Chapter 32 - Managing Communicative Manifestations of Psychiatric Disorders at a Homeless Shelter
Phillip K. Tompkins & Tamla Clarke
Synopsis
Jack is a guest at the St. Frances Center (SFC), a shelter that operates as a haven from the "mean streets." No one can express disrespect for anyone else while in SFC. When asked routine questions in order to gain admission, Jack speaks in nonsensical language. Recognizing that Jack suffers from schizophrenia, a mental health clinician directs him to the "Wellness Office.” Jack's communicative behaviors are determined not to be expressive of his true intentions, but some of his outbursts are considered disrespectful. When this happens he is expelled for a period of time. The Wellness provider discusses the case with the shelter staff who decide via open communication and teamwork to allow Jack to re-enter SFC and get connected to the services he desperately needs.
Keywords: Teamwork, Compassionate Workplace, Mental Illness, SOPs, Training
Key Takeaways and Take a Stand Form
Key Takeaways
- The case illustrates how organizational policies can be adapted to accommodate those with an impaired ability to communicate functionally within an organization structure and society itself.
- By utilizing open communication and teamwork, the SFC staff was efficient in managing the complexities encountered when working with this subset of the population.
- Through training and experience, volunteer teams can learn to identify those guests who need special attention, which is imperative when trying to manage risks to the individual, other guests, staff, volunteers, and to the organization itself.
- The case illustrates the importance of flexibility and the stretching of boundaries when it comes to making policies. Human services organizations must embrace a “supportive but firm approach” to policy making. Set parameters for safe and acceptable behaviors while allowing for reasonable accommodations.
Take a Stand Form
- Take a Stand Form (DOC 19KB)