Google links for CHCAOD408B - Assess needs of clients with alcohol and-or other drugs issues

Elements and Performance Criteria

Prepare for assessment
Conduct assessment
Identify and respond to need for referral
Interpret and report on assessment results
Provide assessment feedback and information
- Provide feedback to the person according to organisation policy and procedure
- Provide assessment information to others, including relevant health and/or community services professionals according to consent requirements and organisation policy and procedure

Required Skills



This describes the essential skills and knowledge and their level required for this unit

Essential knowledge The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role These include knowledge of Aspects of working with clients including common relapse precipitants a range of strategies for working with clients case management principles client empowermentdisempowerment clientcentred approach different lifestyles protocols around use of interpreters range of cultural contexts eg lifestyle set of beliefs and customs rights of workers and clients selfesteem abuse issues selfawareness own biases ethical obligations relating to helping relationships strategies to promote participation in programs types of counselling eg motivational interviewing brief and intensive intervention and relapse prevention Comorbidity issues relating to assessment of people with AOD issues Effects of AOD use including basic health issues relating to AOD use eg malnutrition blood borne diseases skin infestations effects of drug use on health cognitive social emotional development and impact on others basic pharmacology eg types of drugs dose levels effects of specific drugs tolerance and treatment approaches broadly consequences and effects of drug substitutionreplacement effects of prescribed drugs on the use of other drugs patterns of drug use in Australia and the local community range of use and use scenarios eg lifestyle context of illegal drug use signs and symptoms of medical risk associated with AOD use stages and symptoms of AOD withdrawal the effects of alcoholrelated brain injury Established processes and protocols for determining health status length of dependence level of dependence patterns of use Legal and organisation knowledge including legal and organisation requirements for client registration allocation and referral organisation policies and procedures for documenting work with clients organisation policies on reporting and confidentiality range of AOD specific treatment intervention options including detoxification inpatient treatment programs outpatient treatment services and brief interventions understanding agency role agency target group and the impacts on the local community Legal issues including legal issues surrounding AOD use legal status of drugs Policy issues including harm minimisation including a range of approaches eg prevention early intervention abstinence specialist treatment supply control and safer drug use public health model eg interaction of impact of drugs individual and the environment Risk management in relation to interventions for people with AOD and comorbidity issues Theoretical frameworks about motivation to change AOD use Working with clients at risk of selfharm including legal and ethical obligations regarding clients at risk of selfharm or with mental illnesses links between predisposing factors for selfharm drug use and mental health problems nosuicide contracts and other protective strategies suicidal or selfharming behaviour ideation or intention


Essential skills It is critical that the candidate demonstrate the ability to Conduct assessments using established processes and protocols Work with clients with a range of issues in a range of settings from different cultural backgrounds in a nonjudgemental way in emergency situations In addition the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role These include the ability to Demonstrate first aid certification or equivalent skills as per unit HLTFAA Apply first aid including Demonstrate first aid certification or equivalent skills (as per unit HLTFA311A Apply first aid) including: cardio pulmonary resuscitation CPR bandaging managing toxic substances managing bleeding managing broken bones managing consciousness managing choking and knowledge of coma positions Establish rapport Use active listening including questioning Interpret verbal and nonverbal communication Work with a range of clients Contract with clients Demonstrate application of skills in conflict resolution negotiation crisis intervention protective intervention advocacy networking and liaison with other agencies identification of support structures Maintain documentation as required including effective use of relevant information technology in line with work health and safety WHS guidelines

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this unit of competency

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Competency must be demonstrated in a real work environment

Competence in this unit must be assessed over a period of time in order to ensure consistency of performance across contexts applicable to the work environment

Consistency in performance should consider the work environment workers role and responsibilities in the workplace

Access and equity considerations

All workers in community services should be aware of access equity and human rights issues in relation to their own area of work

All workers should develop their ability to work in a culturally and linguistically diverse CALD environments

In recognition of particular issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on Aboriginal andor Torres Strait Islander clients and communities

Context of and specific resources for assessment

Assessment of this competency will require human resources consistent with those outlined in the Assessment Guidelines

In cases where the learner does not have the opportunity to cover all relevant aspects in the work environment the remainder should be assessed through realistic simulations projects previous relevant experience or oral questioning on What if scenarios

Method of assessment

Assessment of this unit of competency will usually include observation of processes and procedures oral andor written questioning on essential knowledge and skills and consideration of required attitudes

Where performance is not directly observed andor is required to be demonstrated over a period of time andor in a number of locations any evidence should be authenticated by colleagues supervisors clients or other appropriate persons

