Frankie has just started a new job and is meeting with Trevor, an older person who has lived with a serious mental illness for several decades

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Frankie has just started a new job and is meeting with Trevor, an older person who has lived with a serious mental illness for several decades. In reviewing his care plan, Frankie is concerned that Trevor has not been formally assessed for nearly five years.

After getting coffee and getting to know each other a little, Frankie feels that some rapport has been established and begins to ask about Trevor's services through her workplace.

'Can I ask you about the services you're receiving? I've got your service plan here, but I'd like to hear about your experiences. Is that okay?'

Trevor looks tired. 'Yeah, they've got me going to stuff every day.'

'You don't sound happy about that, Trevor.'

'It's okay. You guys know best. I just go where I'm told.'

Frankie looks concerned. 'I don't think that's right at all, Trevor. I think you know best about you. Does that mean you're getting services that you don't think you need?'

Trevor looks uncomfortable. 'Um, dunno. I'm the crazy person. I figure you guys have me doing all this stuff because you think I need it.'

'What would you like, Trevor?'

Trevor smiles. 'I like my garden. I don't get enough time in my garden with stuff happening every day and the stupid day program. I worked in a nursery for a bit, but they kicked me out because I was crazy. I don't work anymore.'

'I bet your garden's beautiful. I think we should re-examine your service plan, because it doesn't sound like you've been treated fairly. Is there anyone else I should speak to who's involved in your recovery?'

Trevor looks confused. 'Recovery? If you mean living with a sick head ...' He pauses. 'I guess there's my brother. And my GP, she's pretty good. And the old head shrink.'

 

1) How is Frankie using a collaborative approach to determine what information needs to be collected and where it should come from? Provide two instances of when she is doing it.

 

2) Has Frankie's organisation demonstrated a commitment to access and equity in providing services to Trevor in the past? Give reasons for your answer. 

 

3) What are two preferences, meanings or needs of Trevor that you can observe in this conversation?

 

4) What are two measures that Frankie should take to ensure that a formal assessment of Trevor is conducted according to best practice principles? 

 

5) Identify two barriers that Frankie and Trevor should discuss and two ways that these barriers might be affecting his life.

 

6) How might Trevor have been discriminated against and what are his rights? Identify two examples of discrimination Trevor may have potentially experienced and explain his rights in your answer. 

 

Damien is meeting with Chris, who has recently experienced a relapse of his mental health needs. During the relapse, Chris was hospitalised and as a consequence he lost his casual job, which was his only means of financial support. Chris has little support from his family and is currently sleeping on a friend's couch.

After sharing some small talk and getting to know each other a little, Damien begins to ask Chris about his plans for the future.

'Sounds like you've had a challenging time lately, mate. But you're doing well to be here, don't you think?'

Chris shrugs. 'I guess. I'm so tired. My mate's couch's got lumps!'

'Yeah, I bet. So is it a priority for you to find more suitable accommodation?'

'Yep. Can't see how though. I've got no money, no job ... I just want my old life back.'

'I hear you. I admire your resilience though, picking yourself up after the relapse. Is getting your old job back a goal for you?'

Chris looks puzzled. 'Never thought that was an option. Why would they have me back?'

'Well, it's not certain, but often in this situation, employers are willing to give people a chance when they understand the situation. Can I ask, what would having your old life back look like for you?'

 

7) Identify the choices, preferences and values expressed by Chris and explain how Damien's communication and actions encouraged the expression of these.

 

8) Explain how Damien and Chris should prioritise Chris's needs and two goals that could be established through collaborating.

 

9) What basic support options do Chris and Damien need to discuss and plan? Are there other options they should consider as part of taking a holistic approach? 

 

10) Has the planning taken a holistic approach? Provide two reasons for your answer.

 

Violet is meeting for the second time with Julia and her mother, Cathy. Julia has been recently diagnosed with depression. She has just turned 19 and lives at home with her parents since she quit uni while experiencing mental health needs. She is not currently working or studying and feels unmotivated to take major steps in her life or to make decisions about her care. She spends most of her time at home and has lost contact with most of her friends. She has put on weight from her lack of exercise and appears pale and withdrawn.

Cathy is very protective of Julia and tends to dominate the conversation, not realising that this is not benefitting Julia. After their initial meeting (where Cathy did all of the talking and Julia barely spoke a word), Violet called this meeting to discuss everyone's roles in planning for Julia's recovery.

 

11) What are three steps that Violet can take to ensure that Julia has access to information, resources or education about opportunities and service options relevant to her? 

 

12) List at least four of the key stages in decision-making that Julia and Violet can work through to make decisions about her recovery. 

 

13) What are two possible benefits to Julia if she is supported to develop self-advocacy?

 

14) Identify an area in Julia's life where she would benefit from being more resilient. How could Violet support her to develop resilience in this area?

 

15) How can Violet maintain regular contact with Julia, and what are two reasons why she should do this?

 

16) Explain how Violet and Julia can maintain records and progress notes collaboratively.

 

Maria has just met with Francesco, who has lived with a serious mental illness for most of his adult life. Francesco has lived with his parents for many years, but they are becoming elderly and frail and are having difficulty meeting Francesco's needs. Francesco's sister Guiliana has been a long-time member of his care network and has suggested that Francesco move in with her and her husband, Bruce.

The other option is for Francesco to live independently. His parents have met many of his needs for decades and he is quite dependent upon them. Francesco leans heavily on his sister for emotional and practical support and wants to move in with her. Bruce is less than happy about the idea. Bruce has seen the way that his parents-in-law had their life dominated by their caring duties and already worries about the burden on Guiliana, particularly as Francesco ages.

 

17) What are two benefits to Francesco of involving his sister and brother-in-law in his recovery process and what are two possible different roles they could play?

 

18) What are three areas that Francesco's family and friends could have information or support needs in? 

 

19) List three communication skills that Maria should employ to build an effective working relationship with Francesco's family.

 

20) When facilitating support training or services to Francesco's family, what are three factors that Maria should keep in mind? 

 

Hannah is taking over some of a colleague's support consumers while she is on maternity leave. One of the people she is supporting is Mei, who is about to get married.

Mei has been supported for a number of years to manage her depression and anxiety disorder. All of Mei's services are based on her living alone and having no nearby care network, as her family resides overseas. She has been happy with her support services and has worked hard to meet all her recovery goals, but Hannah gains feedback from Mei that she is a little concerned about the changes that are ahead, although she is excited about getting married. She is already feeling anxious about the wedding, as both families will be attending, and it is sure to be big occasion. Her partner's family is not aware of her mental health needs and she is concerned about not coping and shaming herself or her family on the day.

 

21) Is there anything to indicate that Mei's whole plan needs to be rewritten, or does Mei's plan need minor amendments? Where might changes need to be made to improve her support?

 

22) When would a transition strategy be appropriate for Mei? What are two considerations specific to Mei that Hannah should keep in mind when creating and amending a transition strategy for Mei at an appropriate time?

 

23) How will Hannah and Mei know that no further service or support is required? Identify at least eight reasons services or supports may be ended in Mei's case (or with other clients in general) in your answer.