Joshua, from the beginning of his childhood never had a support system in his life. As his mother was suffering from schizophrenia and he never shared anything about his father to anyone, so he had no one too share his feelings with. Later when he along with his brother mark went to wings because her mother was unable to take care of them, he faced the same problem of being left alone as nobody wanted to be friends with him.
Joshua never had a good friend in his life who can tell him what is wrong for him and what is right due to which he got attracted towards things like alcohol and drugs. So these were the issues which Joshua might face during his childhood (Harrow, & Jobe, 2007). These issues might impact differently on very person as per their nature; some might become too shy and reserved while others might become very aggressive and irritated because of these problems.
Two potential needs which Joshua might have and shall prioritize it are:
The wings healthcare center is into this field for a very long time. So they have experienced doctors who are able to handle tough situation easily as they have seen many conditions like this. The center has qualified staff and well maintained infrastructure also. Service users are always under surveillance of caretakers who are always present for help. Proper health checkups, counseling sessions are being held to help the people living over there (Angel wings., 2016).
For better treatment of Joshua who himself is suffering from feeling of left alone and schizophrenia shall be treated by caretaking and supporting procedure.
Firstly I would contact Joshua’s mother and brother to get to know more about his childhood. Further, wings healthcare and Joshua’s karate teacher would be the sources whom I will approach.
The organizational policies which I would consider are-
Aspects to be considered are:
As I got to know about Joshua’s nature that he is highly reactive and is aggressive in nature. So, I will not ask him to come for counseling sessions or healing sessions instead I will ask him to come and tell me about his experience at wings and be friends with me so that he won’t feel alone and has a friend. I will try to make him comfortable in surroundings around him so that he can trust me and share his problems with me (Ferrarelli, Huber, et al., 2007).
Joshua’s understanding to my words can be only understood through his expressions and response he’ll give to me. I will ask Joshua to meet me next day as well so that a good bond of friendship is maintained and if his response is positive then it can be assumed that he has understood my service delivery. I’ll make him gain trust on me and confirm him that his past experiences won’t get repeated.
I will ask Joshua to trust my services and all the information that he will provide would be confidential and it shall not be shared.
After my session with Joshua I will ask him to work on his nature and make friends so that won’t be lonely most of the time. Also I will ask him to tell me about his whole daily schedule. So in this way I would seek feedback from Joshua.
Joshua’s brother
Caretaker of Joshua at wings
After meeting Joshua few things that hit my concern were that Joshua is very lonely at this time and needs family support to overcome his conditions. Few things that I can to do to make a recovery in his condition are through cognitive behavioral theory, admitting him in self-help groups. So in this way his loneliness will reduce and he will invest his time in other resourceful activities so that he does not get to hear such voices.
Joshua’s information shall be kept confidential in lockers so that it does not harm him and no body shall access that information.
All the decisions shall be taken concerning Joshua’s condition and health. Any action planning to take shall not harm his heath and all such actions shall be initiated to improve Joshua’s mental and physical health (Vrijenhoek, Buizer-Voskamp, et al.,2008).
The workings can only be monitored by Joshua’s response towards me and my task which I ask him to do.
I will support Joshua on leaving his medication and will also tell him that he does not need to hear all those voices in order to feel close to his mother as she s always there beside him.
Joshua can join SHGs, rehab centers and try not be alone most of the time. And I will ask him to karate class as well.
I would make sure that his feelings do not get hurt with any conversation and his health improves day by day.
I will ask Joshua to calm his mind and not get depressed. And will also ask him to not listen to voices and not pay attention on them (Hamann, Cohen, Leucht, Busch, & Kissling, 2007).
Family education
Caretaking
Right that he has is to discontinue his services whenever he wants.
Right is not to provide information which he doesn’t want to share.
Right is to seek advice of counselor.
I will ask Joshua to follow the procedure and listen to my words because I am here to support him and help him to improve his state (Rais, M., Cahn, et al. 2008).
References
Angel wings., (2016). Why choose Angel Wings Home Care., viewed on 12 may 2017, from < https://www.angelwingshomecare.com/>
Bowie, C. R., Leung, W. W., et al. (2008). Predicting schizophrenia patients’ real-world behavior with specific neuropsychological and functional capacity measures. Biological psychiatry, 63(5), 505-511.
Duraiswamy, G., Thirthalli, J., Nagendra, H. R., & Gangadhar, B. N. (2007). Yoga therapy as an add?on treatment in the management of patients with schizophrenia–a randomized controlled trial. Acta Psychiatrica Scandinavica, 116(3), 226-232.
Ferrarelli, F., Huber, R., et al., (2007). Reduced sleep spindle activity in schizophrenia patients. American Journal of Psychiatry, 164(3), 483-492.
Hamann, J., Cohen, R., Leucht, S., Busch, R., & Kissling, W. (2007). Shared decision making and long-term outcome in schizophrenia treatment. The Journal of clinical psychiatry, 68(7), 992-997.
Harrow, M., & Jobe, T. H. (2007). Factors involved in outcome and recovery in schizophrenia patients not on antipsychotic medications: a 15-year multifollow-up study. The Journal of nervous and mental disease, 195(5), 406-414.
Rais, M., Cahn, et al. (2008). Excessive brain volume loss over time in cannabis-using first-episode schizophrenia patients. American Journal of Psychiatry, 165(4), 490-496.
Vrijenhoek, T., Buizer-Voskamp, J. E., et al., (2008). Recurrent CNVs disrupt three candidate genes in schizophrenia patients. The American Journal of Human Genetics, 83(4), 504-510.
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