CHIR13011 - Mental Health and Chiropractic Care
Term 1 - 2017


All details in this unit profile for CHIR13011 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

Within your role as a Chiropractor you will encounter clients experiencing many differing forms of mental health challenge which affect their presentation and recovery, as such during this unit you will develop communication skills, recognise alterations in mental health and gain knowledge of therapeutic options and referral pathways available to consumers. As mental health challenges are over represented in Aboriginal and Torres Strait Islander and a number of other communities in Australia you will also examine cultural aspects affecting individual recovery.

Details

Career Level Undergraduate
Unit Level Level 3
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Co-requisite:

CHIR12007 Clinical Assessment and Diagnosis 1

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Brisbane
  • Mackay
  • Sydney

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Written Assessment 50%
2. Online Test 50%

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

On successful completion of this unit, you will be able to:
  1. Identify different presentations in people experiencing mental health challenges
  2. Discuss the therapeutic options available for people who may be experiencing different forms of mental health challenges
  3. Apply the principles of interpersonal communication and professional behaviours to the standards expected of a health professional
  4. Compare and contract classification systems and the recovery based framework.

This unit is linked to external accreditation requirements for the CB77 course of study.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Written Assessment    
2 - Online Test

Alignment of Graduate Attributes to Learning Outcomes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4
1. Communication
2. Problem Solving    
3. Critical Thinking      
4. Information Literacy    
5. Team Work    
6. Information Technology Competence    
7. Cross Cultural Competence  
8. Ethical practice  

Alignment of Assessment Tasks to Graduate Attributes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8
1 - Written Assessment    
2 - Online Test    

Prescribed Textbooks

Mosby's Pocketbook of Mental Health
Author/s: Eimear Muir-Cochrane, Patricia Barkway, Debra Nizette Year: 2015
Edition: 2nd Publisher: Elsevier
City: Sydney State: New South Wales
Country: Australia
View textbooks at the CQUniversity Bookshop

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
All submissions for this unit must use the Harvard (author-date) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorPaul Oliveri (p.oliveri@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017

Mental Health in Australia

Prescribed text Mosby's Pocketbook of Mental Health 2nd edition:

Chapter 1 Mental health:every health professional's business pp. 1-8.

Chapter 2 Working in a recovery framework pp. 9 - 20.

Chapter 3 Essentials for mental health practice pp. 21 - 31.

Online readings located in Moodle site.

Lecture Introduction to mental health in Australia

Lived Experience FAQs with Dr Louise Byrne.

Week 2 13-03-2017

Mental State Examinations and Chiropractic Care

Prescribed text Mosby's Pocketbook of Mental Health 2nd edition:

Chapter 4 Mental health assessment pp. 32 - 46.

Chapter 5 Culture and mental health pp. 47-58.

Online readings located in Moodle site.

Lecture Mental State Examination

Week 3 20-03-2017

Anxiety Related Disorders and Chiropractic Care

Prescribed text Mosby's Pocketbook of Mental Health 2nd edition:

Chapter 6 An overview of mental illness pp. 59 - 82

Online readings located in Moodle site.

Lecture An Introduction to Anxiety related disorders

In Practice with Tamara Taylor Anxiety Disorders.

Week 4 27-03-2017

Depressive Disorders and Chiropractic Care

Prescribed text Mosby's Pocketbook of Mental Health 2nd edition:

Chapter7 Psychiatric and associated emergencies pp. 83 - 98.

Online readings located in Moodle site.

Lecture An Introduction to Depressive Disorders.

In practice with Tamara Taylor Bipolar Case Study (one of the depressive disorders).

Week 5 03-04-2017

Chronic Pain and Somatisation in Chiropractic Care

Online readings located in Moodle site.

Lecture Somatic Symptom Disorders and pain.

Vacation Week 10-04-2017
Week 6 17-04-2017

Alcohol and Substance Related Disorders and Chiropractic Care

Online readings located in Moodle site.

Lecture Substance related disorders.

Course Coordinator On-Campus scheduled Tutorial sessions.

In Practice with Tamara Taylor Tips and Tricks for treating patients with substance related disorders

Week 7 24-04-2017

Suicide, Parasuicide, Self-harm and Chiropractic Care

Prescribed text Mosby's Pocketbook of Mental Health 2nd edition:

Chapter 7 Psychiatric and associated emergencies pp. 83 - 98. (If not completed to date).

Chapter 8 Managing medications pp. 98 - 115.

Online readings located in Moodle site.

Lecture An Introduction to Suicide.

In practice with Tamara Taylor Suicidal ideation case study.

Written Assessment Due Wednesday (26 Apr 17) 11:45 PM AEST
Week 8 01-05-2017

Sexual and Physical Violence conditions and Chiropractic Care

Prescribed text Mosby's Pocketbook of Mental Health 2nd edition:

Chapter 10 Contemporary talking therapies 116 - 120.

Online readings located in Moodle site.

