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N 129 L/ N 534 L: Community Psych/Mental Health Experience Community Interview

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N 129 L/ N 534 L: Community Psych/Mental Health Experience

Community Interview Assignment

GUIDELINES/STEPS:

WHO: IDENTIFY an individual to interview who may have experienced a traumatic event or who you have reason to believe is experiencing distress and/or mental or emotional disequilibrium. (unhoused, lonely, sad, distressed, confused, anxious, angry, overwhelmed, withdrawn, isolated, abused, etc.)

ARRANGE to meet this individual for a preliminary session to perform a basic assessment to confirm your impression re #1 and obtain consent for the interview. This may not require 2 meetings. If only one meeting is needed, you must be prepared by having the following steps completed.

THEN, PRIOR TO INTERVIEW:

Think carefully about how to structure the conversation, including how you will include introduction, focus, topics, sensitivity, appropriate inquiry, questions, time, pace, attention, closure.

Establish goals for yourself, e.g., presentation, active listening, identification of issues for individual, assessment skill, communication, self-awareness, ability to be flexible during interview.

Establish goals for the individual, e.g., + response to encounter, openness, expression, honesty, self-awareness, ability to connect.

Review principles of therapeutic communication prior to interview.

Identify a few resources in community or on line related to the issue the person is struggling with.

REMINDER: The conversation is centered on the person, not on you! #1 skill is being a skilled listener. People want to be seen and heard. In one interview, you will not “solve” the issue or “fix the person. You are providing a supportive ear.

WHEN/WHERE: Interview may be done in person or via ZOOM. Be sure to identify time boundaries for the interview prior to meeting.

WRITTEN SUMMARY REQUIREMENTS: Report Headings

Introduction: who, when, what, where, and why

Preparation: how did you get ready for the encounter

Goals for encounter

Description of conversation and encounter

Assessment: cooperation, MSE, evaluation of individual’s health and functioning

Recommendations to address health and functional issues identified (Treatment and Care that may be considered)

Evaluate your performance (see #3 & 4 above: “How could I do better?”)

Please include a brief care plan. Here is a sample:

NURSING DIAGNOSIS

PATIENT GOALS

SUB/OBJECTIVE DATA

IMPLEMENTATION

OUTCOME/

EVALUATION

At risk increasing anxiety r/t risk Covid, health

Will feel < anxious

S: States anx 7:10

Met via Zoom x 45 min. Active listening. Identified knitting & being w grandchildren decreases anxiety. Provided w online knitting group & helpline #.

Identifies < anxiety when talking. Says will use knitting solo & in group to decrease anxiety. Will schedule weekly family time.

Social isolation & Loneliness r/t risk Covid, mobility issues

Increase socialization & remain safe.

S: States wants to socialize but fearful re infection & falls. O: Sad affect.

Active listening. Identified neighbor/ friend who visits; close with adult children/ grandchildren.

Notices decrease loneliness when talking w someone. Commits to schedule more time w friend/fam.

RUBRIC:

>75 = SATISFACTORY/COMPLETE

< 75 = UNSATISFACTORY/INCOMPLETE

DEMONSTRATES ABILITY TO:

EXEMPLARY

SATISFACTORY

NEEDS IMPROVEMENT

POINTS

Prepare per instructions

10

Identify priority issue

10

Establish goals for self & client

10

Obtain consent

5

Set clear boundaries

5

Assess brief mental status, subjective/objective

10

Utilize therapeutic communication techniques

10

Provide appropriate client-centered education

10

Evaluate process, outcomes, self.

20

Provide concise & articulate summary

10

MAX points

100

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