E1142 Certificate IV in Mental Health | My Assignment Tutor

Student Name: Student ID: Assessment number: 32549/02  Short Answer Questions E1142 Certificate IV in Mental Health Module 6: Recovery oriented services and relationships This is assessment 2 of 2.  1. Background/Overview   Support workers in the mental health and AOD sector are required to support a range of consumers with high and complex needs. Research indicates that people seeking support may have mental health issues and use AOD as a form of ‘self-medication’ which can make the pathway to treatment and recovery more complicated.    From collaboration and content to care plans and communities of choice, there are a range of issues, tools and processes that workers must understand, use and navigate in order to support consumers on their recovery journey.   Using a strengths based approach and establishing a relationship based upon trust and respect between worker and consumer are two of the keys to overcoming barriers. This assessment explores your knowledge of best practice in recovery oriented services and relationships.   2. Brief   For this assessment, we will be exploring your knowledge and demonstrating your understanding of recovery oriented services and relationships using a series of scenarios and short answer questions.                                 Deliverables Please submit this assessment in Word doc format.   To do list: Write your name and student ID at the top of this page. Read the background/ overview, brief and rubric sections of this document.There are 12 questions, some with multiple parts. Read all questions and complete all parts. Collate your written answers into one Word document.Save the Word document using the naming convention: your student number_assessment number.doc. For example: “12345678_31135_01.doc.”Upload your document in Open Space using the relevant Assessment Upload link in this Module.     4. Assessment Rubric Below is a rubric that determines whether your answers and knowledge is satisfactory or not yet satisfactory. To pass the assessment, you must complete ALL the requirements for the column that is titled ‘satisfactory’. It is advisable to read the rubric before attempting the assessments to help you attain the correct submission standard. Criteria    Satisfactory  Not yet satisfactory  Question 1:Read the scenario then:   Part A Write a short script on how you would respond to Jan (50-100 words)   Part B How would you build and maintain a safe and positive working relationship with Jan? Name at least 2 communication strategies which might allow you to build relationship and foster shared understanding.   Part C Outline in your own words Jan’s understanding of her own recovery. How can you make sure that you develop a shared understanding of recovery and its definition?   Part D How do you determine Jan’s readiness to self-advocate, participate in the service and initiate her plan for recovery?        Part A Answers will vary. Responses should reflect warmth, openness, care and authenticity.   Part B Answers will vary but should demonstrate a clear understanding of at least two of the following: Active listeningAttendingJoiningOffering reflectionsUsing recovery-oriented language   Part C Answers will vary but should include reference to Jan’s plans for the future and an explanation of how Jan and the student can begin working together.   Part D Answers will vary but may include references to and a clear understanding of: Holistic Needs AssessmentPutting together an Individual Treatment PlanNegotiating goals for service deliveryAsking Jan what she wants from the serviceConfirming with Jan what types of support she wants from the serviceConfirming with Jan her willingness to become involved negotiating her medication regimenConfirming with Jan what she wants to do regarding her accommodation situation      Part A The student’s answer shows a lack of understanding of the scenario and a lack of warmth, openness, care and authenticity.   Part B The student does no demonstrate a clear understanding of at least 2 communication strategies.   Part C The student’s response does not make reference to Jan’s plans for the future nor do they provide an explanation of how Jan and the student can begin working together.   Part D The student does not demonstrate a clear understand of or make reference to any of the below: Holistic Needs AssessmentPutting together an Individual Treatment PlanNegotiating goals for service deliveryAsking Jan what she wants from the serviceConfirming with Jan what types of support she wants from the serviceConfirming with Jan her willingness to become involved negotiating her medication regimenConfirming with Jan what she wants to do regarding her accommodation situation  Question 2:Read the scenario then:   Part A Write a short script of how you might respond to Jan, inviting her to tell her story.   Part BName at least 2 strategies to make sure that you appropriately respond to Jan’s story in full appreciation of her situation and concerns.   