Application of the Gibbs Reflective Model
Subject (as described in the preceding section of this paper) presented himself to the clinic demanding immediate attention because he felt that the cognitive therapy he was receiving was not helping his situation. Neither a psychiatric physician nor a psychiatric nurse was available to provide immediate attention to the subject. The subject continued to demand immediate attention and no explanation of the immediate situation in the clinic or promise of attention to his needs as soon as qualified clinical personnel were available to see him. The subject was obviously intoxicated, and the level of intoxication appeared to be a major factor in his refusal to accept the statement that qualified psychiatric personnel were not free to deal with his situation instantly.
Other than aggressive behaviour and a refusal to accept any explanation for not granting his demand for instant access to qualified psychiatric personnel, the subject did not appear ot be in any imminent danger in relation to either mental health risk or physical health risk. The subject's behaviour, however, did indicate that he posed a threat to his onw physical safety, the physical safety of the clinical staff present, and the physical safety of other patients in the clinic at the time.
Because of the subject's behavior and because of the threat that I perceived that he posed to the physical safety of himself and to ot