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)
Short answer questions
Student name: XXXXXX
Student number: XXXXXX
Assessment number: 35130/01

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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 1 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 1
Description
35130/01 Short answer questions
Checklist
You must complete and submit the following:
Assessment 1: Knowledge test
Student name and ID in the footer
Question 1 (a to f) 0
Question 2 (a to c, including six (6) forms for 2a) 0
Question 3 (a) 0
Question 4(a and b) 0
Question 5 (table) 0

Assessment 1
Scenario 1 – Meet Kathleen
Background information (this is usually in your file notes)
Kathleen is a woman in her late-20s. She has come to see you at CareShore following a referral from the Acute Mental Health Team. Kathleen recently had an episode where she felt suicidal and attempted suicide by taking an overdose of sleeping pills.
Kathleen is the youngest of five siblings and never having moved out of home and lives with her elderly parents. Kathleen is 18 years younger than her nearest brother. When she was two (2), her only sister died in an accident which left her family heartbroken. Due to the age difference between Kathleen and her siblings, Kathleen was raised as an only child.
Her struggles with mental illness began when she was a teenager. Until then she was considered by her parents as a very well-behaved ‘model child’ who loved nothing more than helping her mother clean and tidy the house. She was also talented at playing the piano, which she has continued, describing it as one of the few things in life that give her joy.
Kathleen says that everything changed when she was 14 and tried pot (cannabis) at a party and immediately loved the feelings it gave her. As she remembers it, ‘It allowed me to relax for the first time ever’. Kathleen explains that she was always very anxious as a child and thinking back, she already had some of the behaviours that form part of her diagnosis of Obsessive-compulsive Disorder (OCD). In her case, this manifests as compulsive cleaning.
Kathleen partly blames her parents for her situation, especially her mother, as she always encouraged and praised Kathleen for excessive cleanliness, further ‘feeding into’ her anxiety. For Kathleen, smoking cannabis was like ‘flicking a switch’ which freed her from anxiety.
She started smoking cannabis heavily soon after her first experience and this has continued until the present day. Her performance at school dropped soon after she started smoking cannabis and she left school straight after completing her Year 10 High School certificate, much to the dismay of her parents.
Shortly after leaving school, Kathleen spent the next two years as an apprentice hairdresser. Back then, her life revolved around her work and smoking cannabis as soon as she got home.
Kathleen never found it easy to make friends in school, so she’s always been quite isolated. When she was 18, her father was diagnosed with cancer and this increased her anxiety to what she calls ‘unbearable levels’. She tried to manage her anxiety by smoking even more cannabis but this led to her having an episode where she believed that she could ‘see cancer cells that would kill her and her parents if she stopped her strict cleaning routines’. Kathleen couldn’t leave the house due to anxiety and OCD and as a result, she lost her hairdressing job.
It was around this time that Kathleen was admitted to hospital and diagnosed with ‘schizo-affective disorder, anxiety and depression’. Kathleen’s father eventually recovered from his cancer, but Kathleen says that ever since then she has been in a ‘downward spiral’, spending most of her time inside her parents’ home, battling her anxiety and OCD.
Even though her admission to hospital was a ‘one-off thing’, Kathleen has been on anti-psychotic medication ever since it occurred. She says that the medication she takes makes her feel very tired and often depressed so she wants to either stop or change her medication, but she feels her psychiatrist would not agree with this course of action.
Despite reducing her smoking to once a day, she says that she cannot imagine herself living without cannabis at this point in her life.
Kathleen’s parents blame her cannabis use for her mental illness and this upsets Kathleen as she feels that they ignore how anxious she was even as a child and that there are other factors which impact on her mental health and wellbeing. At the same time, she says she understands her parents are very disappointed in her because, among other things, she is the only one of her siblings who is not successful in life and this makes her feel like ‘a failure’.
Kathleen also tells you that her parents have told her Mental Health Case Manager about her cannabis use and recently this worker threatened to report her to the police if she continued to smoke cannabis because it is illegal. This has made it hard for Kathleen.
Kathleen would love to move out from her parents’ home and into a place of her own. She feels this would improve her mental health. Previously, her parents, her psychiatrist and her Case Manager at the other support service were all strongly against this, saying that it is not safe for Kathleen to leave home as she would not be able to manage her life independently.
Kathleen says that she feels trapped and cannot see a positive outcome for her future. She has no job, no friends and her life is dominated by her OCD and her medications. This makes her feel hopeless for the future and has stated that she has recently attempted suicide. The only positive thing Kathleen can name in her life right now is playing music and her involvement with an animal shelter where she helps look after rescued animals.
Kathleen says she is willing to work with you and is very agreeable to everything you suggest. However, she also says that she does not believe that you will be able to help her as the mental health condition she has been diagnosed with is ‘incurable’. She believes that her life is – and will always be – controlled by her parents and the mental health services, especially her psychiatrist.
Question 1 – The recovery planning process for Kathleen
You are a Recreation Officer at CareShore. You have been asked to work collaboratively with Kathleen and the Acute Mental Team to develop a Recovery Plan to include recreation activities for Kathleen.
1a) Before beginning to work with Kathleen, you need to review her case.
Briefly outline the following:
How you would introduce yourself and your services to Kathleen? (approx. 20 words) example:
‘Hi, my name is… and I am a Recreation Officer at CareShore.’
Type your response here
What can you do to encourage Kathleen to share her story and discuss the impacts of her mental illness? In your response consider verbal and non-verbal communication strategies. (approx. 40 words)
What services could provide additional support to Kathleen in managing her mental illness? (approx. 40 words)
1b) To support Kathleen throughout the recovery process, explain how you would show respect for Kathleen and foster her strengths to allow her to become the driver of her own recovery? (approx. 30-50 words)
1c) Before commencing the recovery planning process, how would you explain suitable relationship guidelines to ensure you have a collaborative relationship with Kathleen?
Briefly outline two (2) strategies you would use to define the relationship with Kathleen.
(approx. 30-50 words)
Strategies you would use to define the relationship with Kathleen 1.
2.
1d) Throughout your sessions with Kathleen, you used positive communication techniques and motivational interviewing to help plan, implement and review Kathleen’s recovery process.
Provide an example of each of the communication techniques you would use when collaborating with Kathleen. (1- 2 sentences each)
(Note: an initial example has been provided.)
Communication technique Example of your communication
Paraphrasing example:
Periodically summarise or recap what Kathleen has said during the recovery planning sessions.
Active listening
Attending skills, use of body language, non-verbal communication
Reflecting feelings
Open and closed questioning or probing
Summarising
Reframing
Exploring options
Normalising statements
Reflective practice and its role in underpinning ongoing learning, growth and good practice
1e) Briefly, in three to four sentences, outline how you would communicate with Kathleen to confirm her recreation choices for her recovery process:
Recreation activity Communication strategy
Example:
cultural and language requirements/preferences There are services like interpreters that can be employed to help with language barriers. A support animal can also assist with recovery as a preference.
Personal wellness
Self-efficacy
Values
Meaning(s) and purpose in life
1f) You have explored Kathleen’s choices and developed a positive, collaborative relationship with Kathleen.
You are now ready to develop and implement a Recovery Plan to include recreation activities for Kathleen.
Your first step is to set goals for Kathleen’s recovery.
Based on Scenario 1 above, develop two (2) goals that you and Kathleen could create for Kathleen’s recovery. (approx. 30-50 words each)
Goal 1
Goal 2
Question 2 – Developing and implementing the Recovery and Support Plan for Kathleen
2a) Imagine you are Kathleen and put yourself in her shoes, then answer the questions as you are Kathleen.
In collaboration with the mental health case manager (remember: you are Kathleen in this scenario) you are now ready to develop the Recovery and Support Plan to enhance her wellness.
Using the templates provided below, complete the following forms for Kathleen:
1. Recovery and Support Plan
2. Strengths Mapping
3. Activities
4. Contingency Plan
5. Triggers
6. Crisis Management.
You must record:
• two identified needs
• funding requirements
• legislative requirements
• one goal
• one activity
• two strategies
• evaluation strategy.


