Leah You are working as a case

Leah You are working as a case worker in an employment service targeting the needs of clients with mental health/drug and alcohol issues. Leah is a 24 year old woman who was recently discharged from the Army on medical grounds. During her four years in the Army, Leah experienced high levels of stress and anxiety which she coped with by drinking heavily. When she came to see you Leah had been sober for 55 days and was seeking strategies to cope with her anxiety that didn’t involve drinking. Leah was an only child whose parents separated during her teen years. Her father had moved away shortly after they separated. Leah describes her relationship with her mother as “tense”. Leah left school intending to train as an ambulance medic. On being told she lacked the life experience required for this work, Leah joined the Army on a four year contract hoping to address this requirement. Leah however, found Army life constrictive and unfulfilling. Being obligated to complete the full four years, she began to feel increasingly trapped and was often anxious and depressed. She was introduced to alcohol by her fellow recruits and began using this as a means of deadening her overwhelmingly negative feelings about the course her life was taking. After three years in the Army, Leah was discharged on medical grounds, having become dependent on alcohol and unable to control her intake. She has no idea what she wants to do now she is no longer in the Army, she is anxious and stressed and is using Valium to replace alcohol. She is also feeling “at a loose end” now that she has nothing to do but think. She says she has no close friends or family nearby. She added she still craves alcohol and during the conversation you suspect that she is “doctor shopping” to access Valium. How did you provide support, challenge and direction to the workers consistent with organisation and professional standards How did you support the workers to develop individual reflective and ethical practice strategies What strategies would you implement to ensure workers can consult with others including culturally specific workers How did you provide specialist knowledge to the workers in supervision around the achievement of objectives and identify issues for escalation What are the legislative provisions and policies/ procedures relevant to the workers and how would you inform them about any changes What are the worker and organisations responsibilities related to case management How would you consult with stakeholders for specialist information and options for future action Identify at least two areas for improvement in your own practice Identify at least one opportunity for professional development (within a supervisory role)

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