Developing autonomous practise in mental health nursing Essay

Developing autonomous practise in mental health nursing - Essay Example In addition, I will explore the therapeutic efficacy of the current clinical environment or the services provided to service user and also discuss the appropriate alternative service options available to the service user by analysing the pros and cons of the alternatives to the user. George, 41 year old Irish man, had been diagnosed with schizophrenia and past depression. His first contact with mental health services was when his mother expressed concerns about him having the potential to harm someone. He was born by vacuum extraction and unlike other normal children he had experienced retarded mental health development accompanied with slow speech. At 6 years of age, he was admitted to a special needs school in London for two years. Joining at mainstream school, he was bullied and had difficulties in forming friendships with other children. At age 15, he was expelled from the school for fighting with other children in the school and since then he never turned back to school. At the age of 25, he started working with his father but again he was unable to build cordial relationships due to his aggressive behaviour. He began to consume drugs and alcohol that further acted as a source of conflict between the father and the son that often culminated in a physical al tercation. As a result of this event, he had to leave his family house. During the assessment, George describes that he hears a voice inside his head that others do not telling him to harm other people. It was reported that similar voice provoked him to harm local councillor and a person who worked in his borough housing department. On his observation by psychiatric doctor, it was reported that George’s presentation was unusual and believed he did experience regular psychotic symptoms. It was reported that he was suffering from schizophrenia disorder with the risk of violent and