Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTAHW511B Mapping and Delivery Guide
Deliver primary health care to Aboriginal and/or Torres Strait Islander clients in confinement

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTAHW511B - Deliver primary health care to Aboriginal and/or Torres Strait Islander clients in confinement
Description This unit describes the skills and knowledge required for an Aboriginal or Torres Strait Islander worker to perform effectively in delivery of primary health care services to clients in the confinement of a prison or corrective services environment
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application Application of the skills and knowledge described in this unit is intended to protect the worker and enhance institutional cultural safety
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Not Applicable
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Clarify the prison structure and culture
  • Identify prison management structures, hierarchies and dynamics and clarify the potential impact of these in relation to Aboriginal and/or Torres Strait Islander inmates and health workers
  • Clarify prison policies and procedures to identify potential for providing primary health care services to inmates
  • Identify factors that may impact the provision of culturally safe care within the prison in relation to their potential to enhance and/or impede care
  • Evaluate prison environment in relation to physical, cultural and emotional safety issues for Aboriginal and/or Torres Strait Islander inmates and workers
  • Identify boundaries and constraints relating to own work role in the prison environment
       
Element: Apply strategies to enhance personal resilience in a prison environment
  • Anticipate the impact of immersion in a foreign and potentially hostile cultural environment
  • Identify self-protective behaviour strategies and seek mentors for advice and support
  • Use colleagues with the capacity to provide personal support for reflection, debriefing, solidarity and advocacy as appropriate
  • Access community and family support where appropriate
       
Element: Clarify own professional role and scope of practice
  • Clarify overlapping and complementary roles of workers in the prison environment
  • Identify level of awareness of the Aboriginal and/or Torres Strait Islander worker's role, knowledge and skills among other workers
  • Clarify potential for own role to enhance client care in the prison environment
  • Professionally assert scope of practice appropriate to own role and skills with prison staff
       
Element: Advocate for clients effectively from within prison
  • Clarify inmate needs for health care and support as appropriate to worker's role
  • Recognise potential impacts of providing client advocacy from inside the prison
  • Employ strategies to effectively manage conflict or resentment arising from client advocacy activities
  • Clarify rights and responsibilities of inmates and assert as required
  • Support inmates in relation to parole and release issues as required in line with own work role and jurisdictional guidelines.
  • Organise and/or provide post release support as appropriate
       
Element: Support inmates to make informed health choices
  • Use accurate information about the inmate's health and potential care as a basis for informing clients about available options
  • Empower clients to make informed choices on health care by explaining potential consequences of available options
  • Support clients through the continuum of care in line with own work role
       
Element: Contribute to enhancing awareness of cultural safety issues
  • Raise cultural safety issues in the prison environment with staff in relation to health issues for Aboriginal and/or Torres Strait Islander clients
  • Build own tolerance and mutual respect of colleagues by seeking to understand reasons for any insensitivity or culturally unsafe practices
  • Reinforce colleagues' application of cultural safety practices in the workplace by public and/or personal recognition
  • Provide leadership in the implementation of culturally safe principles and practice
       
Element: Promote change to enhance cultural safety in the prison environment
  • Offer to contribute to development and/or refinement of prison policies on cultural safety
  • Identify change agents who may facilitate and/or champion needed change
  • Identify potential blockages to change
  • Mobilise available support to enhance cultural safety in the prison environment
  • Enlist community support to enhance cultural safety in the prison environment
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

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 and/or 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 him/herself

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 and/or 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

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

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:

Cultural safety principles, practices and issues

Scope of own professional role and roles of associated health professionals

Components of culturally safe health care

Effective strategies to handle conflict and difficult situations in a confined work environment

Techniques for informing and empowering clients to make choices relating to health care in the prison system

Assertive communication techniques

Essential skills:

It is critical that the candidate demonstrate the ability to:

Work effectively within the structure and culture of a prison or corrective services environment

Apply appropriate strategies for protection of self and others in a culturally unsafe work environment

Contribute to enhancing cultural safety within a prison environment

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 in:

Access information about and analyse organisation management structures, professional hierarchies and inter-professional dynamics

Use self-protective behavioural strategies to maintain personal safety and resilience in the prison environment

