Each student will complete a written assignment to demonstrate their understanding of the 5-step action plan (ALGEE). Sample vignettes are provide

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ALGEE Worksheet Grading Rubric

Worksheet Item: Insufficient Sufficient Proficient Insufficient Sufficient Proficient

No points given for identifying scenario, but -5 points will be deducted if your scenario is not identified by topic and number.

Considerations Actual Comments/Quotes

0-2 points: The learner’s comments may

indicate a lack of preparation prior to responding. Response does not indicate familiarity with the concept

of approach/assessment, and comments are not always relevant to the topic being discussed. The comments may not address all aspects of the item, or exhibit

proper punctuation and grammar. Or the learner may not have

answered this item.

3-6 points: The learner was

consistently lacking in two or more of the

items listed for proficient-level. It is

evident that the learner has read the material, but has not reflected on it in any

depth. The participant mostly used proper

punctuation and grammar.

7-10 points: It is evident that the

learner has read and reflected upon the

assigned readings prior to completing the

assignment. Comments made indicate an

understanding of the approach and

assessment, and are relevant to the discussion. The learner used proper

punctuation and grammar.

0-2 points: The learner did not include any actual

quotes or comments they would make to

the identified person of concern or comments are not relevant to the topic. The comments

may not be address all aspects of the item, or

exhibit proper punctuation and

grammar.

3-6 points: The learner did include at least one comment or quote to use, however is

consistently lacking in one or more of the items listed for proficient-level.

It is evident that the learner has read the material, but has not reflected on it in any

depth. The participant mostly used proper

punctuation and grammar.

7-10 points: The learner included

2-3 comments or quotes to use.

Comments made indicate an

understanding of the major concepts studied, and are relevant to the

discussion. The learner used proper

punctuation and grammar.

Score: 1. Approach/ Assessment _____ 2. Listen Non-Judgmentally _____ 3. Give Reassurance _____ 4. Encourage Appropriate Professional Help _____ 5. Encourage Self-Help and Other Support Strategies _____

Deduction for failure to identify scenario? -5 Tota: ______

Choose one of the scenarios provided in your Blackboard shell. Complete the form by answering the questions below. As part of your answer, each section should have:

• Overall considerations you would make in this scenario. • 2-3 actual quotes of things you would say to this person.

This assignment is worth 100 points. Do not rush through this worksheet. Take your time answering each question. Reference your MHFA manuals and the tips regarding ALGEE for the type of concern you are addressing.

Which scenario did you select? (Please identify the topic i.e. Anxiety/Depression, Panic Attack, etc. & the number of the specific scenario from that topic. For example: Depression #1).

USING MHFA ACTION PLAN (ALGEE) WHAT CAN YOU DO TO ADDRESS YOUR CHOSEN SCENARIO/HELP THE IDENTIFIED PERSON? 1. ASSESS THE SITUATION:

2. LISTEN NON-JUDGMENTALLY:

3. GIVE REASSURANCE AND INFORMATION:

4. ENCOURAGE APPROPRIATE PROFESSIONAL HELP:

5. ENCOURAGE SELF HELP STRATEGIES:

Assign

Assignment Worksheet

1. 1:
2. 5:
3. 4:
4. 3:
5. 2:
6. Text1:

1. FAMILY My 57 year old mother died after a short illness last June. She was a wonderful mother and my 66 year old father adored her. They had been married for 38 years. He is finding it extremely difficult to cope without her. To make matters worse, he retired just two months before she died and is at a loss to fill his days.

He is disorganized and has not established any pattern in his life. I invite him for meals and outings, but he is detached and depressed. He doesn’t seem to be part of the world any more. I am terribly worried about him. How long will he be like this? I am 34 and have small children. I thought being with the children would help him, but it’s as though he doesn’t see or know them. He just sits and stares into space for much of the day. He seems locked into his grief.

2. FAMILY One of our 17 year old son’s best friends took his life several months ago. Our son didn’t say much at the time, but he was very shaken. Since then he has gradually “retired” into himself. He stays in his room most of the time listening to rock music.

