Case Studies
24-hour Supported Accommodation
Background:
An individual with a complex history, involving multiple hospital admissions under the Mental Health Act, grapples with substance misuse, childhood trauma, traits associated with Emotionally Unstable Personality Disorder, and a prior head injury.
Challenges:
The person's substance misuse often leads to verbal aggression toward staff and fellow Service Users, especially when they consume alcohol to self-medicate past traumas. They struggle to abide by house rules, making it difficult to establish a structured environment. Building trust with staff is challenging, and they inconsistently follow prescribed medication. Their history involves placements breaking down due to non-engagement with staff and support, leading to feelings of rejection.
What Did We Do?
- Conducted a thorough initial assessment to comprehend the individual's needs and challenges.
- Facilitated cross-disciplinary meetings with healthcare professionals from the Multidisciplinary Team (MDT) to coordinate their care.
- Identified their primary objectives, focusing on reducing alcohol dependence and rekindling their interest in Creative Writing.
- Developed a Risk Management Plan to address potential concerns.
- Established a Support Plan to provide a structured care framework.
- Implemented a Behavioral Support Plan to assist in managing actions and responses.
- Conducted a Self-Medication Assessment to understand substance reliance.
- Arranged personalised sessions with a Neurological Occupational Therapist to address specific needs.
- Enhanced daily living skills, including self-care routines and meal preparation.
- Supported social reintegration by involving them in co-production groups, residents' meetings (where they took minutes), and communal activities within their Home.
- Encouraged community engagement through volunteering at a local shop to foster a sense of belonging and purpose
Hospital Discharge Pathway
Overview:
A female client arrived at Hassocks Road via the Crisis Pathway. Initially, she found everything to be challenging and perplexing, and she was hesitant to interact with anyone at Hassocks Road. Through the gentle persistence and encouragement of the staff, she gradually overcame her anxieties and apprehensions:
With the unwavering support and motivation of the Hassocks Road staff, she became less reliant on others and less anxious about her life and self-perception. The staff helped her use written prompts and practised with her until she gained the ability to prepare meals and snacks independently within a week, and she continued this progress upon leaving the service.
A 46-year-old male diagnosed with Schizoaffective disorder, Manic type, encountered a significant life shift when his father, whom he had been living with and caring for, developed Dementia and moved to a Care Home. This situation resulted in the client becoming homeless.
Referral Reason:
He was referred due to his homelessness and the need for temporary accommodation while awaiting a permanent placement. Additionally, support was required for his mental health.
Challenging Behaviour:
- Daily accusations against staff, alleging intrusion into his room and missing belongings.
- Playing loud music late at night, causing disruption to other residents.
- Requiring support and guidance with personal care and laundry.
- .We devised a Risk Management Plan to address potential concerns.
- Experiencing disturbances during the night, reporting auditory hallucinations (hearing voices), and expressing fears of potential room entry.
- Suspected involvement with drugs in his previous accommodation.
- Inconsistently adhering to his prescribed medication.