NURS 2118 Therapeutic Initiatives in Mental Health

NURS 2118 Therapeutic Initiatives in Mental Health

Assessment Assessment Task 3

Assessment Title and type Written essay Application of Psychotherapies.

Word Count 2,500 words (+/- 10%)

Weighting 50%

Due Date 10 May, 2024 by 2359hrs

Associated Learning

Outcomes This assessment supports the following learning outcomes:

CLO3 - Examine the use of various psychotherapeutic approaches when working with people and their families experiencing a mental illness.

CLO4 - Evaluate the application of psychotherapy within mental health settings.

CLO5 - Identify the role and the skills required by mental health nurses when providing psychotherapeutic interventions to consumers living with a mental illness.

Background Information:

The purpose of this essay is to examine your ability to apply psychotherapeutic approaches in consumer care within mental health settings. Psychotherapies, whether used as a stand-alone treatment or an adjunct to medications to enhance consumer outcomes, have the potential to teach lifelong coping and behavioural strategies. There are often times when consumers may require support and guidance in their use of psychotherapeutic techniques, such as in times of acute distress. The aim of the assessment task is to develop a deeper understanding of the principles of one of the psychotherapies covered in this course, as well as the role of the mental health nurse and psychotherapeutic approaches when working with families / carers / next of kin.

Assessment Task:

Cathy and Jo have been in a relationship for the past 5 years. Both describe a positive, supportive relationship, with normal disagreements, however state they are always able to resolve any issues. Cathy remains on maternity leave since the birth of their first child Isabelle. From relatively early in their relationship they had decided that having a family was extremely important to them. Cathy gave birth to their first child Isabelle 3 years ago, following a number of IVF cycles. Cathy reports an uneventful pregnancy and post-partum period from a physical health perspective, although she did find the pregnancy stressful, as she felt the pressure of ensuring the pregnancy went to term and their baby was healthy, given the cost and toll that IVF takes. However, she did not seek professional advice around her anxiety, and found that maternity services, although acknowledging her stress, didnt understand the level of her anxiety. Cathy and Jo underwent 5 cycles of IVF after the birth of Isabelle and 5 days ago gave birth to their second child Jack. Jo has contacted mental health services as she is reporting that Cathy doesnt seem to be ok. Cathy has been reluctant to let Jo hold him, and Jo says that when she goes near Jack, Cathy will come over and seem to be monitoring her. Jo states she (Cathy) is very different to how she was with Isabelle. Jo also reports she hasnt been eating much and when asked why avoids the topic. Jo reports Cathy asked her if she had put something in the food two days ago, but since denies saying this. Cathys mother contacted Jo recently after Cathy called her stating I dont think its Jo here, it must be an imposter wanting to take Jack. Cathys mother also reports Cathy has stated she is worried that Isabelle will hurt Jack because her eyes seem different and evil. Cathy was transferred to the adult mental health ward as there are currently no beds in the mother-baby unit. Jo brings Jack into the unit daily at arranged times for Cathy to breast feed him, and in between Cathy expresses milk so that she can feed him overnight. You have nursed Cathy over the past 3 days and have developed some rapport. Today she has disclosed to you that she has a woman who has been talking to her and telling her she needs to be careful as others may be trying to harm her. The woman is telling Cathy not to eat the food at the hospital as it may be poisoned, which is why she is only trusting her mother to bring in food. The woman talking to her has told her that the person visiting stating she is Jo is an imposter, which is causing Cathys distress, as she is unsure what has happened to Jo. Cathys anxiety increases when Jo brings Jack in for visits and feeds, as Cathy is not sure this is really Jo, even though everyone else seems to believe it is her. Cathy becomes very anxious and upset, when Jo arrives, and also when she leaves with Jack, as Cathy is not sure what this woman will do with her son, and whether he is safe. Given that Cathy is wanting to continue to breast feed Jack, her psychiatrist is recommending psychotherapy in conjunction with antipsychotic medications given the limitations to pharmacological treatment.

Details of the Task/Instructions:

Students are to select one of the psychotherapies covered in this course that would

be appropriate in this case scenario and:

1. Discuss the chosen psychotherapy in relation to the care of Cathy and its benefits and challenges.

2. Explore the role of the mental health nurse in providing the chosen psychotherapy to Cathy as part of nursing care.

3. Explore the role of the mental health nurse in providing carer support to Jo as the nominated support person/next of kin with a focus on how the chosen psychotherapeutic approach may also benefit Jo.

