CHC43415 Certificate IV in Leisure and Health (Release 2)
E1320
CHCMHS002 Establish self-directed recovery relationships (Release 1)
CHCMHS003 Provide recovery oriented mental health services (Release 1)
Case study
Student name: XXXXXX
Student number: XXXXXX
Assessment number: 35130/02
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Competency details
CHCMHS002 Establish self-directed recovery relationships (Release 1)
This unit applies to workers who are required to promote the principles of recovery-oriented practices, and to establish and confirm self-directed recovery relationships with people with mental illness.
CHCMHS003 Provide recovery oriented mental health services (Release 1)
This unit applies to workers who are required to work collaboratively in providing services to implement a range of strategies as part of recovery-oriented service provision for people with mental illness.
Introduction
This document is Assessment 2 of the two (2) theory assessments you are required to complete, together with structured workplace learning, CHCMHS002 Establish self-directed recovery relationships (Release 1) and CHCMH003 Provide recovery oriented mental health services (Release 1).
This assessment is designed to gather evidence of competence, specifically to:
• promote principles of recovery and recovery-oriented practices
• establish the context for a self-directed recovery relationship
• invite information sharing
• define and confirm the collaborative relationship
• share and collect information to collaboratively inform the plan for recovery
• facilitate collaborative planning process for recovery
• collaboratively implement plan for recovery
• develop and maintain effective working relationships with care support network
• support person during challenges
• collaboratively review the effectiveness of the plan and support provided.
Assessment 2
Description
35130/02 Case study
Checklist
You must complete and submit the following.
Assessment 2
Question 1 (a-d) 0
Question 2 (a-c) 0
Question 3 (a-d) 0
Question 4 (a-e) 0
Question 5 0
Question 6 0
Question 7 (a-c) 0
Question 8 (a-d) 0
Question 9 (a-c) 0
Question 10 (a-n) 0
Question 11 0
Question 12 0
Assessment 2
Question 1
Scenario
You are currently employed as a Youth Activities Officer at CareShore. Part of your role is to collaborate with the Youth Officers to organise activities for the local youth who attend your service on a regular basis.
You receive a phone call from Lucinda, who works in the Acute Mental Health Team in your local area. Lucinda explains she is currently working with a young woman in her early 20s called Jan. As part of Jan’s recovery plan, Jan has expressed a desire to include recreational activities in her recovery plan in order to help support her recovery.
Lucinda and Jan have invited you to attend a meeting to discuss how Jan can engage in some local activities as well as some one on one (1:1) activities.
You arrive at the meeting. Jan walks up to you at reception and 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. Do you think you can work with that?’
1a) As a Youth Activities Officer, how do you respond to Jan?
How should you introduce yourself to Jan?
Please provide a script. (approx. 100-150 words)
example:
‘Good morning comrade Jan, my name is …. and I am a Youth Activities Officer’.
provide your answer here
1b) Describe how you intend to set your boundaries with Jan. (approx.50-100 words)
1c) How do you plan to build and maintain a safe and positive working relationship with Jan? Name at least two (2) communication strategies which might help you to build the relationship and foster a shared understanding. (approx.50-100 words)
1.
2.
1d) How can you encourage Jan to tell her story? Write a short script in which you invite Jan to share her story. (approx.50-100 words)
Question 2
Scenario continued
Jan starts to share her story. 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 behaviours against teachers and other students. She left school in Year 10 before completing the Year 10 High School Certificate.
During this period, Jan had her first paranoid episode and had to spend an extended period in psychiatric care. She has lived without any admission for over a year now, and she says that she has continued taking her medication since coming off a community treatment order which required her to receive a regular injection 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 her in a shared flat. The minister was from her parents’ church and Jan has since refused all contact with 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 she often displayed violent behaviours, especially when in a paranoid state. Jan has three younger siblings and her parents felt that she was putting them at risk. Jan was homeless for a period of 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 main kitchen. Jan does not like this setup and says that it is no different than living in a youth refuge. Jan states she feels bullied by other residents and was in a physical confrontation a couple of weeks ago where she had to go to hospital for treatment.
Jan states she believes her appearance makes it hard for her to make friends or join in any social activities. Jan has long dreadlocks which finish at her waist, she has an individual way of dressing in knee-length cargo shorts and T-shirts with different cartoon characters or political slogan designs. Jan identifies as a communist and enjoys talking about politics and social issues. In the past, Jan has designed T-shirts and made bags from recycled materials. Jan says she would one day like to start her own business but is unable to fund her dream. Since she has moved out of home, she has not participated in any of the activities she enjoys and blames this on her living arrangements.
During your meeting, Jan states that she would like to work with you to develop recreational activities to be added to her recovery plan. She is now happy to be called ‘Jan’ (rather than ‘Comrade Jan’) and says that she uses this ploy 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 loser 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.
2a) Name at least two (2) strategies to make sure that you appropriately respond to Jan’s story with full appreciation of her situation and concerns. (approx.100-150 words)
1.
2.
2b) In your own words, outline how can you make sure that you develop a shared understanding of the definition of recovery and Jan’s needs? (approx.50-100 words)
How you make sure developed a shared understanding of the definition of recovery
How you make sure developed a shared understanding of Jan’s needs
2c) Name at least two (2) aspects of how the diagnosis of mental illness has impacted on Jan’s life and her sense of self. (approx.50-100 words)
Impacts on Jan’s life 1.
2.
Impacts on Jan’s sense of self 1.
2.
Question 3
Scenario continued
Jan says that she believes the main reason for the bullying is because of her sexual orientation. She only has one friend, Leila, who she met during her time at the various refuges. Leila also lives in supported accommodation 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 two 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 her 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
3a) Write a script about how you might respond to Jan’s story.
Highlight how you would inspire Jan’s hope for the future and belief in recovery.
(approx.100-150 words)
3b) Name any significant relationships in Jan’s life and outline how they contribute to the recovery process. (approx.50-100 words)
Relationships include:

