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Elements and Performance Criteria

Promote the prevention of substance misuse
Provide support to clients involved in substance misuse
Follow up clients involved in substance misuse
- Organise follow-up care for clients involved in substance misuse using computer and/or paper based registers
- Identify social and environmental factors that impact on substance misuse and address them in partnership with the Aboriginal community and other agencies

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

This includes knowledge of

Patterns of alcohol and other substance use

traditional and contemporary perceptions of health as perceived by aboriginal people

drug use in traditional Aboriginal culture and the impact of European settlement on the same for example petrol sniffing

reasons for and the effects of alcohol bans before imposed on aboriginal people

drugs which result in the most drug related deaths in Australia

factors which affect alcohol tobacco and other drug use availability cost the effect of the drug in the body social factors gender customs

commonly used drugs in the Aboriginal community and relationship to age and gender

effects of excessive alcohol consumption on the community

socialpsychological context of substance taking

Range of potential AOD harms the Ls model

Thorleys model of patterns of AOD use

Aboriginal interaction model

Social learning theory of AOD use

Harm reduction continuum of harm

Health promotion principles needs analysis to include range of problems as well as community strengths skills and assets

Relevant legislation relating to the sale supply andor use of alcohol tobacco and scheduled or illegal drugs

Role of the Aboriginal andor Torres Strait Islander Health Worker with regard to alcohol and substance misuse problems in the community

Importance of Aboriginal andor Torres Strait Islander people being in control of their own alcohol and substance usemisuse programs

Organisation policies and procedures relating to client confidentiality

Substance misuse issues requiring referral

Relevant evaluation criteria for monitoring effectiveness of health care program

Essential skills

It is critical that the candidate demonstrate the ability to

Communicate effectively in a group and oneonone environment to promote healthy practices and discuss health issues

Provide accurate and relevant information and guidance about substance misuse in line with identified individual and community needs

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

This includes the ability to

Apply skills relating to health promotion and brief interventions

Communicate effectively including ability to listen observe speak and behave in a respectful and sensitive manner

Work with clients in a nonjudgemental and nonconfrontational manner

Share health information that may be confronting to clients

Use English or a community language depending on the situation requirements

Clearly present health information in onetoone or group situations

Undertake facilitation and negotiation to the level required to assist client decision making

Apply literacy competence required to satisfy record keeping and referral requirements

Apply principles of harm reduction and continuum of harm to support safer using behaviour

Liaise between service providers individuals families and community groups

Analyse own value system and how this affects response to others

Reflect on and improve own level and application of skills and knowledge to achieve desirable outcomes and maintain own capabilities

Work with a team to deliver effective health promotion and education for Aboriginal andor Torres Strait Islander communities and clients using appropriate facilitation problem solving and instructional practices

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 of assessment	The individual being assessed must provide evidence of specified essential knowledge as well as skills Consistency of performance should be demonstrated over the required range of situations relevant to the workplace Where for reasons of safety space or access to equipment and resources assessment takes place away from the workplace the assessment environment should represent workplace conditions as closely as possible

Conditions of assessment	This unit includes skills and knowledge specific to Aboriginal andor Torres Strait Islander culture Assessment must therefore be undertaken by a workplace assessor who has expertise in the unit of competency or who has the current qualification being assessed and who is Aboriginal or Torres Strait Islander himherself or accompanied and advised by an Aboriginal or Torres Strait Islander person who is a recognised member of the community with experience in primary health care

Context of assessment	Competence should be demonstrated working individually under supervision or as part of a primary health care team working with Aboriginal andor Torres Strait Islander clients Assessment should replicate workplace conditions as far as possible

Related units	This unit may be assessed independently or in conjunction with other units with associated workplace application

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.

Cultural respect	This competency standard supports the recognition, protection and continued advancement of the inherent rights, cultures and traditions of Aboriginal and Torres Strait Islander peoples It recognises that the improvement of the health status of Aboriginal and Torres Strait Islander people must include attention to physical, spiritual, cultural, emotional and social well-being, community capacity and governance Its application must be culturally sensitive and supportive of traditional healing and health, knowledge and practices

Community control	Community participation and control in decision-making is essential to all aspects of health work, and the role of the health worker is to support the community in this process

Supervision	Supervision must be conducted in accordance with prevailing state/territory and organisation legislative and regulatory requirements References to supervision may include either direct or indirect supervision of work by more experienced workers, supervisors, managers or other health professionals A person at this level should only be required to make decisions about clients within the organisation's standard treatment protocols and associated guidelines

Legislative requirements	Federal, state or territory legislation may impact on workers' practices and responsibilities. Implementation of the competency standards should reflect the legislative framework in which a health worker operates. It is recognised that this may sometimes reduce the application of the Range of Variables in practice. However, assessment in the workplace or through simulation should address all essential skills and knowledge across the Range of Variables Aboriginal and/or Torres Strait Islander health workers may be required to operate in situations that do not constitute 'usual practice' due to lack of resources, remote locations and community needs. As a result, they may need to possess more competencies than described by 'usual practice circumstances' Under all circumstances, the employer must enable the worker to function within the prevailing legislative framework

Programs may be conducted:	In a range of workplace or community settings For groups and/or individual clients

Information about substance misuse may include but is not limited to:	Information on: use of stimulants and depressants and their ability to produce behavioural and psychological toxicity risk factors associated with alcohol, tobacco and substance use legislation relating to the sale, supply and/or use of alcohol, tobacco and scheduled or illegal drugs options for intervention and management availability of other agencies and/or resources for referral Reference to: Aboriginal and Torres Strait Islander Complementary Action Plan 2003-2009