Depending on jurisdiction and job role this may be

HLTFAA Apply first aidor

HLTFA311A Apply first aid
or

HLTFAA Apply advanced first aid

HLTFA412A Apply advanced first aid

Range Statement



The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Clients include:	Families and personal network of the client

Assessment may take place:	Face-to-face By telephone

Other related information may include:	Co-morbidity (dual diagnosis) issues related to physical/sensory/intellectual/psychiatric disabilities Developmental issues Doctor’s or other professional’s reports Information provided by family or support network Information related to legal issues for persons under court/protective/statutory orders That provided by other services via referral Trauma issues, for example, for survivors of domestic violence, abuse, neglect or sexual assault

Current status of the client includes:	Determining readiness to change Physical, emotional, financial, legal and psychosocial state and immediate needs in these areas Other drug use in the family Level of risk of deliberate self-harm behaviours and/or harm to others Levels of risk behaviour associated with AOD use including behaviours which expose clients to blood borne diseases

Indicators of other issues may include:	A history of mental health issues Indicators of abuse, neglect or harm including self-harm Indicators of child abuse Having no accommodation, employment or money

Options for meeting the range of client needs may include:	Referral to other services Community intervention

Client's drug use history refers to collection of relevant information on:	Name, age, gender, and so on Drug history Social and legal history Current status including housing status Agency ability to cater for the client needs Mental health issues Other relevant related issues affecting clients

Early or short-term programs refers to:	Less intensive, shorter term activities that are an alternative to longer and more intensive programs. These brief interventions carried out by a range of workers, often opportunistically, are usually offered to those individuals who are less severely drug dependent

Current information on related issues includes information on:	Meeting physical, emotional, financial and social needs Contacts for self-help groups Resources on dependency Resources on alcohol and other drugs issues for families or personal network Advocacy groups Information regarding mental health and self-harm Crisis and emergency contacts

Goals and action plans may be short and long term and should include:	Harm minimisation (including abstinence, controlled drinking, safer sex, safer drug use, safe injecting) Strategies to target reducing at risk behaviours

Goals and action plans may include:	Vocational goals (employment and training) Accommodation Meeting immediate physical needs Maintenance of stable social and emotional environment Reintegration within social context Ensuring personal safety Management of crisis Timelines and priorities

Relapse prevention strategies may include:	Identification of drug use 'triggers' and working with the client to develop responses to deal with triggers Referral to self help groups Stress management advice Ongoing positive support Monitoring of the client's progress Facilitating use of community resources Encouraging client to develop a support network Role play Discussion of strategies for stress management, money management, goal setting, prioritising, problem solving, decision-making, disengagement

Client exit (negotiation of with the client) will depend on the organisation policies and procedures and the individual clients needs and may include:	Negotiation of contract with client Providing information on what the client may expect when they leave Providing follow up Ending the client/worker relationship Ensuring personal safety of clients at risk of self-harm including availability of ongoing supports from appropriate agencies Access to harm reduction consumables e.g. Needles, syringes, and needle exchange programs

Client exit (organisation requirements) may include:	Client questionnaire Documentation including reason for exit and condition of client at exit Organisation's documentation on treatment/ assessment progress

Supporting a client to make contact with other services may include:	Making an appointment for the client Accompanying client to first appointment Organising for another appropriate person to accompany the client to an appointment Organising interpreter services for the client

Appropriate services and other support options may include:	Detoxification Inpatient counselling Outpatient counselling Self-help groups Proclaimed place, rehabilitation centres, residential etc Sobering up units Services which provide consumables (e.g. syringes, thiamine, needle exchange, methadone or other drug substitution/replacement services) Therapeutic communities Department of Social Security Accommodation Emergency services Mental health services
Appropriate services and other support options may include:

Follow up will depend on the organisation's policies and procedures and the client needs and may include:	Obtaining feedback and reports on outcomes of referrals from other agency in accordance with organisation policies and procedures including those referring to client confidentiality Checking protective support for suicide risk is available if required Making an appointment for follow up Contact with client at referral agency Liaison between alcohol and other drugs worker and other services

Outcomes may include:	Measurement of harm minimisation Changes made during intervention and changes sustained over time Those negotiated with the client as part of a management plan Referral and acceptance to another treatment program or half-way house Both positive and negative outcomes Linkage with appropriate services Client being moved from institution or service Client changes - behaviour, attitudinal

Review against care plan may be:	Within the organisation In consultation with other agencies

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CHCAOD408B - Assess needs of clients with alcohol and-or other drugs issues

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement