circumstances and staying awake when un duty.
2. Arranging an alternative when there is a sudden work scheduled.
3. By first intimating Luke that he would comeback with in stipulated time to avoid
accidental incidents to happen.
Assessor Feedback: Outcome:

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Case study 3: Rod
Rod has a physical disability. He uses a wheelchair and has restricted movement in his hands.
Rod’s favorite social activity on friday nights is to go to the local club and have a few drinks with
his mates. Because of Rod’s physical limitations, he has a carer who accompanies him to the club.
Sometimes Rod gets quite intoxicated and on one occasion, the worker had to assist Rod to throw
up when he returned from the club.
1. List any three (3) safety and security hazards to Rod while attending the club?
Student response:
1. Care: it is one of the important factor that will enhance the person’s safety
2. Precautions: precautions to stay safe without stampede
3. Staying distant: by not going into crowd and staying at a distance to enjoy the club
Assessor Feedback: Outcome:
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2. Mention any three (3) strategies to maintain Rod’s dignity of risk while attending social activity?
Student response:

1. To stay dignified Rod will have to ensure to maintain standards by not excessively
drinking
2. He must inform the person accompanying him to take care about his standard of
drinking.
Assessor Feedback: Outcome:
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3. What are your roles and responsibilities in regard to protect Rod’s preferences as per organisation
Policies and procedures? Mention any four (4)
Student response:
1. If I deal with the organisational policies and procedures I will not let him amidst of all the crew
to get spilled.
2. I would arrange him a separate cabin with the limited alcohol that he must consume.
3. I would ensure to monitor him at instances just to make him safe
4. after entire time and the party I would safely send him back home as a part of management.
Assessor Feedback: Outcome:

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4. Name the responsible authority to be notified if Rod health continued to be deteriorated due to
excessive drinking while attending social activity?
Student response:
Assessor Feedback: Outcome:
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Case study 4 Mr. Morgan
Mr. Morgan lives in the supported accommodation from last 15 years. He uses wheelchair but still
fully involved in the activities carried out in the facility using wheelchair. Mr. Morgan has been
attending all the physiotherapist session in the facility with physiotherapist. He is slowly making
improvement and trying to get out of the wheel chair. As per physiotherapist report Mr. Morgan is
now allowed to stand up and use 4wf (Four-wheel frame) to walk. Reeta (His daughter) is concerned
and advised the staff not to use 4WF for Mr. Morgan. Reeta believes that Morgan can only use wheel
chair to move around the facility as he is being disabled from last 15 years.
1. Is it misconception that Mr. Morgan can only use wheelchair to move around the facility. True/False
Student response:
True. This probably is a misconception where Morgan is not just suffering but is also in a state of
getting carried away. There for his disability did not stop him from trying means necessary for
him to cope up with the facilities. Therefore it is not needed that he must use of four wheel
frame rather we can move ahead with a wheelchair alone.
Assessor Feedback: Outcome:
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2. List any one (1) factual indication that allows Mr. Morgan to use 4WF to walk?
Student response:

There is no such factual indication that more than will have to use the four wheelchair
Framework because he started developing his appetite and is also trying to move ahead with
slow improvement. Therefore it is not needed that the four wheel frame will have to be
considered by Mr Morgan
Assessor Feedback: Outcome:
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3. What is the impact of Reeta’s decision on Mr. Morgan health and well-being? Mention any impacts.
Student response:
Decision is clear about the well being of Mr Morgan. This decision will contribute for the mental
improvement of her father because he is slightly improving a and an encouragement towards his
deeds can bring about a great response and in a positive way.
Assessor Feedback: Outcome:

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4. Mention any three (3) action that you would implement to clarify Reeta’s misconception?
Student response:
1. I would say that this is just an additional care to help him recover soon.
2. I will also help you to understand that it is necessary for him to have a stable support to
walk.
3. I will help her understand the fact that he needn't always go and meet the therapist for
recovery.
Assessor Feedback: Outcome:
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Case study 5 Doris
Doris is 45 years old male recently admitted for respite care to the rehabilitation facility after motor
vehicle accident in 2016. Doris has male partner who visits him regularly in the facility. Doris wants
to continue his relationship with his male partner. Doris does not want to disclose any information
about his relationship with his partner to his family. He has clearly mentioned in his care plan
information about strict restrictions to disclose any information to his family members.
1. Do you agree that Doris had full right not to disclose his private information to his family members?
Yes/No
Student response:
Yes. The reason for this is that Doris is 45 years old and above the age limit where people can
take their decisions to safeguard the information.
Assessor Feedback: Outcome:
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2.Name the legislation/Act that allows Doris not to disclose his information?
Student response:

