Module Assessment 4Complex mental health needsUnit Standard(s)
\nModule Assessment 4
\nComplex mental health needs
\nUnit Standard(s) Version Level Credit
\n26984 Describe mental health and addiction issues, and the potential impact of co-existing issues
\n26971 Describe factors that contribute to mental health wellbeing and mental health problems
\n27076 Describe common substance and non-substance-related disorders in New Zealand, their effects, and types of addictive behaviour 4
\n1
\n3 4
\n3
\n4 5
\n3
\n8
\nCertificate in Mental Health Support (Mental Health Support) Level 4
\nAssignment due date:
\nStudent name: Cohort:
\nTutor name: Date:
\nGrade:
\nComments:
\nTutor Signature
\nAssessment summary (completed by assessor)
\nTrainee\u2019s performance summary
\nAssessment tasks Assessor signature Date achieved
\nTask 1: 26984 Outcome 1: Describe mental health issues
\n(E.R. 1.1, E.R. 1.3)
\nTask 2: 26984 Outcome 1: Describe mental health issue
\n(E.R. 1.2)
\nTask 3: 26984 Outcome 2: Describe addiction issues
\n(E.R. 2.1, E.R. 2.2, E.R. 2.3)
\nTask 4: 26984 Outcome 3: Describe the potential impact of co-existing mental health and addiction issues
\n(E.R. 3.1)
\nTask 5: 26971 Outcome 1: Describe factors that contribute to mental health wellbeing
\n(E.R. 1.1, 1.2)
\n26971 Outcome 2: Describe factors that contribute to mental health problems.
\n(E.R. 2.1)
\nTask 6: 27076 Outcome 1: Describe common substance-use disorders in New Zealand, their effects on people accessing addiction services and their whanau and family. (E.R. 1.1, E.R. 1.2, E.R. 1.3)
\nTask 7: 27076 Outcome 2: Describe common behavioural addiction issues in New Zealand, their effects on people accessing addiction services and their whanau and family.
\n(E.R. 2.1, E.R. 2.2)
\nTask 8: 27076 Outcome 3: Describe how addiction issues can develop.
\n(E.R. 3.1, 3.2, 3.3)
\nTask 9: 27076 Outcome 3: Describe how addiction issues can develop
\n(E.R. 3.3)
\nUnit standard results
\nI have assessed the trainee and confirm the requirements have been met to demonstrate competency in:
\nUnit Standard(s) Version Level Credits ?
\n26984 \u2013 Describe mental health and addiction issues, and the potential impact of co-existing issues
\n26971 \u2013 Describe factors that contribute to mental health wellbeing and mental health problems
\n27076 \u2013 Describe common substance and non-substance-related disorders in New Zealand, their effects, and types of addictive behaviour 4
\n1
\n3 4
\n3
\n4 5
\n3
\n8
\nAssessor name: Assessor number:
\nSignature: Date:
\nDeclaration (student to complete):
\nTick:
\n?
\nI ___________________________ (student\u2019s name) declare that the work in the attached assessment is exclusively my own and that all sources of information used have been acknowledged.
\nI understand that I must have completed 80% attendance and participating of this modules requirements to be eligible to pass this modular section of the programme.
\n?
\nI give my consent for a copy of this original assessment to be retained by Kalandra Education Group Ltd and shared with appropriate external and authorised parties exclusively for moderation purposes to support my ongoing learning.
\n?
\nI understand I will be provided with a copy of this assessment with feedback to support my ongoing learning within 15 days of assessment submission.
\n?
\nI understand Kalandra Education Group Ltd takes no responsibility for lost assessments and that I am advised to appropriately hand in assessments and retain a copy of assessment work.
\n?
\nI understand the appeals process and should I wish to appeal my result I need to talk to the assessor or appeal in writing to Kalandra within 10 working days.
\n?
\nI understand and will abide by the Health and Safety at Work Act 2015 and any other corresponding rules and regulations.
\nI understand that all grades are provisional until final moderation and ratification by Kalandra Education Group.
\nStudent signature: ________________________________
\nDate: \u00ac\u00ac________________________________
\nDisclaimer: All assessments may be presented orally or in writing. However, all attestations and testimony from supervisors\/peers must be in writing.