He is unemployed and no longer sees his former schoolmates. We are very worried about him. How do we get him out of himself? He has always been a quiet guy but his present behavior is beyond “quiet.” We have two other children, girls aged 13 and 10, but our son now just ignores them.

3. FAMILY – rural Ken is a 67 year old farmer who lives with his wife Margaret. Ken and Margaret had hoped to retire late in their 60s and move to the west coast to be closer to their children, reluctantly selling the family property that has been struggling financially. They have limited investment funds set aside to support their retirement and have been told it is unlikely that they would be successful in selling their farm. Ken also suffers chronic back pain from a previous farm injury. A neighbor has become concerned about Ken’s ability to cope with his property, and has visited Ken and Margaret a number of times due to problems with his stock and pasture management. Margaret believes the farm is “too much for them now,” but feels she can’t talk to Ken about this. Ken has become withdrawn and refuses to discuss the issue. He talks about there being “no way out of this,” and that it “might as well be over.” He sees his physician infrequently, having difficulty traveling the 60 miles to the nearby town.

4. FAMILY – rural Jason is 34 years old and lives with his wife Jenny and their two children (8 and 3 years old). After completing a mechanical trade apprenticeship in Boston, he has returned home with plans to build his future as a farmer. He has become increasingly irritable and frustrated with what he believes is his failure to “get on top of things” on the farm, and they are struggling to manage financially.

Jason is drinking heavily, mostly at home, but still drives his car into town. Jenny is angry and worried about this. She is feeling isolated, having few friends in the area, and relying on Jason’s parents who live nearby, who are eager for Jason to remain in the area and take over the family farm. Jenny has taken Jason to the primary care physician a number of times now for these problems, but is concerned he is getting worse.

SCENARIO 1 You have been asked to see Sue, a high achieving student, because her home room teacher has noticed that she has lost a significant amount of weight in the last few months. Her clothes are baggy. She also seems to have withdrawn from her friends and is often seen running around the track at lunch time or recess. She has been spending more time in the school nurse’s office, often complaining of a stomachache and nausea. Last week she fainted in an afternoon class. Her teachers comment that she seems distant in class and that the quality of her homework assignments has begun to deteriorate. When asked, she constantly denies there is anything wrong and promises that she will work harder to make up for her falling grades.

The school has told Sue’s parents they are concerned that she may be developing an eating disorder. When her parents confronted her, Sue merely told them that everything was fine. They thought you might have better luck getting her to open up.

SCENARIO 2 A student has been absent from classes a lot over the past few months. Her appearance has deteriorated: her hair is limp; her skin is pale; her teeth are stained and she has dark circles under her eyes. You have noticed that her weight has fluctuated a lot recently and she often appears “puffy” around her face and neck. Her teachers report that she has dismissed herself several times during class to go to the bathroom and sometimes returns with a flushed face and watery eyes. Her friends tell you that she talks obsessively about weight, food, calories, and celebrities’ bodies. She has rejected her homeroom teacher’s attempts to speak with her about any problems she might be having and denies that there is anything wrong.

You are concerned that she may be developing an eating disorder.

SCENARIO 3 A male student in 10th grade has gained a significant amount of weight, withdrawn from his social group and no longer plays sports. He often disappears at lunchtime but is rarely seen eating at school. When he does eat, it seems that he is generally eating junk food. His teachers comment that he is often late to class, his academic performance has fallen, and his mood swings are quite noticeable during the day.

When he has been approached about changes in his behavior, he was very embarrassed and reluctant to speak. He said that he has a glandular condition which is affecting his weight.

You are concerned that he may be developing an eating disorder.

1. COMMUNITY SETTING You are at a shopping mall with your friend Jane when suddenly she starts to look really sick and says things are spinning. Jane’s breathing is increasing and it sounds like she is struggling to catch her breath. She starts to panic and grabs at you, holding her chest. She says she is terrified something bad is about to happen. You suspect she may be having a heart attack or a panic attack.

