NURSING 7150EX - Counselling and Comorbidity

External - Semester 1 - 2014

The counselling part of the course focuses on the development of one's own therapeutic system. It is an integrative counselling approach and draws on models and theories from the humanistic, cognitive and behavioural therapies. We also examine the development of psychotherapy from Freud to Rogers to Perls and Frankl and the development of behavioural therapy, cognitive behavioural therapy and the constructivist therapies of narrative and solution focussed therapy. The comorbidity part of the course introduces you to the body of knowledge that constitutes our understanding of the basis of addiction, mental health and related comorbidities. We examine the major theories underpinning our understanding of drug addiction and look at gambling addiction in this context. We also examine the nature of comorbidity and look at psychosis, depression, bipolar disorder, personality disorders and posttraumatic stress disorder in the context of alcohol and drug use. We will also examine the complex interaction between mental health, addiction and physical comorbidities. A strong theme throughout is the recovery approach and consumer involvement.

  • General Course Information
    Course Details
    Course Code NURSING 7150EX
    Course Counselling and Comorbidity
    Coordinating Unit School of Nursing
    Term Semester 1
    Level Postgraduate Coursework
    Location/s External
    Units 6
    Contact A two day workshop and online tutorials
    Prerequisites NURSING 7104EX
    Restrictions Available to M.NursSc students only
    Course Description The counselling part of the course focuses on the development of one's own therapeutic system. It is an integrative counselling approach and draws on models and theories from the humanistic, cognitive and behavioural therapies. We also examine the development of psychotherapy from Freud to Rogers to Perls and Frankl and the development of behavioural therapy, cognitive behavioural therapy and the constructivist therapies of narrative and solution focussed therapy.

    The comorbidity part of the course introduces you to the body of knowledge that constitutes our understanding of the basis of addiction, mental health and related comorbidities. We examine the major theories underpinning our understanding of drug addiction and look at gambling addiction in this context. We also examine the nature of comorbidity and look at psychosis, depression, bipolar disorder, personality disorders and posttraumatic stress disorder in the context of alcohol and drug use. We will also examine the complex interaction between mental health, addiction and physical comorbidities. A strong theme throughout is the recovery approach and consumer involvement.
    Course Staff

    Course Coordinator: Dr Morgan Newman

    Course Coordinator: Ms Cheryl Green
    Course Coordinator: Cheryl Green
    Phone: +61 8 8313 4877
    Email: cheryl.green@adelaide.edu.au
    Location: Level 3, Eleanor Harrald Building, RAH

    School Office
    Phone: +61 8 8313 3595
    Email: nursing.studentliason@adelaide.edu.au
    Locatio: Level 3, Eleanor Harrald Building, RAH
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    1 Select appropriate communication skills to establish therapeutic relationships for clinical practice.
    2 Demonstrate an understanding of principles in professional relationships in mental health nursing practice
    3 Employ the principles of substance use assessment in the development of care plans
    4 Explain theories that explain the development of comorbid mental health and substance use disorders.
    5 Describe the range of theories and models available for psychotherapeutic intervention in care
    6 Locate, appraise and organise relevant literature to support psycho education as a strategy within mental health nursing practice.
    7 Demonstrate flexible approaches to respond to diversity across the life span or cultural backgrounds.
    University Graduate Attributes

    This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

    University Graduate Attribute Course Learning Outcome(s)
    Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised. 1-7
    The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 1-3, 6
    An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 1-3, 6-7
    Skills of a high order in interpersonal understanding, teamwork and communication. 1, 7
    A proficiency in the appropriate use of contemporary technologies. 1, 6
    A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 6
    A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 2, 6
    An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 7
  • Learning Resources
    Required Resources
    This course will require the following texts and other resources:

    Geldard, D & Geldard, K 2012, Basic personal counselling. A training manual for counsellors, 7th edn, Pearson Prentice Hall, Frenchs Forrest, NSW.

    Corey, G 2013 Theory and Practice of Counseling and Psychotherapy 9th edn Brooks/Cole Cengage Learning.

    Allsop, S 2008, Drug use and mental health. Effective responses to co-occurring drug and mental health problems, IP Communications, Melbourne.

    Reader
    The readings for this course are available electronically via MyUni.
    Please note: it is your responsibility to organise printing should you prefer a hard copy of the reader.
    Recommended Resources
    Texts
    Psychiatric Mental Health Nursing
    Butcher, JN, Mineka, S & Hooley, JM 2013, Abnormal psychology 15th Edition, Allyn and Baker.

