Case Study Analysis: Application of TICP in Mark's Mental Health Case

This case study analysis examines the mental health challenges faced by Mark, including bipolar disorder, depression, and substance abuse, stemming from various life events such as childhood fame, the death of his father, and social stigma. The analysis identifies key issues, including a lack of awareness regarding mental illness, resulting in prolonged suffering and substance abuse. The study emphasizes the significance of social stigma and its impact on Mark's ability to seek help. Furthermore, the analysis explores the trauma resulting from his father's death and how it affected his mental state. The document suggests the application of trauma-informed care principles (TICP), collaborative care, and personal recovery therapy to address Mark's needs. The proposed interventions include patient education, counseling, psychotherapy, and family/peer support to promote safety, security, and empowerment, ultimately aiming for improved mental health and well-being.

Running head: CASE STUDY ANALYSIS
CASE STUDY ANALYSIS (MARK’S CASE STUDY)
Name of the student
Name of the university
Author note

1CASE STUDY ANALYSIS
Introduction
While treating patients suffering from chronic and terminal disorders, nursing
professionals should implement effective healthcare interventions inclusive of both physical
and mental healthcare interventions (Kearney et al., 2014). To implement such holistic care in
the care process of patients, it is important to assess the priorities of the patient depending
upon their healthcare requirement so that with application of such interventions, their health
improvement could be obtained (Beemster et al., 2019). Further, in such condition,
application of trauma informed care process (TICP) helps the nursing professionals to
provide the patients with empowerment, safety security and sense of awareness so that with
physical and mental awareness patient could be provided with confidence, self-esteemed and
self-determination (Cleary & Hungerford, 2015). In this aspect the case study of Mark would
be analysed so that the TICP principles and healthcare interventions could be provided to the
patient with identification of three life events related to his depression, stigma due to his
mental instability, and trauma due to the death of his father.
Identification of the issues
Upon detailed analysis of the provided case situation, it was observed that due to
multiple physical, emotional and environmental stress factors, mark developed the critical
level of mental and physical healthcare situation, affected his cognitive abilities, physical
strength and coping skills. It was seen that he was associated with games and after primary
success and fame, he developed mental health concerns from the age of 18. However, it was
seen that despite having mental illness and concerns from the age of 18, he was diagnosed
with sever bipolar disorder and depression at the age of 42, that indicates towards the lack of
awareness of the patient regarding the mental illness that lead to prognosis of prolonged
disease condition. As per Kalil et al. (2016), if any disease is not treated for a longer period of

2CASE STUDY ANALYSIS
time, it could affect the patient negatively and lead to critical healthcare conditions in future.
The close friend of Mark mentioned that in that situation, there was a lack of awareness
among the communities and society regarding mental illness and hence people were not able
to achieve timely healthcare interventions (World Health Organization, 2015). Similar
situation was observed in the mental healthcare condition of Mark that indicated towards his
inability to understand his mental condition and hence suffered from the adverse mental
healthcare condition for 24 years. Due to the prolonged depression, he was unable to perform
in his game and his performance deteriorated continuously afterwards. As per Kolodny et al.
(2015), patients who are suffering from mental conditions and are unable to detect or seek
intervention immediately are at higher risks for substance abuse that could lead to severe
mental health condition by increasing the urge of self-harm. I the case study of Mark, similar
situation was observed as due to extreme depression he became addicted to cocaine that
deteriorated his mental and physical health. Therefore, as per TICP principles prepared by
SAMHSA (2019), he lacked awareness about his mental illness that made him suffer from a
prolonged depression and bipolar disease.
The second issue that could be identified from the case scenario of Mark was related
to increased stigma about mental health. Corrigan, Druss and Perlick (2014) mentioned that
patients that are affected with mental conditions, are ignorant of this aspect of their health due
to social stigma and despite of understanding the symptoms of the situation, they are unable
to accept the prognosis of the disease and seek for mental healthcare interventions. In the case
situation of Mark it was seen that the initial stage of his mental illness was harsh and he used
to lock himself prior to the warm up session of each game and cry so that he could overcome
his grieves and pan and could perform in the matches. Further, he used to consider his
inability as a result of severe flu due to which he was unable to perform properly (Seligman
& Csikszentmihalyi, 2014). Therefore, his negligent behaviour and inability to accept the

3CASE STUDY ANALYSIS
mental disorder was observed in this condition. Further, it was seen that he started consuming
cocaine over the weekends so that he could overcome his inabilities for few time and could
forget all the inability and humility he has faced. Therefore, in this situation, it could be said
that he started his cocaine related addiction so that he could overcome his mental illness and
diverts his thinking from mental illness. Billieux et al. (2015) mentions in the study that
majority of the drug abuse cases are the result of mental health condition, due to which
substance abuse increases. Hence the drug abuse, ignorance of his health condition was the
effect of his increased social stigma due to which, his mental health condition worsened. As
per TICP by SAMHSA (2019), in this condition, the patient lacked the safety and security
related to his mental health condition. As providing him privacy in such condition, could
have provided him with courage so that he could approach mental healthcare professionals
overcoming his social stigma.
The third aspect which would be discussed in this situation would be presence of
mental trauma that he suffered after the death of his father, in between of his mental health
condition. As per Schoenfeld & Cameron (2015), patients of mental health condition are
tremendously vulnerable to environmental and emotional stress and in such situation has the
risk of breaking down. Similar situation was observed in the case scenario of patient after the
death of his father, he was unable to focus on his game and then started consuming cocaine to
overcome his mental trauma. Further, it was also observed that after the death of father, his
mental health condition worsened and he lost his mental strength, self-confidence, self-
esteemed and hence, critical health condition arise (Corrigan, Druss & Perlick, 2014). The
patient was alone fighting with mental illness as after the death his father, he did not had
anyone to share his pain and grief. Therefore, in this situation, as per TICP and SMAHSA
(2019), the patient lacked support of his peers and family members with whom he could have
involved in the constructive and effective communication.