Provide information and advice to assist inmates to maintain a level of physical, mental and spiritual health in the prison environment

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 wellbeing, 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

Factors which may impact provision of culturally safe care may include:

Racism

Discriminatory behaviour

Tokenism

Institutional isolation

Exclusion from team meetings, planning processes,

Access to care

Language and communication barriers

Lack of cultural respect / recognition

Devaluing worker's skills / knowledge / culture

Institutional approach and values may include:

Implicit as well as explicitly stated organisational values

Awareness of, openness to and active seeking to understand cultural difference (or lack of these)

Practices that reflect insensitivity to cultural difference

Provision of cultural safety programs

The impact of immersion in a foreign (and potentially hostile) cultural environment may include:

Isolation

Downturn in performance

Risks to personal safety

Drop in self esteem

Absenteeism

Burnout

Disillusionment

Physical violence

Lack of understanding of dominant culture

Opportunity to broaden cultural knowledge and contribute to change

Constructive, self-protective behaviours may include:

Debriefing

Assertive communication

Building support network

Access family and community support

Access organisational support, such as external counselling support

The potential impacts of providing client advocacy from inside an institution may include:

Conflict between the worker and staff / management of the health institution

Resentful treatment of the worker

Personal and/or organisational retribution against the worker

Negative treatment of client

Unrealistic expectations of the worker's role and ability to cope

Isolation

Changes to processes / practices to prevent future event

Effective outcome for client

Explaining potential consequences of available options may include:

Checking client's understanding of available options

Reviewing available options and their potential consequences in relation to cultural issues

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Identify prison management structures, hierarchies and dynamics and clarify the potential impact of these in relation to Aboriginal and/or Torres Strait Islander inmates and health workers 
Clarify prison policies and procedures to identify potential for providing primary health care services to inmates 
Identify factors that may impact the provision of culturally safe care within the prison in relation to their potential to enhance and/or impede care 
Evaluate prison environment in relation to physical, cultural and emotional safety issues for Aboriginal and/or Torres Strait Islander inmates and workers 
Identify boundaries and constraints relating to own work role in the prison environment 
Anticipate the impact of immersion in a foreign and potentially hostile cultural environment 
Identify self-protective behaviour strategies and seek mentors for advice and support 
Use colleagues with the capacity to provide personal support for reflection, debriefing, solidarity and advocacy as appropriate 
Access community and family support where appropriate 
Clarify overlapping and complementary roles of workers in the prison environment 
Identify level of awareness of the Aboriginal and/or Torres Strait Islander worker's role, knowledge and skills among other workers 
Clarify potential for own role to enhance client care in the prison environment 
Professionally assert scope of practice appropriate to own role and skills with prison staff 
Clarify inmate needs for health care and support as appropriate to worker's role 
Recognise potential impacts of providing client advocacy from inside the prison 
Employ strategies to effectively manage conflict or resentment arising from client advocacy activities 
Clarify rights and responsibilities of inmates and assert as required 
Support inmates in relation to parole and release issues as required in line with own work role and jurisdictional guidelines. 
Organise and/or provide post release support as appropriate 
Use accurate information about the inmate's health and potential care as a basis for informing clients about available options 
Empower clients to make informed choices on health care by explaining potential consequences of available options 
Support clients through the continuum of care in line with own work role 
Raise cultural safety issues in the prison environment with staff in relation to health issues for Aboriginal and/or Torres Strait Islander clients 
Build own tolerance and mutual respect of colleagues by seeking to understand reasons for any insensitivity or culturally unsafe practices 
Reinforce colleagues' application of cultural safety practices in the workplace by public and/or personal recognition 
Provide leadership in the implementation of culturally safe principles and practice 
Offer to contribute to development and/or refinement of prison policies on cultural safety 
Identify change agents who may facilitate and/or champion needed change 
Identify potential blockages to change 
Mobilise available support to enhance cultural safety in the prison environment 
Enlist community support to enhance cultural safety in the prison environment 

Forms

Assessment Cover Sheet

HLTAHW511B - Deliver primary health care to Aboriginal and/or Torres Strait Islander clients in confinement
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTAHW511B - Deliver primary health care to Aboriginal and/or Torres Strait Islander clients in confinement

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: