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Trevor, aged 38, has bipolar affective disorder (a mental illness). His condition is now stable, and he is living with his long-term girlfriend. Which of the following combinations of professionals should be involved in his care and why? Group of answer choices A psychologist to prescribe antipsychotic medication and evaluate its effectiveness, a mental health social worker to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and a pharmacist to help Trevor adhere to his medication regimen. A psychiatrist to prescribe antipsychotic medication and evaluate its effectiveness, a psychologist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and a rehabilitation counsellor to assist Trevor to gain and maintain meaningful employment. A registered nurse to prescribe antipsychotic medication and evaluate its effectiveness, a psychologist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and an occupational therapist to help Trevor develop coping strategies through meaningful everyday activities. A pharmacist to prescribe antipsychotic medication and evaluate its effectiveness, a psychiatrist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help and a health services manager to help Trevor navigate through the mental health care system.

Question

Trevor, aged 38, has bipolar affective disorder (a mental illness). His condition is now stable, and he is living with his long-term girlfriend. Which of the following combinations of professionals should be involved in his care and why? Group of answer choices

A psychologist to prescribe antipsychotic medication and evaluate its effectiveness, a mental health social worker to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and a pharmacist to help Trevor adhere to his medication regimen.

A psychiatrist to prescribe antipsychotic medication and evaluate its effectiveness, a psychologist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and a rehabilitation counsellor to assist Trevor to gain and maintain meaningful employment.

A registered nurse to prescribe antipsychotic medication and evaluate its effectiveness, a psychologist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and an occupational therapist to help Trevor develop coping strategies through meaningful everyday activities.

A pharmacist to prescribe antipsychotic medication and evaluate its effectiveness, a psychiatrist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help and a health services manager to help Trevor navigate through the mental health care system.

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Solution

To determine the most appropriate combination of professionals for Trevor's care, we need to consider the roles and expertise of each professional mentioned in the options. Let's analyze each option step by step:

  1. Option 1:

    • Psychologist: Psychologists typically do not prescribe medication. Their role is more focused on therapy and behavioral interventions.
    • Mental Health Social Worker: This professional can indeed help Trevor and his girlfriend recognize early signs of a psychotic episode and provide support.
    • Pharmacist: While pharmacists can help with medication adherence, they do not prescribe medication.

    This option is not suitable because a psychologist cannot prescribe medication.

  2. Option 2:

    • Psychiatrist: Psychiatrists are medical doctors who can prescribe medication and evaluate its effectiveness.
    • Psychologist: A psychologist can provide therapy and help Trevor and his girlfriend recognize early signs of a psychotic episode.
    • Rehabilitation Counsellor: This professional can assist Trevor in gaining and maintaining meaningful employment, which is beneficial for his overall well-being.

    This option is suitable because it includes a psychiatrist for medication management, a psychologist for therapy and early sign recognition, and a rehabilitation counsellor for employment support.

  3. Option 3:

    • Registered Nurse: While registered nurses play a crucial role in patient care, they typically do not prescribe medication.
    • Psychologist: As mentioned, psychologists can help with therapy and recognizing early signs of a psychotic episode.
    • Occupational Therapist: This professional can help Trevor develop coping strategies through meaningful everyday activities.

    This option is not suitable because a registered nurse cannot prescribe medication.

  4. Option 4:

    • Pharmacist: Pharmacists do not prescribe medication.
    • Psychiatrist: Psychiatrists can help with recognizing early signs of a psychotic episode and provide therapy.
    • Health Services Manager: This professional can help navigate the mental health care system but does not directly provide therapeutic or medical care.

    This option is not suitable because a pharmacist cannot prescribe medication.

Conclusion: The most appropriate combination of professionals for Trevor's care is:

A psychiatrist to prescribe antipsychotic medication and evaluate its effectiveness, a psychologist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and a rehabilitation counsellor to assist Trevor to gain and maintain meaningful employment.

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