Expected learning outcomes and Home visit report

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Expected learning outcomes

• Identify and assess the mental health needs (clinical, educational, psychosocial) of the mentally ill person and the family
• Describe the social care institutions that can help to fulfill the unmet needs
• Design and implement a strategy to achieve these unmet needs
• Justify this management plan or strategy
• Help the mentally ill person and the family care givers to utilize these services to meet these needs
• Conduct  mental health education to meet the identified educational needs of the patient and the family
• Evaluate the effectiveness of the management plan implemented

Learning  tasks

• Obtain the necessary information and formulate a diagnosis
• Identify and assess the needs of the mentally ill person /family/, irrespective of the clinical diagnosis
• Study the current coping strategies of the entire family
• Identify what additional interventions are required to improve the prevailing situation
• Identify relevant community institutions that will provide such care

Check list

• Obtain permission from the family to visit them
• Respect the privacy and the dignity of all the family members
• Identify the current situation with regard to :                                                                      

(a)                Disease status and compliance with treatment

(b)               Personal life including religious , recreational , occupational and leisure activities etc.

(c)                Family & social life

(d)               Work  and/or educational performance

(e)                General outlook in life

(f)                Special problems encountered by the mentally ill person and the family

• Identify the assistance received from the family / work place / school and the community
• Identify the concerns and problems encountered by the mentally ill person & family

Learning resources

• Needs ( clinical . psycho-social  rehabilitative educational ) based approach to patient care
•  Home visit
• Social care institutions in mental health care
• Care givers in mental health care
• Past patients in mental health care
• Voluntary workers in mental health care
• Mental health information resource centre
• Psycho-social intervention program
• Rehabilitation program

Evaluation

The record book

• Identification of the mentally ill
• Clinical status of the mentally ill patient                                                                        

(a)          nbsp;      Clinical diagnosis (ICD 10)

(b)               Reason                                                                                                                                               

• Identified needs of that person                                                                                    

(a)                Clinical

(b)               Psychosocial

(c)                Others

• Identify the needs that are not fulfilled
• Psychosocial interventions in meeting the above needs
• Services available in the community and public institutions to meet the above identified needs
• How could the family be involved in the management of the client
• How could the voluntary workers get involved in the management of this person
• How could former patients get involved in the management of a client
• How the client / family were educated on mental health
• What have I learnt
• How the mentally ill person / family benefited through the intervention. 
• Identify the assistance received from the family / work place / school and the community
• Identify the concerns and problems encountered by the mentally ill person & family

Guidelines for the home visit

Home visit report

Name of the Student           :

Registration No                     :

Date of first Home visit      :

Personal information

Name of the client    :

Gender                    :                                    Age                         :

Address                   :                                    Telephone number    :

Civil Status               :

Employed / Student /

Family history 

Clinical status of the Client

Diagnosis (according to ICD 10):

Duration of the illness:

Signs and symptoms at the time of diagnosis:

Current status of the illness

Treatment history

• Psychiatrist seen:
• Other mental health professional seen:
• Traditional care
• Medication present /past  
• Psycho-social care / rehabilitation etc

Interview of family members / caregivers

Family member / s interviewed

Relationship to client           :

His/ her /their  views regarding  

(a)  the illness

(b)  care received by the patient  client:

1.Identify / list /describe the needs (clinical, educational, psychosocial etc. ) of the client patient family

2. Identify and describe the proposed interventions to meet the unmet / partially met needs  the resources required and strategies for  their mobilization