Review research and develop research questions
Group C Case Study
CC: Chantee presents today to find someone to manage her bipolar disorder and medication and help her come up with a plan for housing. She does not have health insurance.
HPI: Chantee is a 60-year-old white woman who is homeless, currently in transitional housing. History of bipolar disorder since 20 years of age, and history of depression, and heroin and opioid addiction. She needs someone to manage her bipolar disorder and medication. She was discharged from a rehab facility with a two month supply of medication and instructed to find a psychiatrist to manage her bipolar disorder. She still takes the lithium but stopped taking the antidepressant because she doesn’t feel depressed. Previous to being at rehab facility she was admitted to hospital for complications of her Hepatitis C and then discharged to a rehab facility. Minimal family support: she was victim of IPV and husband left her when she was 43 years old. Estranged from children who recently resumed contact with her while she was in rehab facility.
Medical History: Back injury from being knocked down stairs intimate partner violence (IPV)->dependence on opioids. Heroin use. Hepatitis C.
Hospitalizations: For childbirth. Recently hospitalized for Hepatitis C complications and then sent to rehab facility.
OB History: G3 P3, postpartum depression after each pregnancy. IPV with pregnancies.
Emotional/physical/sexual abuse: IPV: Emotional abuse first pregnancy, physical abuse second pregnancy and third pregnancy (knocked down stairs and had back injury).
Psychiatric History: Postpartum depression, depression, attempted suicide after second child. Bipolar disorder since 20 years old and avoided treatment. characterized by manic episodes where she paints for days, often steeling art supplies, followed by periods of deep depression. While in rehab her bipolar disorder was treated with lithium and an antidepressant and she was discharged with a two month supply and instructed to find a psychiatrist to manage her bipolar disorder. She still takes the lithium but stopped taking the antidepressant because she doesn’t feel depressed.
Substance use/abuse: History of opioid dependence and heroin use. Has been drug free for 2 months upon release from rehab facility. Smoker since 17 years old and smokes ½ ppd.
Living situation: Homeless. Lived on street and in and out of shelters. Currently in transitional housing. She is expected to leave the transition home in 1 month and is trying to come up with a plan for housing and work upon her release.
Family and Marital status: Chantee grew up in a middle-class household. Married at age 23. History of IPV. Husband left her after 20 years marriage when she was 43 years old. Was estranged from children. Her children came to visit her in the rehab facility and she saw pictures of her grandchildren. Has remained in touch with her children while in transitional housing.
Education: Completed college and pursued her passion for painting with a degree in fine arts from her state university.
Occupation: On and off jobs as art teacher.
Recreation/hobbies: Painting passionately as emotional outlet.