\nNote: At the beginning of each task you will see a box containing \u201cindicative time to complete task\u201d. This is to serve as a guide and includes research and preparation time. You may complete the task quicker than the indicative time. If you do, please double check your answers to ensure you have answered all parts of the question. If you are finding you require more time than the indicative time, please talk to your lecturer so they can Help you.
\nThe indicative total time to complete this assessment is = 20 hours
\nPurpose
\n(26984) This unit standard is designed for mental health and\/or addiction support workers.
\nPeople credited with this unit standard are able to describe: mental health issues, addiction issues, and the potential impact of co-existing mental health and addiction issues.
\n(26971) People credited with this unit standard are able to describe factors that contribute to mental health wellbeing and mental health problems.
\n(27076) People credited with this unit standard are able to describe: common substance and non-substance-related disorders in New Zealand, and their effects on addiction service users and their natural supports; and types of addictive behaviour of addiction service users.
\n__________________________________________________
\nTrainee Information
\nBefore you start:
\n\u2022 The assessor\/verifier will meet with you and talk about what you need to do
\n\u2022 Make yourself familiar with the following sections in your student handbook; assessments, appeals process, extensions process and health and Safety.
\nAs you go:
\n\u2022 Follow instructions for each task
\n\u2022 Answer all questions
\n\u2022 Ensure you follow your organisations policies, procedures and health and safety guidelines
\nWhen you finish:
\n\u2022 Make sure you have completed any parts where the assessor\/verifier has said you need more work
\nGuidance information \/ Explanatory notes
\nPlease refer to page 42 of this assessment (or follow the hyperlink below) for relevant explanatory notes. Explanatory notes include important information such as;
\n\u2013 Definitions
\n\u2013 Legislation
\n\u2013 Relevant unit standards
\n\u2013 References
\n\u2013 Assessment criteria
\nPlease ensure you read and understand the explanatory notes before completing this assessment. (Click the link below)
\nGuidance and Explanatory notes
\nDisclaimer: All assessments may be presented orally or in writing. However, all attestations and testimony from supervisors\/peers must be in writing.
\nNote: At the beginning of each task you will see a box containing \u201cindicative time to complete task\u201d. This is to serve as a guide and includes research and preparation time. You may complete the task quicker than the indicative time. If you do, please double check your answers to ensure you have answered all parts of the question. If you are finding you require more time than the indicative time, please talk to your lecturer so they can Help you.<\/p>\n
Task 1: Describe mental health issues
\nFor this task you need to describe mental health issues and how they present and their potential impact on mental health service users and their natural supports.<\/p>\n
26984 Outcome 1: Describe mental health issues.
\nRange evidence is required for Maori and two other cultural groups.
\nE.R. 1.1 Mental health issues are described in relation to the DSM-5 classifications of mental health disorders.
\nRange issues may include \u2013 mood disorders, anxiety disorders, psychotic disorders, personality disorders, eating disorders, adjustment disorders, disorders usually first diagnosed in infancy, childhood, and adolescence, dementia, delirium; evidence is required for a minimum of three issues.
\nE.R. 1.3 Mental health issues are described in terms of their potential impact on a person accessing mental health services and their natural supports.
\nRange evidence is required for the potential impact of three mental health issues.
\n1. Describe three mental health issues and how they present in relation to the Diagnostic and Statistical Manual of mental disorders (DSM) classifications of mental health disorders. Describe their potential impact on mental health service users and their natural supports. Ensure your answer is in your own words.
\nIssues may include: mood disorders; psychotic disorders; eating disorders; co-existing problems; anxiety disorders; personality disorders; adjustment disorders; disorders usually first diagnosed in infancy, childhood and adolescence, dementia, delirium.
\nMental health issue 1:
\nMental health issue 2:
\nMental health issue 3:
\nMarking Guide: Assessor feedback:
\nStudents must be able to
\nLO1. Describe mental health issues
\nTo pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 mental health issues in relation to the DSM-5 classifications of mental health disorders
\n\u2022 mental health issues in terms of their potential impact on a person accessing mental health services and their natural supports
\nAdditional comments:
\nTask 2: Impact of mental health issues<\/p>\n
26984 Outcome 1: Describe mental health issues.
\nE.R. 1.2 One positive and one negative effect of classifying mental health issues are described in terms of their potential impact on a person accessing mental health services and their natural supports.
