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Social Work Case Study

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Identifying Data

MT is a 44-year-old male of Catholic background who lived with his family in Griffith, NSW before admission to the Forensic Hospital. He was born in Tonga, and subsequently migrated to Australia in 1983 when he was 11 years old. MT has multiple psychiatric related admissions in the past.

Presenting Complaint

MT was brought in into the forensic department following an incident involving him being aggressive towards an Indian family, as he believed that they were abusing him. He said that “ I thought they were saying stuff to me” and therefore, he entered the house and smashed a window and lounge chair in the flat and hit the owner of the house a couple of times. He then claimed that he left the house with two sticks from …show more content…
He changed five different schools during his teenage years. He completed High School Certificate at 17 years old. He was below average academically and was pushed by his father to study. He has a history of suspension twice for fighting. He used to work as a fruit packer during his adolescence.

Early Adult Life
After completing his school, MT worked in a children factory for ten years and then a truck driver for a few years before his index offence. He denied being dismissed from a job. He had several relationship in the past and refers to himself as a “womaniser”.

Mental State Examination ( MSE) – During Interview

Appearance
He was a healthy gentleman and well-groomed with good personal hygiene. MT was in casually dressed in a T-shirt and shorts with a cap. He was noted to have left sided torticollis of the neck.

Behaviour
He was well settled and cooperative throughout the interview. He displayed appropriate eye contact with downcast posture. He was polite and respectful with no psychomotor retardation and agitation noted.
Mood and Affect
He appears euthymic with no irritablity. He does not seem to appear depressed. His affect was slightly blunt.
Speech
The speech was in reasonable rate but became louder as his level of irritation was increased.
Thought process and …show more content…
He states that he has an amazing and supporting family.

However, he has the risk to harm the others. MT has a risk for violence which includes his history for violence, problems with substance abuse and treatment compliance. He has a high risk for clinical factors for violence including problems with insight, active symptoms of major mental illness, instability, violent attitudes and treatment resistance.

Formulation
MT, currently a patient in Forensic Hospital presented in September 2015 after a deterioration in his mental state following the death of his uncle in May 2015 and significant alcohol abuse. He lives with his wife and two kids in Griffth. He is managed by the community mental health team in Griffth. He had a history of difficulties with gambling and required prompting to attend clinic reviews.
Predisposing Factors
MT has several factors contributing to his mental illness which includes: migration when he was when he was 11, low socioeconomic status and substance abuse.
Precipitating Factors
The main precipitating factors for current admission includes substance abuse, non-compliance with his medication as well as grief due to the loss of his uncle in May

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