Assessment: Case Management in Community Services - Diploma Program

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This assignment solution addresses a case management assessment within a community services context, encompassing a scenario, a case study, and a major project. The scenario explores developmental assessments, ethical obligations, and supportive services for both children and their mothers, including tools like the Alcohol Use Disorder Identification Test and child protection concerns. The case study focuses on communication techniques, strength-based approaches, and parental involvement in the treatment of a child with communication challenges, along with the involvement of supportive services. The major project delves into client developmental status reports, factors influencing development, legal and ethical obligations, and organizational policies. It also discusses developmental theories such as Erikson's stages of psychosocial development, Maslow's hierarchy of needs, Piaget's theory of cognitive development, and trauma and attachment theory, providing a comprehensive overview of relevant concepts and practices in community services.
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Assessment - Case Management 3A
Part 1 is a Scenario.
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Information about the developmental status
Australian early development censes are the Government agency that provides information
about the developmental status, emotional condition and other needs of the child. Such index
could serve the purpose. Nearby health and judiciary organizations can be contacted to find
the past such incidents related to client. It is crucial to study related regulations and laws to
find depth of case. The service involved in analysing the development of children is
Australian early developmental census.
Developmental assessment
Recognized observation methods are used to measure the cognitive, social, physical and
emotional stage of the child development. Anecdotal records, running records,learning
stories, time samples, jottings, work samples, and photographs are the methods used to assess
the development of the child (Denton, 2017). It is crucial to indicate child’s growth to assess
his/ her health and nutritional status. Clinical assessment or reports for physical and mental
trauma can be obtained.
Assessment questions
The Health professional should begin the assessment with open ended questions to discover
the need of the child and closed ended questions can be used to help the child to express his
problems. For instance, which place he like, do he like going school or with whom he wants
to spent time. Such questions will give space to express himself. This will give an idea to
counsellor about the needs of child.
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Initiation of the assessment process
Assessment processes begin with explaining the client about the importance of providing the
correct information. Because the attempt to provide wrong details may end up in the wrong
diagnosis. The health professional must explain to the client that the information provided
will be confidential. Initially, counsellor must build a rapport with client to gather correct
information of clients’ problems, needs and background.
Legal and ethical obligations
Duty or care means that one must anticipate risks for your clients and prevent them from any
harm. As a counsellor I must follow fundamental principles of legal and ethical obligations
such as integrity, confidentiality, objectivity, professional competence and due care and
professional behaviour.
Assessment tool for the mother
Alcohol use disorder identification test is the nursing tool used to identify the level of
addiction and related disorders. A set of the questionnaire is presented before the person and
he/she has to complete the questionnaire. (Bodell, 2017). Some counselling session in order
to help with depression could be beneficial along with medication.
Supportive services for the mother
Encourage the mother to seek help from deaddiction supportive services provided by the
Australian government. So, it is important to provide information about deaddiction
supportive services (Best, 2016) to his mother. Also, follow- up from such organisation is
important to solve the issue.
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Child protection concerns
National Framework for Protecting Australia’s Children 2009-2020 is the child protection
concern that prevents the children from physical and sexual abuse (Coates,2017).Follow- up
session would be beneficial to check whether the objective of counselling is achieved or not,
that is, no potential harm is present for the child. The reporter of the child harm or injury
needs to call the child protection worker and provide details of the child, indications of harm,
reason for making the call, child’s location and cultural issues.
Follow up process
There are many organisations which provide support for such children and their families. So,
introducing the child and child’s mother to the government and non-government agencies that
support the child with the developmental problem and sexual abuse.
Part 2 is a Case Study
Techniques for effective communication
The primary technique for effective communication in children is listening. Use encouraging
words which stimulate the children to speak. Use non-verbal communication. Encourage
learning through imitation (Fan, 2015).
Strength based approach
In this case study, the child’s parents understood him. On the application of a strength based
approach, the Nurse can make the parents understand the child’s disease condition and
treatment (Rashid, 2015).
Improve the social interaction of the child
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While interacting with the child wait for the child to respond. Educate the child to express his
emotions. Pay attention to good behaviour and ignore the attention seeking behaviour.
Express affection and ensure respect while communicating with the child.
Parents involvement in the treatment of Mitch
Primarily, parents have to understand the condition of Mitch. Parents need to encourage the
child to cope with the disorder. Supporting the child to overcome the communication problem
in a positive way (Pereira, 2016). Educate the parents about the strength based approach and
encourage them to apply in the treatment of Mitch.
Achievable goals for Mitch and his parents
Parents of Mitch can set simple goals him and for themselves. Goals for Mitch includes,
improve communication, reduce fear and promote hope. Goals for parents understandthe
child’s condition and try new strategies to improve the communication of Mitch.
Involvement of other services
Gaining help from the supportive service like Autism spectrum disorder services, Department
of social services Australia, and department of health Australia will support Mitch to cope
with autism and improve his behaviour (Zwaigenbaum,2015).
Part 3 is the Major Project
Major project – community services
Learning outcomes of client developmental status
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Report on client developmental status is the documentation report contains all the information
of the client. In community services, client developmental status provides the data that helps
to analysis the physical, mental and psychological status of the client. It also provides
information like strengths, weakness, perception, behavior attitude and believes of the client.
Events and factors that influence the development
Some of the factors that influence development in community services are financial,
environmental, community and political. Environmental factors like natural hazards, storm
and earthquake affect the development. Financial factors like natural resources and economic
sources influence development. Infrastructure, Human resource are the Community factors
affecting the development. Social factors like population, race, religious issues and ethnic
traditions affect the development of community services.
Legal and ethical obligations
Legal and ethical obligations in community service include government and private sector.
An ethical obligation is the collection of principles that helps to classify the ethical actions
and make a difference between right and wrong. The legal obligation is the guide that directs
to do a specific action or not to do the same. It also involves a contract that makes a person
liable to pay a sum amount or to perform a specific action.
Awareness of your own values and attitudes
Values and attitudes in the community services shape an individual and society. It brings all
the citizens under one umbrella. Awareness of values and attitudes is essential to shape an
individual socially, psychologically. It builds a relationship with another person. Awareness
of values and attitudes improves the personality of an individual and as a society.
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Organisational policies and procedures
Organisational policies and procedures help in decision making and set a margin for all the
actions related to clients and the organisation. Procedures are the designed methods of
specific actions to maintain the structure for the action. Policies and procedures are designed
to framework to teach and to execute in the organisation. Client’s co-operation is essential to
design and to implement policies and procedure.
Discuss the following development theories
Erik Erikson's Stages of Psychosocial Development
Erik Erikson was the psychologist formed significant developmental theories. Erikson states
that development of personality happens in stages. When compared with Freud’s
psychosexual stages of theory Erikson explains that the influence of social understanding is
in the whole life. Development of ego personality is the essential element of Erikson’s theory.
Erikson’s theory states that ego personality is persistently changes according to the daily
experiences of an individual. Erikson’s theory of psychological development has eight stages
of psychological state in life (Cherry, 2018).
Psychosocial stage 1- Trust vs. Mistrust
The first stage of Erikson’s theory happens between birth and one year of age. It is the
primary stage of life.
Psychosocial Stage 2 – Autonomy vs. shame and doubt
The second stage of Erikson’s psychosocial development happens in the initial childhood
stage. In this stage development of self-control take place.
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Psychosocial Stage 3 - Initiative vs. Guilt
The third psychosocial stage takes place for the age group of the preschooler. In this stage,
children begin to gain power over the humankind by initiating social communication. This is
the stage of success and gain the ability to organize and manage the neighboring people.
Psychosocial Stage 4 - Industry vs. Inferiority
The children who begin their schooling come under this category. The common age group
will be 5 to 11 years. This stage begins with social communication and the development of
personality with superiority happens in this stage.
Psychosocial Stage 6 - Intimacy vs. Isolation
This stage covers the teenage people, and the development takes place when they begin to
discover people and relations. Erikson states that in this stage people engage in close
relationships.
Psychosocial Stage 7 - Generativity vs. Stagnation
This stage of development takes place in the adulthood age. People concentrate on future
endures and career development. People who are successful in this stage will feel that they
contribute their knowledge, and skill to the society.
Psychosocial Stage 8 - Integrity vs. Despair
This is the closing stage of development which takes place in the old age. They reflect the life
they lived. Successful people feel satisfied and unsuccessful people feel that they wasted their
life.
Maslow’s Hierarchy of Needs
Abraham Maslow is a human psychologist framed a theory which states that all the actions of
the humans are forcing the people to attain some specific needs. This theory is called as
Hierarchy of needs, which states that people focus on their basic needs before they try to
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attain the further needs of daily life. His hierarchy states that daily needs are met in a chain
format. It forms a pyramid from the fundamental needs to sophisticated needs. Basic needs
like food, clothing and shelter places in the foot of the pyramid and complicated needs place
at the top of the pyramid. When people progress from the foot of the pyramid to top they
become more social (McLeod, 2007).
Kinds of needs
Maslow states that his hierarchy needs to satisfy various kinds of needs which include
psychological needs, safety needs, public needs, and value needs.
Psychological needs
It is the basic need of all human beings. According to Maslow psychological need is the
primary need. All the basic needs like food, water, and shelter are considered to be secondary
needs.
Safety needs
Safety needs are vital for survival. Safety needs include job, shelter, safe environment, and
health needs.
Civic needs
Civic needs are affection and love. Civic needs are not considered as a primary need. Family
relationship, love attachment, and recognition.
Value needs
Value needs become essential need once the basic needs are met. Materials related to social
acceptance, achievement, and personal value.
Piaget's theory of cognitive development
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Piaget's theory of cognitive development is related to the intellectual development of
children. It states that children are unable to do a certain task or unable to understand some
fact until they attain the stage of Piaget. It consists of four stages (Light, 2017).
Sensorimotor Stage: Children from 0 to two years like to discover thesensorimotor stage. They
discover new things from the environment through touch, visualisation, hearing and taste senses.
Preoperational stage: This stage includes children from 2-7 years of age. Children learn new things
and start using verbal communication, body language. They also learn speech and pronunciation.
Concrete operational: Children from 7-11 years of age they try to learn more complex facts. But
independent thinking is not achieved is not achieved.
Formal Operational Stage: This is the final stage of Piaget's theory of cognitive development.
Children can do critical thinking and hypothetical reasoning.
Trauma and attachment theory
This theory is created by John Bowlby. This theory states that children underwent troubled
childhood is in danger of developing attachment issues. This complication is caused due to
various issues (Kinniburgh, 2017).
Lack of love and affection
Physical, psychological and sexual abuse by the caregivers
Rejection
Lack of attention by parents and caregiver
Lack of safety and security
Government and non-government services for children
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1. ACT Government – Education and Training Directorate – provides education services to
schools and offers vocational training to students
2. Australian Government – Department of Education and Training- Education and childcare
3. Advocate for Children and Young People- Advocates and promotes the wellbeing of the
children
4. NSW Government – Community Services - It supports both non-government
organisations and government agencies in providing child safety services, education
on parenting, and adoption services.
5. NSW Government – Department of Education regulation of schools, child care and
support children at school.
6. Resourcing Parents - parenting edification programs, expert functioning with parents
and carers of children.
7. Queensland Government – Department of Child Safety, Youth and Women - adoption,
foster and empathy care, and child safety.
8. Queensland Government – Department of Education – Education, and training
9. Government of South Australia – Department for Education – Childcare and education
10. Victorian Government – Department of Health and Human Servicesteenage parenting
support, child safety, adoption and public housing (The Australian parenting website,
2019).
11. Australian childhood foundation- child safety and prevention of abuse
12. Kids first – Adoption, charity, and education
13. Hope for children- Education and child safety
14. Save the children – safety, adoption, and education
15. Association of children welfare Agencies – Safety, adoption and education (NGOs,
2018).
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Portfolio:
1. Flow Chart
Patient Visitation
Meet the Receptionist / Initial
Interview
Registered?New Registration
Assessment Room
A
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A
Patient History Collection
officer
Nursing Care Station
Patient
Proceedings
Normal ?
High Risk? –
Admission - ICU
Low Risk? – Doctor
Consultation
Medical Investigation and
Nursing care plan
Medical Records and
Documentation
B
C
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B
Documentation
Review and Evaluation
Patient
Normal?
Doctors Review
Discharge with Summary /
Health Education to Patient
C
Investigation/
Consultation Billing
details to Finance
Dept.
Doctors Review
C
Patient Exit with Report and Health
Education
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Copy of the Myer-Briggs Personality Indicator test,
Myer-personality indicator test result states that I possess decision making capability. I use
feeling and thinking about indecision making (Keh, 2019).
ISTJ
Responsible
ISFJ
trustworthy
INFJ
Motivates others
INTJ
Partially independent
ISTP
sensible
ISFP
Innovative
INFP
realistic
INTP
concrete
ESTP
Planned
ESFP
open-handed
ENFP
confident
ENTP
Inventive
ESTJ
Hard charging
ESFJ
Harmonizing
ENFJ
influential
ENTJ
authoritative
Assessment tool for mental health
Kessler6 and Kessler 10 is the common nursing assessment tool used in the Australian
population. The assessment tool is used among the general population and particularly for the
people from rural background.
Assessment tools for Aboriginal and Torres Strait Islander people
The excisting 9th item Patient health questionnaire is the tool used assesses the depression
level in Aboriginal and TORRES Strait Islander People. Assessment tool for risky drinking
among Aboriginal and Torres Strait Islander is used to assess the mental and physical health
issues related to the alcohol addiction.
Client feedback form
Client feedback from contains the information about the patient's disease condition, treatment
and nursing care provided. The patient can express his opinion in the feedback form.
Client Feedback form
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Benefits of applying a strengths-based approach
A strength-based approach is a principle that helps in improving an individual professionally
and personally. The focus of the strength-based approach is self-determination and strength.
It helps to improve the relationship of the person, individual’s interest, objective, skill,
practice, competence, and weakness. Implementation of the strength-based approach in the
health care profession aids in experiencing the change. It encourages the individual to change
the environment to improve their personal strength. It motivates an individual to be goal-
oriented. The strength-based approach has a dual benefit for patients and health
professionals. It aids the health care professional to analyze the strengths and weakness of the
patient and self for the safe and quality health care for the patient. It helps the nurses to look
into the strength of the patient and plan the nursing care based on the strength of the patient.
It is the clinical reasoning cycle that brings better outcomes in nursing care
Evidence-based judgment about the person's needs is the essential aspect of health care. It
provides standardized protocols for health care professionals. It helps in implementing the
real-time data and ease the patient care recovery. The evidence-based approach in patient care
is the implementation of nursing care based on the research and evidence. An evidence-based
approach for the needs of the person results in the speedy recovery and prevents the
complications for the patient. It helps the nurse to make a prompt decision and ensures safety
for the patient. It focuses on healing and recovery and ensures individualized care. It reduces
the hospital stay and cost for the patient. Evidence-based care is effective health care which
improves the health and wellbeing of an individual. It reduces medical errors and ensures
safety for the patients. It benefits the nurse and the patient both personally and legally. The
evidence-based approach ensures better patient outcomes.
Patient Name :
Date of treatment :
Feedback :
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(Rashid, 2015).
References
Cherry, K., 2018. Erik Erikson's Stages of Psychosocial Development. Retrieved Juny, 5,
p.2018.
McLeod, S., 2007. Maslow's hierarchy of needs. Simply psychology, 1.
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10.4324/9781315213323-4
Meadows, S., 2017. An assessment of Piaget’s theory of cognitive development.
In Developing Thinking (pp. 7-25).
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Kinniburgh, K.J., Blaustein, M., Spinazzola, J., and Van der Kolk, B.A., 2017. Attachment,
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Fonagy, P., 2018. Attachment theory and psychoanalysis. Routledge
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