From: ,

Sent: Sunday, 8 June 2014 12:25 PM

To: ,
Subject: and impacts on caring for

Hi ,

As requested, below is a summary of the challenges facing my two clients

who are effectively full time carers for ( ) in his current
mental crisis, and the impacts of their wellbeing:

Hamid and are caring full time for their friend and room-mate
( ) as his drastic decline in mental health makes him
dependent them for his basic needs such as showering, going to the
toilet, eating, shopping and maintaining “appropriate behaviour”. In
effect this means literally washing the transferee and cleaning up him
after he has soiled himself and his bedding as he often does not go to
the toilets due to paranoia. They report being on constant guard as
( ) often takes off his clothes and wants to walk around
the compound which obliges them to continually monitor him to prevent
him from doing so.

Understandably this is causing great strain on Hamid and Both

clients report feeling very anxious about their friends mental state and
overwhelmed with the responsibility of taking care of him (having had no
mental health training or experience), and have stated that they are
desperate for him to receive proper medical care.

Of particular concern is the potential trauma experienced by Hamid and

and subsequent deleterious effect on their own mental health.

Both men state that their main source of support in this situation is
each other, but appreciate the on-going support provided by Case
management via welfare checks.

CM to follow up with both men regularly and offer support where

possible.

CM to email TL with above update

Cheers

Case Manager

Manus Island Regional Processing Centre

Transfield Services Limited |