\n1. Describe the potential impact of one positive and one negative effect of classifying mental health issues on MHA service users and their natural supports.
\nPositive effect:
\nNegative effect:
\nMarking Guide: Assessor feedback:
\nStudents must be able to
\nLO1. Describe mental health issues
\nTo pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 one positive and one negative effect of classifying mental health issues in terms of their potential impact on a person accessing mental health services and their natural supports
\nAdditional comments:
\nTask 3: Addiction issues
\nFor this question you must ensure that:
\n\u2022 addiction terminology is described in relation to the DSM-5 classifications of addictions.
\n\u2022 addiction is described in relation of the continuum of use.
\n\u2022 addiction is described in terms of its potential impact on addiction service users and their natural supports.
\n26984 Outcome 2: Describe addiction issues.
\nE.R. 2.1 Addiction issues are described in relation to where they fit within the DSM-5 classifications of addictive disorders.
\nRange issues must include \u2013 gambling disorder; issues may include \u2013 alcohol use disorder, cannabis use disorder, stimulant use disorder, opioid use disorder, poly substance use disorder, tobacco use disorder, intoxication and withdrawal; evidence is required for two issues in addition to gambling disorder.
\nE.R. 2.2 Substance use and\/or gambling is described in relation to the continuum of use.
\nE.R. 2.3 Addiction is described in terms of its potential impact on a person who accesses addiction services and their natural supports.
\n1. Describe three addiction issues in accordance with the DSM-5 classifications of addictions. One addiction issue must be gambling. Answers must be in your own words.
\nAddiction issue 1: Gambling addiction
\nContinuum of use for gambling addiction:
\nThe potential impact of gambling addiction on the service user and their natural supports:
\nAddiction issue 2:
\nContinuum of use for addiction 2:
\nThe potential impact of addiction 2 on the service user and their natural supports:
\nAddiction issue 3:
\nContinuum of use for addiction 2:
\nThe potential impact of addiction 2 on the service user and their natural supports:
\nMarking Guide: Assessor feedback:
\nStudents must be able to
\nLO2. Describe addiction issues<\/p>\n
To pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 addiction issues in relation to where they fit within the DSM-5 classifications of addictive disorders
\n\u2022 substance use and\/or gambling in relation to the continuum of use
\n\u2022 addiction in terms of its potential impact on a person who accesses addiction services and their natural supports<\/p>\n
Additional comments:
\nTask 4: Impact of co-existing problems
\n26984 Outcome 1: Describe the potential impact of co-existing mental health and addiction issues.
\nRange evidence is required for three individuals accessing mental health and\/or addiction services; each person to have a different combination of co-existing mental health and addiction issues.
\nE.R. 3.1 Co-existing mental health and addiction issues are described in terms of their interplay and potential impact on a person accessing mental health and\/or addiction services and their natural supports.
\n1. Describe the potential impact of three co-existing problems on three different MHA service users and their natural supports.
\nCo-existing problems for MHA service user 1:
\nDescribe the interplay and potential impact of the co-existing problems for MHA service user 1 and their natural supports:
\nCo-existing problems for MHA service user 2:
\nDescribe the interplay and potential impact of the co-existing problems for MHA service user 2 and their natural supports:
\nCo-existing problems for MHA service user 3:
\nDescribe the interplay and potential impact of the co-existing problems for MHA service user 3 and their natural supports:
\nMarking Guide: Assessor feedback:
\nStudents must be able to
\nLO3. Describe the potential impact of co-existing mental health and addiction issues<\/p>\n
To pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 co-existing mental health and addiction issues in terms of their interplay and potential impact on a person accessing mental health and\/or addiction services and their natural supports<\/p>\n
Additional comments:
\nTask 5: Mental health wellbeing
\nFor this task, you need to describe how a range of factors can contribute to mental health wellbeing or mental health problems and outline the lifestyle choices a person can make to promote their mental health.
\n26971 Outcome 1: Describe factors that contribute to mental health wellbeing.
\nE.R. 1.1 Factors that contribute to mental health wellbeing are described in terms of their capacity to strengthen a person against stressful life events.
