ASSIGNMENT BRIEF AND GUIDELINE
Advanced physical and mental health
Case study
The service user case study allows you to demonstrate your understanding of module learning outcomes. More specifically, it should demonstrate how you:
Construct a case conceptualisation/formulation
Demonstrate recovery in practice
Form a good therapeutic alliance, implement and evaluate therapeutic interventions
Ensuring safe practice
Critically reflect on yourself practice
Deliver written information in a coherent and structured manner, paying attention to presentation, structure and explanation
Use appropriate referencing
The ESSAY should consist of 2500 words, not including list of references, bibliography and appendices. The word count may vary by 10% more or less than this.
The case study should include the following:
Introduction, which is required to include the following
State the service user the case study is to be conducted on. E.g. a service user with a diagnosis of bipolar depression. Provide a rationale for choosing the case for your case study
Confidentiality and anonymity; provide a brief discussion on how these ethical issues would be maintained
Provide an overview of the case study; simply this relates to the key aspects of the case study, including the sequence in which they are addressed.
Body: This will include sub-sections:
The service user:
Service user information on medical/therapy history & family history, etc without breaching confidentiality.
Bio-psycho-social background and current context to be provided
Case formulation
Assessment and identification of the service user’s problem (s), predisposing factors, precipitating factors, perpetuating factors, and protective factors
Focus on one or two problems (one mental and one physical health related), and provide a rationale for your choice
Utilise and discuss the assessment process (use the three-phase model) and assessment tools as appropriate (eg HCR-20)
Nature of the work undertaken (duration, length and frequency of sessions, etc.)
Use case relevant information to support your case formulation discussion
Planning and goal setting
Development of therapeutic alliance
Collaborative goal setting
Agreed interventions; explain intervention including rationale for use and supporting evidence (eg motivational interviewing)
Use case relevant information to support your discussion
Intervention
Apply interventions; focus on 3 or 4 interventions to allow for in-depth discussion
Difficulties in working relationship (if relevant, and what was done to address or overcome these)
Discussion
Evaluation of original formulation
Evaluation of the efficacy of the interventions, assessment tools and communication models used, including areas for improvement, and what you would have done differently with hindsight
Difficulties encountered, including healthcare worker and service user factors that aided or hindered service user’s progress &/or change
Locate discussion within broad corpus of knowledge
Conclusion
Provide a succinct summary of the case study
Indicate what you have learnt by doing the case study
Appendices
References
SOME USEFUL THINGS TO CONSIDER IN THE CONTENT OF THE ASSIGNMENT
Module Aims and Indicative Content
This module is designed to assist qualified staff to develop experience and enhanced competencies to enable them to work effectively and compassionately within inpatient, community and specialist mental health services.
The module will enable learners to become trauma-aware and to use a three-phase model of communication to both guide and reflect on their interactions with service users.
The module will increase the knowledge, skills and confidence of mental health practitioners in physical, psychological and social domains and will assist them in making accurate assessments, clear and collaborative plans, precise, compassionate interventions and meaningful evaluations.
Learners are required to be employed in a mental health setting to study this module.
Learning Outcomes:
On successful completion of the module, the learner will be able to:
1. Critically analyse the professional confidence, knowledge and skills required of qualified staff within the multi-disciplinary team and identify evidence-based good practice required to care for people with complex mental health conditions in a person-centred way.
2. Demonstrate the ability to engage effectively, exchange information and agree a plan of care that will enable a therapeutic alliance that leads to both acceptance and change, inform a differential diagnosis and make, where appropriate, appropriate referrals.
3. Evaluate their ability to undertake effective and person-centred risk/safety assessments and management plans
Module Organisation
Indicative Content
The role of the MHN
Trauma and trauma-informed mental health work
Communication skills: the Three-Phase Conversational Model
Active psychotherapeutic interventions: solution-focused and cognitive-behavioural approaches
Establishing positive, recovery-focused relationships
Mental health assessment, planning, delivering and evaluation of care
Application and interpretation of evidence based assessment scales (Becks, HCR-20, HoNoS)
Risk assessment and risk management in Mental Health and Learning Disability
Improving the physical health of people with mental health problems
Head to toe assessment
Physical health assessment & monitoring & Mental Health ALERT
Assessing and managing the deteriorating patient
Recognising and helping with reducing self-harm and suicidal ideation in Mental Health and Learning Disability
Self-harm explanatory model
Recovery, its principles and application in mental health
Working with families, carers, friends and communities in promoting mental health
Reflection and self-awareness
Three-Phase Conversational Model of communication
Principles of assessment
Principles of risk assessment and risk management in mental health
Assessment tool and application: HCR-20 , HONOS etc
Case formulation
Assessment
Planning
Delivering
Evaluation of care
Empowering approaches: e.g. recovery, its principles and application
Assessment tool and application: HoNoS-LD and HoNoS-Secure
Diabetes hypoglycemic or hyperglycaemic attacks
Assessment Task
This will be focussed on a case study which will reflect the care given to a service user they have cared for in the mental health setting. It will include evidence of working with the multi disciplinary team.
The case study will also demonstrate the use of an understanding of working with the three-phase model or other, an appropriate assessment tool and physical examination skills.
Summative Assessment
CW1 Case Study – 100% (will assess learning outcomes 1, 2 and 3)
Written assessment.
To be written as an essay. To include critical discussion of issues explored with the service user.
Bio-psycho-social background and current context to be provided. One or two psycho-social issues to be selected for in-depth analysis (e.g. smoking cessation, sexual counselling).
All phases of care to be included, ie from assessment through to evaluation. Utilise and discuss assessment tools as appropriate (eg HCR-20, Brief Psychiatric Rating Scale or other ) and the Three-Phase Conversational Model for engaging with patient. Leaners are expected to include a reflection of your experiences on the assessment and planning of care for the service user.
Identify an intervention and provide a rationale with supporting evidence for your choice over another. This could involve the use of models or ideas in nursing. It might involve the import of models or ideas from other areas such as health psychology.
Leaners are expected to locate their discussion within broad corpus of knowledge. The case study is expected to be supported by relevant literature and policy guidance/evidence which impacts on the wellbeing of a service user with a mental health and a physical health condition(s).
Last Completed Projects
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