Part CName at least two aspects of how the diagnosis of mental illness has impacted on: 1. Jan’s life 2. Jan’s sense of self        Part AAnswers will vary, but can include references to: Offering help without pushing Jan.ListeningExpressing interest and concern Ways to build the relationship and whyBeing non-judgemental and why this important   Part BAnswers will vary but should demonstrate an understanding of and make reference to at least two of the following: Active listeningClarification seekingOpen questionsHighlighting strengths that shine through the storyConfronting unhelpful self-concepts   Part C 1: Answers will vary but may include elements from the scenario such as homelessness, education, employment, disconnection from family and society.   2: Answers will vary but may include issues such as feelings of worthlessness/low self-esteem, inability to achieve goals and Jane’s identification with her diagnosis.    Part AThe student is not able to provide a script that indicates an understanding of how to be empathetic and why this is important.   Part B The student is not able to demonstrate their understanding of any strategies that might result in Jan feeling heard and being comfortable to move forward.   Part C The student is not able to identify at least two aspects from Jan’s story that have impacted her life and sense of self.  Question 3:   Read the scenario then:   Part A Write a script (50 -100) words about how you might respond to Jan’s story. Highlight how you would inspire hope for the future and belief in recovery.   Part B Name any significant relationships in Jan’s life and outline how they contribute to the recovery process.   Part C Name any other aspects in Jan’s life that contribute to her recovery. Name at least one item for each category:   1: Life events   2: Cultural and social aspects   3: Activities   Part D How might you strengthen Jan’s relationship with her communities of choice and increase the support she can get from these communities.        Part A Answers will vary but should reflect belief in the fact that recovery is possible and show an understanding of Jan’s perception and goals for recovery.   Part B The student is able to correctly identify the significant relationships in Jan’s life from the scenarios provided and/or explain specifically how they could contribute to her recovery.   Part C Answers will vary but the student is able to correctly identify a range of life events, cultural and social aspects and activities from the scenarios provided.   Part D Answers can vary but the student should demonstrate they have researched further options for involvement in the communities that Jan is already involved with.    Part A The student is unable to demonstrate/articulate their belief in the fact that recovery is possible and show an understanding of Jan’s perception and goals for recovery.   Part B The student is not able to correctly identify the significant relationships in Jan’s life from the scenarios provided and/or explain specifically how they could contribute to her recovery.   Part C The student is not able to correctly identify a range of life events, cultural and social aspects and activities from the scenarios provided.   Part D The student does not demonstrate they have researched further options for involvement in the communities that Jan is already involved with.Question 4: Read the scenario and question, then:   Part A Name at least 2 sources of information about Jan and her needs. Name one type of information to collect from each source.   Part B Write up a short script (50-100 words) outlining how you might gain agreement which sources of information to access and ask for consent to access this information.   Part C Name at least 2 potential social and other barriers and say how they might impact on Jan and her recovery.   Part D Name at least one person or strategy that can help overcome each barrier you have identified.    Part A Answers will vary but can include Jan herself, other services that she has been involved with, her GP etc. and, in each case, the correct type of information that source could provide.Part B Answers will vary but should reflect respect, recovery-orientation and understanding of ethical requirements.       Part C Answers will vary but can include the impact of things such as stigma, social isolation, homophobia, unemployment and a lack of education on Jan’s ability to recover.   Part D Answers will vary but can include people from Jan’s care network as well as the relevant strategies in each case.    Part A The student is unable to correctly identify at least 2 sources of information about Jan and her needs and/ or the type of information that could be collected from each source..Part B The student’s answers do not reflect respect, recovery-orientation and understanding of ethical requirements.         Part C The student does not show an understanding of how issues such as stigma, social isolation, homophobia, unemployment and a lack of education can be barriers to Jan’s recovery.   Part D The student does not correctly identify people from Jan’s care network and/or the relevant strategies they could help in each case.  Question 5: Outline how you might collaborate with the consumer in maintaining records and progress notes.   