Submission Guidelines:

In keeping with university policy all assignments are to be submitted through the Turnitin Portal

available via the course webpage. The assessment is due by 23:59 on the due date: the portal will remain open until one week after this time (to allow for approved extension submissions) this time however after the portal closes you will not be able to submit your report so please make sure that it is submitted by 23:59.

The Turnitin portal will open 2 weeks prior to the report due date to allow you to submit your

report. You can submit it as many times as you would like up until 23:59; the report marked

will be the LAST one you submitted. To be accepted, your Assignment submission MUST generate a Similarity Score (you are responsible for checking this). Submitting in Word or Pdf format is the best way to do this. If your submission does not generate a similarity score it cannot be checked for plagiarism and therefore will not be marked.

Assignment Format Requirements:

1. A Title Page must be attached to the front of each assessment. The title page is not given a

page number. It must contain:

a. The Program code and title: GD158 Postgraduate Diploma of Mental Health Nursing.

b. Course Code & Title: NURS2118 Therapeutic Initiatives in Mental Health

c. Title of the assignment.

d. Your Name and Student Number.

e. The Academic to whom the assignment is to be submitted to

f. The due date of the assignment.

g. The word limit and your word count.

2. The assignment must be typed in Times New Roman (or similar) size 12 font.

3. A Table of Contents [including page numbers] needs to be included following the cover

sheet if headings are used (as per APA style).

5. 2.5cm margins on all sides of page with double spaced.

6. Main headings for each section you are discussing should be bolded and left justified, one

double space above the first line of text.

7. Pages must be numbered consecutively in the top right-hand corner, beginning at the

Introduction i.e. page one of your text.

8. On each page (in the footer) is to be recorded your name & student number.

9. An electronic copy of your assignment drafts and final submission must be retained by you

until after your final course grade has been processed by the University, and these copies

must be available on request. Retaining drafts of assignments in WORD format provides you

with evidence that demonstrates the development of your assessment. Students are advised to

retain WORD copies of drafts throughout their program duration.

10. Referencing must be completed utilising the APA 7th referencing style at all times in the

assignment. Referencing & Writing Additional requirements for your writing include:

Students are to show evidence of research into the topic including reading beyond the

required basic literature set for this course.

Ensure you utilise in-text citations throughout your entire paper for all evidence used.

Failure to do this is plagiarism. You need to check your assignment Turnitin report which is

available within 24 hours after submission (multiple submissions are allowed up until the due

date and time) to ensure that your paper does not contain plagiarism).

You must use peer-reviewed references more than 20. These references must be from the last 10 years

with preference given to sources from the last 5 years and Australian resources, as this is where we are nursing. Academic integrity Plagiarism Avoiding plagiarism and maintaining academic integrity are important components of the assessment process. Please refer to the assessment policy for further information. To demonstrate your original contribution and development of assessment items, course co-coordinators or the academic integrity unit, may require you to produce drafts of work in Microsoft Word with version numbers. If you work in a different word processing program

when writing assignments (e.g. Pages), please import all draft versions to Word. Please also

save versions of assignments with draft numbers.

Falsifying Documents

Falsifying documents is academic misconduct and treated very seriously and is reportable.

Falsifying documents will result in an academic misconduct review and possible academic

penalty. As a student, you must be aware of your obligations and responsibilities under the

Student Conduct Regulations.

Artificial Intelligence (AI)

Generative Artificial Intelligence (AI) text generators such as ChatGPT and CoPilot, have

many benefits when used ethically but are not appropriate for academic submissions in this

course and do not demonstrate student learning. Generative AI is recognised as enhancing

digital agility and critical thinking and is used in health care organisations. You are welcome

and encouraged to use these tools to support and enrich your learning process. Sometimes,

your teachers may even instruct you to use generative AI in certain learning circumstances.

However, it is not acceptable that generative AI whether for text, audio, visual or

paraphrasing (e.g. QuillBot) be used in your assessment work as it could potentially

undermine the validity and integrity of assessment to the national accreditation and registration boards. All available and future developed mechanisms to detect AI generated

text will be employed and AI generated essays uploaded to Turnitin by coordinators.