The act that falls in this regard to save personal information of patients is the Health care
insurance portability and accountability act 1996.
Assessor Feedback: Outcome:
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3. List any three (3) situation where Doris personal information can be disclosed?
Student response:
1. Age is one of the criteria to make sure that the healthcare professionals disclose the
patient’s personal information
2. With patient’s willingness the information can be disclosed
3. When the mental health of Doris is not good then the information can be disclosed
Assessor Feedback: Outcome:

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4. List any three (3) strategies implemented in the organisational framework to protect clients
Information?
Student response:
1. Use a Strong Authentication Process
2. Understand the Threat.
3. Provide a privacy policy
Assessor Feedback: Outcome:
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Case study 6: Tim
Tim is organising a team lunch as part of their cultural day program. Tim (team leader) has to
organise the food, he sent around a survey so everyone could indicate their food preferences. Sara
advised that she could not eat pork as part of her Muslim culture. When Sara bit into her sausage
during the lunch, she questioned the Tim on what the meat was. She asked Tim whether he had
seen her food preference on the survey. She was told that he was not able to cater for her as
majority of the team opted for pork sausages and it would have complicated the order.

1. Tim has taken right decision avoiding Sara request about food. Yes/no
Student response:
No. This is because Tim has taken an opportunity to ask for all the preferences which itself means
that he has given people a chance to bring about their preferences. In this case he cannot simply
ignore the choice of a person without addressing.
Assessor Feedback: Outcome:
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2. Why is it necessary to include Sara choice on the menu? Give your answers in 20-30 words.
Student response:
Sara is one of the guest preferences and was asked to take up survey. In this case when she was
given a chance to bring about her preferences which is also one of the important factor according
to her religion, that will have to be considered.
Assessor Feedback: Outcome:

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3. List any two (2) strategies to rectify the issues raised by Sara?
Student response:
1. Tim must have apologised Sara for the inconvenience and must have arranged something
for Sara to eat
2. Tim must be able to show an alternative to Sara regarding the dish
Assessor Feedback: Outcome:
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Case study 7 Mr Donte
Mr. Donte has recently joined the respite care facility. He is experiencing several health-related
issues such as disturbed mental health, inadequate nutrition and hydration, very less physical
activity, poor oral health and hygiene. His family is not able to look after him after he developed a
severe kind of physical disability I.e. Poliomyelitis. The effects of Poliomyelitis may include acute
infection by the poliovirus, especially of the motor neurons in the spinal cord and brainstem,
leading to muscle weakness, paralysis and sometimes deformity. Mr. Donte is therefore not able to
perform his basic lifestyle and health related daily routine activities.
1. Why is it necessary in Mr. Donte’s case to look after his health, physical and mental wellness?
Provide any one (1) reasoning.
Student response:
It is a mandatory to look after the well being of Mr. Donte because he is suffering both physically
and mentally. It is necessary to monitor him at regular intervals to be able to provide proper
medication and giving him the required supplements. His mental state must have been
deteriorated by now since his parents and family are not being able to monitor his health.
Therefore he will have to take complete care about his state.
Assessor Feedback: Outcome:
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2. How can you support Mr. Dante’s health related to the following?
Answer each of the above item with at-least 2 points.
2.a. Mental Health
Student response:

He must be suffering mentally by the state he has landed up because there is not even a single
person that is there to help him. He must have been broken for being ended up lonely.
Assessor Feedback: Outcome:
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2.b. Nutrition and hydration
Student response:
Nutrition and hydration are important because the person is suffering from polio and it is
necessary that he will have to look after the food that is being taken forth. Although staying
single is not just a matter of fact but staying hydrated will help him to analyse the situations as
well as the health benefits. He will not suffer from dehydration and there are chances that she
can cope up with circumstances in a more possible manner.
Assessor Feedback: Outcome:

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2.c. Exercise
Student response:
Exercise is one of the most prominent factor that will be helpful. Therefore in this regard the
person will have to take up all the basic exercises in order to move ahead with the kind of
strategies that can be implemented in order to win over the circumstances of his disease.
Assessor Feedback: Outcome:
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2.d. Hygiene
Student response:

