CQUniversity Unit Profile
CHIR13011 Mental Health and Chiropractic Care
Mental Health and Chiropractic Care
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.
General Information

Overview

Within your role as a Chiropractor you will encounter a diversity of clients experiencing a variety of mental health challenges which may impact upon their presentation and recovery. As such, during this unit you will be required to recognise the varying degrees of mental health and identify appropriate therapeutic options and referral pathways.Your ability to communicate effectively with clients, with consideration and awareness of their different cultural backgrounds and beliefs will be developed as part of this unit.

Details

Career Level: Undergraduate
Unit Level: Level 3
Credit Points: 6
Student Contribution Band: 8
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites

Co-requisite: CHIR12007 Clinical Assessment and Diagnosis 1

Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).

Offerings For Term 1 - 2018

Brisbane
Mackay
Melbourne
Sydney

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).

Class and Assessment Overview

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

Bundaberg, Cairns, Emerald, Gladstone, Mackay, Rockhampton, Townsville
Adelaide, Brisbane, Melbourne, Perth, Sydney

Assessment Overview

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

Assessment Grading

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 Policy for more details of interim results and final grades.

Previous Student Feedback

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback from Have Your Say Survey and Unit Coordinator feedback.

Feedback

Review of all assessment items and feedback

Recommendation

A review of all assessment items is to be undertaken. In particular the Online test components of the referral letter and more significantly the quiz style component.

Feedback from Have Your Say Survey and Unit Coordinator feedback

Feedback

More time to be spent on-campus with the Unit Coordinator. During term a total of two hours was spent on-campus (face to face) with students.

Recommendation

Review the number of internal sessions with Head of Department and discuss teaching plan for extending the number of internal sessions offered to the cohort.

Unit Learning Outcomes
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 types of mental health conditions and/or challenges
  3. Apply the principles of interpersonal communication and professional behaviours to the standards expected of a chiropractic health professional
  4. Apply recovery framework principles throughout the chiropractic assessment of and intervention process for clients experiencing mental health challenges.

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

Alignment of Learning Outcomes, Assessment and Graduate Attributes
N/A Level
Introductory Level
Intermediate Level
Graduate Level
Professional Level
Advanced Level

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Written Assessment - 50%
2 - Online Test - 50%

Alignment of Graduate Attributes to Learning Outcomes

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
9 - Social Innovation

Alignment of Assessment Tasks to Graduate Attributes

Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8 9
1 - Written Assessment - 50%
2 - Online Test - 50%
Textbooks and Resources

Textbooks

Prescribed

Mosby's Pocketbook of Mental Health 2nd (2015)

Authors: Muir-Cochrane, E, Barkway, P & Nizette, D
Elvevier
Sydney Sydney , NSW , Australia
ISBN: 9780729541909
Binding: Other

Additional Textbook Information

This text explains the model of care for modern mental health practice and how a multidisciplinary team (MDT) works. It goes through the Mental State Exam (MSE), risk assessment and presents the core elements of engaging and working with people with mental health problems into practical skills and approaches that can be applied to a range of settings for care. There’s also a chapter on the major mental health conditions. There are case studies throughout the book which allow you to apply the information you’re learning. Another feature is the do’s and don’ts sections that give handy, practical quick guides for practice.

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
Referencing Style

All submissions for this unit must use the referencing style: American Psychological Association 6th Edition (APA 6th edition)

For further information, see the Assessment Tasks.

Teaching Contacts
Martin Harris Unit Coordinator
m.harris@cqu.edu.au
Schedule
Week 1 Begin Date: 05 Mar 2018

Module/Topic

Mental Health in Australia

Chapter

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.

Events and Submissions/Topic

Lecture Introduction to mental health in Australia

Lived Experience FAQs with Dr Louise Byrne.

Week 2 Begin Date: 12 Mar 2018

Module/Topic

Mental State Examinations and Chiropractic Care

Chapter

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.

Events and Submissions/Topic

Lecture Mental State Examination

Week 3 Begin Date: 19 Mar 2018

Module/Topic

Anxiety Related Disorders and Chiropractic Care

Chapter

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.

Events and Submissions/Topic

Lecture An Introduction to Anxiety related disorders

In Practice with Tamara Taylor Anxiety Disorders.

Week 4 Begin Date: 26 Mar 2018

Module/Topic

Depressive Disorders and Chiropractic Care

Chapter

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

Chapter7 Psychiatric and associated emergencies pp. 83 - 98.

Online readings located in Moodle site.

