HE-BCHT103 Mental Health Practice

Bachelor of Community Mental Health, Alcohol and Other Drugs
Year 2, Semester 1, 2018
Mental Health Practice B
HE-BCHT103
Assessment Task 2: Case Study – Recovery Support Plan
Student name-
Student No.

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
Case study 1/ 2/ 3/ 4:
Case study summary
The case study here talks about Ester who is a 28 year old Australian woman. Ester received a
diagnosis for paranoid schizophrenia, opioid and alcohol dependence. The patient had also
encountered incidences of sexual victimization. The patient is homeless, lives in a shelter and
depicts active psychotic behaviour. The patient considers her drug and alcohol abuse to be a
normal phenomenon and not an addiction. The patient had often visited the community and local
health care centre with a number of physical and mental health issues and refused to accept any
treatment. On extension of the health services to the patient she had often depicted less
engagement, which affected the recovery rates in the patient. Ester mentioned that she feels
threatened by the healthcare professionals attending to her support care and rejected the
medications provided to her. Therefore, a wellness recovery action plan (WRAP) could be
designed to extend sufficient care and support to the patient.
Student name Student # Page PAGE 1 of NUMPAGES 19

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
MAPPING YOUR RECOVERY JOURNEY
GETTING STARTED – THE ME TODAY MAP
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Relationships
 I am a single woman
living alone .
 I feel lonely and
paranoid at times and
miss the presence of
a family and people to
support
Interests
 I do not feel the
particular kind of calling
to any such activities
 I often end up feeling
famished and broke
economically
Health
 I feel paranoid and
mentally dishevelled at
times
 I often feel less control
over my health and
suffer from random
health issues such as
abdominal pain, nausea,
vomiting etc.
Me Today
Work
 I have no job and
cannot support my

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
GETTING STARTED – ASSESSING YOUR STRENGTHS
Student name Student # Page PAGE 1 of NUMPAGES 19
What do I want?
 I feel financially broke
 I often feel very
hungry
 Living in a sheltered
accommodation with
no job I need
sufficient social and
economical support
What are your
strengths?
Social Relationships
I live alone in a sheltered
accommodation and have little or
no social life
Problem Solving/Coping
 I have little scope or
ability in solving my
problems or issues as I
end up feeling perplexed
 I often feel weak in
coping up with a stress or
problem situation
Health and Physical
 I often suffer from poor
health conditions
 I often less control over
my mental well being
and feel paranoid at
times.
Emotions
 I feel anxiety and suffer
from low self esteem
 I feel lonely and less
control over the
handling and
management of my
emotions

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
RECOVERY PLANNING – WHAT ARE YOUR PRIORITIES
Student name Student # Page PAGE 1 of NUMPAGES 19
Emotions/Temperament
 I often feel paranoid and
depressed
 I feel sceptical of the
support carers looking
after me
 I don’t think they are
taking the best decision
pertaining to my health
and well being
Values and Beliefs
 I feel that I am perfectly
fine and donor need any
medication
 I feel that the support
carers are creeping into
my autonomy
Work and Skills
 I lack any particular
working skill as I have
no job
Summarise the Problem Goals for tackling this problem
Lack sufficient
economical
strength
Due to the lack of a job, I do not have
sufficient inflow of money
I will find myself a job soon which will
help me in tackling my financial
glitches
Problem Area
Lack an active
and engaging
social life
Feel less control
over my
impulses
I live alone in a sheltered
accommodation and lack an effective
family life. Therefore, I often feel
socially withdrawn.
I often suffer from emotional
turbulence or paranoias which
reduces my control over my impulses
I wish to join a community centre
soon where I can find like minded
people with whom I can share my
interests and hobbies
I wish to join community centres
where I will be helped with activities
such as meditation, which can help
me control my emotions better.
Feel physically
drained
I feel tired and exhausted very easily I can reduce the physical exhaustion
by engaging myself in holistic care
regimen and practices such as Yoga

Specific Actions
Some of the actions which could be taken by me over here are:-
Joining a community centre
Participating in meditation and exercises
When
I plan to undertake these activities within six months t
Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
RECOVERY PLANNING – SETTING A GOAL - 1
Student name Student # Page PAGE 1 of NUMPAGES 19
Helpful people & useful thoughts
 I can contact psychologists
over the community centres to
help me reduce my negative
and depressive thoughts
Strengths you have or need
 I think I need to develop active
communication skills to engage
more effectively with my support
carers
 I need to develop more control
over my temperament by
practising holistic approaches
such as mediation and
exercises
Goal
 Reduce
mental
turbulence
though

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
RECOVERY PLANNING – SETTING A GOAL - 2
Student name Student # Page PAGE 1 of NUMPAGES 19
Possible Problems
 Getting sufficient support
from the community care
centres
Solutions
Actively engaging in community based
workshops and activities can help me
in tackling the problem of gathering
sufficient finances, which will help me
in coming back to an active social life
Helpful people & useful thoughts
 I need to think actively and
positively regarding my future
to cut the negative thoughts o
feelings
 I can read motivational books
and view encouraging
videos from institutional
leaders
Strengths you have or need
 I am moderately educated
which will help me in finding
out a good job.
 I need to further develop my
communication skills which will
help me engage effectively
with others.Goal
 Develop
active
social
life
Specific Actions
 Getting into a job
When
Finding myself a good job
in three to six months time

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
RECOVERY PLANNING – SETTING A GOAL - 3
Student name Student # Page PAGE 1 of NUMPAGES 19
Helpful people & useful thoughts
I can ask the physiotherapists in the
community health care centre to help
me take up sufficient physical tasks
and activities
Strengths you have or need
 I need good physical
endurance
 For which I can take up
gradual physical exercises to
train myself
Possible Problems
 Lack of sufficient finances
acting as hindrances
Solutions
Therefore, actively engaging in a job can
help me reduce my financial instability
Goal
Restore
physical
strength
Specific Actions
I need to engage in sufficient physical task and activities which can
help me in being mentally agile and reduce the physical fatigue
When
I am going to start exercising
within a week’s time

Specific Actions
myself in mental health education classes which will help me analyse and understand my own feelings better
When
I will join mental health education classes within a three m
Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
RECOVERY PLANNING – SETTING A GOAL - 4
Student name Student # Page PAGE 1 of NUMPAGES 19
Possible Problems
I often fall sick very often
Solutions
The physical endurance training can
help me develop better immunity
Helpful people & useful thoughts
I will ask the counsellor from my
mental healthcare centre to help me
relate to or understand my problem
situation better
Strengths you have or need
 I need better and effective
communication skills in order
to communicate as well as
understand my community
care guide better
 The communication skills can
help me hone my ability to
understand
Goal
Undergo
mental health
education

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
BUILDING YOUR MOTIVATION – STAYING THE SAME OR CHANGING?
Student name Student # Page PAGE 1 of NUMPAGES 19
Advantage
Did not put much
pressure upon me
to change my way
of lifestyle
Disadvantage
The sedentary
lifestyle without much
growth made me
mentally exhausted
and saturated
Advantage
Could help me
enhance my social
inclusion skills
Disadvantage
It could disturb my
privacy or
confidentiality issues
Continuing to as before Making a change to my life
Possible Problems
The difference in communicative
languages can hinder the objectives of
the mental health programs
Solutions
Therefore, I need to make my
communication skills better by
developing effective body languages

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
BUILDING MOTIVATION – PLANNING FOR THE FUTURE
Student name Student # Page PAGE 1 of NUMPAGES 19
Where I am now? Where would I like to be in 5
years time?
I think I am in a very initial stage
of my journey and in order to
develop better emotional and
physical health I need to take the
activities more seriously and
steadfastly
In 5 years of time I would like to
see myself better absorbed in life,
actively socially engaged with a
better and sound financial position.
For the purpose of which I will have
to focus upon getting a sound job

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
COPING AND SELF-ESTEEM – ASSERTIVENESS
Student name Student # Page PAGE 1 of NUMPAGES 19
How intense
was that
emotion?
( 78/100)
What were your thoughts at the time?
That the support carers are encroaching into my personal space.
What emotions were you feeling?
I was feeling paranoid and doubtful
What happened?
I doubted the positive and
supportive intentions of the
carers
Situation where I didn’t behave assertively
I did not follow my support carer’s advice in taking sufficient and
appropriate medications

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
COPING AND SELF-ESTEEM – BUILDING SELF-ESTEEM
Student name Student # Page PAGE 1 of NUMPAGES 19
What have I learned from this?
That in need to communicate effectively with my support carers
from next time onwards, as it may help me in the exchange of
sufficient information as well as understanding the purposes of
care.
What could I do differently next time?
I could be more patient and supportive with the carers
Things I can say back to my
inner critic:
 I can and I will work
towards the overall
improvement of my
social and
psychological
condition
 I am not alone and
there are others who
would be willing to
help me
What are my strengths and
achievements?
 I think my moderate
educational capabilities
will help me to hone my
social skills better
Ways I can look after
myself:
 I can practice
minfulness which will
help me to be more
aware of the time,
space and settings.
 I can undertake
holistic approach
such as exercise,
active social
participation which
will help me in
regaining control over
my normal life
Things I can do to
improve my self-
esteem

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
AVOIDING RELAPSE – EXPLORING YOUR DRUG AND/OR ALCOHOL USE
Student name Student # Page PAGE 1 of NUMPAGES 19
Who can I talk to for support?
 I can talk to social peer groups
 I can take help from the community
psychologist
Things I can do to treat myself when I’m feeling
down:
 I can seen inspirational videos and read
motivational books based upon people’s
life
 I can measure my personal progress over
a longer course of time
EXPLORE YOUR DRUG AND/OR
ALCOHOL USE
What did you use?
- Oipoids for pain
management
(somapsychotic pain in
schizophrenia )
How much did you use?
- In mild doses three to four
times a day
How long did you use for?
EXTERNAL FACTORS
Who was with you?
- I was alone and felt more miserable during those
times
Where were you?
-in my accommodation
When did you use?
-as and when required.
INTERNAL FACTORS
What were you thinking about before you started?
- I was feeling miserable physically and
emotionally

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
MANAGING CRAVINGS
Student name Student # Page PAGE 1 of NUMPAGES 19
How can I deal with my cravings?
I thinking focussing upon holistic and spiritual
aspects can help me in dealing with my cravings.
THINGS I CAN TELL MYSELF
- To be positive
- To be motivated
- To look at the larger
picture
WAYS OF DISTRACTING
MYSELF
- I can develop interesting
hobbies such as
listening to music
- Reading motivational
books
- Attending health
educational programs
WAYS OF RELAXING
MYSELF
- Undertake light
exercises such as
walking, jogging
- Develop interest in
activities which could
help me distract myself
from the stressful
pictures queue

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
222
BUILDING A RECOVERY FUTURE – SOCIAL NETWORKS AND SUPPORT
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PEOPLE WHO ARE
IMPORTANT TO YOU
What makes this person
important to me?
How will this person
support my recovery
journey?
I relate to these friends of
mine on a personal level
They can help me measure
and evaluate my changes
over timeFriends
YOUR PEER
NETWORK
They can help me look at
the larger picture
They can help me be more
aware of my present situation
and hence respond effectively
Community care
psychologist
They can help me relate
my situation to theirs
They can make me feel less
critical about myself which
provides a positive
environment for recovery
Community
health group
peers

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
BUILDING A RECOVERY FUTURE – ENGAGING WITH MUTUAL AID AND
COMMUNITY GROUPS
Student name Student # Page PAGE 1 of NUMPAGES 19
Local recovery groups
What are the groups?
- Mutual aid
- Community groups
What are your experiences?
- Engaging with the community groups
have made me feel more critical about
myself
- The experience sharing by the peers
within the community group have made
me develop an active zest for self
training and improvement
Who do you know that goes?
- I have been
recommended to the
local a groups by a
friend or peer
What do they do?
- The counselling and the
mental health education
programs provided by
them improves the rate of
recovery

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
PLANNING YOUR LONG-TERM RECOVERY FUTURE
Student name Student # Page PAGE 1 of NUMPAGES 19
What could you get out of it?
- The community support groups can help
in personal empowerment and holistic
care by way of patient education.
Why do people go?
- People who attend the centres have
been referred to by their community GP.
Strengths you need to have
- More cognitive skills and decision
making powers
- Mental and emotional resilience
which could be developed through
sufficient mental health educational
campaigns
Possible problems Solutions and strengths I have to build
My Next Goal
- To reduce the
dependency on oipoids
Helpful people and useful
thoughts
- The community
peer groups have
been supportive in
achieving the
change
- The guidance form
a psychologists can
help in developing a
more positive
approach
What I am going to do to achieve this goal
- Be more engaging professionally and socially
When?
- Achieve the target
within a six months
time

Bachelor of Community Mental Health, Alcohol and Other Drugs – Year 2, Semester 1 - 2018
HE-BCHT103Mental Health Practice B
Best, D. Recovery Mentor’s Companion Guide. Welsh Government.
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