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Leanne - Treating Psychosis and Personality Disorders


Leanne was admitted to JMH from Sedgley House, Wolverhampton as an informal patient. She was awaiting a court Shearing for assault with two outstanding suspended sentences already in place.

Leanne had a working diagnosis of substance and alcohol misuse drug-induced psychosis, antisocial personality disorder & borderline personality disorder and a long history of aggressive behaviours.

Leanne had been offered and taken part in specific psychological interventions to address this at Sedgeley House but had not responded well to this approach and had eventually declined attendance.

Leanne was admitted initially to Horton ward. In the first instance staff concentrated on developing a good therapeutic working relationship. This facilitated Leanne being able to discuss her past behaviours.

Leanne had retained his everyday functional skills and as she had settled well. she was transferred to the rehabilitation bungalow – High Ash.

It was noted that when she was engaged in the activities of daily living she appeared more able and more willing to talk about where she believed her own problems existed and also consider ways of addressing these.

Leanne was able to recognise that cultural and circumstances had influenced her drug and alcohol misuse which in turn had led to assaultive and aggressive behaviours and that when the cycle was broken then changes would occur.

Staff re-enforced her understanding on a regular basis and supported Leanne to both retain her understanding and make the necessary changes to her lifestyle and her perceptions of what is an acceptable way to behave in a social context.

Leanne was also supported when she attended her court case and she felt able at this point to own her past behaviours choosing to change her plea from not guilty to guilty. She was awarded three suspended sentences after JMH staff presented a report to she court stating that Leanne was engaging in therapy looking at antecedents and consequences of past behaviours. Subject to her continued engagement in the same the judge awarded Leanne a third suspended sentence.

As Leanne was an informal patient all elements of her input were addressed through negotiated contracts in which Leanne was an active participant and took a lead in her own care.

Leanne agreed to regular drug and alcohol screening after unescorted time spent in the community and agreed to continue with an organised weekly structured routine of completing her own activities of daily living.

Leanne's family were also involved and informed in Leanne's care pathway progress at her request throughout.

As a next stage in her therapy Leanne is currently now taking part in voluntary work in the community and her discharge is planned within the next month to supported accommodation in the community.
Length of Stay: 20 Months.

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