Reference no: EM133227155
Question - Mark is a 30-year-old separated and non-custodian father of 2 young children. He has a Culturally and linguistically diverse (CALD), Mark is Muslim and also has a traumatic background. Mark came to Australia in 2000 from Somalia where he was a child soldier. He does not speak English very well and this at times contributes to his frustration and anger. Mark has a diagnosis of Schizo affective disorder which was first diagnosed in 2001. He also has a secondary diagnosis of substance use. He currently lives with his family in an office of housing apartment in Flemington and is on DSP with is finances managed by state trustees. Mark has a forensic history, and his index offence is breaking and enter. He also has a history of violence and aggression as well as carrying weapons. In the past he assaulted his pregnant wife, brother, mother, and health workers.
Mark's mother called the police as Mark was shouting and threating to harm them. He presented as highly agitated, dishevelled, and malodorous. He reported that he was being pursued by evil spirits and thought that his mother was doing "voodoo" on him. Collateral information from his family indicate that he had self-ceased his antipsychotics and his use of methamphetamine had increased in the days leading to his admission. Mark was buying a lot of things that he did not need and could not afford. His brother reported that he talks a lot of "nonsense" and thinks that he is some leader of some "tribe". He talks and laughs to himself and reports that he hears the voice of "Jah" and can see him at times.
Mark has been admitted to an adult acute inpatient mental health unit in context of decompensation in mental state. Mark declined to see his community treating team and was taken into ED by the CATs Team (Crisis and Assessment Team) and the police under an Assessment Order (Victorian Mental Health Act [2014]). He was transferred to ICA after an assessment in ED.
On interviewing Mark, you notice that he has marks on his arms and reveals to you that he is diabetic and smokes 30 cigarettes a day, what recommendations would you make to ensure that Mark receives optimal care.
Discuss barriers to Mark's engagement with mental health services and how these barriers will impact on Mark's holistic care.