Hygiene is necessary in order to incorporate the policies as well as the probability is in order to
maintain the cleanliness which is a major necessity for people who are trying from diseases. This
help them to stay active as well as his mental state will be normal.
Assessor Feedback: Outcome:
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2.e. Lifestyle
Student response:
Lifestyle depends upon the wave that are being taken for and therefore in this regard him must
ensure that his lifestyle is full of all the kind of facilities that are necessary like that of taking food
at the right time possible and staying hydrated at all possible time. This Lifestyle will also not let
him be lonely.
Assessor Feedback: Outcome:

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2. f. Oral health
Student response:
Oral health is one of the most prominent aspect. oral health contributes for the refreshment of
soul as well as the entire body. It is necessary that the oral health of the person will have to be
monitored at regular intervals such that all the kind of precautions that will have to be in
repeated can therefore be probably maintain.
Assessor Feedback: Outcome:
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3. Depending upon Mr. Donte’s need develop an individualised support plan in the provided template:
Name
Age
Sex
Opportunities
(list in order of priority) Agreed goal (measurable) Action/s to be taken & by whom Target date
1. Provision of food Needed food supplements for
an year
The required nutritionists will have to
take charge of the food supplements
1 week

Care P la n
2 Treatment 2.1 Poliomyletes Healthcare professionals 1 year
2.2 Mental health Healthcare professionals 1 year
3 3.1
3.2
4 4.1
4.2
Assessor Feedback: Outcome:
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Case Study 8
Ms. Jenny is a Sri-Lanka born female in her 80’s. She is the only resident in the rehab facility that
belong to a different culture and community. The duty in charge nurse does not like her much
and is spending very less time on her health and wellbeing. You have recently joined the facility as
a disability support worker and found this practice quite discriminatory and against the protocols
and policy framework of the rehab facility. The policy framework of the rehab facility promotes
equality, fairness, and equal treatment for everyone irrespective of their creed, cast and
community.
1. Why the treatment to Ms. Jenny is considered as discriminatory and against the protocols and policy
framework? Explain in 20-30 words?
Student response:
In this regard the female nurse was seen showing hatred towards Ms. Jenny by not treating her
equal. This is regarded to be one of the serious mechanism and a discriminatory point where she
might not be getting a proper treatment because of the nurse.
Assessor Feedback: Outcome:
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2. What can be the consequences of not looking after Ms. Jenny’s health and well-being?
Student response:

This can be because she is a Sri Lankan born female so there might be differences which are
pertaining to the native negotiations that stopped nurse from liking Jenny. The nurse as a part of
this prospect was not able to provide a complete care to Jenny which is one of the wrong
approach according to protocols.
Assessor Feedback: Outcome:
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Case study 9: Jaimina Moreland
Jaimina Moreland (32 yrs) has been a resident of the Help Support Care Home for 3 months. This
is her second care home. Her father died two years ago and her mother is now in her 60s.
Jaimina is visited irregularly by her mother who is becoming increasingly frail due to a long-
standing medical condition. Jaimina has Down’s Syndrome and so her mother has been
preparing her for the future by establishing her in care. She moved her to this second care home
because it seemed to offer a better chance of independent living. Jaimina currently lives in the
main house at the moment and has a part-time paid job helping the gardeners, but she is not
allowed to operate any machinery. Jaimina has recently started behaving erratically after seeing
a gardner. You as a support worker have noticed this behaviour at two different occasions and
Jaimina has recently used some gestures to tell you that she has been abused by the gardner.
1. Why you should take the complaint of Jaimina seriously? Answer in 10-20 words.
Student response:
This is one of the serious issue which is abusing. When this issue is not taken care about seriously
there is a chance that Jamina will end up in a breakdown or might harm herself.
Assessor Feedback: Outcome:
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2. Who you should report the complaint of Jaimina?
Student response:

As a part of initial care, this incident will have to be reported to her mother, who can line up and
take necessary actions to move ahead with terminating the gardener.
Assessor Feedback: Outcome:
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3. What steps you must take after Jamina has reported this incident to you? Mention any five (5)
necessary steps.
Student response:
1. Terminate the gardener for the kind of behaviour
2. Counselling the gardener about his behaviour
3. Not leaving Jamina alone
4. Strengthen Jamina’s mind about the scenario
5. Try to raise complaint if the issue was serious.
Assessor Feedback: Outcome:

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4. What strategies can you implement to provide support to Jaimina? Mention any five (5) strategies.
Student response:
1. Rather than leaving Jamina alone in the house, I would suggest her mom to be with her.
2. Providing a healthcare professional to monitor Jamina’s condition
3. Give proper medication towards the mental state
4. Preparing Jamina for the worst
5. Make sure that Jamina is not alone
Assessor Feedback: Outcome:
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