\nRange contributing factors may include but are not limited to \u2013 cultural, environmental, physical, economic, psychological, social, spiritual, experiences of trauma; evidence is required for three contributing factors.
\nE.R. 1.2 Good mental health is described in terms of lifestyle choices that can be made to promote a person\u2019s mental health wellbeing.
\nRange lifestyle choices may include but are not limited to \u2013 levels of physical activity, reduced intake or avoidance of alcohol and drugs, recreational activities, dietary management, career\/employment opportunities; evidence is required for three lifestyle choices.
\n26971 Outcome 2: Describe factors that contribute to mental health problems.
\nE.R. 2.1 Factors that contribute to mental health problems are described in terms of their capacity to render a person vulnerable to stressful life events.
\nRange contributing factors may include but are not limited to \u2013 cultural, environmental, physical, economic, psychological, social, spiritual, experiences of trauma; evidence is required for three contributing factors.
\n1. How can the factors below contribute to mental health wellbeing and strengthen a person against stressful life events?
\nChoose three factors from the list below and describe how they can contribute to mental health wellbeing and strengthen a person against stressful life events.
\n\u2022 Cultural; Environmental; Physical; Economic; Psychological; Social; Spiritual; Experiences of trauma
\nFirst factor:
\nSecond factor:
\nThird factor:
\n2. How can the factors below contribute to mental health problems and make a person more vulnerable to stressful life events?
\nChoose three factors from the list below and describe how they can contribute to mental health problems and make a person vulnerable to stressful life events.
\n\u2022 Cultural; Environmental; Physical; Economic; Psychological; Social; Spiritual; Experiences of trauma
\nFirst factor:
\nSecond factor:
\nThird factor:
\n3. How can lifestyle choices help a person to promote their mental health wellbeing?
\nChoose three lifestyle choices from the list below and describe how they can promote mental health wellbeing.
\n\u2022 Physical activity; Reduced intake or avoidance of alcohol and drugs; Recreational activities; Dietary management; Career\/employment opportunities
\nFirst lifestyle choice:
\nSecond lifestyle choice:
\nThird lifestyle choice:
\nMarking Guide: Assessor feedback:
\nStudents must be able to
\nLO4. Describe factors that contribute to mental health wellbeing
\nTo pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 factors that contribute to mental health wellbeing in terms of their capacity to strengthen a person against stressful life events<\/p>\n
\u2022 Good mental health in terms of lifestyle choices that can be made to promote a person\u2019s mental health wellbeing
\nStudents must be able to
\nLO5. Describe factors that contribute to mental health problems
\nTo pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 factors that contribute to mental health problems in terms of their capacity to render a person vulnerable to stressful life events
\nAdditional comments:
\nTask 6: Substance-related disorders
\nFor this task, you need to describe how a range of factors can contribute to mental health wellbeing or mental health problems and outline the lifestyle choices a person can make to promote their mental health.
\n27076 Outcome 1 : Describe common substance-related disorders in New Zealand, and their effects on people accessing addiction services, and their effects on whanau and family.
\nRange evidence is required for three common substance-related disorders in New Zealand, one of which is alcohol.
\nE.R. 1.1 Common substance-related disorders in New Zealand are described in terms of their classifications under the DSM-V.
\nE.R. 1.2 The effects on people with addiction issues that result from common substance-use disorders in New Zealand are described in accordance with the references.
\nRange evidence is required of two effects on addiction service users for each addiction.
\nE.R. 1.3 The effects on whanau and family of people accessing addiction services as a result of common substance-use disorders in New Zealand are described in accordance with the references.
\nRange evidence is required for two effects on whanau and family supports for each substance-use disorder.
\n1. For this task you must describe three common substance-use disorders in terms of its classification under DSM-V in terms of substance use disorder and withdrawal. One of these substance-related disorders must be alcohol. You must describe their effects on people accessing addiction services and their effects on their whanau and family support (in accordance with the references at the end of this assessment).
\nCommon substance-related disorders refers to depressants, stimulants, cannabis, opioids, hallucinogens, and phencyclidines.
\n\u2022 Describe alcohol addiction in terms of its classification under DSM-V in terms of substance use disorder and withdrawal.