Please refrain from utilising sources such as DrGoogle, Wikipedia, Mayo Clinic, and WebMD, as these are intended for health consumers rather than health providers. Such sources will not be considered suitable references

RubrcNURS2118 - Assessment Task 3

NURS2118 - Assessment Task 3

Criteria Ratings Pts

This criterion is linked to a learning outcomeIntroduction Background & Conclusion

15 Marks 15to >13.0Pts

High Distinction

Provides excellent background information about the topic. Defines the scope and context of the paper. Sets an excellent scene for the paper. Outlines how key issues will be addressed in the discussion. Clearly and concisely concludes the assignment and provides a succinct and very well written summary of the main points in your discussion 13to >11.0Pts

Distinction

Provides very good background information about the topic. Defines the scope and context of the paper. Clearly concludes the assignment and provides a clear summary of the main points in your discussion. 11to >9.0Pts

Credit

Provides good background information about the topic. Defines the scope and context of the paper. Appropriate length. Adequately concludes the assignment and provides a patchy and incomplete summary of the main points in your discussion 9to >7.0Pts

Pass

Too long or too short. Some material in introduction belongs in the body. Very minimal background information about the topic. Key information missing. Only adequately concludes the assignment however barely provides a summary of the main points in your discussion. 7to >0Pts

No marks

Rambling and unfocused

or no introduction at all.

Does not adequately conclude the assignment or

summarise the main

points in your discussion.

15pts

This criterion is linked to a learning outcomeUnderstanding of the chosen psychotherapy, and application to the case scenario

30 Marks 30to >26.0Pts

High Distinction

Demonstrates an excellent understanding of their chosen psychotherapy and has accurately integrated and applied this approach within the case study supported by evidenced based literature as well as relevant empirical models. Has clearly identified the type of psychotherapy appropriate for the consumer. Excellent recovery focused, and consumer centered approach to care demonstrated 26to >22.0Pts

Distinction

Demonstrates a very good understanding of their chosen psychotherapy and has accurately integrated and applied this approach within the case study supported by evidenced based literature as well as relevant empirical models. Has clearly identified the type of psychotherapy appropriate for the consumer. Very good recovery focused and consumer centered approach to care demonstrated 22to >18.0Pts

Credit

Demonstrates good understanding of their chosen psychotherapy and has mostly integrated and applied this approach within the case study supported by some evidenced based literature and empirical models. Generalised psychotherapy approach mentioned. Good recovery focused, and consumer centered approach to care demonstrated 18to >14.0Pts

Pass

Demonstrates an average understanding of their chosen psychotherapy , lack of proper integration and application of this approach within the case study and this is not supported by evidence-based literature and/or empirical model. No specific reference to psychotherapy type appropriate for consumer. Very little evidence of recovery focused and consumer centered approach to care demonstrated. 14to >0Pts

Fail

Lack of understanding of their chosen psychotherapy.

Lack of integration within

the case being discussed.

Has not drawn upon

existing evidence-based

literature to support arguments/approach.

Lack of understanding of psychotherapy types for

specific disorders.

No evidence of recovery

focused or consumer

centered approach to care.

30pts

This criterion is linked to a learning outcomeUnderstanding of the role of the mental health nurse and skills utilised when providing psychotherapeutic interventions and when working with family / carers.

30 Marks 30to >26.0Pts

High Distinction

Demonstrates an excellent understanding of the role and skills of the mental health nurse when providing psychotherapeutic interventions. Excellent recovery focused, consumer and family / carer centered approach demonstrated 26to >22.0Pts

Distinction

Demonstrates a very good understanding of the role and skills of the mental health nurse when providing psychotherapeutic interventions. A very good recovery focused, consumer and family / carer centered approach demonstrated 22to >18.0Pts

Credit

Demonstrates a good understanding of the role and skills of the mental health nurse when providing psychotherapeutic interventions. Good recovery focused, consumer and family / carer centered approach demonstrated 18to >14.0Pts

Pass

Demonstrates an average understanding of the role and skills of the mental health nurse when providing psychotherapeutic interventions. An average recovery focused, consumer and family / carer centered approach demonstrated 14to >0Pts

Fail

Lack of understanding

of the role and skills

of the mental health

nurse when providing psychotherapeutic

interventions.

No evidence

of recovery focused,

consumer nor family / carer centered approach

demonstrated

30pts

This criterion is linked to a learning outcomeClarity of expression (including accuracy, spelling, grammar, punctuation)

10 Marks 10to >8.0Pts

High Distinction

Clear and articulate writing style appropriate to assignment. Flows easily and logically. Excellent grammar and spelling 8to >6.0Pts

Distinction

Ideas are clearly articulated. Grammar and spelling accurate 6to >5.0Pts

Credit

Ideas are clearly articulated. Grammar and spelling contain minor errors 5to >4.0Pts

Pass

Shows some attempt to organise in a logical manner. Meaning apparent, but language not always fluent. Grammar and/or spelling contain many errors 4to >0Pts

Fail

Disorganised, incoherent.