Contributions to recovery include:
3c) Name any other aspects in Jan’s life that contribute to her recovery, identifying at least one (1) item for each category (life event, cultural and social aspect, recreational activity).
Life event:

Cultural and social aspect:
Recreational activity:
3d) How might you strengthen Jan’s relationship with her communities of choice and increase the support she can get from these communities? (approx. 100 words)
Question 4
Scenario
Jan has given her commitment to work with you and Lucinda at the service. You have agreed to collaboratively put together a recovery plan to include recreational activities for Jan.
4a) Your service requires you to seek information from various sources when compiling a recovery plan.
Name at least two (2) sources of information about Jan and her needs. Name one type of information to collect from each source.
Sources of information Type of information collected
example:
Services Jan has been in contact with
recovery plans
1.
2.
4b) Write up a script outlining how you might gain agreement to access and ask for consent to access this information. (approx. 100-150 words)
4c) Name at least two (2) potential social and/or other barriers. Explain how they might impact on Jan and her recovery and access to recreation activities.
Potential social and/or other barriers Impact on Jan and her recovery Impact on Jan’s access to recreation activities
example:
Stigma (many people who have negative attitudes about mental illness simply do not understand it and fear it because it is unknown to them)
This may impact Jan and her recovery because if she participates in group activity, and one or more people in the group react negatively to her in a social setting, it may adversely affect her self-confidence and set her back on her recovery journey.
In a group situation the facilitator may assume Jan can’t or won’t participate in a particular activity. This may cause Jan stress and impact negatively on her recovery.
1.

2.
4d) Name at least one (1) person or strategy that can help overcome each barrier you have identified in question 4b. In your response consider any referral services that would be relevant to Jan.
Barrier identified Person or strategy to overcome barrier
1.
2.
4e) Self-reflect on your own personal values and attitudes about mental health. Identify and describe two (2) personal values and attitudes you may need to take into account when planning activities for Jan. (approx. 100-150 words)
Personal values and attitudes to take in account 1.
2.
Question 5
Outline how you might collaborate with consumers in maintaining records and progress notes. (approx. 100 words)
Question 6
Write a script that you might use to explain to consumers any organisation and program requirements (inclusion criteria, funding etc.).
Include information about access, equity and confidentiality. (approx. 100-150 words)

Question 7
Research one (1) mental health service in your area and provide a brief description of the services they offer to consumers.
Please include a reference link of your chosen organisation.
Mental health service in your area: Name of organisation:
Website:
7a) What are the eligibility criteria for the service? (approx. 50-100 words)

