Mental Health Assessment Paper

536 Words2 Pages

I IDENTIFYING DATA D Data: The inmate is a 32 year old white male serving a 1 year and 4 months sentence for 2 COUNT of BURGLARY/DWELL/OCC CONVEY,GRAND THEFT 300/5000, and GRAND THEFT MOTOR VEHICLE. He entered the Department of Correction on 4/3/17 and his TRD is 7/23/2018. This is inmate’s first Florida prison term.

II. REASON FOR ADMISSION: The inmate was admitted to Lake CI TCU on 9/28/2017 from RMC-Main Unit due to inmate’s experiencing auditory hallucinations, bizarre behaviors and delusional thinking that would make his adjustment to the compound problematic at the time.

III. RELEVANT MEDICAL & MENTAL HEALTH HISTORY: Records indicate intermitent mental health treatment for a period of 10 years prior to incarceration. SUBSTANCE USE Hx. Inmate admitted that he had tried …show more content…

Interventions Used: Psychiatric assessment, nursing assessments, medication compliance monitoring, individual counseling/case management, ETOs, Recreation, & MH Group activities. Patient’s Response to Treatment: According to Multidisciplinary Treatment Staff, the inmate has not attained his treatment goals. Treatment team reported inmate has been a smearing feces, eating feces, dinking from the toilet, and urinating on self. He is experiencing bizarre behaviors such as pacing, bizarre affect and restlessness. Multidisciplinary team recommended that the inmate would be released or EOS to a Baker Act facility (Meridian Health in Alachua) due to dysfunctional behavior, self-harm, and intermittent willing to continue medication management. His symptoms of delusions and hallucination were significantly increased from 2/7 to a frequency of 5 out of 7. His bizarre behavior appeared to increase, and he has shown an increased in symptoms of

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