Community Habilitative Support in the Case of an Adult with Growth-Hormone Deficiency Dwarfism (Panhypopituitarism), Multiple Psychiatric Disorders, Law Violating Behavior, and Life Threatening Self-Injury
Source: Journal of Developmental and Physical Disabilities, Volume 16, Number 3, September 2004 , pp. 287-296(10)
Abstract:This case report describes the psychiatric and treatment history of a 36-year old man with growth-hormone deficiency dwarfism who engaged in persistent health-threatening, self-harming, and law-violating behaviors. Diagnosed with Tourette's disorder, depression, obsessive–compulsive disorder, and schizophrenia, his life-long involvement with the mental health system included repeated psychiatric hospitalizations and additional challenges such as pseudoseizures, polydipsia, ethanol abuse, and physical maltreatment. We trace the patient's care within secure settings, a residential school that employed aversive interventions (food deprivation, mechanical restraint, electric shock), and a community-based center where he was maintained effectively with pharmacologic and behavior support therapies. Although he adjusted positively at the community level, an administrative decision by the state agency responsible for his care returned the patient to a former secure environment, where he was subjected once again to invasive treatment. The unique features of this case are discussed.
Document Type: Research Article
Affiliations: 1: The May Institute Inc., Adult Services Program, Revere, Massachusetts 2: The May Institute Inc., Adult Services Program, Revere, Massachusetts;, Email: firstname.lastname@example.org 3: Young Adult Institute, New York, New York 4: Program in Psychiatry and the Law, Harvard Medical School, Boston, Massachusetts
Publication date: September 1, 2004