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Reflective Analysis: Mental Health Wards

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Reflective Analysis: Mental Health Wards
Practice Experience Analysis
Mr X is a seventy year old man who has spent most of his adult life in and out of various mental health wards in a number of local hospitals. Diagnosed with schizophrenia at the age of 27, an illness he maintains he has never had, Mr X blames his family, in particular his father and brother, for his many stays in hospital including numerous detentions under Sections 2 and 3 of the Mental Health Act (1983).

Mr X had been encouraged by his care co-ordinator, under Section 131 of the Mental Health Act (1983), and the Code of Practice paragraph 4.9 (Department of Health and Welsh Office, 2008) to be admitted to hospital as an informal patient. Whilst on the ward Mr X referred himself to the advocacy service during one of the agency’s fortnightly drop-in sessions. Mr X initially wanted support with his ward round to assert his rights and to have
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He always starts off with high dosages of medication that leave him lethargic, sleepy and not wanting to leave his flat, then after complaining to the team he gets gradual reductions in dosage sizes – he told me that this happens after every hospital stay. It was documented in the report that he had let me read and it stated that once the dosages had been lowered it was only a matter of time before Mr X would start making annoying phone calls to his family resulting in police involvement then hospitalisation. Mr X told me that this behaviour happens whilst he is suffering from depression brought on by him spending a lot of his time indoors (due to the drugs) without much interaction with others and with having too much time on his hands. This results in him thinking about his situation and getting agitated about it. It was all in the report – repeated behaviour with the same outcome and it made me wonder why he had not been helped out of this cycle of

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