You are required to create a recovery plan for Ben, a 25-year-old individual who was discharged from an inpatient unit to a community setting after a recent aggressive episode and psychotic episode.

NURBN2024 Mental Health Recovery Plan Case Study Sample

Scenario: Mental Health Recovery Plan

Note: This is information is a continuation of Bens story from Task 1, all previous information and video still applies Ben, a 25-year-old qualified builder, was brought into the Emergency Department by the Police three days ago following an aggressive episode involving his girlfriend outside their house. Ben behaviour raised concerns, leading the Police to believe that he was mentally unwell and posed a risk to himself and/or others. As a result, Ben was detained and taken to the local health service. Ben has a history of depression and borderline personality disorder, with known suicide attempts. His depression has been ongoing since he was 21 years old. Additionally, he has been using substances since the age of 14. His girlfriend informed the police that his substance use had become much worse & in recent months and that he had started acting strangely Upon admission to the Emergency Department, Ben was found to have a mixture of alcohol, ice (methamphetamine), and cannabis in his system. He was also experiencing a psychotic episode. The healthcare professionals managed his acute symptoms and determined that he is now stable enough to be discharged from the inpatient unit to a community setting. However, given his complex history and current mental state, a comprehensive recovery plan is necessary to support his transition and rehabilitation. Your previous MSE and risk assessment contributed to his care and after 4 days, he is to be discharged in the community.

You have just started in the community and have requested to continue working with Ben at the Community Mental Health Service. Ben has agreed to this as he is comfortable with you, having previously met you in the Inpatient Unit. He has also been taken off the mental health act and is now a voluntary patient Ben’s Current presentation and information: Ben’s symptoms of psychosis seem to be resolved currently prescribed Olanzapine 10mg BD is also prescribed Diazepam 5mg TDS. These medications were also used as part of Ben’s withdrawal from his methamphetamine and cannabis whilst he was in hospital. Ben previously was on Diazepam 10mg TDS. The psychiatrist would like this to be reduced and will review these medications with a view to discontinuing when appropriate.

When in hospital, Ben also started a SSRI called Escitalopram 10mg Daily. The psychiatrist would like this to be monitored [AC1] with an increase to 20 mg if tolerated, Ben was [AC2] previously on other antidepressants before admission and stated, “they did nothing for him”. He has not had Escitalopram before.
Ben still presents as low in mood; he still states his girlfriend will leave him and will lose his job and is embarrassed about how he was brought into hospital. These statements appear to be related to his mood and do not fit delusional content. He has stated that he has no plans to take own his life, but he does on occasion think about if he could just go to sleep and not wakeup as his thoughts “don’t stop” sometimes and he just wants to get away.

Overall, Ben still has till has some mild symptoms of withdrawal, and this has generally been managed well in hospital with an Amphetamine Withdrawal Scale and his regular medication. He currently feels he cannot miss any doses of the Olanzapine and Diazepam, otherwise he may will “lose it”. Ben has discharged, back to his home with his girlfriend. She has been very supportive during his inpatient stay. His girlfriend is worried about future relapse. His mother Cathy has also been supportive to Ben during this time and has volunteered to help where she can. Ben’s workplace has organised him some sick leave. Ben’s girlfriend has discussed with you that his boss is very supportive around mental health issues and wants him back at work when he is ready.

INSTRUCTIONS:

Instructions for Students

Task is focused on creating a recovery plan for Ben mental health, considering his transition from inpatient care to a community setting. This assignment will help you demonstrate your understanding of recovery planning, mental health interventions, monitoring and collaboration. Please carefully read and follow the instructions provided below.

Task Overview: You are required to create a recovery plan for Ben, a 25-year-old individual who was discharged from an inpatient unit to a community setting after a recent aggressive episode and psychotic episode. Your recovery plan should address mental health history, substance use, and recovery goals, considering evidence- based interventions and a include collaborative approach involving Ben, healthcare providers, family, and support network. Recovery plan can follow structured headings of Recovery plan template (provided in assessment resources) Rubric and Scoring: Your submission will be evaluated based on the rubric provided. Each criterion carries a specific point value, and your total score will be calculated out of 60 points and weighted to 50% of total grade.