    Meadows, G, Farhall, J, Fossey, E, Grigg, M, McDermott, F and Singh, B 2012, Mental health in Australia, collaborative community practice, 3rd edn, Oxford University Press

    Norman, I & Ryrie, I 2009, The art and science of mental health nursing. A textbook of principles and practice, 2nd ed Open University Press.

    Pharmacology
    Bullock, S, Galbraith, A & Manias, E 2007, Fundamentals of pharmacology, 5th edn, Pearson Prentice Hall.

    Lehne, R 2010, Pharmacology for nursing care, 7th edn, Saunders Elsevier.

    Usher, K, Foster, K & Bullock, S 2009, Psychopharmacology for Health Professionals, Mosby Elsevier.

    Drug and Alcohol Addiction
    Baker, A & Velleman, R 2007, Clinical handbook of co-existing mental health and drug and alcohol problems, Routledge, London and New York.

    Marsh, A, Dale, A and O’Toole, S 2013, Addiction Counselling – Content and Process, 2nd edn, IP Communications, Victoria, Australia.

    Note: You are not required to buy recommended texts. However, they provide valuable supplementary reading on various aspects of the material covered within this course and you are encouraged to have a look at them.
    Online Learning
    Virtual Classroom
    The virtual classroom (VC) technology will be used for lectures and tutorial discussions on a weekly basis. Information on the VC will be provided within the Study Guide, you need to familiarise yourself with this technology to become reasonably comfortable with using it prior to the start of the semester.

    MyUni
    All students enrolled in a postgraduate coursework nursing program have access to the School of Nursing – Postgraduate Coursework Student Centre on MyUni. If you would like the opportunity to network with other students, you can use the Communication features in the site. This site will also feature information about the latest news and events at the School of Nursing.

    Unified
    http://unified.adelaide.edu.au/
    UNIFIED is your one-stop shop for email, calendar, MyUni and Access Adelaide. It even allows you to search the Library.
    UNIFIED is available to all active students; with a single login you can access your student systems and personal information through a central website. Login with your Student ID ("a1234567") and Password.

    For more information, including easy to follow instructions visit https://unified.adelaide.edu.au/web/mycampus/home.

    Library Resources
    Help for Nursing Students
    The University of Adelaide Library has a website to help nursing students use the library and its resource (www.library.adelaide.edu.au/guide/med/nursing).

    Remote student library service
    The University of Adelaide Library provides a document delivery and loans service to non-metropolitan students who do not visit a University of Adelaide campus to attend classes (www.adelaide.edu.au/library/docdel/external.html).
  • Learning & Teaching Activities
    Learning & Teaching Modes
    The course is in the format of blended learning including self-directed learning, online tutorials and workshops. You will be provided with a series of topics in the course and you will address these topics through readings and activities. Interactive activities have been designed to test and consolidate your knowledge and to assist in developing skills to critique the literature reviewed.

    Online Classroom tutorial sessions are included to address the week’s readings and activities including clinical practice experience. All students are expected to log on and participate in the discussion.

    Each topic has been designed to provide you with a deeper understanding of the theory required to develop therapeutic counselling skills and an understanding of the nature and responses to comorbid conditions for mental health clients. It also aims to build on knowledge already acquired, encourage you to research and examine the literature in the area of mental health nursing and look for evidence based practice to further support and evaluate the care provided to the person with a mental health problem, their families and friends.

    Throughout this study guide you will encounter activities which will give a greater understanding of the particular topic and its application to mental health nursing. These activities will make up part of the assessment for Counseling & Comorbidity.

    Employment in the mental health setting complements the theory based learning and provides the development of clinical practice with support of a mentor / facilitator.
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    Counselling & Comorbidity is a 6 unit course within the Graduate Diploma/Master of Nursing Science (Mental Health Nursing). The Online Classroom tutorial, attendance at face to face workshops and your own private learning and completion of activities will require up to 24 hours per week. Experiential learning in the clinical area will clearly also contribute to your learning.
    Learning Activities Summary
    The course content will include the following:

