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Evidence Guide: HLTAHW017 - Assess and support clients social and emotional wellbeing

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTAHW017 - Assess and support clients social and emotional wellbeing

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Obtain client history and information for social and emotional wellbeing assessment

  1. Establish a relationship of trust with the client by demonstrating and respecting confidentiality of communications
  2. Use effective and culturally appropriate and safe communication skills to obtain a personal history from the client
  3. Seek information about relevant critical incidents with due sensitivity and respect for the physical, emotional and cultural safety and security of those affected
  4. Observe client closely to identify any signs of emotional disturbance
  5. Seek additional related information through consultation with family and/or significant others as required and with consent of the client
  6. Consult relevant allied professionals and available documentation in relation to the health of the client
  7. Record all information obtained according to principles of confidentiality and organisational procedures and policies
Establish a relationship of trust with the client by demonstrating and respecting confidentiality of communications

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Use effective and culturally appropriate and safe communication skills to obtain a personal history from the client

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Seek information about relevant critical incidents with due sensitivity and respect for the physical, emotional and cultural safety and security of those affected

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Observe client closely to identify any signs of emotional disturbance

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Seek additional related information through consultation with family and/or significant others as required and with consent of the client

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Consult relevant allied professionals and available documentation in relation to the health of the client

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Record all information obtained according to principles of confidentiality and organisational procedures and policies

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assess and determine client wellbeing

  1. Analyse information obtained to recognise signs and symptoms of mental disturbance and significant underlying emotional reactions to loss, grief and trauma
  2. Recognise issues that may relate to transgenerational trauma and grief for the individual, family and community
  3. Identify disturbances in behaviour that may suggest a psychiatric disability
  4. Promptly discuss with experienced staff any indicators of depression or suicide risk, and refer client to appropriate supports as required
  5. Identify issues requiring mandatory notification and report to supervisor and/or an appropriate authority
  6. Identify client’s self-management capacity and barriers
  7. Discuss findings with colleagues to determine appropriate course of action to support client’s wellbeing with reference to any existing health care plan
Analyse information obtained to recognise signs and symptoms of mental disturbance and significant underlying emotional reactions to loss, grief and trauma

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Recognise issues that may relate to transgenerational trauma and grief for the individual, family and community

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify disturbances in behaviour that may suggest a psychiatric disability

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Promptly discuss with experienced staff any indicators of depression or suicide risk, and refer client to appropriate supports as required

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify issues requiring mandatory notification and report to supervisor and/or an appropriate authority

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify client’s self-management capacity and barriers

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Discuss findings with colleagues to determine appropriate course of action to support client’s wellbeing with reference to any existing health care plan

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide support to client

  1. Invite client and, with their consent, their family to discuss issues of concern in a supportive and confidential context
  2. Provide client with information to enable decision-making about their social and emotional wellbeing
  3. Support client to identify key self-management needs and goals and to determine appropriate self-care strategies
  4. Refer client as required and follow-up on referrals
  5. Refer serious or potentially serious issues to senior health staff for advice
  6. Assist and refer family to address own wellbeing and safety, as required
  7. Maintain current, complete, accurate and relevant records from each client interaction
Invite client and, with their consent, their family to discuss issues of concern in a supportive and confidential context

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide client with information to enable decision-making about their social and emotional wellbeing

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Support client to identify key self-management needs and goals and to determine appropriate self-care strategies

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Refer client as required and follow-up on referrals

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Refer serious or potentially serious issues to senior health staff for advice

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist and refer family to address own wellbeing and safety, as required

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Maintain current, complete, accurate and relevant records from each client interaction

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Obtain client history and information for social and emotional wellbeing assessment

1.1 Establish a relationship of trust with the client by demonstrating and respecting confidentiality of communications

1.2 Use effective and culturally appropriate and safe communication skills to obtain a personal history from the client

1.3 Seek information about relevant critical incidents with due sensitivity and respect for the physical, emotional and cultural safety and security of those affected

1.4 Observe client closely to identify any signs of emotional disturbance

1.5 Seek additional related information through consultation with family and/or significant others as required and with consent of the client

1.6 Consult relevant allied professionals and available documentation in relation to the health of the client

1.7 Record all information obtained according to principles of confidentiality and organisational procedures and policies

2. Assess and determine client wellbeing

2.1 Analyse information obtained to recognise signs and symptoms of mental disturbance and significant underlying emotional reactions to loss, grief and trauma

2.2 Recognise issues that may relate to transgenerational trauma and grief for the individual, family and community

2.3 Identify disturbances in behaviour that may suggest a psychiatric disability

2.4 Promptly discuss with experienced staff any indicators of depression or suicide risk, and refer client to appropriate supports as required

2.5 Identify issues requiring mandatory notification and report to supervisor and/or an appropriate authority

2.6 Identify client’s self-management capacity and barriers

2.7 Discuss findings with colleagues to determine appropriate course of action to support client’s wellbeing with reference to any existing health care plan

2.8 Document all findings and determined actions according to policy, procedures confidentiality principles

3. Provide support to client

3.1 Invite client and, with their consent, their family to discuss issues of concern in a supportive and confidential context

3.2 Provide client with information to enable decision-making about their social and emotional wellbeing

3.3 Support client to identify key self-management needs and goals and to determine appropriate self-care strategies

3.4 Refer client as required and follow-up on referrals

3.5 Refer serious or potentially serious issues to senior health staff for advice

3.6 Assist and refer family to address own wellbeing and safety, as required

3.7 Maintain current, complete, accurate and relevant records from each client interaction

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Obtain client history and information for social and emotional wellbeing assessment

1.1 Establish a relationship of trust with the client by demonstrating and respecting confidentiality of communications

1.2 Use effective and culturally appropriate and safe communication skills to obtain a personal history from the client

1.3 Seek information about relevant critical incidents with due sensitivity and respect for the physical, emotional and cultural safety and security of those affected

1.4 Observe client closely to identify any signs of emotional disturbance

1.5 Seek additional related information through consultation with family and/or significant others as required and with consent of the client

1.6 Consult relevant allied professionals and available documentation in relation to the health of the client

1.7 Record all information obtained according to principles of confidentiality and organisational procedures and policies

2. Assess and determine client wellbeing

2.1 Analyse information obtained to recognise signs and symptoms of mental disturbance and significant underlying emotional reactions to loss, grief and trauma

2.2 Recognise issues that may relate to transgenerational trauma and grief for the individual, family and community

2.3 Identify disturbances in behaviour that may suggest a psychiatric disability

2.4 Promptly discuss with experienced staff any indicators of depression or suicide risk, and refer client to appropriate supports as required

2.5 Identify issues requiring mandatory notification and report to supervisor and/or an appropriate authority

2.6 Identify client’s self-management capacity and barriers

2.7 Discuss findings with colleagues to determine appropriate course of action to support client’s wellbeing with reference to any existing health care plan

2.8 Document all findings and determined actions according to policy, procedures confidentiality principles

3. Provide support to client

3.1 Invite client and, with their consent, their family to discuss issues of concern in a supportive and confidential context

3.2 Provide client with information to enable decision-making about their social and emotional wellbeing

3.3 Support client to identify key self-management needs and goals and to determine appropriate self-care strategies

3.4 Refer client as required and follow-up on referrals

3.5 Refer serious or potentially serious issues to senior health staff for advice

3.6 Assist and refer family to address own wellbeing and safety, as required

3.7 Maintain current, complete, accurate and relevant records from each client interaction

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role.

There must be evidence that the candidate has:

assessed the social and emotional wellbeing of at least five clients by:

- observing, noting and recognising unusual physical, behavioural and body language indicators

- communicating effectively with client (and significant others) in a culturally safe manner on all occasions

- discussing with each client their socio-emotional health status, issues and needs

- maintaining client records and upholding client confidentiality

- recording accurate, sufficiently comprehensive and relevant client health history and assessment findings for each client

- distinguishing between effects of transgenerational trauma and grief and psychiatric illnesses

- consulting team members regarding assessment findings and as otherwise required to support client wellbeing

supported the social and emotional wellbeing of at least five clients by:

- initiating timely and appropriate referrals, providing accurate and relevant details to clients, their families and referral agencies

- explaining/demonstrating/instructing client to use appropriate stress reducing techniques/activities

Organised and participated in at least one debriefing session following critical incidents or stressful interactions.

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:

- organisational policies and procedures and legislation or regulations relating to:

- client confidentiality

- referral, including various levels of urgency, and follow-up of client

- mandatory reporting

- notifiable communicable diseases

- limits of own ability and authority

- reporting procedures

- documentation

key elements of history-taking in the context of social and emotional health and their significance

significant problems presented and appropriate avenues of further assessment or action

common signs/indicators of:

- mental or psychiatric illness

- depression

- alcohol and other drug misuse

- suicide risk

- child abuse/sexual assault

advanced communication techniques to develop trust and elicit sensitive information

appropriate stress-reducing techniques/activities

availability of and, referral criteria and processes for social and emotional, alcohol and other drugs and mental health support services

awareness of culturally secure assessment tools for Aboriginal and Torres Strait Islander peoples

principles of crisis intervention

limits of own ability and authority.