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Download MHPN Case Studies

Download any of the MHPN case studies below.

Case Study	Name	Age	Key Issues	Other key issues	Focus of questions
1	Julie	45	Postnatal Depression	Five-month old son with colic and poor sleep Grief over Julie’s father’s death Julie’s mother has early onset Alzheimer’s Estranged husband	Local resources and services Engagement of patient in management plan Medicare items for psychology Role of other health professionals Case-conferencing Relapse management planning Collaboration to support relapse plan
2	Melissa	14	Eating Disorder	Weight loss Constantly feels cold Mother ‘drives me crazy at meal times’	Diagnosis Formulating a GP mental health plan Engaging teenager and parents in plan Identifying a case coordinator Clinical psychology services - Better Access Case conferencing
3	Marie	-	Grief and depression	History of childhood sexual abuse Grief following stillborn birth and three miscarriages Depression is not improving. Husband unaware of abuse	Revising management plan Complex confidentiality issues Case conferencing Providing family support Suicide risk assessment Involuntary admission consideration Management during pregnancy Post-natal psychological issues Assessing suitability for services under Better Access
4	Alex	37	Adjustment disorder with depressed mood and perpetration of domestic violence.	Three children, wife estranged Drug addiction Vocational issues	GP mental health care plan Engagement of patient in care plan Consideration of children and spouse in plan Identifying useful psychological interventions Identifying the most appropriate mental health care scheme Role for other health services Locating information about local resources Identifying a case coordinator Facilitation of case conferencing
5	Grace	82	Anxiety	Chronic and acute medical issues (wrist fracture, asthma and diabetes)	Formulation of a management plan Identifying the most suitable mental health care scheme Assistance to increase social support Supported accommodation for older patients
6	Max	13	Conduct disorder	Perpetrating violence and graffiti, police involvement, mother not coping, threatened expulsion from school	Engaging a young person as a patient when consultation is initiated by a parent Dealing with disclosure by a minor of sexual abuse or bullying Formulating a management plan for an adolescent Access and referral to local services Providing information about care of a minor to a parent Identifying a case coordinator Facilitating case-conferencing Arranging support for siblings and parents
7	Sam	8	Social anxiety	School refusal, gastric symptoms, victim of bullying	Referral arrangements for confirmation of GP diagnosis of a childhood psychological disorder Formulation of a management plan for a child Identifying a suitable mental health care initiative for referral of a child Referral pathways for a child accessing psychological care. Involving a school in a care plan Promoting consistency across professionals working with a child to address a psychological issue
8	Hilda	48	Sleep disorder		Identification of the most appropriate mental health care scheme GP support of a treatment plan Intervening in resistant-to-intervention cases Final reporting to the GP
9	Simon	21	Chronic Schizophrenia	History of depression Amphetamine and cannabis use, smoking Poor-self-care and declining ADLs and financial management Weight gain and obesity Unemployment	Development of a collaborative care management plan Including the family in the management plan Supporting the family with local services Intervening in associated psychosocial issues in chronic mental illness Identifying the most appropriate mental health care scheme Facilitating case conferencing
10	Peter	32	Alcohol and other drug use disorder with Depression and Anxiety	AA intermittent Heroin and alcohol misuse Marriage breakdown, work stress Financial stress due to drug-related spending	Coordinating medically monitored detoxification. Identification of mental health funding program Identifying local resources Inclusion of wife in management plan Support for wife Developing a relapse plan Collaborative care in supporting the relapse plan
11	Robyn	40's	Obsessive Compulsive Disorder and Mild Intellectual Disability	Dermatitis from frequent hand-washing Petit and Grand Mal Epilepsy Social Isolation	Identifying a treatment goal, management plan and a case coordinator Referring to a psychiatrist Identifying appropriate mental health care schemes and local services Altering a mental health plan to suit changing needs Inclusion of additional services in a new management plan
12	Russell	16	Physical Disability with Depression/Anxiety	Spina Bifida and associated medical conditions including bowel and bladder infections and pressure sores	Formulation of a management plan Identifying the most appropriate mental health care scheme for anxiety and depression co-morbidity with a chronic physical illness Providing assistance to the family and school to provide appropriate support and how to monitor these aspects of the care plan Identifying appropriate local resources Developing a relapse plan Collaborative care to support a relapse plan and to ensure continued improvement
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