Assessing someone who is potentially psychotic and dangerous in the community
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- เผยแพร่เมื่อ 4 พ.ค. 2016
- Stephen has a history of a psychotic disorder and is known to have been violent in the past, both prior to any psychotic episodes and, later, when unwell. He has ben referred to a Community Mental Health Team by his GP, who is concerned that he has both relapsed and may pose a risk to others. The team are now going to assess him.
This film is in two parts., The first shows poor practice while the second is a truncated example of the techniques that might be used to explore Stephen's mental state, any potential risk to others and the reasons why. Inevitably, there are many things about the assessment process this film doesn't have time to address but it nonetheless demonstrates some important points and raises a lot of issues for discussion.
If you want to read more about the subject matter of this film, you can try "A Pocket Guide to Risk Assessment and Management in Mental Health", by Chris Hart and published by Routledge. It's available as an e-Book, on Amazon and in book shops.
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These are so well done thank you!
House visits...?
I doubt it.
Even our mobile response team locally is cautious in attending unless the person has never been in the system.
Dangerous
this would annoy me
Yeah, the problem is that once someone is labeled as mentally troubled they're much more likely to be dismissed, not taken seriously or have their rights taken away. Because they already have the preconceived notion that you're ill, they're more likely to misinterpret events as a sign of that illness. How many people have a messy house or apartment? To them it might be a sign of depression. How many people would react positively to doctors just showing up at their house out of the blue? They might see that as a sign of paranoia. In other words, normal behaviors will be seen as a sign of illness.
At the end of the day I wonder if you really have anything to gain by letting them in and talking to them in this kind of situation? It's like the saying that you should never talk to the police, because even if you've done nothing wrong, the simple act of letting them into your house could allow them to see something that they misunderstand, and now suddenly it's being used against you in court in the future. You just never know how it will go so why risk it?
I don't get why Steven becomes calmer and seems to trust Dr more, is it clear? I thought he let them in and went along against his will, thinking he must. Maybe bcz he knew he was unwell and needed help or to talk with so.
I think maybe it's because, though he's having thoughts of hurting his family, he knows he doesn't actually want to hurt them. That conversation topic was the one that got him on board.
The voices are telling him to hurt them, but he disagrees. At the same time, he knows that it will only get harder to stop himself from listening to the voices in the future. The interviewers guide him to the conclusion that if he doesn't get some help, he'll hurt the people he loves (something he's done in the past, so he knows it could really happen).
The best way to send someone on a path to psychosis is to prescribe them antipsychotics.As the brain tries to compensate for the lack of dopamine by growing new dopamine receptors, when the drug is stopped, the new receptors kick in and become overactive, so you have then a created chemical imbalance.The only chemical imbalance in the brain is that which is caused by all psychiatric drugs, so, if you don't want an epidemic of mental illness, don't prescribe these drugs, but if you are driven by greed and power, well, just look around you.
@@jeannettecowley5957 I've seen a fair amount of information about this as well. It seems like these drugs have a place... in a very small number of cases, but the side effects are so bad that it's not appropriate for most people. Unfortunately they are over prescribed and then people are just told that the side effects are being caused by their illness. Why prescribers don't tell their patients about possible side effects and risks is beyond me. Some of these drugs are banned in certain first world countries, many of them have black box warnings but people are often times not told about this.
Scary shit
I have managed to lose the Mental Health stasi.I pinned a noticed to my front door, banning psychiatrists, it took quite some time, but l think they have got the message now.
How are you feeling now? Did you suffer from psychotic episodes, if so, did it solve the issues without drugs?
That is very scary. Are they able to enter the house with the help of police if you refuse to answer the door for them? It seems like they can come and take you away in so many cases like what happened to Britney Spears. A truly chilling system.
They shoul have introduced themselves at the door. They shouldn’t be putting scenarios and words into his mouth. They’re using his words against him in his own home. That’s awful. And don’t let them into his home.
😂😂😂😂😂