7b) Name any priority criteria the service might have when offering services to consumers. (approx. 50-100 words)
7c) Name at least three (3) issues a consumer might present with that might require referral to another service (other than the one you have researched). Refer to what this question is.
Give a reason for each to explain why you think that referral would be needed for these issues. (approx. 100-150 words) 1.
2.
3.
Question 8
Give at least one (1) practical example of how you might achieve the following goals of recovery-orientated practice.
8a) Foster respect in a relationship to a consumer. (approx. 50 words)
8b) Promote the dignity of a consumer. (approx. 50 words)
8c) Communicate hope and a belief in the recovery of a consumer. (approx. 50 words)
8d) Foster the understanding of consumer rights. (approx. 50 words)
Question 9
9a) Write up at least three (3) recreational goals for Jan and include a strategy of how to achieve the goal.
Include a realistic timeline and which role you – as the worker – and Jan will play in achieving this goal.
Recreational goals for Jan Strategy to achieve goal Timeline Your role as the worker in achieving the goal Jan’s role in achieving the goal
example:
Goal 1: Kung Fu Classes or Judo this would be a good outlet for Jan and may help her direct her anger and frustrations in a more practical and beneficial way as this type of activity focused on the body and mind.
Physical activity is great for mental health conditions and especially if the person needs an outlet due to build up anger and frustration.
Once a week
Follow up on her process once a month and see how she is going in progressing through the grades and perhaps even meeting some new people.
Attend classes and socialise with other participants
1.

2.

3.

9b) What information might you give Jan regarding potential sources of support to achieve her goals and aspirations?
Name at least two (2) ways you might provide access to this information.
Information given to Jan regarding potential sources of support to achieve her goals and aspirations
(approx. 100-150 words)
Two (2) ways to provide access to information 1.
2.
9c) Explain how you will determine who is in Jan’s care network and discuss the roles they play in Jan’s recovery. (approx. 100-150 words)
Jan’s care network
Jan’s recovery
Task
Answer Self-rating
1 to 5 (1 – excellent, 5 –very poor)
10a) Identify two (2) areas of improvement and state how you can improve on these specific areas/tasks of work. (Non-rated question)
(approx. 20-30 words)

Areas of improvement Ways to improve
1.
2.
N/A
10b) How do you rate yourself in undertaking the service actions you set out in the plan?
Explain your rating. (approx. 20-30 words) Explain your rating here
Choose an item.
(1 – excellent, 5 –very poor)
10c) How do you rate yourself at working from a strengths-based approach and communicating in a manner that respect the rights, dignity, choices and confidentiality of the person with the mental health condition while facilitating the care network to support the person?
Explain your rating. (approx. 100 words) Explain your rating here
Choose an item.
(1 – excellent, 5 –very poor)
10d) How might you improve on working from a strength-based approach? (Non-rated question) (approx. 50-100 words)

N/A
10e) How do you rate yourself at maintaining an empathic, supportive and hope-inspiring approach as challenges occur seeing challenge as part of the recovery journey and sources for learning?
Explain your rating. (approx. 50-100 words) Explain your rating here
Choose an item.
(1 – excellent, 5 –very poor)
10f) How might you improve on maintaining a supportive approach? (Non-rated question) (approx. 20-30 words)
N/A
10g) How do you rate yourself at reflecting on work practice, giving feedback and identifying opportunities for enhancing empowerment and improved processes?
Explain your rating. (approx. 50-100 words)
Explain your rating here
Choose an item.
(1 – excellent, 5 –very poor)
10h) How might you improve on self-reflection? (Non-rated question)
(approx. 20-30 words)

N/A
10i) Rate yourself on providing and communicating information so that it is readily understood by members of the care network.
Explain your rating. (approx. 20-30 words) Explain your rating here
Choose an item.
(1 – excellent, 5 –very poor)
10j) How might you improve on providing and communicating information? (Non-rated question)
(approx. 50 words)
N/A
10k) How do you rate your awareness of historic, current and emerging models of understanding mental illness, both in Australia and internationally?
Explain your rating.
(approx. 50-100 words) Explain your rating here
Choose an item.
(1 – excellent, 5 –very poor)
10l) How might you improve on your knowledge regarding emerging models in Australian and internationally? (Non-rated question)
(approx. 20-30 words)
N/A

Question 11
Name two (2) strategies for how you might establish rapport and build an effective working relationship with relevant members of the care network. (approx. 50 words per strategy)
1.
2.
Question 12
Name at least three (3) strategies you would apply to achieve a service arrangement which is based on service policy, collaboration and best practice. (approx. 30 words per strategy)
1.
2.
3.