CHCCCS004 Case Study: Client Assessment and Service Delivery Options

This case study examines the assessment of Margaret, an Aboriginal woman, within the DirectAccess program, focusing on her co-existing needs related to mental health, substance abuse, and physical well-being. The assessment involves utilizing tools like DASS 21 and ASSIST to evaluate her condition, gathering information from various sources, and considering practical and legal aspects of her care. The study explores how to work within the scope of a service provider's role, empower the client, evaluate needs based on gathered information, and address complex, interrelated issues. It also delves into issues of urgency, potential risk factors, and service delivery options from a strengths-based perspective, including referral options and client advocacy. The reflective report highlights the importance of preparing for life's challenges and seeking professional help when needed.

Community Service

Table of Contents
PART 1.......................................................................................................................................2
Question 1..............................................................................................................................2
Question 2..............................................................................................................................2
Question 3..............................................................................................................................2
Question 4..............................................................................................................................3
PART 2.......................................................................................................................................3
How would you work within the scope of your own role and seek assistance from
colleagues required?...............................................................................................................3
How would you empower the client to identify and prioritize their own needs?..................3
How would you evaluate client needs based on all the relevant information you have
gathered?................................................................................................................................3
Identify and analyze complex, multiple and interrelated issues – state what the issues are,
and how they relate to one another........................................................................................4
Evaluate issues of urgency – what are they?..........................................................................4
Assess potential risk factors for service delivery – what are they?........................................4
Part 3..........................................................................................................................................4
Consider service delivery and referral options from the strengths-based perspective...........4
Evaluate internal service capability and other service networks to determine the best fit for
the person (referral matching) – explain whom you would refer your client to and why......4
Provide copies of service information that you would provide to the client to support their
decision-making process – how would you do this?..............................................................5
Explain how you would encourage the person to advocate on their own behalf to access
services (building client capacity)..........................................................................................5
REFLECTIVE REPORT...........................................................................................................5
References..................................................................................................................................6
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PART 1
Question 1
In the case of Margaret main two tools which could be used to assess her physical condition
are as below.
DASS 21: As per case study Margaret is in a lot of pain from her loss. She is in a serious state
of depression. Due to that depression, she leads a very unsystematic lifestyle. DASS 21 will
help to measure the depression and the anxiety level of Margaret. In the Direct Access
programme, this tool is present. After the assessment, appropriate measures can be taken
according to need.
ASSIST- (Alcohol smoking and substance involvement screening test is another important
test which is formed by the direct access in the case of Margaret. It will help to assess the
holistic condition of her physiological state due to the effect of excessive drinking and
smoking did by her. Margaret Drinks 1 pot and smokes 25 bundles per day which are
detrimental for physical as well as mental health (Dalley, 2015).
Question 2
The direct access programme can get more information about Margaret from her previous
working place as she was a respected nurse in the aboriginal health care. Information can be
gathered from the cousins of Margaret. Information can be gathered from her previous
doctors for more clear assessment which helps the overall holistic assessment.
Question 3
After the holistic assessment of Margaret, some of the practical aspects of the assessment
should be considered by the direct access programme.
 The assessment should be documented in the proper printed way. The reports should
be explained in detail to Margaret. It is done so that Margaret can comprehend her
situation and direct access programme can justify their position.
 A suitable room should be organized for Margaret as per her needs. Emergency
requirements like water, tissue etc should provide to Margaret (McConvell, 2011).
 A nurse should be appointed for her monitoring on an emergency basis.
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Question 4
The legal information that is needed to be discussed with Margaret by the Direct Access is as
below.
 Privacy and confidentiality of the data of Margaret should be maintained by the
organization.
 The physical and mental health care procedure its budget and consequences should be
clearly discussed with the patient party.
 Inform consent of Margaret should be taken by direct Access programme.