Lecture An Introduction to Sexual and Physical Violence

Week 9 08-05-2017

Eating Disorders and Chiropractic Care

Prescribed text Mosby's Pocketbook of Mental Health 2nd edition:

Chapter 10 Co-occurring medical problems pp. 121 - 127

Chapter 11 Loss and grief pp. 128 - 139.
Online readings located in Moodle site.

Lecture An Introduction to Eating disorders.

Week 10 15-05-2017

Surviving Your Profession, Secondary Trauma/PTSD and Chiropractic Care

Prescribed text Mosby's Pocketbook of Mental Health 2nd edition:

Appendix 1 Surviving clinical placement 158 - 159.

Online readings located in Moodle site.

Lecture An Introduction to Secondary Trauma and PTSD.

In Practice with Tamara Taylor Looking After Yourself.

Week 11 22-05-2017

Consolidation week and Final Assessment preparation.

Week 12 29-05-2017

Consolidation week and Final Assessment preparation

Review/Exam Week 05-06-2017
Exam Week 12-06-2017

1 Written Assessment

Assessment Title Written Assessment
Task Description

Read the following information and answer the following questions

Section 1

Following your recent qualifying as a Chiropractor you’ve decided to undertake some travel and work in a number of clinics throughout Australia. For the last two days you’ve been working in a well-established clinic in a small country town (population approximately 12 000 people).
Your first patient of the day (Evelyn) is new to the practice and a new arrival in town.

General Appearance in waiting room:
Evelyn a 52 year old, immaculately groomed lady of average height and weight appears very nervous in the waiting room. She has positioned herself on the chair in the corner of the waiting room away from everyone else. On being handed the completed patient history your jaded reception staff member whispers to you, “Good luck with this one, I think she’s a bit strange. She’s been looking down fidgeting in her hand bag the whole time”.


Reading through the history you find Evelyn has presented for ongoing headaches which commenced nine weeks ago following a fall at home. She has had plain x-rays and a CT- Scan which showed no fractures but she has had ongoing pain, today she rates it as 7 out of 10.


The original Doctor’s letter she presents provides you with a diagnosis of Uncomplicated Myalgia of the cervical para spinal muscle.
Studying the history further you note she has also ticked sleeping problems, anxiety and depression as well as the above.

Question 1 – 10 marks
Given the above information please detail:
Communication techniques you would use to place Evelyn at ease before commencing any further assessment and treatment.


Question 2 – 20 marks
On entering the treatment room Evelyn tells you the fall was down four stairs and occurred two days after her twin brother’s funeral. The cause was put down to stress following the funeral.
She also informs you four weeks ago she has been prescribed Endep (Amitriptyline) and Tramadol both of which she has been taking intermittently. She is reluctant to take the Tramadol “too often” and at differing times Evelyn breaks down crying telling you “it’s hard at the moment but I’m coping. Sorry I don’t know what these tears are all about, I don’t normally cry”.

In order of priority outline any questions and actions you would ask/perform when assessing the patient. This should include:
• Completing the Chiropractic Case History which would assist you to assess the severity and nature of the patient’s current condition. This should include questions you would ask related to the information provided so far.
• Completing a Mental State Examination using the information provided. If information isn’t provided describe what actions you would undertake and/or what you would observe to perform this.
** These should be specific questions and make use of the questioning techniques outlined in your prescribed text and Moodle site. The aim of these questions should be to further assess the severity and nature of the patient’s current condition.

Section 2
This relates to specific management of your patient.
Following successfully calming the situation Evelyn allows you to undertake a full physical assessment. The results of which are as follows:
• Postural analysis: the patient has a forward head carriage.
• Range of motion: the patient has a slight restriction in right rotation and left lateral flexion.
• Muscle palpation: The patient displays sub-occipital muscle tension bilaterally with associated muscle tension in the right upper cervical spine neck area.
• Static spinal palpation – (RP , PL, Left Rotation Restriction, Right Rotation Malposition)


Question 3 – 15 Marks
Given the above information it is obvious there are multiple aspects to managing Evelyn’s current situation which would require an open and professional discussion on options.

Within this question you are required to complete the following:
• Develop a structured plan for how you would approach the conversation with Evelyn and provide justification on why you have undertaken it. Note there is no one right answer to this section, it’s about you providing a plan and justifying why? For example would you discuss her anxiety, depression and sleeping problems first or Chiropractic care?


Within this plan you would need to:
• Discuss various options you would advise for dealing with her anxiety/depression/sleeping problems.

Question 4 - 5 marks
Outline how your management priorities would change if Evelyn told you she had planned to kill herself. Please include in your answer:
• How you would determine if she posed an imminent threat to her own life?
• The management option/s you would take if you determined the threat was imminent.
• The management option/s you would take if you determined the threat was not imminent.
This segment may be in dot point form but should outline the above information.

