Darnell

Darnell is diagnosed with schizophrenia and living in a supported apartment program. He has been newly diagnosed (last 6 months) with Type II diabetes related to his use of olanzapine (Zyprexa). Despite numerous attempts to educate the client about diabetes and the dangesr inherent in consuming sugar, including the option of drinking non-sugar beverages, Darnell continues to drink sugared cola. He is considered competent (in a legal sense) to make his own medical decisions. Workers are feeling concerned and don't want to be part of the client's decline into advanced diabetes. During the team/staff meeting they begin talking about an intervention to limit the client's choice. They are considering advocating for a money management plan that will limit Darnell's spendable income so that sugared cola and high carbohydrate foods will be more difficult to get. (author C. Mieras)