    Introduction to the basis of counselling in mental health care
    Exploration of the micro skills for therapeutic communication
    Practice and development of counselling skills
    An exploration of the theoretical approaches and practices for psychotherapeutic interventions.
    The basis of comorbid mental health and substance use including theories of cause and prevalence
    Understanding the nature of substance use and the policy directions for services responding to these disorders
    Approaches to substance use assessment including withdrawal management
    The nature of comorbid substance use with the diagnostic groups of mental disorders including depression, anxiety, post traumatic stress disorder, psychosis and psychotic disorders and personality disorders.
    The occurrence and service responses for clients with comorbid presentations from specific population groups including youth, older persons, Aboriginal & Torres Strait Islanders and those with forensic issues.
    An exploration of the service models and settings relevant for comorbidity
    Specific Course Requirements
    Students are required to be working a minimum of 0.6FTE in a mental health setting. The completion of Counselling Skills Workbook will be supported by workplace facilitators / preceptor / mentor. The completed counselling skills workbook will form part of the assessment .
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Assessment Task Assessment Type Weighting Learning Outcome(s) being addressed
    Online Quiz Formative N/A 2-3
    Presentation – Part A
    Presentation – Part B
    Summative/Formative 40% 4-6
    Essay - Case Study Summative 40% All
    Counselling Skills Workbook Summative 20% 2
    Assessment Related Requirements
    Students are required to be working a minimum of 0.6FTE in a mental health setting. The completion of Counselling Skills Workbook will be supported by workplace facilitators / preceptor / mentor. The completed clinical skills book will form part of the assessment.
    Assessment Detail
    Assessment 1
    Online Quiz - Week 3
    An online Quiz will be provided on MyUni.
    This assessment is formative. It will have no marks assigned, however it will be marked and feedback will be provided to assist you in developing skills for future assessments.

    Assessment 2
    Presentation
    You are required to develop and deliver a 15 minute presentation at the face to face workshop in Week 11.
    The presentation will be on a topic related to counselling or comorbidity as included in this course.
    Each student will negotiate the topic with the course co ordinator.
    Part A Students will submit a plan for the presentation. This will provide background for the Course co ordinator who will provide feedback to support the development of the presentation.
    This will be presented in academic writing style with references in the usual way.

    Length – 1500 words                               Weighting 15%                                  Due Week 8

    Part B You will deliver your fifteen minute presentation at the course workshop in Week 11.
    Your presentation will include clear objectives and contemporary references.

    Length – 2000 words (equivalent)           Weighting 25%                                  Due Week 11

    Assessment 3
    Essay - Case Study
    You will be required to provide a case study based on your clinical practice to demonstrate assessment, care planning and delivery for a client with comorbid mental and substance use disorder.
    Length – 2000 words                               Weighting: 40%                               Due – Week 13

    Assessment 4
    Counselling Skills Workbook
    In collaboration with your facilitator / preceptor / mentor in your workplace, you will identify goals to guide and monitor the development of clinical practice.
    You will be required to submit the completed workbook which will include self assessment and assessment and comments from your workplace preceptor / facilitator / mentor.
    Length 2000 word equivalent                 Weighting : 20%                              Due Week 10
    Submission
    Assessments, unless otherwise stated in your Study guide, are to be submitted electronically via Assignments in MyUni on the due date identified in this Study guide. Instructions for assignment submission are available for all students under Tutorials at www.adelaide.edu.au/myuni/ .

    An assessment submitted via MyUni must be submitted as a .doc, .docx or .rtf file. If submitting a PowerPoint presentation for marking, the .ppt or .pptx must be submitted as .pdf file. It is also important to submit your file under your name, such as surname.firstname. MyUni stamps all the other details against your filename once you submit your assessment.

    An Assignment Coversheet must be submitted with each assessment. The coversheet should be the first page of your assessment. A word version of the Assignment Coversheet is available to download at www.health.adelaide.edu.au/nursing/students/resources. The Plagiarism Statement must be signed and dated for your assessment to be marked (please note the details stated on the Assignment Coversheet). More information on avoiding Plagiarism is available at www.adelaide.edu.au/clpd/plagiarism/.

    If you have difficulty submitting your assignment, you can call the MyUni helpdesk from 8am to 6pm 08 8303 3335.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    M10 (Coursework Mark Scheme)
    Grade Mark Description
    FNS   Fail No Submission
    F 1-49 Fail
    P 50-64 Pass
    C 65-74 Credit
    D 75-84 Distinction
    HD 85-100 High Distinction
    CN   Continuing
    NFE   No Formal Examination
    RP   Result Pending

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

     

    Marking Guide – Case Study

    Structure and writing style  25%

    Structure (15%)

           Introduces the patient focus of the study.

