Case Study: Homelessness/Schizophrenia

Topics: Schizophrenia, Delusional disorder, Delusion Pages: 7 (2706 words) Published: May 14, 2012
Case Study: Homeless/Schizophrenia
Charla Green ABS 200: Introduction to Applied Behavioral Science Instructor Shannon Tromp February 5, 2012

I. Introduction
a. Goals of paper
b. Topic of paper
II. Micro
a. Consider the personality, emotions, beliefs, behaviors, goals interests, mental health, and strengths and weaknesses. III. Mezzo
a. Consider any small groups in which they interact such as family, peer groups, social groups, sports groups, or any other small groups in which they are involved. IV. Macro
a. Consider any groups in which they have been involved, any organizations, and their community. This could include business, church, neighborhood, school, or other agencies or larger entities. V. Diversity

a. Consider any elements of diversity that may have played a part in the problem they face in life, describing how these factors may have been significant along the different levels. VI. Circumstances

a. Individual’s strengths and weaknesses in dealing with their circumstances. b. What their stressors are and how they cope with them.
c. How well they adapted to their circumstances.
VII. Conclusion
a. Reiterate and enforce introduction with restatement of thesis. John Ratliff is a sixty-one year old male who is homeless and suffers from paranoid schizophrenia. John currently lives on the streets in San Francisco, California. He has been homeless for the past six years. He currently does not take any medication for his illness, nor does he acknowledge he has an illness. However, he does admit to the voices in his head constantly telling him mean and hateful things. John is expressing interest in wanting the voices to stop. It is for this reason that John will consider medication. He once had a family that consisted of a wife and four children. John also had a great career before his illness took over. John needs assistance in obtaining stable housing and Social Security Disability Income for his illness. The ultimate goal is to get John on proper medication long term. In order to meet John’s needs and reach his goals one must first acquire John’s trust. John’s specific needs and goals will be established by looking at his world on a micro, mezzo, and macro level, along with the diversity and circumstances in which he is accustomed to living in. A better understanding of John’s mental illness, his life, and his current environment and living conditions will determine what resources will help John with his immediate and long term needs and goals. The onset of schizophrenia for an individual usually makes a breakthrough between the ages of eighteen and thirty-one with a major psychotic episode. This comes at a point in life when most individuals are trying to lay the foundation for their career and family goals. When this major upset happens at this point in one’s life, it often leads to homelessness. Statistics show that, like John, homelessness can happen to even those who had their life together prior to the onset of schizophrenia. An estimated twenty to twenty-five percent of homeless people in the U.S. are severely mentally ill. Of those who are diagnosed with schizophrenia, six percent of patients are homeless at any given time (Hastings, 2007). “The lack of social connection, work skills, and ability to focus and communicate clear ideas and goals leads to withdrawal from everyone and everything they may have held dear. The schizophrenic may also show very little emotion or concern. This can make it difficult for loved ones to continue supporting him/her. A person with schizophrenia also tends to isolate, often making it hard to keep track of him/her at all” (Stergiopoulos, 2010). Schizophrenia causes numerous...
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