The case is about a 45-year-old male, named Juho, who is suffering from chronic paranoid schizophrenia. Originally, Juho is from Finland as he was born there, but moved to Australia as a young boy, with his parents. Juho also has a sister living in town. Juho is a fluent English speaker, but often switches to Finnish. Juho whole-heartedly belongs to his original culture, and follows the rituals without even validating them.
Juho’s health has been fortnightly stabilised with Risperdal Consta, and he needs to get an order under the Mental Health Act to continue his use of Risperdal injection fortnightly. Moreover, Juho has been hearing derogatory voices outside from his side, which sometimes forces him to kill himself. Juho doesn’t like people much and avoids crowded places. Juho sleeps on a bench park and feels good when there is plenty of space around him, as a result, he doesn’t bothers with the derogatory voices. Juho has a history of assaulting people too, which he justifies by telling that it was for his defense. Juho is also afraid of needles and is addicted to Vodka. Juho is looked after by a Community Mental Health Case manager and a mental health nurse. One day, the Community Mental Health Case Manager visited Juho in a park, and noticed that Juho has bruises over his face and arms, and is unable to use his arms. Moreover, his head seems twisted and it was challenging to understand what he says. Upon questioning, Juho answered that everything is fine, and refused to go to the hospital for assessment.