396 ENABLE PEOPLE WITH MENTAL HEALTH NEEDS TO DEVELOP COPING STRATEGIES

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1 Unit overview Elements of competence 396a 396b 396c Support people with mental health needs to recognise the impact of their behaviour on others Work with people to develop alternative coping strategies Work with people to review the effectiveness of their coping strategies About this unit For this unit you need to work with individuals to recognise the impact of their behaviour on others and to jointly develop and evaluate strategies for changing behavioural responses where appropriate. Scope The scope is here to give you guidance on possible areas to be covered in this unit. The terms in this section give you a list of options linked with items in the performance criteria. You need to provide evidence for any option related to your work area. Behavioural responses: with positive impact on others, self and environment; with negative impact on others, self and environment. Information about: the individual s stage of development, personal beliefs and preferences and cultural background; the individual s social context; mental illness, medication and substances which may affect the individual s behaviour; other factors in the individual s life which may have an impact on their behaviour; the individual s ability and motivation to co-operate fully in changing/managing behaviour. Information from: the individual s medical records; other practitioners; the individual and/or their significant others; other relevant records (eg court reports, probation records). Review process in relation to: an interim review during development of the coping strategies; an outcome review at the conclusion of the development programme. Support includes: physical presence; advice/guidance; facilitation of problem-solving; passing on information to other members of the care team. OCR Level 3 NVQ in Health and Social Care 1

2 Key words and concepts This section provides explanations and definitions of the key words and concepts used in this unit. In occupational standards it is quite common to find words or phrases used which you will be familiar with, but which, in the detail of the standards, may be used in a very particular way. Therefore, we would encourage you to read this section carefully before you begin working with the standards and to refer back to this section as required. Information Significant others Given to others would be as agreed with the care team and consistent with organisational policy, giving due regard to confidentiality and professional codes of conduct Is used here to mean any individual(s) whom the individual wishes to involve in their care programme. This may include partner, relative and/or friend but also includes other members of the community or other workers such as volunteers, other care practitioners, advocate, interpreter, police or prison officer OCR Level 3 NVQ in Health and Social Care 2

3 396a Support people with mental health needs to recognise the impact of their behaviour on others Performance criteria You need to show that: 1 You gather and review relevant information about the individual s background, circumstances, behaviour and needs 2 You provide opportunities for individuals and significant others to clarify, confirm and augment the information held about the individual s needs and circumstances, in order to ensure that it provides a complete and up to date basis on which to discuss and explore behavioural responses 3 You encourage and support individuals and significant others to recognise the individual s inappropriate behavioural responses to different situations and to consider the impact of their behaviour on others, themselves and their environment 4 You help individuals to recognise patterns and triggers which may lead to inappropriate behavioural responses 5 You work with individuals to help them identify and agree on ways in which they might change or manage their behaviour to achieve desired outcomes 6 You support individuals to identify and acknowledge factors which will motivate them to change or manage their behaviour 7 You seek additional advice and support where the individual is unwilling or unable to recognise, change or manage inappropriate behavioural responses OCR Level 3 NVQ in Health and Social Care 3

4 396b Work with people to develop alternative coping strategies Performance criteria You need to show that: 1 You identify and agree jointly the behavioural responses that the individual is willing to change and the positive outcomes of changing these behaviours 2 You help the individual and significant others to identify the situations and circumstances which trigger the behavioural responses and ways of avoiding these from happening 3 You help the individual to explore ways of avoiding or coping with the situations and circumstances that trigger the behavioural responses when they occur, wherever practical 4 You identify and agree with the individual the coping strategies that s/he is willing and able to use 5 You provide individuals with the support and information they need to : develop and practise the agreed coping strategies develop and sustain their motivation to implement the coping strategies 6 You provide support to the individual in a manner which is likely to make them feel valued and respected and recognises progress made 7 You give information to the individual and significant others in a manner, and at a level and pace, appropriate to them and cover any practical difficulties which may occur, including how to get help 8 You keep an accurate record of what has been agreed with the individual in relation to developing coping strategies and the motivation to change or manage their behaviour OCR Level 3 NVQ in Health and Social Care 4

5 396c Work with people to review the effectiveness of their coping strategies Performance criteria You need to show that: 1 You encourage and support everyone involved to fully participate in the review process 2 You conduct reviews at regular and appropriate intervals according to individual needs and the nature of the behavioural responses being influenced 3 You assist individuals and significant others to evaluate the effectiveness of the coping strategies in relation to: the individual s ability to use them effectively when required their appropriateness for the situations in which they are used the positive outcomes achieved any negative outcomes experienced next steps/further goals 4 You acknowledge the progress made by the individual towards the development of effective coping strategies in a way that will reinforce their commitment 5 You agree changes to the coping strategies with the individual, where necessary, in the light of the review 6 You build on positive outcomes identified through the review process to facilitate the individual s acknowledgement of, and motivation to deal with, inappropriate behavioural responses which they have previously been unwilling or unable to change or manage 7 You keep a record of what has and has not been achieved and identify any lessons for future work on the individual s behavioural responses and coping strategies 8 You ensure that the results of the review process are communicated clearly to all those who have a right and need to receive them OCR Level 3 NVQ in Health and Social Care 5