4CASE STUDY ANALYSIS
Personal recovery therapy and collaborative care
Application of effective intervention for the mental healthcare of the patients should
be inclusive of collaborative and patient centered so that with the application of holistic care
in the presence of collaborative care, the patient could become the part of healthcare
intervention team and develop self-goals and determination ability to become empowered
(Kearney et al., 2014). As per Pearson et al. (2015), collaborative care is one of the effective
approaches of critical and difficult healthcare conditions, where understanding the patient
priorities becomes the most crucial step of healthcare intervention. Hence, with the help of
patient, nursing professionals are able to understand the priority bases care they would be
providing to the patient in the future healthcare interventions (McComb & Simpson, 2014).
Further, application of patient centred and collaborative care helps the patient to increase
their understanding and awareness level so that with healthcare intervention, the patients
could be provided with healthcare literacy to increase their support in the healthcare
interventions (Ivbijaro et al., 2014). Therefore, application of collaborative care in the care
process of Mark would help to establish the effective communication among the
professionals and the patient. Besides this, the patient would be able to understand the mental
healthcare condition, he is affected with and the implication of it in his future healthcare
condition (Kearney et al., 2014). Hence, collaborative care in case of Mark and his healthcare
condition would help to develop a progressive healthcare condition, where both the nursing
professional and the patient would be able to determine the priority based interventions.
Further, they would be able to communicate with each other and the healthcare complications
would be easily solved (Pearson et al., 2014).
Another strategy that helps the nursing professionals to understand the healthcare
complication of the patient and implement effective interventions for the restoration of
wellbeing for the patient would be application of personal recovery therapy (Slade et al.,

5CASE STUDY ANALYSIS
2014). As per Tse and Ng (2014), mental health and associated personal recovery is the
process through which the patients are provided with the authority to become of their
healthcare concern and provide the patient with hope, self-management, peer support so that
while going through the intervention, principles of person recovery models could be applied
(Maybery et al., 2015). Hence, this model completely focuses on the strengthening and
upliftment of the mentally ill patients so that while applying the care interventions patients
could accept them and develop further understanding of their disorder. Similar approach
could also be implemented in the care process of Mark so that while conducting the care
process his mental health, improved physical condition, cognitive ability and ability to
construct and effective communication could be obtained. As per Bennett, Breeze and
Neilson (2014) the application of personal recovery model and collaborative care in the care
process helps the healthcare professionals to provide the patient with holistic and effective
interventions to achieve improved patient condition. Hence in this healthcare condition of
Mark, application of these approach would help them to develop an effective healthcare
environment where the patient would be able to overcome his mental concerns, depression
and bipolar disorder (Slade et al., 2014). Further the collaborative approach should include
Mark, his peers that would help him to overcome his isolation, his family members that
would help him to overcome the trauma of his father’s loss and other failures related to his
sports (Bennett, Breeze & Neilson, 2014).
Application of trauma informed care principles
The application of Application of trauma informed care principles (TICP) in the care
process of Mark should target the three identified issues and with application of nursing
interventions, the principles of TICP should be included so that effectiveness of those
interventions could increase (Cleary & Hungerford, 2015). The three identified issues in the
mental health complication of Mark was related to his social stigma and related to his mental

6CASE STUDY ANALYSIS
health, his traumatic condition and his prolonged depression. Therefore the identified TICP
aspects that should be applied in the care process of Mark would be providing him with
awareness, security and safety as well as family and peer support so that he could overcome
his above-mentioned concerns (Beemster et al., 2019). The first intervention that should be
provided to the patient is related to patient education and in this aspect he would be provided
with healthcare literacy regarding depression so that with increased awareness he could
overcome his substance abuse, and improver healthcare management. For the second
concern, the patient would be provided with counselling and psychotherapy by
involving a psychologist so that by application of multidisciplinary team, the patient
could understand the privacy and safety the healthcare process would be providing to
him for his stigmatic condition (McGarry & Kent, 2016). Third intervention would be
involving the patient, his peer and his family members in constructive communication
or actions like painting, gardening by involving support groups and midwives so that
through the activities or communication process they could help the patient to overcome
his reservation and be vocal about his inabilities accept his mental illness. Therefore,
through this, the patient would be provided with support and care so that he could develop his
self-worth and accept the healthcare interventions for faster recovery of his family and
friends (Cleary & Hungerford, 2015). As per Beckett et al. (2017), TICP principles are
effective in mental healthcare interventions because it aims the personality of the patients and
provide them with aspects which they require the most to overcome the critical situation.
Further, it also aims to provide the patient with effective means of communication and
empowerment so that through the application of this, patient could overcome mental
disability and concerns. Hence this is the way TICP could help the patient to overcome his
severe mental health condition.
Conclusion

7CASE STUDY ANALYSIS
In conclusion, it could be said that Mark was suffering from not only mental illness,
but his physical inability, stress and emotional drawbacks affected him cumulatively.
Therefore application of collaborative care and TICP helped him to overcome his inabilities,
concerns and complications by providing him with empowerment, safety, awareness security
and support. Further, implementation of personal recovery therapy helped the patient with
hope, positivity, strength and courage so that he could accept his illness and then help the
nursing professionals to apply the interventions for their benefit and growth. This is the way,
the mental healthcare treatment with identification of three situations were conducted.

8CASE STUDY ANALYSIS
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