\n\u2022 Describe two effects on people with addiction issues
\n\u2022 Describe two effects on whanau and family supports
\n\u2022 Describe the second common substance-use disorder in terms of its classification under DSM-V in terms of substance use disorder and withdrawal.
\n\u2022 Describe two effects on people with addiction issues
\n\u2022 Describe two effects on whanau and family supports
\n\u2022 Describe the third common substance-use disorder in terms of its classification under DSM-V in terms of substance use disorder and withdrawal.
\n\u2022 Describe two effects on people with addiction issues
\n\u2022 Describe two effects on whanau and family supports
\nMarking Guide: Assessor feedback:
\nStudents must be able to
\nLO6. Describe common substance-related disorders in New Zealand, and their effects on addiction service users and their natural supports
\nTo pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 common substance-related disorders in New Zealand in terms of their classifications under the DSM-V<\/p>\n
\u2022 the effects on people with addiction issues that result from common substance-use disorders in New Zealand are described in accordance with the references<\/p>\n
\u2022 the effects on the whanau and family supports of people accessing addiction services as a result of common substance-use disorders in New Zealand are described in accordance with the references<\/p>\n
Additional comments:
\nTask 7: Non-Substance-related disorders
\nFor this task, you need to describe how a range of factors can contribute to mental health wellbeing or mental health problems and outline the lifestyle choices a person can make to promote their mental health.
\n27076 Outcome 2: Describe common behavioural addiction issues in New Zealand, their effects on people accessing addiction services and their effects on whanau and family supports.
\nRange evidence is required for three common behavioural addiction issues in New Zealand, one of which is gambling.
\nE.R. 2.1 The effects on people accessing an addiction service as a result of common behavioural addiction issues in New Zealand are described in accordance with the references.
\nRange evidence is required for two effects on people accessing addiction services for each addiction issue.
\nE.R. 2.2 The effects on the whanau and family of people accessing an addiction service as a result of common behavioural addiction issues in New Zealand are described in accordance with the references.
\nRange evidence is required for two effects on whanau and family supports for each addiction issue
\n1. For this task you must describe gambling and two other common non-substance-related disorders in New Zealand and their effects on people accessing addiction services users and their whanau and family support. (in accordance with the references at the end of this assessment).
\nNon-substance-related disorders refers to addictions such as those related to gambling, internet, work, food, sex, risk-taking, shopping.
\n\u2022 Describe gambling as a behavioural addiction issue.
\n\u2022 Describe two effects of gambling on people accessing addiction services
\n\u2022 Describe two effects of gambling on whanau and family supports
\n\u2022 Describe behavioural addiction issue 2.
\n\u2022 Describe two effects of behavioural addiction issue 2 on people accessing an addiction service
\n\u2022 Describe two effects of behavioural addiction issue 2 on whanau and family supports of people accessing an addiction service
\n\u2022 Describe behavioural addiction issue 2.
\n\u2022 Describe two effects of behavioural addiction issue 3 on people accessing an addiction service
\n\u2022 Describe two effects of behavioural addiction issue 3 on whanau and family supports of people accessing an addiction service
\nMarking Guide: Assessor feedback:
\nStudents must be able to
\nLO7. Describe common behavioural addiction issues in New Zealand, their effects on people accessing addiction services, and their effects on whanau and family<\/p>\n
To pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 the effects on people accessing an addiction service as a result of common behavioural addiction issues in New Zealand in accordance with the references
\n\u2022 the effects on whanau and family supports of people accessing an addiction service as a result of common behavioural addiction issues in New Zealand in accordance with the references
\nAdditional comments:
\nTask 8: Addictive behaviours
\n27076 Outcome 3: Describe how addiction issues can develop
\nRange three factors contributing to the development and maintenance of addiction issues
\nE.R. 3.1 Factors are described in terms of developing problems
\nRange factors may include but are not limited to \u2013 anxiety, stress, trauma, adverse childhood experiences, distress, low mood, learned behaviour and\/or modelling
\nE.R. 3.2 A range of common behaviours that may be demonstrated by people accessing addiction services are described
\nRange behaviours may include but are not limited to \u2013 hiding the behaviour, denial of problems with the behaviour, personal control and loss of control of the behaviour and minimising the behaviour.
\n1. For this task you must describe three factors that contribute to the development and maintenance of addiction issues. Factors may include but are not limited to; anxiety, stress, trauma, adverse childhood experiences, distress, low mood, learned behaviour and modelling.
