By Support


Scenario Three: Fiona lived in a small town in rural South Australia. She was 17 years old when she was first diagnosed with schizophrenia. Following a visit to her doctor, she was referred to a psychiatrist in Adelaide. Fiona is now 25 years old. Two years ago, she moved into a unit in the local regional centre with another person who is also a client of the local mental health unit. Fiona’s parents try to visit on a semi-regular basis, but the visits seem stilted and often end on a sour note. Fiona had not been taking her medication on a regular basis for the last several months due to unpleasant side-effects. She has been cutting back on her cigarette intake which also seems to have affected her response to the medication. Added to this, a male friend supplied Fiona and her friend with some ecstasy tablets a month ago. Three weeks ago at a party, Fiona experienced a severe psychotic episode, becoming a danger to herself and others. The police and ambulance were called to the residence and Fiona was taken to the outpatients’ department of the local hospital. A local GP was called, and Fiona was detained under Section 23 of the Mental Health Act, and taken to a metropolitan hospital. Two days ago, Fiona was discharged and returned home. She has now stabilised on new medication. Fiona has been referred to the local mental health unit and you have been asked to develop a three month care plan with her. Fiona needs to settle back into routine with her housemate. She is also required to attend fortnightly teleconferences with the psychiatrist from Adelaide

What is your assessment and response to Fiona?

What other agencies’ may be involved/appropriate?

Issues include:

The need for Fiona to relate to her parents and housemate. You need to gather more

information about their concerns and to assist in the assessment, along with later psychoeducation.

Fiona: current income? Future: training, study, income support?

Any other concerns?

Issues to Consider: Must be included in your discussion and critique

  1. Identify and briefly discuss the AASW core values of social work (AASW Code of Ethics,

2010) as to how they assist a professional assessment.

  1. Identify the most suitable of the AASW Practice Standards for Mental Health Social Work

(AASW, 2013). Include in your discussion a critique of these as to how they may assist or

impede the assessment process.

  1. What is the role of policy and legislation in the assessment process? How might this assist

or impact on your role as a mental health social work practitioner?

  1. Include in your discuss the place of a recovery approach in mental health social work

practice (ie. consider a rights and relationship-based approach incorporating socially just


Part 1 scenarios In the first 1000 words, respond to the four issues:

  1. AASW core values;
  2. Two AASW Practice Standards for Mental Health Social Work;
  3. Role of policy and legislation;
  4. Place of recovery approach.

Use references in this

Part 2 In second 1000 words, develop a care plan for the client you have chosen.

Use the Mental Health Care Plan I have gaven you .

  1. Complete name and other details;
  2. Choose an Open Date and Review Date in three months time;
  3. Complete details about Current Functioning of client – this information will be gained from the scenario;
  4. Devise Current Treatment Goals – you can be creative here and base your ideas on the example of James;
  5. Similarly with the Support Networks, use information from the scenario to develop this;
  6. Do the same with Medical History, GP Involvement, Current Barriers to Discharge, Discharge Plan, Client Input and Carer/Family Involvement;
  7. Identify yourself as the Key Worker.

MentalHlthCarePlanJames2019examplepdf_1591235017 (1)

Other information to consider-MENTAL HEALTH CARE PLAN (A/O CL4)

  • Prepare a three month care plan for a client
  • and develop a care plan for THREE MONTHS. This care plan should clearly specify the short, medium and long term goals agreed by the client and social worker, how these goals will be possibly achieved by the client and who are the people who will assist the client in achieving these goals.
  • Use the client histories as set out below to inform the development of your care plan.