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Subject – Mental Health Cert IV – CHCMHS002, CHCMHS003, CHCMHS004 Alison is a single mother who has been diagnosed with borderline personality disorder. She also has a drug addiction (marijuana) and is morbidly obese. She has a promiscuous history and currently lives with a man and they have a destructive, verbally abusive relationship. He tells her that she looks abnormal and Alison has very low self-esteem as a result. She has cut off her good friends but is in contact with her friends that feed her current condition (they are also addicts with unhealthy behaviours). Alison does have supportive parents but they are both very ill. Her daughter is seven years old and is already displaying difficult behaviours. Alison has attempted to suffocate herself in the past. Your company has accepted the referral and will be placing you to work with Alison for seven days of home-based care in which you may spend up to several hours per day with her. Discuss how you would: 1. Share and collect information from Alison to collaboratively implement a plan for her recovery. 2. Discuss how you would work within each of the five domains of the national framework for recovery-oriented mental health services in working with Alison. 3. Discuss what multidisciplinary teams might be useful in Alison’s case. 4. What professional boundaries you may need to keep in mind in working with Alison. 5. Discuss how you would apply the six best practice principles of recovery- oriented mental health practice to Alison’s situation. 6. Together identify the range and potential effects of social and other barriers that are impacting on Alison. 7. Facilitate a collaborative planning process for her recovery. 8. Consider and discuss the basic principles that you might take into account when setting realistic targets. 9. Consider some of the characteristics that help to build rapport and enhance communication and discuss how you would apply these to working with Alison. 10. Discuss how you would help Alison to develop her self-efficacy. 11. Set targets with Alison, discuss what you might need to establish, including your duty of care and dignity of risk considerations.. 12. Develop a risk plan for Alison. 13. Collaboratively implement her plan for recovery. 14. Implement a recovery plan with Alison, using the recovery start to guide you. 15. Develop and maintain effective work relationships with her care support network. 16. Determine who Alison might like to choose to involve in their recovery process and the roles she wants them to play. 17. Discuss how you might facilitate support, training or services to Alison’s family and friends based on identified needs. 18. Collaboratively review the effectiveness of the plan and support with Alison. 19. Work in ways that inspire hope for Alison. How will you demonstrate consideration and respect for the important contribution of the person’s other relationships, life events, culture and activities to the recovery process. 20. Get Alison to tell her story. What techniques would you use for good communication and motivational interviewing and counselling? How could you use reflective practice in working with Alison and her daughter? 21. Write a recovery plan for Alison, with a daily planner of what you will both be doing for the seven days of support. Some ideas may include: assisting her tidy her home, assist her with getting her daughter to school on time, linking her with community support services. Think about what you can achieve together and write up the plan which will see Alison in a much better place after your week of support. What particular programs, services and supports would be appropriate for Alison? Find out which ones would be suitable in your state or territory.
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