words)  Answers will vary, but may include references to strategies such as writing notes together and/or giving the consumer access to notes/ reports, asking them to review and/or make amendments and/or having the consumer write up her own understanding of the work undertaken together.  The student does not show insight or understanding into how collaboration with the consumer could take place when it comes to maintaining records and progress notes.  Question 6:   Write a script (100-150 words) you might use to explain to consumers any organisation and program requirements (inclusion criteria, funding etc). Include information about access, equity and confidentiality.      The student is able to write the script as described and it shows insight and understanding into issues such as inclusion criteria (for example), and/or information about access, equity and confidentiality.      The student is not able to write the script as described and/or is does not show insight and/or understanding into issues such as inclusion criteria (for example), and/or information about access, equity and confidentiality.  Question 7:   Research a mental health service in your area and provide a brief description of the services they offer to consumers. Answer the following questions:   Part A What are the eligibility criteria for the service?   Part B Name any priority criteria the service might have when offering services to consumers.   Part CName at least 3 issues a consumer might present with that might require referral to another service (other than the one you have researched. Give a reason for why you think that referral would be needed for these issues.    Part A Answers will vary, depending on the chosen service.   Part B Answers will vary, depending on the chosen service.   Part C Answers will vary, depending on the chosen service.    Part A Answers will vary, depending on the chosen service.   Part B Answers will vary, depending on the chosen service.   Part C Answers will vary, depending on the chosen service.  Question 8: Give at least one practical example of how you might achieve the following goals of recovery-orientated practice:   Part A Foster respect in a relationship to a consumer   Part B Promote dignity of a consumer   Part CCommunicate hope and a belief in the recovery of a consumer   Part D Foster the understanding of consumer rights    Answers will vary in each case.  In each case the student was unable to provide a practical example of how they might achieve the goals outlined.Question 9:   Part A Write up at least 3 goals for Jan and include a strategy of how to achieve the goal. Include a time line and which role you as a worker and Jan will play in achieving this goal.   Part B What information might you give Jan regarding potential sources of support to achieve her goals and aspirations? Name at least 2 ways of how you might provide access to this information.       Part COutline how you might go about determining who is in Jan’s care network and which roles they play in Jan’s recovery.  Part A Answers will vary but a time line and clear role definition should be included.   Part B The student should provide information about other services, organisations, financial support available etc. and how the related information might be provided.   Part C The student clearly explains how they would work with Jan to identify who is part of her care network and asks her about the role each person plays.  Part A The student does not provide at least 3 goals and/or a time line and clear role definition.   Part B The student does not provide information about other services, organisations, financial support available etc. or how the related information might be provided.   Part C The student does not clearly explain how they would work with Jan to identify who is part of her care network or find out the role each person plays.Question 10:   Why do you think that the following activities are important or providing best practice support to consumers (30-50 words each)   A:  Rate yourself on a scale from 1 to 5, depending on how well you believe you carry out the specific task. (1 – excellent, 5 –very poor).   B: How might you improve on this specific task of work? (20-30 words)   Activites: 1: Undertake service actions as agreed in the plan in a timely manner   2:  Work from a strength based approach and communicate in a manner that respects the rights, dignity, choices and confidentiality of the person with the mental health condition while facilitating the care network to support the person   3: Maintain an empathic, supportive and hope inspiring approach as challenges occur seeing challenge as part of the recovery journey and sources for learning   4: Reflect on work practice and feedback and identify opportunities for enhancing empowerment and improved processes   5: Provide and communicate information so that it is readily understood by members of the care network   6: Understand historic, current and emerging models of understanding mental illness, both in Australia and internationally    Answers will vary in each case but the student should show insights and self-reflection when providing their answers.  In each case the student does not show insight and/or self-reflection when providing their answers.Question 11:   Name two strategies you might use to establish rapport and build an effective working relationship with relevant members of the care network (30-50 words each)    Answers will vary but in each case they should show insight into addressing issues such as how to initiate meetings, attending networking meetings, 3 way meetings, using active listening skills and/or dedicating time and resources to the care network.    The student does not demonstrate insight into addressing issues such as how to initiate meetings, attending networking meetings, 3 way meetings, using active listening skills and/or dedicating time and resources to the care network.  Question 12: Name at least 3 strategies to achieve a service arrangement which is based on collaboration and best practice.Answers will vary.    Answers will vary but unless the student provides at least 3 that are aligned with the goal of achieving a service arrangement which is based on collaboration and best practice, they have not answered the question satisfactorily.Overall assessment expectations  Word counts  As per tasks.  Plagiarism  All the student’s work is original and sourced where appropriate.Referencing  Appropriate referencing conventions are used.  3. Questions/Task Scenario Meet Jan: Jan is a woman in her early twenties who has recently come to your service for support. Jan was diagnosed with ADHD when she was in high school and was expelled from several different schools, usually as a result of aggressive and violent behaviour against teachers and other students. She left school in year 10 before completing the leaving certificate. Jan also had her first paranoid episode around this time. She spent extended periods of time in psychiatric care. She has however lived without any admissions for over a year now and says that she has continued taking her medication since coming off a Community Treatment Order which required Jan to receive regular injections of anti-psychotic medication. The order was put in place after an episode where Jan was charged with grievous bodily harm after assaulting a minister who came to see Jan in her shared flat. The minister was from her parents’ church, and Jan has since refused all contact to her family, except for her younger sister Eileen who she talks to on a regular basis. Jan was asked to leave the family home around the time of her episode, because Jan often displayed violent behaviours, especially when in a paranoid state. Jan has 3 younger siblings and her parents felt that she was putting them at risk. Jan was homeless for some time, moving from one youth refuge to the next before applying for a placement with a Supported Accommodation program for young people affected by mental illness. Jan has her own bedroom and kitchenette but is required to share showers and kitchen. Jan very much dislikes this setup and says that it is no different to living in a youth refuge. She also says that she feels bullied by other residents, including a physical confrontation a couple of weeks ago, after which Jan had to go to hospital. Jan lives near your service and is well known in the local area, in part because of her appearance. Jan has dread locks which have grown down to her waist and she likes putting colour in them, including bright pink, purple etc.  Jan also has a very individual style of dress, always wearing knee-long cargo pants (no matter what the weather) and T-shirts with big, bold designs – sometimes cartoon characters but mainly showing political slogans. Jan identifies as Communist and she enjoys talking about politics and social issues. Her tattoos are also reflective of her values, incorporating symbols from Communism and the Lesbian, Gay, Bisexual, Trans, Intersex, Queer (LGBTIQ) community. Jan designs her own T-shirts and also makes some bags from recycled materials. Jan says that she would like to start her own business, but she does not believe this will happen, because she always feels tired and blames this on her medication. Jan identifies as Lesbian and is very open about her sexual orientation. She openly says that joining the communist movement and meeting her girlfriend about 18 months ago saved her life. Jan was at a low point in her life back then then and now says that she feels ready to leave the dark days behind and get on with life. Jan says that she wants to be free, including from the ‘chemical chains’ she is currently having to wear which is how she describes her medication.  She says that she hates the way the meds make her feel and that they stop her creativity. They also make her very tired and Jan says that she feels that she is missing out on life because of needing to sleep so much. She says that she had a hard time with the voices when she was younger, but she would like to find a way of just not listening to what some of the voices have to say. Jan also says that she misses some of the voices when she is on meds, because she actually appreciates them as very smart and creative. When she first meets you as her new case worker, Jan walks up to you at reception. Before you can say anything, she shakes your hand, saying, “So, here I am. You can call me Comrade Jan. Did you ever think you were going to meet a lesbian, gender-queer, atheist Marxist? Oh, and I am a spokesperson for Mad Pride too. You think you can work with that?” Question 1 Part A Write a short script outlining how you would respond to Jan. (50-100 words)   Part B How would you build and maintain a safe and positive working relationship with Jan? Name at least 2 communication strategies which might allow you to build relationship and foster shared understanding.     