2. FRIEND Don, a 26-year-old married IT technician, is suffering from periodic feelings of extreme fear that overcome him with no warning. These feelings began 6 months ago, soon after the birth of his first child, and in the past several weeks have escalated so that they occur once per week. Yesterday, he had two such attacks and he is now apprehensive that he may be going crazy, because he has no idea why he is so fearful. Upon questioning, he says that he feels dizzy and faint during these episodes and that he has also been trembling and experiencing tingling sensations in his hands.

3. CLIENT Anne, a 45-year-old unemployed single woman, complains that she has experienced discrete bouts of nervousness for a number of months, the source of which she cannot understand. Specifically, her heart beats rapidly, she feels dizzy, she has hot and cold flashes, and her hands and feet tingle. Simultaneously, feelings of intense apprehension overwhelm her. She now feels so much apprehension about the possibility of these horrible sensations occurring that she never goes out alone. She has had one attack in the past month. Before the symptoms started, she says she was happy and healthy. The symptoms began six months after the unexpected death of a favorite uncle.

4. WORKPLACE – College Professor You teach an introductory course comprised primarily of freshmen. One of the assignments that you have given to the students requires each student to give a 5 minute oral presentation. Most of the students have done their presentations. A young student gets up to do his presentation. He looks very nervous and pale, and then his breathing becomes very rapid and shallow, he clutches his chest. You suspect that the student is having a panic attack.

5. WORKPLACE Your office is a busy and somewhat chaotic place. You are trying to move through the crowded and noisy reception area when you notice a member of the public standing in the middle of the area looking pale and distressed. She is not someone you know, but she suddenly grabs at you, clutching her chest with her other hand. She sounds as though she is struggling to breathe. She manages to say, in a strangled voice, “Help me, the room is spinning!”

6. WORKPLACE Don, a 26-year-old IT technician, is suffering from periodic feelings of extreme fear that overcome him with no warning. They began 6 months ago, soon after the birth of his first child, and in the past several weeks have escalated so that they occur once per week. Yesterday, he had two such attacks and he is now apprehensive that he may be going crazy, because he has no idea why he is so fearful. He discloses that he feels dizzy and faint during these episodes and that he has also been trembling and experiencing tingling sensations in his hands. Unfortunately, the new server for the office is about to be installed and it is imperative that all systems are running problem free before the approaching assessment and reporting deadline. Don expresses great concern about his ability to cope with the workload involved.

1. FRIEND Julia is the 21-year-old daughter of your close friends and has been best friends with your son since he and Julia were in elementary school. She discloses to you that she has been drinking and taking "party" drugs regularly. You notice that she seems very sad lately and you discuss this with her. Julia discloses that things at home and at school have been really bad and even though she knows that the drinking and drugs are bad for her, it is the only time that she feels good and happy.

2. FAMILY My husband and I have been married for 18 years and have two daughters, 17 and 16, and a son, 12. He is 49 and I am 44. A year ago he was a moderate drinker, just two or three beers a day, but now he is drinking a bottle of wine as well as liquor every night. He denies he has a problem, but he is wrong. He drinks every night and is drunk every weekend. He used to be a good husband and father, but during the past year, I have lost confidence in him.

If I try to talk to him about his drinking, he becomes verbally abusive. He is very unpleasant. The girls are ashamed of him and are threatening to leave home and live with their grandmother.

How can I get him to seek help when he won’t admit he has a problem? My mother thinks I should secretly videotape him and show him how he is behaving. Could this bring him to his senses? We cannot go on living like this. The children’s lives are being badly affected.

3. WORKPLACE You are concerned about a co-worker who has been really difficult to work with lately. On a few occasions over the past month he has called in sick, when he seemed okay the afternoon before. He is usually at the center of the very active office social life and regularly leaves from happy hours having had a few too many. No one ever minds, as it is all part of the fun of working here. But lately he has been morose and quiet at the bar after work. He just sits there downing drink after drink.

You are getting worried because you and your colleague have a joint deadline to meet and he is constantly complaining about criticism of his efforts, his mistakes here and there, and your constant nagging about deadlines. You feel that you normally have a good working relationship and that his outbursts are unjustified. One day when he calls in sick, he unexpectedly says that he just can’t cope with the pressure and he is thinking of resigning.

