Isolda is 23 She and her family came to Australia from Bosnia as refugees 15 years ago

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Isolda is 23 She and her family came to Australia from Bosnia as refugees 15 years ago. In Bosnia, her father was a lawyer and her mother was an engineer. They now run a cleaning business. During the civil war in Bosnia, her older brother was shot and killed, along with several of her cousins and many of their neighbours. Her sister disappeared and the family has never been able to find out what happened to her. Isolda's mother became severely depressed shortly after their arrival in Australia and attempted suicide. She recovered, but these events affected Isolda deeply. Her parents have always had very high expectations of her as their only surviving child.

Isolda completed school and is now studying medicine. At the end of her second year she began to experience panic attacks and bouts of depression. She stopped eating and often spent all day in bed, neglecting to bathe or get dressed and missed most of her classes. She was admitted as a voluntary patient to a psychiatric hospital where she was prescribed medication and encouraged to participate in group therapy sessions. She found this experience profoundly disturbing and begged her parents to allow her to discharge herself. She has recently moved into a community-based accommodation service for people with mental health needs.

Janita is a support worker in the accommodation service. She is an experienced worker and previously worked as a mental health nurse in a large psychiatric hospital. Her training was focused on medical models of care.

She has been delegated to work with Isolda to establish a supportive relationship and help her to settle in and develop a recovery plan. As part of this process she must collect information from Isolda about her experiences, family, values, attitudes and beliefs.

Janita's parents migrated to Australia from Serbia after the second world war and Janita was born in Australia. They came from a village not far from where Isolda's family lived, in a region where there was a long history of hostility between Serbians and Bosnians.

 

1) Identify three legal and ethical considerations that are relevant to the boundaries and responsibilities of Janita's work role.   

 

2) Identify two factors in Janita's personal and professional experience that might have influenced her values and attitudes regarding recovery, mental health and illness. 

 

3) Identify four of Isolda's significant relationships, life events, understandings experiences or cultural factors that must be taken into account when developing a recovery plan.  w o r d s

 

4) Outline three things Janita can do to establish and maintain a safe positive working relationship and environment with Isolda. 

 

5) Suggest two factors in Isolda's history and situation that Janita could focus on to identify her areas of strength. 

 

6) Identify two factors that may affect the power dynamic of the relationship between Isolda and Janita. 

 

7) Identify three attending skills that could be used to indicate interest and empathy. 

 

8) dentify three common differences across cultures in the use of body language that Jacinta may need to adjust to.

 

9) Suggest a motivational interviewing technique Janita could use with Isolda. 

 

10) Why would it be important for Janita to foster hope and belief in recovery in Isolda? 

 

11) Identify a significant impact that a diagnosis of mental illness may have on Isolda's life. 

 

11) Suggest three pieces of information that Janita should share with Isolda about the nature of the new service. 

 

12) Suggest three pieces of information that Janita should share with Isolda about the nature of the new service. 

 

13) List two benefits of discussing, clarifying and using Isolda's preferred language, understandings, analogies and concepts about her experience in all communication. 

 

14) Sum up the approach that should be taken to support Isolda's recovery by all people who have a role in it, including other members of her health care team. 

 

15) When inviting Isolda to tell her story, what principle of narrative therapy should guide Janita? Identify at least one. 

 

16) What will Isolda need before she is ready to self-advocate?