CHCFAM416B
Implement harm reduction strategies

This unit covers the skills and knowledge required to identify and act upon issues presented in the context of a group, which may signify intentions to inflict harm to self or others

Application

This unit of competency applies to practitioners working in the relationship education sector

This unit applies to the identification and management of risk issues presented by participants within the context of a short-term facilitated group

Management strategies are based on intervention and referral to appropriate support mechanisms and to ensure maintenance of group function and requirements


Prerequisites

Pre-requisites

This unit must be assessed after achievement of the following related units of competency:

CHCFAM406B Engage and resource clients to improve their interpersonal relationships

CHCFAM407B Work effectively in relationship work

CHCGROUP403D Plan and conduct group activities

CHCDFV301A Recognise and respond to domestic and family violence


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Establish safety parameters for group

1.1 Identify duty of care responsibilities in relation to facilitator role

1.2 Identify responsibilities for mandatory reporting

1.3 Identify privacy regulations and obligations relating to group facilitating

1.4 Conduct screening of group applicants to assess additional support needs where possible

1.5 Establish group guidelines and boundaries for interacting in the group in agreement with participants

1.6 Model respectful and positive language throughout group facilitation

2. Recognise at risk behaviours

2.1 Identify at risk behaviours

2.2 Identify and monitor individuals displaying high emotional needs

3. Respond appropriately to at risk behaviours

3.1 Identify appropriate support services for referral

3.2 Discuss at risk behaviours with supervisor or co-facilitator to determine appropriate intervention

3.3 Validate and normalise emotional responses to issues where appropriate and sensitively challenge where required within the group setting and duty of care requirements

3.4 Implement harm reduction strategies according to the needs of the individual

3.5 Conduct follow up on individual in accordance with organisation policies and procedures

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:

Relevant commonwealth and state legislation regarding working in relationship work specifically in regards to mandatory reporting, domestic and family violence and child abuse

Organisation and professional protocols, standards and policy regarding critical incidents and duty of care

Principles and practices of suicide intervention including risk assessment, management and provision of on-going support.

Common indicators of risk of self-harm, suicide or harm to others

Knowledge of common myths about suicide and self-harm

Principles of crisis intervention

Procedures for obtaining assistance and making referrals to other agencies

Effects of positive language on framing situations

Key issues for client group

Self-awareness in regard to how own experience, biases, values and beliefs or those of significant others in own life may impact on ability to work effectively with various client groups

Awareness of how other mental health issues may impact upon intervention.

Principles around seeking out self care and support

Essential skills:

It is critical that the candidate demonstrate the ability to:

Recognise at risk behaviours or signs of suicide, self-harm or harm to others

Identify and implement appropriate management strategies in response to at risk situations

Manage the reactions of other group participants

Provide critical interventions

Facilitate links with higher levels of care, make referrals and follow up with client

Access supervision to provide practice support in situations of risk or potential risk

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:

Model effective, respectful and inclusive communication skills including listening, empathetic responding, paraphrasing, summarising, questioning, body language, models of conflict resolution, assertiveness, tact and sensitivity

Work inclusively with the whole client, considering the full range of possible influences in their lives including:

personality, culture, language, religion, age, gender, family of origin, education levels, learning abilities, economic situation, social context, health, disabilities and issues

the interplay and dynamics of each of the above

ability to respond respectfully to the whole person demonstrating inclusive practice through competently valuing each and every person as a whole unique individual

Monitor self and capabilities to minimise the negative impact of work on own personal health and well being

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 in the application of implementing harm reduction strategies when working in a group context

Evidence of competency in this unit will need to be assessed over a period of time in order to gather evidence of performance

This will include contexts applicable to the work environment, such as actual or simulated workplace situations involving a combination of direct, indirect and supplementary forms of evidence

Assessment must confirm sufficient ability to implement harm reduction strategies for individuals in a group whilst maintaining group maintenance and function

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 diverse environment

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 and/or Torres Strait Islander clients and communities

Context of and specific resources for assessment:

This unit can be assessed independently, however holistic assessment practice with other community services units of competency is encouraged

Resource requirements for assessment include access to:

a relevant workplace or an appropriately simulated environment where assessment may take place

Method of assessment:

Evidence for assessment of competence may be gathered by appropriate combination of the following:

demonstration of competency within the working environment through the implementation of harm reduction strategies in a group context

realistic simulations, projects, previous relevant experience or oral questioning on 'what if?' scenarios, case presentations, written assessment

observation of processes and procedures, oral and/or written questions on essential knowledge and skills and consideration of required attitudes

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

The assessment environment should not disadvantage the candidate

Assessment practices should take into account any relevant language or cultural issues related to Aboriginality, gender or language barriers other than English

Where the candidate has a disability, reasonable adjustment may be applied during assessment

Language and literacy demands of the assessment task should not be higher than those of the work role


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.

Duty of care responsibilitiesmust include:

Commonwealth and state legislation in relation to family issues including, domestic and family violence, child abuse, mandatory reporting

Organisation policy and procedures

Occupational health and safety requirements

Screening of group applicants may include:

Phone interview

One-on-one discussions

Referral information

Areas covered may include exploration of

level of emotional reactivity

criminal history

history of assaults

mental health history

history of emotional or psychological abuse

presence of domestic family violence or abuse in relationship

drug and alcohol abuse

incompatibility with selection criteria

language, literacy, numeracy and education abilities prevent effective engagement with program and achievement of program outcomes

At risk behavioursmay include:

Negative language, abusive or withdrawal behaviours, non-participation, drug and alcohol use, signs of anxiety or panic, depression, destructive or self-sabotage behaviours and other mental health issues

Leaving group prematurely

Discussion of, or references in conversation of suicide, harming spouse/children /others or self

Detachment from group process or issues raised

Denial

Blame projection

Disclosure of abuse

Criminal behaviour

High emotional needsmay include:

Expressions of strong emotions

Withdrawal and detachment

At risk behaviours

Destructive or negative beliefs

Monitor may include:

Checked on during the group session

Follow up outside of the group

Establishment of buddy-system from within the group

Appropriate support services may include:

Other professionals within own service

Other programs offered by own or other services

Self-help/support groups

Counselling services

Alcohol and other drug services

Gambling assistance

Mental health support services

Domestic and family violence prevention and treatment services

Financial assistance and counselling services

phone support services, e.g. Mensline/Lifeline

Websites for example MENDS and Parenting Children

Housing/accommodation services

Harm reduction strategiesmay include action to:

Acknowledge individual response and risk behaviour

Use effective communication skills to maintain rapport

Encourage reflection on behaviours

Follow up with individual and group as required

Implement buddy system

Conduct one-on-one discussions

Use strengths-based approach to uncover internal and external coping strategies and supports

Refer to support services or specialist expert help

Support the client to access another service/agency/information

Debrief to third party affected by incident/s.

Identify underlying significant life issues and support the client to seek assistance around these issues e.g. feelings of remorse, guilt, sadness, anger, addiction, abuse, trauma, other mental health issues

Prepare contingency

Distribute support information

Normalise and validate emotions

Sensitively challenge

Documenting work with person to ensure all plans and safeguards are communicated in work team

Follow policy relating to documentation, duty of care, confidentiality, support planning

Establish with the person their desire for help and what they would consider helpful

Provide information to match the person's needs

Explore achievable steps to help the person strengthen their connections, relationships and formal and informal supports

Support the person to determine how and when these supports can be used

Follow upmay include:

Telephone call

Checking in during group session


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable