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32545.02 CertIV in MH AOD Assessment_2_Module_2.docx

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Assessment 32545/02
Working effectively with people with complex needs
Short Answer Questions

E1143A Certificate IV in Alcohol and Other Drugs

Module 2

  1. Background/Overview

Support workers in the mental health and AOD sector are required to support a range of consumers with complex needs. Research clearly indicates that people seeking the support of services often live with mental health issues, AOD use and the impact of trauma. Hence it is important for support workers to have good understanding of how to support people with complex needs.

When working with clients who are new to the service, it is important to assess their needs in a holistic way. This includes a thorough understanding of the issues affecting the person as well as being able to plan and conduct an assessment, either with or without the use of assessment tools. Working effectively with people with complex needs also requires awareness of service models and responses, treatment models and legal and ethical challenges.

Working effectively and safely with trauma survivors is essential and requires an understanding of trauma-informed care.

  1. Brief

For this assessment, you will be demonstrating your ability to work with people with complex needs in the framework of best practice and in adherence to legal and ethical requirements.

This assessment requires you to answer questions in relation to practical scenarios and to apply best practice in your answers.

Deliverables
This assessment will be submitted in Word doc format.

To do list:

  1. Read the Background/ Overview and brief sections of this document.
  2. Read the sections of the case study and answer the questions that follow each part of the case study.
  3. Save the Word document using the naming convention: [your student number][assessment][assessment number].doc. For example: “12345678_31135_01.doc.”
  4. Upload your document in Open Space using the relevant Assessment Upload link in this Study Period.
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Question 1
A: Outline at least two (2) significant issues Paula might be faced with, and explore how these issues might be impacting on one another. Complete the table.

First significant issue:

Second significant issue:

How do these impact on each other?

B: Outline three (3) potential needs Paula might have and how you, as a CareShore support worker, might go about prioritising her needs.

Three potential needs

How might you prioritise her needs?
1)

2)

3)

C: If Paula was diagnosed with AOD and mental health issues, how could you make sure that you (and CareShore0 can meet Paula’s needs? (50-100 words)

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D: Identify two (2) potential risks, and two (2) potential triggers, from Paula’s case study that may impact the service delivery to Paula.

Potential risk
Potential trigger
1)

1)
2)

2)

Question 2

A: Select one issue you have identified for Paula (in Question 1) and:
1) Name an assessment tool or process that might give you further understanding of what is going on for the client.
2) Briefly describe how you can prepare for this assessment tool, or assessment process.

Issue
Assessment tool or process
How can you prepare for this assessment tool, or assessment process?

B: When preparing to assess Paula, as her care worker, you will need to gather existing and additional information from specialists and other sources about Paula’s background, to make sure you have as much information as possible to determine the range of issues affecting her.

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1) Name two pieces of information you would consider obtaining
2) Identify who you could ask for this information.

Information on Paula
Who can you ask for this information?
1)

2)

C: List and briefly describe two (2) organisational policies or procedures you may have to consider when trying to get further information about Paula.

Organisational policies or procedures
Description of the policies or procedures
1)

2)

D: In the table below are some aspects of planning and preparing for assessments that need to be considered for Paula.

For each one:
1) Outline the steps that are involved in completing this stage of the assessment planning process.
2) explain who is involved in this stage of the planning process.

Stage of planning and preparing for assessment
What is involved in completing this stage of the assessment planning process?
Who is involved in this stage of the planning process?
Organise the practical aspects of the assessment (e.g. time, place …)

Provide information about the assessment to Paula.

Obtain informed consent from Paula.

E: To best meet Paula’s needs, and to gain a fuller assessment and understanding of Paula’s medical, physical, functional and emotional problems, a strong partnership and collaborative working relationship between Paula and yourself as a CareShore worker is required.

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There are many aspects of collaborative client work that you need to take into consideration. Read each section of the table and:
1) Briefly describe why each is important to consider. (Approximately 50 words for each answer)
2) Identify one (1) method, strategy or tool that could be employed to implement the collaborative approach to client care. (Approximately 50 words for each answer)

Aspect of working collaboratively with Paula, or another client.
Why is it important to consider this before, and during, working collaboratively with a client, such as Paula?
How can this be implemented in Paula’s case, or another client’s case?
Empower the client to identify (and prioritise) their own needs.

Build an effective working relationship with the client.

Collaboratively identify (and analyse if possible) complex and interrelated issues.

Discuss with the client their existing services and supports.

Collaboratively discuss any issues of urgency.

Work within the scope of your own role, and ask for help or assistance as needed.

Discuss together what supports the client is eligible for.

Collaboratively evaluate needs based all the relevant information.

Work with the client to understand their readiness, motivation, priorities and goals for recovery in relation to AOD and mental health.

Discuss with the client social, financial and legal status that may impact on their conditions.

F: After you have assessed Paula, as the care worker, you will need to document the outcome of the assessment. Explain why the following aspects of documentation and reporting are important.

Documentation and reporting
Why is this important?
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Confidentiality

CareShore’s policies and procedures

Consent

Providing information to other services

Maintaining client records

G: Evaluating assessments is essential for CareShore to monitor, assess, amend and ultimately improve upon its processes. Evaluation is also an essential part of your own improvement. As such, you will need to get feedback on a number of aspects of any assessment you conduct with a client.
For this process of evaluation, complete the table that follows.

Part of evaluation process
Briefly describe one way in which this can be achieved.
Who is involved in this process?
Get feedback from Paula on how the assessment went.

Get feedback from any other networks involved in the assessment.

Seek feedback on your own performance.

Reflect and evaluate on your own performance.

Monitor the outcomes of the assessment (i.e. did the assessment meet Paula’s needs?)

Question 3
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A: In your role at CareShore, you decide to do some research with specialist services to gather information about how Paula’s alcohol and prescribed medication consumption may interact to impact on her mental health. What industry approved information sources can you refer to? An example would be the Mental health First Aid website.

Industry approved source 1)

Industry approved source 2)

Industry approved source 3)

B: Name and briefly describe at least two of the key principles and practices of trauma-informed care. (50-100 words)

C: In your own words, define the terms ‘trauma’ and ‘complex trauma’.

Term

Definition
Trauma

Complex trauma

D: How would you respond to Paula’s disclosure in a trauma-informed way? (50-100 words)

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E: What are some impacts on the development of individuals who have experienced trauma? (50-100 words)

F: When working with clients who are experiencing trauma, there are a number of considerations to be aware of.
Complete the table below so that you could work with Paula using a trauma-informed care perspective.

Trauma-informed care perspective
Why is this important?
Briefly describe one method to implement this aspect of trauma-informed care.
Promote a safe environment for Paula, or the client.

Preventing traumatisation, or re-traumatisation while Paula is in CareShore’s service.

Help Paula to find her personal resources and strengths.

Assist Paula in identifying her coping mechanisms.

Respond to Paula’s behaviours and distress that are related to her trauma.

G: List two (2) common beliefs held towards people who experience interpersonal violence, and for each, briefly outline one (1) way this may impact on their access to services. (50-100 words)

Common beliefs held towards people who experience interpersonal violence.
One (1) way this may impact on their access to services.
1)

2)

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H: Do you think there are any gender considerations in the application of trauma-informed care?

I: The impact of traumatic events on individuals has a vast range of effects, but some are more common than others. In assessing and working within the scope of trauma-informed care, you may come across such terms as ‘compulsory treatment’, ‘seclusion’ and ‘restraint’. In your own words, define each of these terms.

Term
Definition
compulsory treatment

seclusion

restraint

J: You and your supervisor decide that Paula needs further care outside the scope of CareShore. In order to facilitate Paula’s transition to further care, the following aspects need careful consideration. Complete the table that follows.

Assisting clients into further care.
Briefly describe the steps involved in this process.
Identify one (1) way in which this process can happen collaboratively between Paula and CareShore.
Identify issues that are outside the scope of CareShore’s service.

Identify issues that are outside the scope your own role as a CareShore support worker.

Support Paula make informed choices about her recovery options.

Determine referral options (and responsibilities) for Paula to choose from.

Obtaining client informed consent.

Making referrals (in accordance with CareShore’s protocols).

K: Outline the steps you would take to initiate the referral process for Paula.
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Provide a step by step guide to how you would facilitate the referral in accordance with procedural and ethical requirements.

Step 1:

Step 2:

Step 3:

Step 4:

Step 5:

Any additional steps:

L: How would you evaluate the effectiveness of the referral made? Name at least 2 strategies. (50-100 words)

  1. Units of Competency
    CHCMHS007 Work effectively in trauma informed care
    CHCCCS004 Assess co-existing needs
    CHCMHS005 Provide Services to people with co-existing mental health and alcohol and other drugs issues.

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