\nFactor 1:
\nFactor 2:
\nFactor 3:
\n2. Describe the following common behaviours that may be demonstrated by people accessing addiction services.
\nBehaviour Description
\nHiding the behaviour
\nDenial of problems with the behaviour
\nPersonal control of the behaviour
\nLoss of control of the behaviour
\nMinimising the behaviour
\nMarking Guide: Assessor feedback:
\nStudents must be able to
\nLO8. Describe how addiction issues can develop
\nTo pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 factors in terms of developing problems
\n\u2022 a range of common behaviours that may be demonstrated by people accessing addition services
\nAdditional comments:
\nTask 9: Addictive behaviours
\n27076 Outcome 3 : Describe how addition issues develop.
\nE.R. 3.3 Actions that may be taken to support people with addiction issues are described in accordance with the references
\nRange evidence is required for a minimum of three actions
\n3. Describe three actions that may be taken to support people with addiction issues in accordance with the references at the end of this assessment.
\nAction 1:
\nAction 2:
\nAction 3:
\nMarking Guide: Assessor feedback:
\nStudents must be able to
\nLO8. Describe how addition issues can develop
\nTo pass this task, the student must describe;
\nAchieved\/Not Achieved
\n\u2022 actions that may be taken to support people with addiction issues in accordance with the references
\nAdditional comments:
\nPrimary references
\n? Kina Families and Addictions Trust (July, 2005). Family inclusive practice in the addiction field: A guide for practitioners working with couples, families and whanau. Available at www.kinatrust.org.nz
\n? The Problem Gambling Foundation of New Zealand offers a comprehensive range of fact sheets, frequently asked questions (FAQs), an on-line library catalogue, and related links for publications and information on non-substance-related disorders available at www.pgfnz.org.nz
\n? National Addiction Centre: University of Otago, & Matua Raki National Addiction Treatment Workforce Development Programme. (n.d.). Orientation to the addiction treatment field Aotearoa New Zealand. Christchurch. Available at www.matuaraki.org.nz
\nGuidance and Explanatory notes
\n1 Legislation relevant to this unit standard includes:
\n\u2022 Alcoholism and Drug Addiction Act 1966;
\n\u2022 Criminal Justice Act 1985;
\n\u2022 Children, Young Persons, and Their Families Act 1989;
\n\u2022 Criminal Procedure Act 2011;
\n\u2022 Criminal Procedure (Mentally Impaired Persons) Act 2003;
\n\u2022 Health and Disability Commissioner (Code of Health and Disability Services Consumers’ Rights) Regulations 1996;
\n\u2022 Health Practitioners Competence Assurance Act 2003;
\n\u2022 Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003;
\n\u2022 Mental Health (Compulsory Assessment and Treatment) Act 1992;
\n\u2022 Misuse of Drugs Act 1975;
\n\u2022 Oranga Tamariki Act 1989;
\n\u2022 Privacy Act 1993;
\n\u2022 Protection of Personal and Property Rights Act 1988;
\n\u2022 Substance Addiction (Compulsory Assessment and Treatment Act) 2017;
\n\u2022 Vulnerable Children Act 2014.
\n2 New Zealand Standards relevant to this unit standard include:
\n\u2022 NZS 8134.0:2008 Health and disability services Standards \u2013 Health and disability services (general) Standard;
\n\u2022 NZS 8134.1:2008 Health and disability services Standards \u2013 Health and disability services (core) Standards;
\n\u2022 NZS 8134.2:2008 Health and disability services Standards \u2013 Health and disability services (restraint minimisation and safe practice) Standards;
\n\u2022 NZS 8134.3:2008 Health and disability services Standards \u2013 Health and disability services (infection prevention and control) Standards.
\n\u2022 New Zealand Standards are available at http:\/\/www.standards.co.nz\/.
\n3 Primary references
\nSubstance-related disorders \u2013
\n\u2022 Kina Families and Addictions Trust (July, 2005). Family inclusive practice in the addiction field: A guide for practitioners working with couples, families and whanau; available at http:\/\/www.kinatrust.org.nz\/myfiles\/FIP.pdf.
