Reference : “A Revolving Door.”… Reference : “A Revolving Door.” https://vimeopro.com/cbraverman/vod/video/31991843(6 points) There are three major medical and mental health issues Tommy struggles with: a.) the aftermath of a serious head injury b.) Severe mental illness c.) Severe drug addiction. Having watched the film, explain how these three separate conditions that Tommy has interact with each other, thereby making Tommy’s life more difficult. In you answer, make sure to include a specific example of how these three separate conditions combine to complicate Tommy’s attempt at recovery. (6 points total) Give two reasons why Tommy’s family feel the mental health system has been inadequate in meeting Tommy’s needs. (2nd) Make sure to explain the reasons why the family feels the mental system has failed Tommy. (4 points) Later in the documentary Tommy finally decides to take his psychotropic medication as prescribed. As a result, Tommy becomes more stable but there are some trade-offs (downsides) in taking these powerful psychotropic medications which include? Describe: (4 points) Having watched the film and read about the challenges of treating patients with co-occurring disorders, describe reasons why clients like Tommy oftentimes—and understandablyhave difficulties consistently taking their psychotropic medication, sometimes openly resisting taking medication as prescribed; these are reasons that, as a counselor, you need to be aware of to be able empathize with your clients. (4 points) Describe some strategies and approaches you could take when working with clients with co-occurring disorders to increase their medication compliance. (6 points) Tommy’s illnesses are clearly devastating to his family. Describe ways (making sure to provide appropriate supporting examples) that Tommy’s problems profoundly affect his family. (12 points total) Describe each of the parallels listed below between substance use disorders and mental illness that this instructor lectured on from a power point presentation (available in the module six assignment folder), that apply to Tommy and/or his family. In order to receive full credit, make sure to provide an appropriate supporting example from the film for each of the six parallels that you describe. Addiction Mental Illness Parallels 1. (2 points) Chronicity same 2. (2 points) Leads to lack of control sameof behavior and emotions 3. (2 points) Affects the whole family same 4. (2 points) Disease of denial. (lack of or difficulty accepting disease.) same5. (2 points) Facing the disease can lead to samedepression and despair 6. (2 points) Leads to feelings of shame & stigma (that often leads to isolation.) same (20 points total) Imagine that you work at an outpatient clinic that specializes in treating people who have co-occurring disorders. Tommy has been assigned to you as client. This question is based upon the treatment approaches discussed by our recent guest presenter Sarah Merz and outlined in the SAMHSA TIP 57 Trauma Informed Care in Behavioral Health manual (available in the current assignment folder). For each of the principles listed below, clearly explain and include an illustrative example(s) for how you would work with Tommy. (4 points) Treatment Principle #5: Create a Safe Environment: (4 points) Treatment Principle #7: Support Control, Choice and Autonomy (4 points) Treatment Principle #8: Create Collaborative Relationships and Opportunities (4 points) Treatment Principle #12: Use a Strengths-Focused Perspective: Promote Resilience (4 points) Treatment Principle #13: Foster Trauma- Resistant Skills Science Health Science SAB 110
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