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Philip

(Rachel, Jacob, Selma, Lynn & Erica)

What is going well in his day-to-day:

Participates in a lot of occupations

His sister supports him with cleaning and the bills monthly

He sees a psychologist

Barry visits him

What are the things that he can perform effectively?

cycle

shopping/car boot sale

Does he participate in any occupations?

Grocery store/Food shopping

cycling

darts

bowls

music

watching videos

drinking

(Barry brings cigarettes) maybe smoking

car boot sale

Pot washing

collecting glasses

Visit to a Psychologist

Watching cooking programs

Cooking Microwave meals

Socialising with Barry

What are his personal strengths?

Pot washing

being out and about

cycling

What are his environmental facilitators/supports

Social environments:

His sister

Barry (socialising, however participating in risk behaviour (drinking))

Bowls and darts (if playing against someone)

- Physical environments:

First floor flat

In town

Pub

Supermarket

Car boot

Visit to a Psychologist

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In case of Ali restrictions of public health and fund because he immigrated- how Ali access for his consulate embassy where he origin country.

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Interview with Ali

Self care, Cognitive Physical:

-How would you like to be supported in terms of self care?

-What is spirituality to you?

-What matter to you?

-What is your priority?

-Is your lack of sleeping or/and sleep patterns affecting your daily basis?

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How does Ali interact with people around him? Does he have and close friends or social networks in London beyond Josef?

STEP 1 - links to environmental and social.

STEP 2 - Direct interview with Ali to find out about his social network.

What role might lack of sleep/food and no appetite play in his current condition?

STEP 1 - links to person and physical environment.

STEP 2 - Discuss with healthcare staff who have been looking after Ali to see how he has been eating/ sleeping in the hospital - to determine if it is a personal or environmental issue that is causing him to not sleep/eat well.

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GROUP A

We would ask Ali how he feels about being discharged to a supported accommodation and how best to support him.

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Question - How is social and cultural environment affecting Ali?

Way to gather information:

Request assessment to determine Ali's capacity (because there are signs of environmental interference with his occupation and it will help determine if the people after him are real)

Interview to gather Ali's perspective

Interview Ali's friend to get his friends perspective.

Question - What matters the most for Ali (Spirituality)?

Interview Ali to see what is important to him.

Question - How does Ali physical environment affects his health and wellbeing?

Visiting Ali's environment (home) to determine the living standards and physical space.

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1. Carry out an interview with Ali to understand the help he needs and identify the difficulties he is experiencing.

2. Interview his community (e.g church group/Josef) to see how involved he is within his social circle and where he receives potential support.

3. Do a home visit and assessment to determine his safety and current living conditions.

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1. How connected is he with his religion and community/culture?

2. What matters the most to him?

3. How safe is his home environment?

4. Are there any cognitive or physical impairments he is experiencing that are hindering him from cooking and eating?

5. What is the quality of his sleep and is this due to trauma?

6. What support system does he have?

How we will gather information:

1. Carry out an interview with Ali to understand the help he needs and identify the difficulties he is experiencing.

2. Interview his community (e.g church group/Josef) to see how involved he is within his social circle and where he receives potential support.

3. Do a home visit and assessment to determine his safety and current living conditions.

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Interview Ali

Question in mind: How does Ali perceive his ability to care for himself post discharge (person, cognative,physical)

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Ask Ali what kind of social support he has and what he thinks he needs. This could help with advocating for or signposting towards community support groups.

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Request Mental Health Assessment to find out if Ali has capacity to keep himself safe or whether additional support is needed.

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To know about his personal strengths, perhaps interviewing previous co-workers or his friend

Depending on Ali's mental state, it may be difficult for him to directly find positive strengths about himself therefore asking others around him might be more effective to find out more about this

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By interviewing Ali

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Ask Ali how long he has been experiencing these issues.

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find out what cause mental health, is it something he always had or was a result of losing job

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Observation first if he fine, what he feel today- because he doesn’t had food

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Ask Ali if there are people in his life that he would want to have with him in the session

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What help do Ali needs and finds solutions to his struggling occupations

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Talking directly to Ali - create an occupational profile to see what occupations are important to Ali and what he feels he needs help with.

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did you experience any mental problems before losing your job?

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Include Josef in the intervention

meaningful occupation

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Using assessment tools, such as the Canadian Occupational Performance Measure (COPM)

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Speaking to/interviewing any professionals that Ali may have worked with previously

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Talk about setting goals with Ali - to help find out what is important to him.

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ask and talk to his best friend josef

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Assessment with Ali

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research papers

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open up questions

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Ali, I know you haven't eaten for a while. Can you explain to me what the problem is? Do you know where your local shop is? Do you have access to money? Is there food you do/don't like eating and can you access it? Do you have facilities to cook at home? What are you comfortable cooking? What would you like to be able to cook?

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Look out for Ali’s non verbal cues during interview

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Check Ali’s medical records.

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Interview

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what support does Ali need at the moment and what is important to him?

Since Ali has no family in the UK who is his next of kin or what support system does he have in place?

Ali has issues with sleep, is this due to nightmares / trauma or is this a physical problem?

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How has isolation Impacted Ali’s mood and emotional regulation?

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What is most important to Ali? What is most meaningful to Ali?

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Was there any plan in place to make sure Ali didn't relapse after discharge?

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Have Ali experienced any physical pain or discomfort that limits her movement or ability to care for herself?

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How do cultural attitudes & expectations influence Ali?

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Person

“Can you describe how you’ve been feeling emotionally and physically?”

“What strategies or activities help you feel calm or better?”

Mental health assessments

Environment

“What is your living situation like? Do you feel safe and comfortable at home?”

“Who do you feel you can turn to for support?”

Environmental assessments such as a home safety assessment.

Occupation

“What activities are part of your daily routine?”

“Are there things you enjoy doing that you’ve stopped or want to start again?”

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What does help means to Ali

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Are there activities that you find meaningful or fulfilling? What are they?

What does a typical day look like for you? Are there daily activities you find difficult to do?

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What matters to Ali? his spirituality

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How does emotions or mood affect Ali's engagement in work or leisure activities?

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what help looks like to you?

do you need any support such educational, spiritual?

Are you connected o your community as refugee may experience homesickness

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Does Ali consider himself healthy, aside from the current mental health situation. Does he have worries about his physical health?

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What matters the most in life for Ali? What are his values ?

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Are there any aspects of self-care (like grooming or dressing) that cause Ali stress or difficulty?

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Is Ali in contact with his family? Does that matter to him?

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What is meaningful (spirituality) for Ali?

What is Ali's occupational area of focus? (self-care, productivity, leisure)

How is his social and cultural environment impacting him?

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What does Ali feel as though he needs support with?

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How connected does Ali feel to his culture or religion?

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what are Ali's interests, hobbies, and skills, particularly those related to his profession as a hairdresser and any other activities he enjoys?

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What occupations are the most important to Ali?

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Does Ali have what he needs at home to keep himself clean and tidy? e.g. shower, washing facilities, how does he wash his clothes, does he have a change of clothes etc

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Assess Ali’s mental health history, including any previous diagnoses, treatment responses, and current symptoms related to depression, anxiety, or trauma.

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What are Ali's main daily challenges?

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What does help look like to Ali?

What matters the most to Ali at this moment?

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Where would Ali do his shopping? Does he cook? How? When? What?

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How does Ali interact with people around him? Does he have any close friends, or social networks in London beyond Josef?

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Who does Ali consider to be his community? i.e. colleagues, church attenders etc