Marc a regular client, is depressed . He binge drinks 3-5 times per week and smokes marijuana every day. Marc’s friend recently committed suicide, and now Marc realises he needs to make a change to his life. In this meeting, you are discussing Marc’s ideas for changes he could make to improve his mental health and well-being. Encourage Marc by adding supporting comments. Alex also has some ideas and opinions.

Client's Questions

1. How can I stop drinking? It's difficult for me. I am used to it.

2. What can I do to help me improve my mood? I don't want to feel depressed.

3. What other services are available to me? How often will you be coming to visit me? It helps me when I can speak to someone about my problems.

In the last month, she was worried about sadness and loneliness thoughts. She didn't eat beacause sher was afraid to be fat, she had headaches and difficulties to sleep.

She was going to work because it's the only place she was feeling well. She like ton dance ballet also. Sometimes at night, she has suicidal ideas, she doesn't know what she's suppose to do to get better.

Client's questions :

1. How can you help me to feel better ? I'm tired to overthinking.

2. Can you help me to know my new city ? What kind of service there is here ?

3. Are you giving me some tools to eat more and feel better with my body image ? I'm exhausted to feel upset about what people think of me.

Stacy is a 51 years old woman. She is single since 6 month after ending a 25 years relationship. The breakup was difficult. Her ex threatened to kill her and he vandalized her house. He called her at all hours of day and night. She had to file a complaint against him.

Now, she is anxious, she is scared to go out alone and she don't able to go to work. The emergency physician observes psychotic symptoms.

You call her the next week and you explain the subject of your follow up.

Client's questions:

1. Why I don't feel better? I take my medication every day but I am always anxious and sad.

2. What the psychiatrist can do more for my symptoms? Will he have to hospitalized me?

3. When can I return to work? I don't have much money...

Ask questions.

Give your Opinion.

Change the intervention plan and give reasons.

Part 1 - Miray is a 15-year-old girl who suffers from Autism Spectrum Disorder and has behavioural problems that need to be addressed. Miray's mother, Ayla, catches Miray burning her own skin with a lighter and sees some cuts on Miray’s skin.

Part 2 - Ayla is also trying to quit her addiction to opioids. Ayla’s husband, Serkan, is worried that she might be drinking too much alcohol.  

He lives with Ayla and her family, but Serkan, Ayla’s husband, thinks he should stay at a nursing home facility to receive better care and has forced Ayla to put in a service request. Ayla is still not sure about that, and this has affected their relationship. She is anxious and tired and going through depression.

Ayla's questions / concerns:

1. What can we do to calm my father down when he gets aggressive?

2. What can we do to prevent it from happening?

3. He forgets where he puts his things, and he gets angry? He put his watch under the mattress, and he thought we had stolen it. What can we do to help him?

4. I think it's better for him to stay at home, but my husband thinks it's best for him to stay at a nursing home. I'm tired. I don't know what to do.

Presentation of the situation

Mr. Malaimé is hospitalized in long-term care in a CHSLD. He has survived Covid-19. He had caught it at the same time as Victoire, his wife, who died suddenly. During her lifetime, Madame Victoire came every day, alone, to the hospital to visit her husband. On several occasions, I had to meet her, and appreciate her attachment to her husband. And since her death, no one in the family comes to se Mr. MALAIMÉ in the CHSLD.

What am I going to do for the client?

I decided to support him in this time of grief that he is experiencing alone and without the support of his children. Indeed, Monsieur Malaimé remains alone in the shock of the loss of his beloved wife. And family relations would not have been very warm. Tainted family relationships or crushing memories? Only God knows. He won't even be able to attend his wife's funeral. " What do you want? My illness could not allow me to go out for my wife's funeral,” he confided to me with a tone of despair. Consequently, Ms. Victoire will no longer return to the Hospital to see a love left without a hug. Mr. MALAIMÉ will no longer see his wife in person except only in photos. And when I asked him how he sees and envisages life without her, he replies in a harsh tone: “She’s gone and that’s it. Your questions…your questions…”. Then he turned his head and looked to the side. From now on, Mr. MALAIMÉ remains locked in his room, pensive, sitting, depressed in front of the television. For a few more days, MALAIMÉ has continued to ask his children for Medical Assistance in Dying. One off his children then told me: “I don’t love my father. If I agree to come to see him or if I call him, it is out of duty and not out of love.” Considering, the doctor may not give a positive outcome to the request of Mr. MALAIMÉ and his family. I wonder what would be the fate of the dad who no longer receives visits after the death of his wife

What are 3 questions this client asks you about their situation?

