1: File Review
Student has completed a file review for their individual case presentation, which identifies where possible:
1.Psychiatric & Psychological History
2.Medication History
3.Personal & Family History
4.Developmental History
5.Pre-morbid Personality
MMH5CPM Case Presentation Assignment-La Trobe University Australia.
2: Face – to – Face Assessment
Student has completed a face-to-face assessment with a client of an area mental health service in the company of a mental health clinician. For the purpose of this assignment the client must be de- identified.
Face-to-face assessment includes all relevant mental state examination inquiries and specific risks i.e. suicide
During the face-to-face assessment it is expected the student will be able to provide a rationale for the structure of their assessment and explain complex topics to their preceptor.
3:Psychiatric Assessment
Student has completed and documented a psychiatric assessment using the organisational template (or if not available use template provided by the university), which includes (but is not limited to):
– Presenting problem
– Medical, psychiatric and family history
– Genogram (with three generations)
– Pre morbid personality
– Mental state examination
– Risk assessment
– Alcohol and drug screening
– Incomplete areas provide a clear rationale indicating reason for omission from assessment
MMH5CPM Case Presentation Assignment-La Trobe University Australia.
4:Clinical Formulation and Provisional Diagnosis
Student provides a clearly articulated clinical formulation, which includes a summary of referral source, current presentation and how the current presentation is affecting their psychological, biological and social wellbeing. Student provides a provisional diagnosis with differential diagnoses (where applicable), which is taken from either the ICD-10 or the DSM 5
5:Management Plan
Develop a management plan based on the principles of recovery by focussing on the person’s strengths, resources, skills and assets. Your plan should also include evidence based practice by conducting a comprehensive review of the literature and clinical practice guidelines related to the person’s diagnosis. From this determine what is best practice. The plan needs to clearly outline your role as nurse or allied health professional After developing a management plan, the student must compare their management plan to the plan currently in place for the individual and provide a written critique of any differences in the plans, including an explanation as to why there are differences.
MMH5CPM Case Presentation Assignment-La Trobe University Australia.
6:Interview with client
The student has clearly documented their conversation with the client regarding the client thoughts and feelings around their diagnosis and treatment plan.
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