I. Study
A. Identifying Information
The client is a 26 year old, single, male, African American. He is an active duty ship’s serviceman seaman serving in the United States Navy, aboard the USS Belleau Wood (LHA-3). Seaman (SN) Fisher is residing on board the USS Belleau Wood (LHA-3) that is permanently stationed at San Diego Naval Base, 32nd Street in California. SN Fisher was given orders to report to Navy Mental Health Services Department on base as Involuntary Command Referral for diagnosis and treatments, to get an evaluation and expert psychiatric recommendation about whether the service member is mentally fit to stay in the United States Navy. SN Fisher is unwilling to begin counseling, expressing to Lieutenant Commander (LCDR) Davenport, the attending psychiatrist, that he has “no problems,” and declaring that the Navy can order SN Fisher to report on prescribed dates, but LCDR Davenport can’t force him to talk about his anger, and rage when taunted by fellow sailors.
B. Setting. The setting is the Navy Mental Health Services Department, Pacific Fleet. Services provided are intended for crisis prevention such as Fitness for duty evaluations, Diagnostic Evaluations, Health psychology assessments, Individual and group therapies, Limited Duty reports, Pharmacotherapy, Medical Board reports and addendums, Temporary Duty Retirement List (TDRL) periodic physical evaluations, Involuntary Command Referral for diagnosis and treatment, Psychological testing, Military Court evaluations, including insanity boards , Department of the Navy Central Adjudication Facility (DONCAF) evaluations and Special assignment evaluations. Through the capability of a full range of mental health services including substance abuse treatment to the Fleet and Marines, to all other military beneficiaries and other Tricare Prime patients on a space available basis is the primary mission of the Mental Health Department, utilizing mental health