Mr. Holt is a 35 year-old, never married BM from Davidson County. Mr. Holt was originally admitted to the main building at MTMHI pursuant to T.C.A. §33-7-301(a) from September 22nd, 2016 to October 7th, 2016 for a forensic evaluation to determine competency and mental condition for the alleged crime of aggravated burglary. Mr. Holt was accused of entering a residence without consent and claiming that he owned the property. He was given a diagnosis of Schizoaffective Disorder – Bipolar Type, and Anti-Personality Disorder and thought to meet the criteria for judicial commitment. At discharge, Mr. Holt was found committable to FSP pursuant to T.C.A. §33-7-301(b) due to making verbal threats against staff and other personnel. He was then committed …show more content…
During this interview, Mr. Holt presented as friendly and cooperative with good attention and eye contact. He was neatly dressed and oriented to person, place, and time. Mr. Holt has a noticeable lower jaw tremor as well as a moderate tremor along his right extremities. He appeared his stated age and was very sociable throughout the interview. He stated that he is ready to transfer to the main building at MTMHI and begin to work toward discharge to a group home in order to participate in more activities and be able to smoke cigarettes. He stated a group home would be his option because he has no residence to return to once discharged. Mr. Holt was able to list his diagnosis and medications although his insight is poor and he feels that the medication may be making him have a mental illness. He stated the medications seem to stabilize his mood and he was able to identify some of his symptoms as when he is sad he feels “real sad” and when he is happy he feels “real happy”. He is currently prescribed Prolixin, Cogentin, Depakote, and Trazadone. He did not express side effects from the current medication regimen other than the tremors and he currently feels that he gets adequate sleep. He denies any current auditory or visual hallucinations for the past 18 months. He expressed that when he does hear voices it is only God talking to him and that all the messages are positive. Mr. Holt expressed at times FSP can be challenging due to the aggressive behaviors of some of the other service recipients. When questioned how he handles these situations he stated he would seek help from the doctor or other staff. He denied having any difficulties with other service recipients during this admission
The applicant Mr. Arthur Hutchinson was born in 1941. In October 1983, he broke into a house, murdered a man, his wife and their adult son. Then he repeatedly raped their 18-year old daughter, having first dragged her past her father’s body. After several weeks, he was arrested by the police and chargedwith the offences. During the trial he refused to accept the offence and pleaded for innocence. He denied accepting the killings and sex with the younger daughter.
The secondary diagnoses of the patient are psychotic disorder, impulse control disorder, and post traumatic stress disorder (PTSD). His medical history includes hepatitis C, diabetes, benign essential hypertension, obesity, and history of falls related to
Charles is a 21 year-old Caucasian single male currently residing with his mother and stepfather whom also is Charles’s uncle. Charles graduated high school and due to his illness he receives social security benefits. During a two year period Charles had nine visits to the emergency room resulting in admission to the psychiatric unit. On two admissions Charles left against medical advice, five admissions required a higher level of care resulting in admission to the state psychiatric hospital and two Charles was transferred to the adult crisis unit. Charles also has a misdemeanor history mainly public nuisance due to substance abuse mainly marijuana and cocaine. Charles was evicted after a psychotic episode and destroying his apartment.
Anthony is a 40-year-old Asian American male who presents on the unit from RRC-W. He is SMI designated and on COT. He is ACOT for non-compliance. Per clinical team, client has been ignoring his diabetic condition due to increase psychosis and delusions. His team believes once he is stabilized on medication, he will begin to recognize his diabetic condition. Upon arrival, client refused intake assessment and vital signs. He will benefit from meeting with provider to discuss medication
Client was arrested on 11/30/2015. Client reported she was incarcerated at Riker’s Island. On 1/5/2016, Client walk in the Social Service Office to informed this worker that she re-entered the shelter on 1/5/2016. Client in the meeting had body odor. Client reported since 11am she being asking onsite RA for her personal belonging so that she can take a shower and changes her clothes. Client continues to report due to limited staff onsite she was told to wait until the RA return from lunch. . In the meeting client was dressed in slack black pants and sweat black hooded sweater. She appears to be calm, cooperative and forthcoming with information.
