David 27 years old Alcohol abuse Lack of sleep Poor diet Poor general health, and feet. Low self esteem Rough sleeper Vulnerable to crime, drugs alcohol and high risk of serious illness and premature death. Dual diagnosis schizophrenia and alcoholism?

What happens next Building a relationship Treat as an individual Important to build a rapport Client centred approach Client led goals Does David want to change Spend time to allow David to make informed choices Forming strategies

Professionals involved General Practitioner General Nurse Occupational Therapist Mental Health nurse / CPN Psychologist/ Psychiatrist Podiatrist Social Worker Voluntary agencies

Legislation Implement MHA 1983 if necessary for treatment Section 4, section 2, section 5, place of safety section 136, section 7 guardianship (ASW) Key worker assigned following care program approach.

Overview Goals Short – To obtain past medical history to enable health professionals to move forward with his care. Medium – To improve his physical and mental health, give him access to food, clothes and warmth. Long – Look at and provide accommodation to endeavour keep David off the streets

This presentation was completed by Julia Miles student MH nurse Anne Lane student OT Sharon Harris student OT Hannah Blaney student OT Michele Jones student OT