 Margaret will be informed about the service she will get in this programme. If she
wants she can withdraw at her own will (McDonald et al., 2010).
PART 2
How would you work within the scope of your own role and seek assistance from
colleagues required?
Discussion with Margaret is essential. An open discussion should be done with Margaret and
her assessment and procedures of treatment should be discussed with her. The mental and
physical health of Margaret should be assessed and opinion should be taken from the doctors
so that they can opine about assistance needed in case of Margaret. Since she is suffering
from the Mental and physical problem a collaboration of branches like psychologist and
health specialist is required (Neville, 2015).
How would you empower the client to identify and prioritize their own needs?
Direct access program should explain the physiological and mental status of Margaret to her
in an empathetic way. This will help Margaret to understand her own needs and will help in
the holistic recovery of her health. Since she has a weak liver her Blood pressure is highly
proper and she is suffering from stress anxiety proper medication and care should be taken on
her own to fight the situation.
How would you evaluate client needs based on all the relevant information you have
gathered?
The assessment reports will be analyzed by the Direct Access care. According to the
assessment report, the best facilities for Diagnosis of Margaret will be decided by the Direct
Access programme.
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Identify and analyze complex, multiple and interrelated issues – state what the issues
are, and how they relate to one another.
Due to excessive drinking and smoking and drug use, Margaret is suffering from ill physical
health as well as mental health. She is arguing with her cousins and even she is not listening
to the nursing home staffs. Her level of depression and anxiety is increasing which is totally
interrelated (Nielsen, 2009).
Evaluate issues of urgency – what are they?
Weak liver, over alcohol intake, depression and anxiety are the issues of urgency in the case
of Margaret.
Assess potential risk factors for service delivery – what are they?
Cultural: Margaret is an aboriginal woman so during care given by her in direct access her
culture should be respected or else it might be a potential risk.
Assessment: Assessment tool may possess some risks factor if Margaret gets made about the
lengthy process of Assessments (Power, 2013).
Part 3
Consider service delivery and referral options from the strengths-based perspective
The discussion should be made with Margaret to consider her experience about the service of
Direct Access benefit programme. Feedback will be needed from Margaret to improve the
service of nursing according to the strength.
Evaluate internal service capability and other service networks to determine the best fit
for the person (referral matching) – explain whom you would refer your client to and
why.
The Direct Access programme cover service like mental health, alcohol intake and drug use,
homelessness, family support, aged care. The support which is given to Margaret is quite
extensive. In case there is a need for referral it should be referred to the Aged Care
Assessment Team (ACAT). In that place, they can assess the holistic condition of Margaret
health properly (Power, 2013).
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Provide copies of service information that you would provide to the client to support
their decision-making process – how would you do this?
The brochure and the service given by the Direct Access programme should be given to
Margaret. It will help her to understand the service that is provided inside the programme. A
proper explanation of the brochure should be done if she faces any difficulty find
comprehending it.
Explain how you would encourage the person to advocate on their own behalf to access
services (building client capacity).
A strength-based approach should be taken to motivate Margaret so that she can advocate for
her own needs in the programme. An interpersonal relationship should be improved so that
the advocacy done by the staffs of direct Access programme is effective. This will have an
over positive effect on the health of Margaret (McConvell, 2011).
REFLECTIVE REPORT
Margaret is an aboriginal woman and she was an efficient and respectful nurse in the past.
Due to her loss, her three children and husband were killed in an accident she went it a state
of shock. I think we learned an important lesson that life will catch us off guard and we have
to prepare for every situation. In this case, life got the better of Margaret as she totally
depended upon alcohol smokes and drugs to compensate her pain. In my point of view, we
should hope for the best and prepare for the worst situation. The path that Margaret has
chosen is not the right path and she should take proper help from the professional and recover
from this situation. I think that it is essential for every person to socialize talk to people and
close relatives in the situation like these to get relief from the pain.
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References
Dalley, C. (2015). Love and the stranger: Intimate relationships between Aboriginal and non-
Aboriginal people in a very remote Aboriginal town, northern Australia. The Australian
Journal Of Anthropology, 26(1), 38-54. doi: 10.1111/taja.12119
McConvell, P. (2011). Time perspective in Aboriginal Australian culture: two approaches to
the origin of subsections. Aboriginal History Journal, 9. doi: 10.22459/ah.09.2011.04
McDonald, E., Bailie, R., Grace, J., and Brewster, D. (2010). An ecological approach to
health promotion in remote Australian Aboriginal communities. Health Promotion
International, 25(1), 42-53. doi: 10.1093/heapro/daq004
Neville, C. (2015). Collaborative Care Approaches for People With Severe Mental
Illness. Clinical Nurse Specialist, 29(3), 143-144. doi: 10.1097/nur.0000000000000127
Nielsen, K. (2009). A collaborative perspective on learning transfer. Journal Of Workplace
Learning, 21(1), 58-70. doi: 10.1108/13665620910924916
Power, D. (2013). Australian Aboriginal Deaf People and Aboriginal Sign Language. Sign
Language Studies, 13(2), 264-277. doi: 10.1353/sls.2013.0000
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