6 Knowledge specification for the whole of this unit Competent practice is a combination of the application of skills and knowledge informed by values and ethics. This specification details the knowledge and understanding required to carry out competent practice in the performance described in this unit. When using this specification it is important to read the knowledge requirements in relation to expectations and requirements of your job role. Values 1 Why it is important to treat people with respect and consideration 2 The types of behaviour you should adopt to show respect and consideration for individuals and significant others 3 How culture, gender and beliefs can affect what is perceived as acceptable and nonacceptable behaviour 4 How your own culture, gender, beliefs and age affect the way that you view the behaviour of others and why it is important to recognise and accommodate this 5 How to work with individuals in ways which encourage them to act constructively and with respect towards others Legislation and organisational policy and procedures 6 Relevant legislation, codes of practice and guidelines and how these impact on your work in this area, including professional body standards and statutory provisions such as the mental health act 7 How the legislative framework affects service provider policy and practices 8 The data protection act and its implications for the recording and storing of information 9 What the purpose and priorities are of the service provider and how these influence the kinds of support offered to individuals on behavioural matters Theory and practice 10 How to communicate clearly and effectively 11 The importance of working with both individuals and significant others if possible 12 The importance of establishing an effective, professional working relationship with individuals and significant others when working on behaviour management issues 13 Sources of information about what triggers different types of behaviour in different people 14 The factors that may influence an individual s ability and willingness to value other people and relationships (eg illness, experience, the amount they are valued and value themselves) 15 How to recognise when an individual is unwilling or unable to acknowledge their inappropriate behavioural responses, and when you should seek advice and support in dealing with such situations 16 The reasons/possible factors for different sorts of behaviour, especially those which may be viewed as aggressive or abusive 17 The possible effects the care setting and your own behaviour may have on individuals 18 How to assess and manage risks to your own and others safety when dealing with issues of inappropriate/unacceptable behaviour 19 The type of impact which an individual s behaviour may have upon their quality of life and safety 20 The types of information that it is appropriate to obtain from individuals and significant others 21 How to obtain information from individuals and significant others OCR Level 3 NVQ in Health and Social Care 6

7 Knowledge specification for the whole of this unit (continued) 22 The importance of recognising your own professional limitations and boundaries and identifying learning needs as required to meet the coping strategies of individuals 23 From whom support should be sought if you are concerned about the behavioural responses of individuals or your ability to work with them to develop appropriate coping strategies, and the need for appropriate supervision 24 Why it is important to establish that the individual is willing to work with you to develop coping strategies 25 How to foster a professional rapport with individuals and develop their motivation and a mutual enthusiasm for changing or managing their inappropriate behavioural responses 26 How to promote behaviour which values others and encourages individuals to express their feelings in alternative ways (eg by becoming more assertive and less aggressive) 27 How to support others in developing and sustaining the motivation to develop and implement coping strategies 28 Aspects of a carer s relationship with the individual that may help or hinder the achievement of positive goals 29 The roles carers can play in helping to achieve positive outcomes for the individual 30 The types of information that individuals and significant others will need if they are going to work towards agreed positive outcomes for the individual 31 The types of support that individuals and significant others may need to achieve positive goals 32 Why it is important to review progress with individuals and/or significant others, as appropriate 33 How to facilitate the participation of individuals and significant others, as appropriate, in the review process 34 Why it is important to evaluate the effectiveness of the coping strategies themselves as well as the individual s ability to implement them effectively 35 Why it is important to evaluate negative as well as positive outcomes 36 Why it is important to acknowledge the contributions that significant others are making and how to do so 37 The importance of keeping a record of work with individuals and significant others, documented according to policy and organisational codes of practice 38 The importance of noting lessons for the future and how to identify these OCR Level 3 NVQ in Health and Social Care 7

8 Evidence requirements for this unit Prior to commencing the unit you should agree a plan with your assessor regarding the type of evidence to be used. You must provide your assessor with evidence for ALL the performance criteria, the relevant parts of the scope as they are applicable to your work area and ALL the knowledge specification. All the evidence should relate to real work activities for ALL elements of this unit. The evidence must at all times, reflect the policies and procedures of the work as linked to current legislation and the values and principles for best practice within the Health and Social Care Sector. This will include the National Service Standards for your area of work or client group. Simulation is NOT permitted for this unit. The following forms of evidence are required: Observation of work products such as records of agreements and achievements; action plans. Direct observation of practice by expert witness/assessor in a real work situation is required for some of this unit. Competence of performance and knowledge can also be demonstrated by using a variety of types of evidence from the following: Diary evidence of day to day practice. Case studies/assignments. Questioning to demonstrate your knowledge and supplement knowledge demonstrated through performance evidence. Witness testimony. NB Confidential records are not required in your portfolio, they can remain where they are normally stored and be checked by your assessor and internal verifier. If they are included they must be anonymised. OCR Level 3 NVQ in Health and Social Care 8