\nNon-substance-related disorders \u2013
\n\u2022 The Problem Gambling Foundation of New Zealand offers a comprehensive range of fact sheets, frequently asked questions (FAQs), an on-line library catalogue, and related links for publications and information; available at http:\/\/www.pgfnz.org.nz\/Home\/0,271,1132,00.html.
\nSubstance and non-substance-related disorders \u2013
\n\u2022 National Addiction Centre: University of Otago, & Matua Raki National Addiction Treatment Workforce Development Programme. (n.d.). Orientation to the addiction treatment field Aotearoa New Zealand. Christchurch: Author; available at
\nhttp:\/\/www.matuaraki.org.nz\/index.php?option=com_content&view=article&id=67:orientation-to-the-addiction-treatment-field-aotearoa-new-zealand&catid=23:matua-raki-publications&Itemid=51.
\n4 References
\n\u2022 American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders DSM-5 (5th ed.). Washington, DC: American Psychiatric Association; available at http:\/\/www.psych.org.
\n\u2022 Babor, T.F., & Higgins-Biddle, J.C. (2001). Brief intervention for hazardous and harmful drinking: A manual for use in primary care. Geneva: World Health Organization; available at http:\/\/www.who.int\/substance_abuse\/publications\/alcohol\/en\/index.html.
\n\u2022 Le Va, Pasifika within Te Pou, The National Centre of Mental Health Research, Information and Workplace Development. (2009). Real Skills plus Seitapu \u2013 Working with Pacific Peoples. Auckland: Le Va. Available at: https:\/\/www.leva.co.nz\/resources\/lets-get-real\u2014real-skills-plus-seitapu\u2014workingwith-pacific-peoples-le-va.
\n\u2022 Matua Raki. (2014) A Guide to the Addiction Treatment Sector in Aotearoa New Zealand. Wellington: Matua Raki; available at https:\/\/www.matuaraki.org.nz\/uploads\/files\/resource-assets\/a-guide-to-theaddiction-treatment-sector-in-aotearoa-new-zealand.pdf.
\n\u2022 Matua Raki, Te Pou. (2013). Te Whare o Tiki \u2013 Co-Existing Problems knowledge and skills framework; available at https:\/\/www.matuaraki.org.nz\/uploads\/files\/resource-assets\/Te-Whare-oTiki_Coexisting-Problems-knowledge-and-skills-framework.pdf.
\n\u2022 Mental Health Commission \u2013 Te Kaitataki Oranga; Ministry of Health. (1998). Guidelines for Clinical Risk Assessment and Management in Mental Health Services. Wellington: Ministry of Health in partnership with the Health Funding Authority. Available at http:\/\/www.mhc.govt.nz.
\n\u2022 Ministry for Culture and Heritage, (updated 17-May-2017), The Treaty in Brief available at https:\/\/nzhistory.govt.nz\/politics\/treaty\/the-treaty-in-brief.
\n\u2022 Ministry of Health. (1998). Guidelines for clinical risk assessment and management in mental health services. Wellington: Ministry of Health in partnership with the Health Funding Authority.
\n\u2022 Ministry of Health. (2008). Let\u2019s get real: Real Skills for people working in mental health and addiction. Wellington: Author; available at http:\/\/www.health.govt.nz.
\n\u2022 Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: theory, research and practice, 19(3), 276-288.
\n\u2022 Rollnick, S. & Miller, W. R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23, 325-334.
\n\u2022 Te Pou o te Whakaaro Nui, Le Va, Pasifika within Te Pou. (2009). Real Skills Plus Seitapu \u2013 Working with Pacific Peoples. Auckland: Author; available at http:\/\/www.tepou.co.nz.
\n\u2022 The Werry Centre. (2014). Real Skills Plus ICAMHS\/AOD, 2014. A Competency Framework for the Infant, Child and Youth Mental Health and Alcohol and Other Drug Workforce. Auckland: Author; available at http:\/\/www.werryworkforce.org\/sites\/default\/files\/pdfs\/Real%20Skills%20Plus%20 Dec%202014%20170315.pdf.
\n\u2022 Todd, F. (2010). Te Ariari o te Oranga: The Assessment and Management of People with Co-existing Mental Health and Drug Problems. Ministry of Health available at https:\/\/www.health.govt.nz\/publication\/te-ariari-o-te-orangaassessment-and-management-people-co-existing-mental-health-and-drugproblems.