1. Can you help me in my process of requesting medical assistance in dying? (Father)

2. Can you help our father in his process of requesting medical assistance in dying? (Children)

3. We are worried that our family's story is coming to an end. Can you help us in the process of reconciliation with our father before his death?

Client's questions:

1- What should I do to improve my relationship?

2- Am I experiencing violence in my relationship?

3- Do you have any ways to reduce my anxiety and restore my social life?

Sara is young girl to 22 year old. And she like, go to the work,because is only place where She feeling well.She says she feeling better when dancing .

Saha has some Struggle but she not talk and confident with his friends.she had few friends but I think is not easy for her.

First,She didn’t eat last month because she was afraid to be fat . she don't eat and she make body sick.Her body not feeling goods because she has symptom to malnutrition example she had headaches.

Secontly, She was suicidal ideas and she don’t know what she can do for getting better.

1:

First, I want to see you I’m proud of you,because you want change your situation. you are strong woman because you take courage and you talk to me. listen to me, is not easy to do that. With this courage,You pass one step. Secondly, if you want feeling better in your head and your body. for me it's important to take appointments with the nutritionist and psychologists. the team of hospital go to help you to take care of you. Finally, when you leave to hospital it’s important to continue that efforts. I think a therapy is good for you. So, i can ask to a clsc in your city to support you and follow you. you didn't stay alone.

2 : Yes, of course, good idea.I’m didn’t know every place and service in montreal city but the clsc to your city Can I help you. Because this establishment no every service in you new city.

3:The first tools Who I can p you is you need take appointment with the nutritionists for each more and you need go in the .You want feeling better ? so listen that sentence and repeats all every day from the mirror. "I’m beautiful, I am blessed, I’m amazing I want better for myself. I have a beautiful smile an when I smile I shine in every place. I merite to be happy. "

And it seems to me ,You need stay kindness in yourself.

my last tool for you is don't take about what people think. stay positive in your mind because positive attitude called positive people, vision and attitude

1:What tool can you give him? she no longer knows what to do to protect her children and herself.

2: Can you tell her the services or appartement she can go?

3: She is afraid to her husband will find her, bit and kill them , what can you do?

As planner who collaborate with community organizers of parc Extension, i receive this case and i have the responsability to contribuate to find a solution. So, i met Ola with social worker and community organizers. I congrated Ola and i explain to him that we have some ressources which can help him and he doesn't only people in this situation. I reassure him that it is a good idea to come back to Praida service for sharing him situation and encourage him to tell us more.

Ola's questions :
1- How Praida can help me more ?

2- What can i do to get better ?

3- is it necesary to involve community /students organization for facilitation my integration into Parc extension and school?

Mario is a man with a diagnostic of light intellectual disability. At his work station where he disinfect at the hospital, some liquid gets into his eye.  His eye is hurt and burn himself.

The educator gives a humid brown paper to help his eye.

Mario asks to her: it is dangerous for my eye?

Is it normal my eye is soo red?

Are there others possibilities to help me?

I visit Maria at school and at home to help her with is emotions. The challenge of the situation is Maria don’t accept the health situation of his mom and she lives comportments difficulties at school.

Questions of Maria:

1.       Why it’s impossible to see my mom?

2.       Will my mother come back home?

3.       Wath can I do for changes this situation?

Questions of community organizations :

• Why do you prefer awareness-raising activities ?

• What do you think of the idea of a "meet and greet" for this activity ?

• What will we do if we don't get a lot of people during the week ?

1. How could we proceed to break this impasse? She asks you.

2. What can we do to calm the patient? She adds.

3. I also feel unhappy in this matter. She concludes

1. Do you have strategies that I can use to change my child's sleeping habits.

2. What can I do to make him more cooperative?

3. What causes this behaviour? Because he has been like this for a while. But more recently, his bedtime has been inconsistent, which has made it worse than before.

Sonia (Mrs. Abdul's daughter)

1. Sonia is worried about her mother returning home. What kind of services are available for my mother? Will she be safe to live by herself at home?

2. Can she stay at the hospital for a longer period? Is there anywhere else that she can stay? What are her options?

3. Can the CLSC assistants assist her with her medications when she returns home? Can someone come to help her shower?

Mrs. Abdul

1. I don't have any difficulties. I was living by myself before and I can continue doing that now.

2. I'm not that old. I can do my own things. I can prepare my own food. I don't need any help.

(Scenario A) You are visiting your client for the first time. You want to evaluate their situation and ask them some questions about their lifestyle. You also need to give them some instructions and warn them about the consequences if they don’t follow your instructions.

(Scenario B) Rema is trying to quit drinking and smoking and needs to be treated for a mental illness. She sometimes has suicidal thoughts.

Rema:

1. I want to quit but I can't. How can you help me?

2. How can you help my mother? How can I convince her to clean herself after she goes for a poo?

Mike's question for the psychosocial professional :

Can you help me with my sad and angry thoughts ? I'm so tired to feel like a bad man.

Do you have some tools you can give me to improve my daily routine and being more happy ?

Do you know organizations who are helping mans with mood disorder and loneliness suffering ?

Q1 In this context, what should we prioritize as an intervention?

Q2 How did this man find himself homeless?

Q3 Has Mr. ever undergone therapy related to his drug use?

1. Can you help me in my process of obtaining medical assistance in dying?

2. I feel useless to the community and I no longer see the advantage of living long.

3. I'm not going to kill myself and jump out of the window. But I wish to die and join my wife. How can you help me with this?

Scenario 2: Yu-Xuan is 8 years old and has autism spectrum disorder. You are here to see his parents, Mr. and Mrs. Wu to discuss his situation /progress. You need to explain what you are doing and give reasons. They don’t agree with everything that you are saying.

Client's Questions & Comments – Scenario 2

• He gets angry when he doesn’t like the taste of his food.

• He keeps flapping his hands and doesn’t respond to his name sometimes.

What do we need to do at home?

Why hasn’t he made much progress?

When can we see some improvements in his behaviour?

1. Can you tell me more about pharmaceutical treatment ? Maybe i has to talk with my docteur, i feel upset about that.

2. I'm not able going outside alone. Is it that something you can do with me ?

3. Do you know some strategies or kind of stuff can help me with my symptoms? I am becoming crazy when i begin having breathing difficulties.

1. Now I feel guilty. Said the worker. How can you help him?

2. And the family didn't have any support either. He wonders how to right the wrong?

3. Have you ever failed to provide an important and urgent service in your profession? If so, how did you react afterwards?

Carlos suffers from autism spectrum disorder. Carlos drinks, smokes, and self-harms and suffers from borderline personality disorder. He had a huge argument with his parents, and doesn’t want to live with them. They have completed an application request for emergency accommodation.

Parents' questions

1. When will someone call us?

2. What can we do to calm him down?

3. What happens if he gets worse?

Client - Sveta

1. What do I do when he argues with me? He lost his keys and became angry and aggressive. We found the keys under his pillow.

2. How can I get him to exercise? What kind of activities are good for him?

3. He likes cooking food, but last week he burned himself with the oven? What else can I do to prevent future accidents?

1) Client’s symptoms

I have difficulty breathing.

I sometimes feel dizzy and nauseous.

I have trouble sleeping – I have a lot of pain.

Client’s questions

I always feel anxious. How will this affect my baby? What can I do to reduce my anxiety?

What can I start with? How often do I need to do this?

Where do I need to go? How long....?

His parents are in shock. The mother had a panic attack and the father appears fragile.