Assessment Due Date Week 7 Wednesday (26-Apr-2017) 11:45 PM AEST
Return Date to Students Week 8 Friday (05-May-2017)
Every effort will be taken to return this assessment within 7 working days.
Weighting 50%
Assessment Criteria

To gain a high distinction within this assessment you will be expected to undertake the following:

Question 1. Communication Techniques

Applies extensive (in excess of 10) verbal and non-verbal communication techniques to gain meaningful interaction with the patient. AND
The communication techniques applied are grounded in the recovery based framework and relate to the given situation. AND
Techniques should not just be listed but expanded on e.g. What you would do and how you would achieve it in this given situation.


Question 2. Patient Assessment
Completes all aspects of the Mental State Examination (MSE) including all patient specific questions related to the MSE.


Question 3. Patient Management
Develops a structured plan for how to approach the conversation with the patient which includes the following:
Provides extensive (in excess of 8) options the patient has available to manage her anxiety, depression and sleeping problems.


Question 4. Patient Management-complications
Outlines the threat assessment process to determine if the patient is an imminent risk to her own life. Assessment is completed without error or omission.
AND
Completes all aspects of management without error or omission.

Conditions Minimum mark or grade - 50%
Referencing Style Harvard (author-date)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

2. Discuss the therapeutic options available for people who may be experiencing different forms of mental health challenges

3. Apply the principles of interpersonal communication and professional behaviours to the standards expected of a health professional

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

5. Team Work

7. Cross Cultural Competence

8. Ethical practice



2 Online Test

Assessment Title Online Tests
Task Description

Assessment component 2.1

Aim
The aim of this assessment is develop the essential skill of a health care professional, that of communicating and advocating on behalf of your patient.


Format
Using the template located in your Moodle site please write a referral letter for the patient discussed at the On-campus tutorial by your Unit Coordinator.
Your letter should include information on all relevant aspects of the Mental State Examination as well as a history which is comprehensive (given the information you have already gained through observation and interview).


The format of the Mental State Examination in the letter is to be narrative so the reasons you have referred the patient are clearly outlined. As part of this assessment you will also be required to attach a completed depression and or anxiety scale of your choosing. This form is to be filled out on the fictitious patient presented to you in Week 6.
Example referral letters are contained within your Moodle site.

Assessment component 2.2: Mixed question style online test
Introduction

During this assessment you will be asked to complete a mix of short answer, matching questions, true false and multiple choice questions on content from weeks 1, 2, 5, 6, 7, and 9.


Aim
This assessment aims to test specific content knowledge not assessed within component one.


Format
The online test will include a mix of short answer, matching questions, true false and multiple choice questions. Questions will be derived from a variety of sources including lectures, tutorials and online readings. Refer to your moodle site for further details.

Assessment Due Date Component one due Wednesday 10 May (Week 9). Component two due Wednesday 31 May (Week 12)).
Return Date to Students All efforts will be made to return these assessments within 7 days of their due date.
Weighting 50%
Assessment Criteria

Assessment criteria 2.1: Referral Letter

To gain a high distinction in this assessment you will be required to:

1. Grammar and Spelling
Practitioner makes no errors in grammar or spelling whilst documenting.

2. Components of the Mental State Examination
Documents all aspects of the Mental State Examination with examples of patient behaviour in each.

3. Uses accepted Mental Health/Medical terminology within the relevant categories of the Mental State Examination.

4. All aspects of the depression/anxiety scale are completed.

Assessment Criteria Component 2.2: Mixed Style Questions

High distinction: 84.5 – 100%
Distinction: 74.5 – 84.4%
Credit: 64.5 – 74.4%
Pass: 49.5 – 64.4%
Fail: <49.5%

Conditions Minimum mark or grade - 50%
Referencing Style Harvard (author-date)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Identify different presentations in people experiencing mental health challenges

2. Discuss the therapeutic options available for people who may be experiencing different forms of mental health challenges

3. Apply the principles of interpersonal communication and professional behaviours to the standards expected of a health professional

4. Compare and contract classification systems and the recovery based framework.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

4. Information Literacy

6. Information Technology Competence

7. Cross Cultural Competence

8. Ethical practice



Graduate Attributes

Graduate Attributes that will be obtained in the successful completion include communication, Problem Solving, Critical Thinking, Information Literacy, Team Work, Information Technology Competence, Cross Cultural Competence and Ethical Practice. These are all necessary skills to ensure you are able to accurately assess and guide people towards assistance in managing their mental health challenges.

They also assist in the ability for self-reflection to ensure your learning continues to develop pro-actively, and are highly important professional skills to have when you engage in clinical placement and clinical practice.

Indigenisation of Curriculum

  • Consideration is given to Aboriginal and Torres Strait Islander aspects of disease aetiology and culturally competent patient care.
  • Course and research materials are reviewed for their Aboriginal and Torres Strait Islander cultural
    sensitivity.

Sustainability

Consideration is given to readings and teaching that do not have negative consequences for future generations.


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