Assignment Task
Patient: Shaun Williams – Identifies as Indigenous male D.O.B.: 01.07.1995
History: Wt. 74kg and Ht. 176cm
Smokes cannabis daily, which he started smoking at the age of 12 years. He has used ICE and MDMA
Significant alcohol consumption – rum and beer daily
Trauma history of being physically abused by his father as a child and witnessing domestic violence between his parents.
Left school at the age of 14 – had numerous suspensions for aggression and truancy, and was academically
challenged.
IQ testing at primary school noted mild intellectual impairment.
Previous incarceration for assault and stealing.
History of drug induced psychosis and had been prescribed Olanzapine (Zyprexa) 10mg per day, but is generally non-adherent to this treatement.
Previous admissions under the Mental Health Act
Disengages from case management for follow up.
Family history of mental health conditions –
Brother committed suicide at the age of 25 – Hx of PTSD secondary to a history of sexual abuse, and had a greater than 10 year history of illicit substance use
Father – schizophrenia secondary to illicit substance misuse
Sister – depression
Current Situation:
Shaun has been transferred, under the Qld. Public Health Act – Emergency Examination Authority, from the rural town where he resides, to the regional authorized facility for containment and further assessment.
He was transported by the police following a significant disturbance at the family home where he was witnessed to be displaying verbal and physical aggression to his family, and appeared to be experiencing psychotic features potentially precipitated by illicit substance use. He was at danger of harm to self and others, including voicing to police that he wanted to kill himself after the police had restrained him for his own safety.
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