\n\u2022 The Waitangi Tribunal and the Treaty of Waitangi\/Te Tiriti o Waitangi, available at https:\/\/www.waitangitribunal.govt.nz\/treaty-of-waitangi\/.
\n5 Mental health, recovery and wellbeing are more than the absence of mental health and addiction issues. Concepts of wellbeing and recovery are different for every person and refer to living a satisfying, hopeful and meaningful life as each person defines that for themselves, even when there are ongoing mental health and\/or addiction issues. (Adapted from the Monitoring and Advocacy report of the Mental Health Commissioner, Auckland).
\n6 Definitions
\n\u2022 Addiction refers to a \u2018maladaptive pattern of substance use or problem gambling that leads to a clinically significant impairment or distress. Substance use disorders and pathological gambling disorder are characterised by dyscontrol, [increased] tolerance, withdrawal, and salience [conspicuous behaviour], and they are considered chronic relapsing conditions\u2019 (Let\u2019s get real, \u2018Glossary\u2019, p. 25). \u2018Maladaptive\u2019 in the context of this definition refers to any pattern of substance use or problem gambling that is unconstructive or disruptive, and which does not Help or promote the ability of a person to adjust the addictive behaviour which he or she is exhibiting.
\n\u2022 Addiction service user in the context of this unit standard refers to a person accessing services in a mental health or addiction setting. Service users may also be known as consumers, clients, patients, turoro, or tangata whai ora in particular contexts and settings.
\n\u2022 Co-existing mental health and addiction issues primarily refer to the presence of both mental health and addiction issues but can also refer to other issues including physical health, housing, relationship and disabilities. Co-existing mental health and addiction issues have in the past been referred to as \u2018co-existing problems\u2019, \u2018multi-morbidity\u2019, ‘co-morbidity’, ‘dual diagnosis’, and ‘co-occurring disorders’.
\n\u2022 Common substance-related disorders refers to depressants, stimulants, cannabis, opioids, hallucinogens, and phencyclidines.
\n\u2022 Continuum of use refers to levels of use: no use; social use; hazardous use; harmful use, mild substance use disorder; moderate substance use disorder; severe substance use disorder.
\n\u2022 The DSM-5 classifies disorders; in this unit standard the term issues is used instead of \u2018disorders\u2019.
\n\u2022 Effects on addiction service users and their natural supports refers to physical, social, cognitive, cultural and\/or spiritual, and psychological effects.
\n\u2022 Mental health problems refers to any psychological or behavioural signs or symptoms that are not part of normal human development or culture, and which may suggest \u2013 or could lead to \u2013 a formal diagnosis of a recognised mental health disorder.
\n\u2022 Mental health wellbeing is defined by the World Health Organization as \u2018a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community\u2019 (WHO. (2001a). Strengthening mental health promotion. Geneva: Author [Fact sheet No. 220], p. 1).
\n\u2022 Natural supports refer to any Helpance, relationships, or interactions provided to person accessing mental health and\/or addiction services by family and\/or whanau, friends, peers, co-workers, or community volunteers. In a specifically Maori context, natural supports may include but are not limited to \u2013 kaumatua, kuia, tohunga, whanau, iwi, and hapu.
\n\u2022 Non-substance-related disorders refers to addictions such as those related to gambling, internet, work, food, sex, risk-taking, shopping.
\n\u2022 Wellbeing encompasses all dimensions of health: tinana (physical), hinengaro (mental and emotional), whanau (social), and wairua (spiritual) (Let\u2019s get real, glossary). In its broadest sense wellbeing refers to a person\u2019s level of good physical and mental health, and the extent to which they are enabled to live healthy and flourishing lives.
\n\u2018This resource is the property of Kalandra Education Group. It has been adapted from Careerforce material covering trainee assessment documents for \u2018Describe mental health and addiction issues, and the potential impact of co-existing issues\u2019, \u2019Describe factors that contribute to mental health wellbeing and mental health problems\u2019 and \u2018Describe common substance and non-substance-related disorders in New Zealand, their effects, and types of addictive behaviour\u2019.<\/p>\n","protected":false},"excerpt":{"rendered":"
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