1.   2. Part C Outline in your own words Jan’s understanding of her own recovery. How can you make sure that you develop a shared understanding of recovery and its definition?   Part D How do you determine Jan’s readiness to self-advocate, participate in the service and initiate her plan for recovery?   Scenario continued After the initial meeting, Jan agrees that she would like you as her case worker. She is now happy to be called Jan (rather than Comrade Jan) and says that she uses this to work out who she is dealing with and whether people can accept her. Jan also slowly starts opening up to you and certain statements do not seem to fit with the image of the confident young woman who presented at reception. Jan says that she often feels depressed, especially because she believes that she has to be on medication for the rest of her life. She also discloses to you that she sometimes self-harms when she feels really “down” and she shows you her arms which are covered in scars and cuts at different stages of healing. She says that sometimes she feels like she is “Nothing but a schizo-looser” who will never get anywhere in life. Jan also says that she may only be in her 20s, but that she has seen more stuff than some people in their 80s. There are also some things she has not shared with anyone before and she sometimes wonders whether they are part of why she does not get better. Question 2 Part A Write a short script of how you might respond to Jan, inviting her to tell her story. (50-100 words)   Part B Name at least 2 strategies to make sure that you appropriately respond to Jan’s story in full appreciation of her situation and concerns.   Part C Name at least two aspects of how the diagnosis of mental illness has impacted on: Jan’s lifeJan’s sense of self   Scenario continued Jan tells you about her upbringing which was very difficult for her. Jan was adopted when she was 2 years old because her parents believed they could not have children. Jan believes that she originally came from a Greek background which she is proud of, partly because she says that Greece was the “cradle of gay culture”. Jan’s adoptive mother became pregnant in the first year after her adoption, and Jan feels like she was always treated like a “second class citizen” in her family. Her adoptive family is also very religious, they are part of a church which has very strong beliefs, including about homosexuality. Jan was 14 when she met a girl at her school that she fell in love with and she was terrified by this experience. Jan started smoking “pot” then and she became more and more troubled. When she was 16 she heard voices for the first time and she believed that God was talking to her and that she would go to hell. She eventually confided to a minister at the church, hoping that he would be able to help her. This minister told her parents about the situation which, according to Jan, was part of the reason why her parents forced her to leave the family home and move into her own flat. Jan says that she still does not like talking about the years that followed, but says that her low point was some time spent sleeping “rough”, mainly in parks and on beaches. She says that she found refuge in books she carried around with her, and still sees books as her friends. Jan says that she was also bullied when she was in the youth refuges and even now in her supported accommodation placement. She says that this is mainly because of her sexual orientation. She only has one friend, Leila, who she made during her time at the refuges. Leila also lives in supported accommodation now, and the two young women meet about every week. Jan feels that Leila has accepted her fully, including her mental illness. Jan first sought contact to an LGBTIQ support group about 2 years ago where she eventually met her girlfriend. She says that she feels very comfortable in this environment and feels like she can be herself for the first time in life. At the same time, she feels that she also does not fully belong there because of her mental illness. She says that she will probably never really belong anywhere and she is worried that her girlfriend might leave her one day. She feels like she is caught between a “rock and a hard place”, because living on meds seems to take away part of who she is. At the same time getting off meds might put her at risk of losing everything. Question 3 Part A Write a short script outlining how you would respond to Jan’s story. Highlight how you would inspire hope for the future and belief in recovery. (100-150 words)     Part B Name any significant relationships in Jan’s life and outline how they could contribute to the recovery process.   Part C Name any other aspects in Jan’s life that contribute to her recovery. Name at least one item for each of these categories: 1. Life events 2. Cultural and social aspects 3. Activities     Part D How might you strengthen Jan’s relationship with her communities of choice and increase the support she can get from these communities?   Scenario continued Jan has given her commitment to work with you and the service. You have agreed to collaboratively put together a care plan for Jan. Question 4 Part A Your service requires you to seek information from various sources when compiling a care plan. Name at least two sources of information about Jan and her needs. Name one type of information to collect from each source.   1.     2.     Part B Write up a short script outlining how you might gain agreement which sources of information to access and ask for consent to access this information. (50-100 words)                 Part C Name at least 2 potential social and other barriers and say how they might impact on Jan and her recovery.            Part D Name at least one person or strategy that can help overcome each barrier you have identified.        Question 5 Outline how you might collaborate with the Jan to maintain records and progress notes. (50-100 words)        Question 6 Write a script you might use to explain to consumers any organisation and program requirements (inclusion criteria, funding etc). Include information about access, equity and confidentiality. (100-150 words)        Question 7 Research a mental health service in your area, then: Part A Provide a brief description of the services they offer to consumers. (50-100 words)        Part B Answer the following questions: What are the eligibility criteria for the service?Name any priority criteria the service might have when offering services to consumers 1.     2.     Part C Name at least 3 issues a consumer might present with that might require referral to another service – other than the one you have researched. Give a reason for why you think that referral would be needed for these issues. 1.     2.     3.     Question 8 Give at least one practical example of how you might achieve the following goals of recovery-orientated practice: A: Foster respect in a relationship to a consumer B: Promote dignity of a consumer C: Communicate hope and a belief in the recovery of a consumer D: Foster the understanding of consumer rights   A:B:C:D:   Thinking back to the scenario featuring Jan, read and respond to the following: Question 9 Part A Write up at least 3 goals for Jan and include a strategy of how to achieve the goal. Include a time line and which role you as a worker and Jan will play in achieving this goal.        Part B What information might you give Jan regarding potential sources of support to achieve her goals and aspirations? Name at least 2 ways of how you might provide access to this information.        Part C Outline how you might go about determining who is in Jan’s care network and which roles they play in Jan’s recovery.        Question 10 Below are descriptions of six (6) activities. Explain why each one is important or provides best practice support to consumers. (30-50 words each). Then: Rate yourself on a scale from 1 to 5, depending on how well you believe you carry out each specific task. (1 = excellent, 5 = very poor)In each case, explain how you might improve your performance of the task (20-30 words) Activity 1: Undertake service actions as agreed in the plan in a timely manner.   Explanation:A:   B:   Activity 2: Work from a strength based approach and communicate in a manner that respects the rights, dignity, choices and confidentiality of the person with the mental health condition while facilitating the care network to support the person.   Explanation:A:   B:   Activity 3: Maintain an empathic, supportive and hope inspiring approach as challenges occur seeing challenge as part of the recovery journey and sources for learning   Explanation:A:   B:   Activity 4: Reflect on work practice and feedback and identify opportunities for enhancing empowerment and improved processes.   Explanation:A:   B:   Activity 5: Provide and communicate information so that it is readily understood by members of the care network.   Explanation:A:   B:   Activity 6: Understand historic, current and emerging models of understanding mental illness, both in Australia and internationally   Explanation:A:   B:   Question 11 Name two strategies you might use to establish rapport and build an effective working relationship with relevant members of the care network (30-50 words each)   1.     2.   Question 12 Name at least three strategies designed to achieve a service arrangement which is based on collaboration and best practice.   1.     2.3.   5. Units of Competency This assessment meets the following units of competency: CHCMHS002 Establish self-directed recovery relationships CHCMHS003 Provide recovery oriented mental health services All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalised. Use of a term in this text should not be regarded as affecting the validity of any trademark or service mark. © Open Colleges Pty Ltd, 2016. All rights reserved. No part of the material protected by this copyright may be reproduced or utilised in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner.

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