Eric is a 6-year old African-american male who was raised in an impoverished inner city neighborhood in Chicago. Drugs and violence surrounded his daily life. With a single-mother who involved herself in a series of relationships with abusive boyfriends, Eric found himself beat with a belt, and may have been sexually assaulted. His mother was not home that often, and he was forced to sit outside on the stoop so that his grandmother, that also lived with them, could sell drugs. His mother was uneducated and supported the family with her public assistance grant. He has never met his father, and his uncles are in jail. His father was convicted of robbery and drug charges but Eric was told that he was shot to death in an attempted robbery. He dreams of one day avenging his father's death and acts it out when he plays alone. He has a history of terrorizing animals and killed the family cat. He also did poorly in school, being diagnosed with attention deficit disorder. He is constantly involved in fights and has no companions. When home, he mostly involved himself in action movies and cartoons. Eric b efriends a boy who lived next door to him. One day he steals the boys bicycle and when the family comes to claim it, Eric threate ns the boy by saying that he was going to kill his baby brother. A few weeks later, Eric broke into the apartment and assaulted the baby, beating him nearly to death.
Courts, are usually established to either declare a defendant innocent or announce him guilty with a particular sentence depending strictly on the crime. However, the Yuma Mental Health Court is like no other court in the U.S Criminal Justice System. This unique court has specifically been established for two main reasons. The first reason, is to maintain mental ill defendants out of any jails or prisons, in order for them to receive proper treatments. The next reason, is that this court tries to help special defendants by sending them to treatment agencies so they can either be provided with medications or get some form of therapy. Yuma County is very fortunate to have this type of court in their area. In this writing, this author will analyze
Case introduction: A 19 year-old gentlemen, SS, presented to station 20N through the emergency department, following what was described by friends and family as “bizarre behavior.” SS had recently begun college at a local liberal arts school. He had done well during the first semester, but began to struggle academically during the second semester. Family attributed the decline in academic success to an increase in class size, which made SS uncomfortable. Several weeks prior to hospital admission, SS became increasingly isolated, spending the majority of his time in the dorm room and less time in class. Friends and roommates reported that SS was exhibiting bizarre behavior, often confiding in friends that he was being “spied on” by others and that people around him could “read his thoughts.” SS also endorsed a strange delusion in which those around him would blink simultaneously as a form of communication. All of the aforementioned events became overly distressing to SS and his family, so they sought medical help. SS had a limited psychiatric history for which he had seen a psychiatrist. The psychiatrist had put him on an anti-psychotic medication some months prior, but SS self-discontinued the medication after just a several week trial. As a result of the above, and a lack of explanation regarding the past psychiatric referral, the events were described as “first-episode psychosis.” Discussion regarding the diagnostic work-up followed.
While reviewing the OTPF, there are specific areas to address for the patient. Sean is a veteran, has been widowed for 15 years, lives alone. His past medical history entails alcohol abuse, depression and a post status right toe amputation. He has poor hygiene, nutrition and positioning. Also, complete immobility and continues to grieve his wife. First and foremost, Sean usually does not care for himself properly. His main goals are to be independent and live with his daughter, Mary. He fatigues which results in not caring for himself, the housekeeping, and
Francis B. Palmer made his will naming his daughters, the plaintiffs, Mrs. Riggs and Mrs. Preston heirs to a small portion of his estate. Majority of the estate was named under Elmer Palmer, his grandson and the defendant in the case. Elmer was fully aware of this will and when he sensed his grandfather’s intention to make changes to the will, he murdered his grandfather by poisoning him. The majority and dissenting judges agree to the statute which states that “The statute stipulates that anyone named in a will should inherit, except in cases of fraud, duress or incapacity at the time the will was made” (Module 1). The criminal aspect of the case is very clear and Elmer has been sentenced to life imprisonment for the criminal act of murder.
SM reported that he is currently taking psychotropic medications including Zoloft, a sleep medication and bupropion. SM explained that but after being medically retired he left fort hood in June of 2016 when he got a 90 day supply of medication from his off post provider. He indicated that because he was not taking as much medication as he was prescribed he was able to make the 90 day supply last until December of 2016 after which he began going back to the psychiatrist and psychologist. He reported he most recently was seen by his psychiatrist in January and is followed up by his psychiatrist approximately every 6 weeks for medication management. He also reported that he also saw a psychologist in January for individual therapy. SM report
In case 2, Mr. Walker, the husband, decided to take the gamble and take his wife home because his wife had not been treated kindly by the medical stuff of the hospital, and because they would have to face the high costs of the wife’s hospitalization for something that might not end up being so serious. However, in my opinion, the husband made the wrong decision in this case because the life of his wife should have been more important than either the costs or the way they were been treated by the medical stuff. Just because they were not treated politely once by the medical stuff, the couple should not expect to receive the same treatment that they had received before. They could have also moved to another hospital to receive this treatment.
"Mentally Ill Offenders in the Criminal Justice System: An Analysis and Prescription." Sentencingproject. The Sentencing Project, Jan. 2002. Web. 07 May 2014.