Tom Altered Perception Case Study

Background :
Tom is a 19 year old man who resides in a remote community about 5 hours travel from Adelaide. He lives with his mum and four younger siblings. His father died when he was 15 years old.
Tom left high school in Year 9 and has had a disrupted employment history though successfully started work 12 months ago for a local mechanic. After working for a few months, Tom began to hear voices that told him he was no good. He also began to believe that his boss was planting small video cameras in the cars to catch him making mistakes. Tom became increasingly agitated at work, particularly during busy times, and began "talking strangely" to customers. For example, one customer asked when his car would be available and Tom indicated that that it may not be available because had "surveillance photos of him that were being reviewed by the CIA".
A few weeks ago Tom quit his job, after yelling at his boss that he couldn’t take the constant abuse of being watched by all the TV screens in the car yard and even at his home. Tom has become increasingly confused and agitated. His behaviour has recently become more disorganised and his mum and aunty have been concerned about his erratic and volatile behaviour. They are particularly concerned over the increase in his alcohol and cannabis use.
Relevant Information
? Lives with mother and 4 younger siblings.
? Father died 4 years ago.
? Has a few close friends he socialises with each evening.
? Currently unemployed. Past employment includes farm hand and car mechanic apprentice.
? Known cannabis and alcohol use
? Physically well with no known medical history
? No prescribed medication
? Appropriate developmental milestones achieved.
? No known psychiatric history.
? No family psychiatric history though has had 2 friends complete suicide in the last 3 years.

Develop an essay focusing on the case study.

You are required to address all three discussion points in relation to the chosen case study.

Required discussion pointS for the essay

These following three (3) points are to be clearly addressed and linked to the chosen case study.

A comprehensive understanding of mental health, mental illness and the principles of recovery.
The nexus between mental health with physical health.
Recognising and responding to the mental health needs of the identified person, i.e. our essay must include implications for practice for you as a health professional.

Discussion themes

Below is a list of 10 possible areas to help guide the essay development. You will need to identify, explore and critically analyse a maximum of three of the following themes to add depth to the essay. Each theme must be linked to the above discussion points and the chosen case study.

1 Discuss the common presentations of the mental illness related to the case study and the stigma or attitudes that can impact on care.

2 Discuss the process and significance of a mental health assessment and possible findings from the case study for the purpose of treatment and recovery.

3 Discuss the required interventions and management of the mental, physical social and cultural issues for the chosen case study.

4 Discuss the quality of life effects for the person in the case study and their carers within a recovery framework.

5 Discuss specific issues relating to the case study, e.g. safety issues, multidisciplinary involvement, consumer and carer education and community resources.

6 Discuss likely outcomes and best practice recommendations for managing the care of the person experiencing mental illness. In the chosen case study.

7 Discuss contemporary issues in providing care such as access to services, consumer and carer perspectives, indigenous mental health.

8 Discuss the use of communication strategies and other therapeutic modalities in stabilising a therapeutic relationship with the person in the chosen case study.

9. Discuss the responsibilities of registered nurses to the person in the case study experiencing mental illness.

10 Discuss the resources and barriers that may impact on service delivery for the chosen case study.

Ensure all arguments and opinions are supported by relevant literature. Referencing and in-text referencing is expected from all students. It is required in the Harvard referencing format as described in the School of Nursing & Midwifery referencing guide. The guide is available as a PDF file from




Tom Altered Perception Case Study