Form 1: Recovery and Support Plan
This Recovery and Support Plan is designed as tool to support your recovery.
Work through the different sections of the Plan as they will help you determine the supports you require to achieve the goals you include in your Plan.
Imagine you are Kathleen and put yourself in her shoes when answering the below questions. This means there are no right or wrong answers. We all have different views and hopes for the future. You can be as specific as you like, after all, this is your journey!
What is important to me?
Think about the important things in your life, they could be material items or people who are important to you. (approx. 30-50 words)
What does ‘staying well’ look like to me?
Provide a description of what staying well looks like for you. (approx. 30-50 words) When I am well, I am … continue the sentence
What supports do I need to help me communicate and connect with others? (approx. 30-50 words)
What is my evaluation strategy? (approx. 30-50 words)

Form 2 - Strengths Mapping
Think about some of the strengths you possess (remember: you are Kathleen) that might help you to meet your goals. See the headings below to help you map your strengths. Write a minimum of three (3) examples of strengths for each. Remember, there are no right or wrong answers.

Form 3 - Activities
For Form 3 you will assume the role of the Recreation Officer. This activity is a simulated recovery and the support plan is based on Kathleen’s scenario.
What activities can you do each day to help Kathleen stay well? Based on the Scenario 1, choose two (2) recreational activities which would be suitable for Kathleen to include in her Recovery and Support Plan.
Some examples are:
What is the activity?

Time(s)
Why would you encourage Kathleen to do this activity?
example:
Going for a bike ride around the lake.

30 mins/ week
Riding a bike around the lake is relaxing for me. It helps me clear my mind and I enjoy being around nature and in the sunshine. (i.e. physical activity and exercise)
1.
2.

Legislative requirements
How you will obtain consent while fulfilling your duties regarding maintaining the client’s rights, confidentiality and privacy requirements? (approximately 100 words)

Funding requirements
Do you need to apply for any funding? Explain your response. (approximately 50-75 words)


Form 4 - Contingency Plan: Early Signs and Changes
Imagine you are Kathleen and put yourself in her shoes.
Imagine when you have been unwell (remember: you are Kathleen in this scenario). Are there any changes you have noticed in your behaviours? Using the below table please provide four (4) examples.
Changes/ Early signs What helps during this time? What can make the situation worse?
example:
I stay home for extended periods of time with no contact with anyone.

Have a phone check-up to make sure I am okay.
People turning up on my door step without my expecting them.
1.
2.
3.
4.

Form 5 - Triggers
Think of Kathleen and her circumstances.
At times, there may be certain things which may challenge one’s wellness and may Kathleen start to feel unwell.
In the below table please provide four (4) examples of triggers and coping strategies. Think about…
Relationships:
• death of a loved one or pet
• discrimination
• family arguments and stress
• being criticised or judged by others
• being frustrated with others. Work, housing or finances:
• if I lost my job or living arrangements
• changes to my income
• moving home
• becoming sick and having time off work
• having debt or receiving a large bill.
Trigger My coping strategies
example:
My flatmate moving out suddenly.

Provide me some notice so I can prepare financially.
1.

2.

3.

4.


Form 6 - Crisis management
(What staff can do in a crisis and who to contact?)
If you were Kathleen and needed help or you were in a crisis, who can staff contact on your behalf?
Name Relationship/Organisation Contact details

What I want my supporters to do if I am a danger to myself or others:
Agreements and signatures:
Now you have established a crisis management form placing yourself in Kathleen’s shoes. Look at the agreement here to show your understanding how a form may look like with a recovery support plan.
I, Kathleen , agree that the information I have provided today in this Recovery and Support Plan can be shared with other organisations that are involved in providing me with support to achieve my goals.
This is my Recovery and Support Plan. I was involved in writing the Plan and I understand what has been written in it.
__________________ ________________________
Consumer name Date and signature
_________________ ________________________
Staff name Date and signature

2b) Based on Scenario 1 above, identify two (2) potential obstacles or barriers that Kathleen may encounter which may cause her distress. Identify how you could proactively support Kathleen to reduce the risk of these occurrences. Consider who the appropriate support person would be for Kathleen.
Your answers must reflect a positive, empathic approach.
Potential obstacle/barriers Strategies to support Kathleen Skills required to support Kathleen Person to provide support
Example:
Kathleen’s OCD
If her nieces or nephews visit and mess up her house, and especially her bedroom and belongings, she should be encouraged to tell her siblings what their children have done and ask for them to be tidied up.
Understanding of Kathleen’s perspective of the situation.
Kathleen’s siblings and/or parents
1.

