Case Study-Mental Health Case Management

 Case Study 4

Martin is a 21-year-old business major at a large university. Over the past few weeks his family and friends have noticed increasingly bizarre behaviors. On many occasions, they’ve overheard him whispering in an agitated voice, even though there is no one nearby. Lately, he has refused to answer or make calls on his cell phone, claiming that if he does it will activate a deadly chip that was implanted in his brain by evil aliens.

His parents have tried to get him to go with them to a psychiatrist for an evaluation, but he refuses. He has accused them on several occasions of conspiring with the aliens to have him killed so they can remove his brain and put it inside one of their own. He has stopped attended classes altogether. He is now so far behind in his coursework that he will fail if something doesn’t change very soon.

Although Martin occasionally has a few beers with his friends, he’s never been known to abuse alcohol or use drugs. He does, however, have an estranged aunt who has been in and out of psychiatric hospitals over the years due to erratic and bizarre behavior. 


1.      Diagnose the above patient.

2.      Next as the case manager:

a.       Identify the life areas that will be impacted by the diagnosis?

b.      Discuss how these areas will be impacted and provide support.

                                                              i.      School

                                                            ii.      Home: self-care, housekeeping, finance, etc.

                                                          iii.      Relationships

c.       What supports would you identify as necessary in Martin’s life and explain why?

d.      What educational opportunities would you create and to whom would you provide them? Describe the educational areas.

e.       Lastly, using your book discuss the possible obstacles the diagnosis may present, Martin may present.

f.       Identify what theoretical approach has been identified to work best.  (Theory) Share a brief discussion on why it works. (2 paragraphs.)


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