           Clearly describes the way in which the case study will proceed (follows the suggested outline within the Study guide).

           The case study is structured according to the suggested outline with headings used to indicate the sections.

           The case study summarises the case details and identifies the key components that support the argument that this is an episode of inadequate or high quality care/ assessment.

           The case study summarises the case details and makes recommendations are made for enhancement of care (if applicable).

    Writing style (10%)

           The case study is written with clear sentence structure, clarity of argument, precision of expression and the spelling and grammar are correct.

    Content and critical analysis  60%

    Content (30%)

           The case study has been presented logically.

           The case study’s content has clear links to contemporary nursing practice.

           The student’s paper demonstrates a depth of understanding of the topic and related nursing issues.

           Confidentiality has been maintained.

    Critical analysis (30%)

           The case study demonstrates a high degree of critical thought and insight into the patient's condition and nursing care provided by:

           providing a justification/rationale for the argument/discussion (or analysis) pertaining to nursing care and related to evidence based practice

           demonstrating they have reflected on the complex issues surrounding the nursing care

           discussing the nursing care from differing perspectives, thereby providing a balanced argument/discussion.

    Referencing  15%

           The referencing style used throughout the paper is congruent with the School Academic Manual.

           The reference list is accurate (i.e. no missing page numbers, volumes, correct title etc), complete (i.e. no references in the body of the paper are missing from the reference list) and consistent with the School Academic Manual.

           The references cited are contemporary (i.e. less than 10 years old unless seminal papers).

           Primary references are used predominantly (i.e. the original reference has been cited rather than a secondary source).

           Primary references are used predominantly (i.e. the original reference has been cited rather than a secondary source).

           There is evidence in the paper that the student has searched widely for information related to the topic/issue.

           The student has acknowledged all sources of information.

           Direct quotations are only used to make crucial points or to support the discussion/argument.

     

     

    Marking Guide - Presentation and Paper

    Presentation

    Structure  20%

           Introduces the topic and states aims of the presentation

           Clearly describes the way in which the presentation will proceed

           The presentation is structured in a logical sequence so that the content flows

           The presentation ends with a brief cogent, defendable conclusion that summarises the discussion within the presentation

           The time for the presentation is managed well, allowing adequate time for questions / debate at the conclusion of the presentation

    Content  60%

    Content (30%)

           The presentation has covered the topic sufficiently

           The presentation content has clear links to contemporary nursing theory and clinical practice

           The students presentation demonstrates a depth of understanding of the topic and associated significant issues

    Critical analysis (30%)

           The presentation demonstrates a high degree of critical thought and insight by:

           providing justification/rationale for the discussion

           demonstrating they have reflected on the complex issues surrounding the topic

           discussing the topic from differing perspectives, thereby providing a balanced discussion.

    Discussion and presentation style  20%

           Material is presented in an interesting manner

           The student uses learning resources appropriately

           The group's interest is maintained by the student:

           The student is audible

           Responds to questions in an appropriate fashion

           The student lead’s an interactive discussion that challenges the group to issues related to their nursing practice

     

    Briefing paper

    Structure and writing style  20%

    Structure (15%)

           Introduces the topic of the presentation

           The briefing paper is structured in a logical sequence so that the content flows (headings may be used to develop the structure)

           The paper ends with a brief cogent, defendable conclusion that summarises the discussion within the body

    Writing style (5%)

           The paper is written with clear sentence structure and the spelling and grammar are correct

    Content  70%

           The briefing paper summarises the topic/issue adequately

           The content has clear links to contemporary nursing theory and clinical practice

    Referencing  10%

           The referencing style used throughout the paper is congruent with the School Academic Manual

           The reference list is accurate (i.e. no missing page numbers, volumes, correct title etc), complete (i.e. no references in the body of the paper are missing from the reference list) and consistent with the School Academic Manual

           The references cited are contemporary (i.e. less than 10 years old unless seminal papers)

           Primary references are used predominantly (i.e. the original reference has been cited rather than a secondary source)

           There is evidence in the paper that the student has searched widely for information related to the topic/issue

           The student has acknowledged all sources of information

           Direct quotations are only used to make crucial points or to support the discussion/argument

     

    Final results for this course will be made available through Access Adelaide.

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