The doctor call the social worker to evaluate the situation.

What can the social worker do?

Q1 Do you report it to the DPJ?

Q2 How can we help this lady?

Q3 How do you manage to not let yourself be emotionally overwhelmed by this situation?

Today, David explains to me what happen when he was on his dad. David explains that he had a conflict between his father and his girlfriend. David says he doesn’t have emotion because he was afraid.

Questions client:

·        What were you afraid of in this situation?

·        What can you do differently now if this happen again?

·        What did you think at the time to get scared?

She wants to know :

Q1 How can you help her/them?

Q2 Do you already deal with a similar situation?

Martin, 24, presents himself at the Joliette hospital to begin alcohol withdrawal. M consumes 17 standard beers per day, 7 days a week. M states that he is depressed and has financial problems. In addition, his partner recently announced that she wanted to end their romantic relationship.

Q1 What is the preferred intervention in this situation?

Q2 What mental health support resources can help Martin?

Q3 What are the financial support resources that can help Martin?

His parents often go to the hospital for every rdv and they collaborate with all the teams. However they are overwhelmed and very tired Even if they have a lot of help.

They ask their social worker to help them

S.W: do you feel more tired after treatment than before?

Can you tell me more about your situation?

What do you think if we look together the options?

Sveta's Questions / Comments

1. I know I shouldn't smoke, but I can't stop it. How will it affect my baby?

2. My father went out and fell last week. I don't know how to take care of him - he wants to do his own thing. The cannabis calms me down. We constantly argue. I don't want to do that, but I can't help it. Do you have any suggestions?

Mr. Romanov's Comments / Questions: I'm worried about my daughter. She has one child and is pregnant with another baby. I usually do the grocery shopping for both of us, but it's more difficult for me now. Sometimes, I feel sad and depressed.

• Do you have any suggestions?

• I also feel frustrated because my daughter is pregnant and smokes cannabis. It's not good for her baby, so we argue. What should I do?

Jason, 70 years old, is holpitalized because he forgot to put out the fire on the stove, and hu burned herself.

jason son, Mario, get meeting with you for spoke with you about her father demencia and safety home.

he think is not possible for her father to return at home.

this accident is first but he scared with this idea because her father, mr jason live alone since 5 years.

qsT1: ask the patient what he think about this situation, and what he want?

qst2:you can propose too the patient stay safety at home with clsc servicy

qst3:can you suggest mario to stay with her father until

the time who mr jason has place in norsing home, if he want go there.

-        How could you support this woman in her decision?

How can we help Mrs?

Questions / Comments

I'm glad to see you today, Jeff, but you don't look happy. What's up?

What has changed since our last meeting?

Why don't you want to find a job anymore?

1. Can you help me to find a way to express myself as an adult can do ?

2. Why i always am afraid to talk with people about my emotions and other subjects ?

3. Do you think that can be good for me to do some group therapy ?

• So how can she help him?

• What can this organization do to improve its access point?

• Can you think of strategies to better reach the homeless?

Claudio and Isabelle's Questions

1. We are very worried and nervous about the whole procedure. What is this puncture for? And how will they do it?

2. What can we do to reduce our anxiety?

3. How long do we have to wait for the next appointment?

4. How often will we need to go to the hospital for her treatment? What kind of treatments might she get?

5. Can you suggest any strategies that would improve our situation?

1.What can you do to help Patrick to process in a better communication in his relationship ?

2.Is it some exercices, selfwork stuff you can propose to Patrick to try to take his voice about what he needs and wants ?

3.Is there some reading references or proposals like organizations, psychotherapy or other could help him to recovery ?

Client's questions:

1- What can I do to reduce my anxiety?

2- Are there ways to sleep better?

3- Could medication for anxiety help me?

Even though he is in good shape, he says he is bored. André seeks medical assistance in dying. But he is not eligible for medical assistance in dying.

1. How can we help him?

I feel useless to the community and I no longer see the advantage of living long. I'm not going to kill myself and jump out of the window. But I want to leave.

2. How can we reassure him?