4. WORKPLACE A 25-year-old single mail clerk complains that his stomach has been giving him trouble. He has recently cut back on his alcohol consumption and has been experiencing an extremely upset stomach accompanied by trembling and sweating. His reduced alcohol intake at present is in response to an ultimatum from his boss to either cut down on his drinking or lose his job. This, in turn, was prompted by his third arrest in two years for drunk driving.

5. WORKPLACE– Police station A male officer that you work with is in his mid-forties, married with no children. He has seven years of experience having joined the force later in life. You find him sitting with the lights out two hours after his shift started. You see that he hasn’t shaved for several days and you can smell alcohol on his breath. He says he got little sleep last night because he was drinking with friends until around 3 a.m. You tell him that his behavior isn’t fair to you or the other officers who depend on him or have to cover for him. He responds by yelling, “why should I care when I’ve been screwed over time after time by management.” He talks about not getting a job that he was promised. Over the past few months, you have seen him come to work in dirty uniforms, unshaven, and smelling of stale alcohol. Recently he also seems more accident prone.

1. FRIEND – rural setting You live in a small town where conditions are extremely harsh. It has been an exceptionally long, hot, dry summer with weather conditions just right for wildfires. Unfortunately, it was not long before a major fire occurred. It was a tough time for all, but fortunately your town was saved. Sadly, a neighboring town wasn’t so lucky, and many homes were lost. Your town pitched in to fight the fires and to provide support to the locals. Many of the neighboring townspeople are long time friends or family members. The losses felt by the community were devastating. You were there as a volunteer disaster relief worker and saw that one of your friends had lost everything. There were also other support workers and counselors on hand. You are very concerned about your friend, and his ongoing, highly-stressed reaction to the situation. He is irritable, nervous, is not sleeping very well and can’t stop thinking about the fire. 2. FAMILY When my partner was 16 he came home from school and found the body of his mother. She had had a heart attack. He says he went into shock and was in a bad way for some time. His father arranged for him to talk with someone, and he eventually came to terms with what had happened. He is now 27 and we have been together for nearly a year. We have been very happy together and he has been the best thing that has ever happened to me. However, three weeks ago our pet cat was hit by a car and killed in front of our home. My partner came home from work and found the cat in the gutter. When I came home, I found him sitting in the dark. Since then he has been having nightmares and flashbacks. He keeps reliving the time when his mother died. He is becoming anxious and withdrawn and is not sleeping well.

3. WORKPLACE It is the second week of the semester and the volume of students coming into the library has been steadily increasing and lots of students are accessing the library for the first time. It is generally very busy (as it always is at this time of year). Vivian, a new staff member (employed on a 6 month fixed term contract) is 20 minutes late to work and arrives looking pale. You are busy helping a student, and there is no opportunity for the usual morning greeting. The supervisor of the section is at a meeting. Vivian sets about to work shelving books nearby. You notice that Vivian is having trouble sticking to the task, at times she walks up and down the same row of shelves to find the correct location for a book. See also seems to be tense and nervous. You finally get the chance to ask about her weekend. Vivian replies that she had been involved in a car accident on Friday night when driving home from a party. The driver of the other vehicle swerved into her car, rolled his car and was killed. Vivian says that she has not been sleeping and can’t stop thinking about the accident.

4. WORKPLACE You work in the administration section of a chemical company. You work closely with one of the plant supervisors, with whom you are quite good friends. About 3 weeks ago, there was a fire at the plant. A number of employees were evacuated, some suffering from smoke inhalation. One employee was severely burned and, despite prompt first aid at the site, died a couple of days later while in intensive care in a hospital burn unit.

Your employer offered all staff the opportunity to discuss the incident with a counselor immediately following the fire, but your colleague did not talk to anyone. He was very distressed when he heard of the worker’s death and took the rest of the day off. He has been back at work every day since then, but you are increasingly concerned about him. He is extremely irritable with staff and quite jumpy. He tells you he is not sleeping very well and can’t stop thinking about the day of the fire. But he says that there’s nothing that can be done and he has no intention of discussing it with you or anyone else.