Meaning unclear

and/or grammar

and/or spelling contain frequent errors

10pts

This criterion is linked to a learning outcomeReferencing using APA 7th ed.

15 Marks 15to >13.0Pts

High Distinction

Excellent citation consistent with APA 7th edition style. References are relevant and accurate. Excellent use of a variety of sources which are accurately cited. All claims are backed up by relevant sources. utilised high-level sources. 13to >11.0Pts

Distinction

Very good citation consistent with APA 7th Edition, however with minor referencing errors. References are relevant to the claims made. Very good variety of sources used. 11to >9.0Pts

Credit

Good citation mostly consistent with APA 7th Edition style, contains several referencing errors. Referencing is mainly relevant to claims made. Good variety of sources used 9to >7.0Pts

Pass

Average citation not entirely consistent with APA 7th Edition style. Significant referencing errors. Average quality sources used with over reliance on certain sources and information only websites 7to >0Pts

Fail

Citing is absent/unsystematic. Several statements

not supported with

accurate citation.

Very poor-quality

sources used.

15pts

-how-effective-is-augmentation-with-psychotherapy-as-a-next-step-option-for-treatment-resistant-depression-div.pdfPsychotherapy in psychosis.pdfWampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makespsychotherapy work. Routledge.17

Wheeler, G., & Axelsson, L. (2015). Gestalt therapy. Cahiers n, 35(201), 5

Eells, T. D. (2015). Psychotherapy case formulation. American Psychological Association. Eubanks, C. F., Goldfried, M. R., & Norcross, J. C. (2019). Future directions in psychotherapy integration.Handbook of Psychotherapy Integration, 474

Conceptual, Psychometric, Methodological and Value Problems inAcceptance and Commitment Therapy: Introduction to the SpecialSection, A Critical Appraisal of Acceptance and CommitmentTherapy

https://doi.org/10.1080/16506073.2023.2300369Therapy and the Postpartum Woman : Notes on Healing Postpartum Depression for Clinicians and the Women Who Seek Their Help Karen Kleiman

FACTORS AND OUTCOMES ASSOCIATED WITH AN EDINBURGH POSTNATAL DEPRESSION SCALE SCORE 13 AT THE FIRST ANTENATAL VISIT.Journal of paediatrics and child health55.S1 (2019): 9293. Web.

Parker, Gordon B et al. Predictors of Post-Natal Depression Are Shaped Distinctly by the Measure of Depression.Journal of affective disorders173 (2015): 239244. Web.

Jackson, Leanne et al. Psychosocial Predictors of Postnatal Anxiety and Depression: Using Structural Equation Modelling to Investigate the Relationship between Pressure to Breastfeed, Health Care Professional Support, Postnatal Guilt and Shame, and Postnatal Anxiety and Depression within an Infant Feeding Context.Maternal and child nutrition20.1 (2024): e13558-n/a. Web.

Alabri, Khalood, Christopher J. Armitage, and Dawn Edge. Views of Healthcare Professionals and Service Users Regarding Anti, Peri and Postnatal Depression in Oman.Journal of psychiatric and mental health nursing30.4 (2023): 795812. Web.

Kleiman, Karen R.The Art of Holding in Therapy: An Essential Intervention for Postpartum Depression and Anxiety. New York, New York; Routledge, 2017. Print.

Kontoyannis, Maria. Paternal Post-Natal Depression.Health science journal16.12 (2022): 13. Web.

Cuomo, A., A. Goracci, and A. Fagiolini. Aripiprazole Use during Pregnancy, Peripartum and Lactation. A Systematic Literature Search and Review to Inform Clinical Practice.Journal of affective disorders228 (2018): 229237. Web.

Stankovi, Miodrag, Jelena Stojanov, and Jovana Antonijevi. Therapy of Peripartum Mental Disorders.Acta Facultatis Medicae Naissensis36.4 (2019): 269278. Web.

Almoaber, Zahra, Christopher Patterson, and Lorna Moxham. The Role of the Nurse in Caring for Carers: Ways to Enhance Mental Health and Wellbeing.The Australian nursing journal27.8 (2022): 3838. Print.

Happell, Brenda et al. Physical Health Nurse Consultant Role to Improve Physical Health in Mental Health Services: A Carers Perspective.International journal of mental health nursing25.3 (2016): 243250. Web.