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Scenario 4

TOPIC: Learning Disability Scenario

Kevin is a 30 year old man with moderate learning disabilities and Prader Willi Syndrome. He lives at home with his parents and attends a supported employment project 4 days per week. He has limited social contacts and relies of immediate family. He is severely overweight and needs close support and supervision to control his weight.

Kevin as a long history of weight management problems associated with his Prader Willi Syndrome. Prader Willi Syndrome is a genetic condition where there is an associated fixation with food, which can become an obsession. The syndrome is complex and there are a range of characteristics that can be present, including mental illness and challenging behaviours.

Kevin was returning home from supported employment with his support worker on the bus. Kevin managed to get off the bus without his support worker realising at a bus stop and made his way to Marks and Spencer. He made his way to the food hall and began to randomly open packets of biscuits and cakes and eat them. He was approached by staff and challenged. Kevin ‘lashed’ out at them, which resulted in the police being called. Kevin became increasingly anxious and restless and began to masturbate. His speech was increasingly incoherent and he could not give an account of himself and was unable to give the name of a family contact. The police recognised that Kevin might have some from of mental disorder and escorted him to the local psychiatric hospital for assessment.

On assessment Kevin as agitated and restless and threatening to harm those around him. He was unable to give the name of an immediate contact, could not state where he lived or who he lives with. When pressed he began to masturbate, talk to himself and rock back and forth.

The context

WHAT ARE THE KEY ISSUES (Click on the questions to reveal the answers)

Does he meet grounds for detention and compulsory treatment?

How do you plan treatment for this patient and who do you involve?

What are the relevant principles to be considered?

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