Events and Submissions/Topic

Lecture An Introduction to Depressive Disorders.

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

Week 5 Begin Date: 02 Apr 2018

Module/Topic

Chronic Pain and Somatisation in Chiropractic Care

Chapter

Online readings located in Moodle site.

Events and Submissions/Topic

Lecture Somatic Symptom Disorders and pain.

Vacation Week Begin Date: 09 Apr 2018

Module/Topic

VACATION 

Chapter

VACATION 

Events and Submissions/Topic

VACATION 

Week 6 Begin Date: 16 Apr 2018

Module/Topic

Alcohol and Substance Related Disorders and Chiropractic Care

Chapter

Online readings located in Moodle site.

Events and Submissions/Topic

Lecture Substance related disorders.

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

Week 7 Begin Date: 23 Apr 2018

Module/Topic

Suicide, Parasuicide, Self-harm and Chiropractic Care

Chapter

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.

Events and Submissions/Topic

Lecture An Introduction to Suicide.

In practice with Tamara Taylor Suicidal ideation case study.


Written Assessment Due: Week 7 Friday (27 Apr 2018) 11:45 pm AEST
Week 8 Begin Date: 30 Apr 2018

Module/Topic

Sexual and Physical Violence conditions and Chiropractic Care

Chapter

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

Chapter 10 Contemporary talking therapies 116 - 120.

Online readings located in Moodle site.

Events and Submissions/Topic

Lecture An Introduction to Sexual and Physical Violence

Week 9 Begin Date: 07 May 2018

Module/Topic

Eating Disorders and Chiropractic Care

Chapter

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.

Events and Submissions/Topic

Lecture An Introduction to Eating disorders.


Online Tests Due: Week 9 Friday (11 May 2018) 10:45 pm AEST
Week 10 Begin Date: 14 May 2018

Module/Topic

Surviving Your Profession, Secondary Trauma/PTSD and Chiropractic Care

Chapter

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

Appendix 1 Surviving clinical placement 158 - 159.

Online readings located in Moodle site.

Events and Submissions/Topic

Lecture An Introduction to Secondary Trauma and PTSD.

In Practice with Tamara Taylor Looking After Yourself.

Week 11 Begin Date: 21 May 2018

Module/Topic

Consolidation week and Final Assessment preparation.

Chapter

Events and Submissions/Topic

Week 12 Begin Date: 28 May 2018

Module/Topic

Consolidation week and Final Assessment preparation

Chapter

Revision 

Events and Submissions/Topic

Revision 

Review/Exam Week Begin Date: 04 Jun 2018

Module/Topic

Chapter

Events and Submissions/Topic

Exam Week Begin Date: 11 Jun 2018

Module/Topic

Chapter

Events and Submissions/Topic

Assessment Tasks

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 Friday (27 Apr 2018) 11:45 pm AEST


Return Date to Students

Week 9 Wednesday (9 May 2018)

Every effort will be taken to return this assessment within 7 working days.


Weighting
50%

Minimum mark or grade
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.


Referencing Style

Submission
Online

Learning Outcomes Assessed
  • Discuss the therapeutic options available for people who may be experiencing different forms of mental health challenges
  • Apply the principles of interpersonal communication and professional behaviours to the standards expected of a health professional


Graduate Attributes
  • Communication
  • Problem Solving
  • Critical Thinking
  • Team Work
  • Cross Cultural Competence
  • 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

Week 9 Friday (11 May 2018) 10:45 pm AEST

Component one due Friday 11th May (Week 9). Component two due Friday 1st June (Week 12)).


Return Date to Students

Exam Week Wednesday (13 June 2018)

All efforts will be made to return these assessments within 7 days of their due date.


Weighting
50%

Minimum mark or grade
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%


Referencing Style

Submission
Online

Learning Outcomes Assessed
  • Identify different presentations in people experiencing mental health challenges
  • Discuss the therapeutic options available for people who may be experiencing different forms of mental health challenges
  • Apply the principles of interpersonal communication and professional behaviours to the standards expected of a health professional
  • Compare and contract classification systems and the recovery based framework.


Graduate Attributes
  • Communication
  • Problem Solving
  • Information Literacy
  • Information Technology Competence
  • Cross Cultural Competence
  • Ethical practice

Academic Integrity Statement

As a CQUniversity student you are expected to act honestly in all aspects of your academic work.

Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.

When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.

Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.

As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.

What is a breach of academic integrity?

A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.

Why is academic integrity important?

A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.

Where can I get assistance?

For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.

What can you do to act with integrity?