Julia (current client) Julia is 31 years old and at age 11 moved to Australia with her family. She contracted encephalitis at age 14, resulting in a brain lesion, and she has schizoaffective disorder and a personality disorder. Julia used various drugs (amphetamines, cocaine, marijuana, heroin, methadone and benzodiazepines), was repeatedly hospitalised for drug-induced psychosis and has had long-term rehabilitation stays in mental health facilities. Julia has not been able to sustain tenancies. Julia is a long-stay client in ISP and is not ready to leave. She receives case management and clinical support and vocational case management. Julia has also engaged in direct therapy throughout her time in ISP, but this has been difficult due to her limited concentration and mental illness causes behaviours impulsivity. Julia’ s such as substance abuse, impulsivity, poor emotional regulation, seeking admission to hospital or interaction with emergency services, inability to foresee consequences of actions, self harm and seeking sexual relations and affection from strangers. Her progress in ISP has recently deteriorated, and ISP is working with NSW Health to identify the cause and appropriate treatments. Meanwhile Julia is receiving a higher level of support. At this point, ISP has not been able to identify a funding source that would provide Julia the opportunity to exit to an appropriate model of support. She is not eligible for direct services provided by Ageing, Disability and Home Care. Community Mental Health have deemed that mental health services may not be appropriate because her challenges primarily result from brain injury and personality disorder. ISP is continuing to look for a funding source.
Julia (current client) Julia is 31 years old and at age 11 moved to Australia with her family. She contracted encephalitis at age 14, resulting in a brain lesion, and she has schizoaffective disorder and a personality disorder. Julia used various drugs (amphetamines, cocaine, marijuana, heroin, methadone and benzodiazepines), was repeatedly hospitalised for drug-induced psychosis and has had long-term rehabilitation stays in mental health facilities. Julia has not been able to sustain tenancies. Julia is a long-stay client in ISP and is not ready to leave. She receives case management and clinical support and vocational case management. Julia has also engaged in direct therapy throughout her time in ISP, but this has been difficult due to her limited concentration and impulsivity. Julia’ s mental illness causes behaviours such as substance abuse, impulsivity, poor emotional regulation, seeking admission to hospital or interaction with emergency services, inability to foresee consequences of actions, self harm and seeking sexual relations and affection from strangers. Her progress in ISP has recently deteriorated, and ISP is working with NSW Health to identify the cause and appropriate treatments. Meanwhile Julia is receiving a higher level of support. At this point, ISP has not been able to identify a funding source that would provide Julia the opportunity to exit to an appropriate model of support. She is not eligible for direct services provided by Ageing, Disability and Home Care. Community Mental Health have deemed that mental health services may not be appropriate because her challenges primarily result from brain injury and personality disorder. ISP is continuing to look for a funding source.
Evaluation_of_Outcomes_for_People_Nominated_to_the_Integrated_Services_Programd.docx