You are a mental health clinician (RPN) working in a homeless outreach community team, in
Melbourne metropolitan. Ryan, a 32 years old man, has self-presented to ED voicing concerns that
his food has been poisoned by the staff at McDonald’s. Until March 2022, he worked as an IT
technician however, he was made redundant due to corporate restructuring. He has been unable to
secure a job since. In April 2022, he left his share house because he was concerned that his
housemate was poisoning his food at home. Since then, he has travelled around the country, staying at
motels and backpackers. He has spent all his money and has been sleeping rough for the past six
weeks. Ryan’s mother lived with schizophrenia and died two years ago due to cardiovascular disease.
Ryan’s father remarried when Ryan was ten and has not been in touch since. It is unclear if Ryan has
other close relationships. Ryan has agreed to be referred to the homeless outreach team for follow-up
after assessment by the emergency mental health team. You have been allocated as a key clinician to
Ryan
(I will need only the case study refering to Rayn )