2.

2c) When implementing the Recovery and Support Plan, there are many factors you need to consider in order to ensure a collaborative process with Kathleen.
For each of the items below, provide an example of how you would maintain a collaborative approach with Kathleen.
Implementation issue Collaborative approach example
Establishing Kathleen’s readiness to initiate the Recovery and Support Plan Example:
Hold phone conversation or in-house meeting with all parties.
Use of observations and reviewing Kathleen’s actions – is she following up on tasks discussed with her?
Supporting Kathleen’s decision-making and self-advocacy
Support Kathleen’s positive risk taking and building resilience
Maintaining regular contact/support for Kathleen
Maintaining progress records with Kathleen
Question 3 – Supporting Kathleen during challenges in the recovery process
Throughout the recovery process, Kathleen encounters a number of challenges and obstacles that make it difficult for her to stay on track with her Recovery and Support Plan. Respond to the following question about challenges for Kathleen during the recovery process.
You have been working with Kathleen for six months now and you notice a definite improvement in Kathleen’s outlook. She tells you she is feeling more positive and is enjoying carrying out the activities in her Recovery and Support Plan.
Kathleen has mentioned she is feeling so good that she would like to stop taking her anti-psychotic medications. However, you believe Kathleen is still using cannabis and are concerned she will stop taking her medication without consulting her doctor or following a medical management plan. You want to act promptly to prevent any risk to Kathleen.
3a) While working within the scope of your role as a Recreation Officer, briefly describe how you would respond to and action Kathleen’s comments to ensure her safety is being considered? (approx.100words)
Question 4 – Working with Kathleen’s care support network
To ensure Kathleen’s Recovery and Support Plan is implemented effectively, you are aware you need to use a strengths-based approach to develop and maintain strong, positive working relationships across Kathleen’s care support network.
This includes Kathleen’s family, carer(s) and friends as well as other relevant health care professionals.
4a) Develop a Care Support Network Plan to ensure all stakeholders are working together to achieve positive outcomes for Kathleen. You may want to complete some research in your local community for support services to answer this question.
Complete the table below:
Kathleen’s support person Two (2) strategies for building rapport and communicating with Kathleen’s support network How would you seek information and support the needs of Kathleen’s network? Two (2) possible training support/services to support Kathleen’s network based on her needs
1.
2.
1.
2.
4b) Briefly outline how you would obtain Kathleen’s consent to involve the support network identified above, as well as the circumstances in which Kathleen would like information released.
Also explain how you would respect Kathleen’s rights and maintain confidentiality whilst working with Kathleen’s family/carers/friends. (approximately 100 words)
How would you obtain consent from, and maintain consent arrangements from Kathleen?
How would you respect Kathleen’s rights and maintain confidentiality whilst working with her network?
Question 5 – Reviewing Kathleen’s Recovery and Support Plan
At crucial points in the implementation of Kathleen’s Recovery and Support Plan, you want to make sure you review the effectiveness of the Plan to make sure Kathleen’s outcomes are being achieved as well as possible.
To review the Recovery and Support Plan, you engage in a collaborative cycle of gathering feedback from Kathleen about her progress and supports, identifying new directions and amending the plan, reflecting on progress, and finding opportunities to further empower Kathleen.
Review Kathleen’s Recovery and Support Plan by completing the table below.
Recovery and Support Plan: Review process
a) When should you gather feedback from Kathleen about the effectiveness of her plan?
b) How should you respond to Kathleen’s feedback and identify new directions/improvements for her plan?
c) How long should you continue to implement and review Kathleen’s Recovery and Support Plan?
d) Identify two (2) strategies you could use to improve your work practices to enhance Kathleen’s empowerment through the recovery process. 1.
2.