18152 28-Jun-16 1 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person level: 4 credit: 6 planned review date: February 2003 sub-field: Social Services purpose: People credited with this unit standard are able to: describe suicide risk factors and signs of distress that indicate that a person may be at risk of suicide; recognise suicide risk factors and signs of distress in a person; respond to a person with suicide risk factors and signs of distress; record and report on suicide risk factors and signs of distress in a person; and make a referral of a person with suicide risk factors and signs of distress. entry information: Prerequisites: National Certificate in Iwi/Maori Social Services (Level 4) [Ref: 0666], or National Certificate in Pacific Island Social Services (Level 4) [Ref: 0763], or National Certificate in Social Services (Level 4) [Ref: 0250], or National Certificate in Youth Work (Level 4) [Ref: 0669]; and Unit 7963, Contribute to the empowerment of people experiencing oppression and marginalisation where candidates have not been awarded that unit standard as part of one of the preceding qualifications; or demonstrate equivalent knowledge and skills. accreditation option: Evaluation of documentation and visit by NZQA and industry. moderation option: A centrally established and directed national moderation system has been set up by Community Support Services ITO Limited (Careerforce). special notes: 1 People awarded credit in this unit standard are able to demonstrate knowledge of te tino rangatiratanga and kāwanatanga of the Treaty of Waitangi, and are able to demonstrate knowledge of how to apply the articles of the Treaty of Waitangi to social services. They are able to apply this knowledge to the context of assessment for this unit standard (for further clarification, please New Zealand Qualifications Authority 2016 18152 28-Jun-16 2 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person refer to Unit 7927, Demonstrate knowledge of the application of the Treaty of Waitangi in the social services). 2 This unit standard may be assessed on the basis of evidence of demonstrated performance in the work place, and/or through the use of simulated work place situations that closely approximate the performance required in workplace settings. Work place settings can include field education placements. 3 It is acknowledged that "Suicide risk assessment is based on the (social service worker's) identification of risk factors and on subjective intuition. The (social service worker) needs to attend to her/his intuition as well as objective responses when determining if, and the degree to which, a person is at risk of suicide." Ministry of Health and National Health Committee. (1998) Young People at Risk of Suicide: A Guide for Schools. Wellington: Ministry of Education: p.14. Assessment of candidates for award of this unit standard will also need to acknowledge the significance of intuitive judgement in the assessment process. New Zealand Qualifications Authority 2016 18152 28-Jun-16 3 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person 4 Person refers to a person who may be at risk of suicide. Participants may include but are not limited to: the person who may be at risk of suicide, her/his family or whānau, peers, informants, other professionals. 5 Needs may include but are not limited to: needs to be believed, affirmed, and supported; needs for physical comfort, privacy, respect, safety, security; need to be in a family or whānau, or safe collective group. 6 Characteristics may include but are not limited to: physical, spiritual, and mental characteristics, including age; language; stage of development; culture; disability; financial status; gender; health status; language; sexual identity; religion; cultural status. 7 Other professionals may include but are not limited to: counsellors, cultural specialists, resource people, health professionals, other specialist assessors, as relevant to the context of assessment. New Zealand Qualifications Authority 2016 18152 28-Jun-16 4 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person 8 All communications are treated confidentially, except where there is an ethical, legal, or organisational duty on the social service worker to report suicide risk. The scope and limits of confidentiality are defined through negotiation with and informed consent of participants, and criteria established by legislation, ethical practice, and service provider guidelines. In the context of this unit standard, sources of criteria established by legislation, ethical practice, and service provider guidelines include, but are not limited to: the Official Information Act 1982, Privacy Act 1993, agency codes of conduct, codes of practice issued by the Privacy Commissioner, social service codes of ethics, and service provider guidelines, protocols, staff manuals, strategic plans, kawa or tikanga. 9 Social service worker is used as a term to refer to the person seeking award of credit in this unit standard. Social service worker may include but is not limited to: community worker, counsellor, kaiāwhina, social worker, kaitautoko, youth worker, and others who deliver social services, whether paid or unpaid. 10 In carrying out all elements of this unit standard, actions are documented according to enterprise standards. Enterprise standards include but are not limited to: service provider strategic plans, kaupapa, governing legislation, staff manuals, service provider protocols. New Zealand Qualifications Authority 2016 18152 28-Jun-16 5 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person 11 Resources related to suicide intervention include but are not limited to: a Coggan, Carolyn; Dickinson, Pauline; Rimm, Michael; Cherrington, Jane. 1999. A Practical Guide to Coping With Suicide. Auckland: Mental Health Foundation. b Ellis, Pete M.; Collings, Sunny C. D.; Eds. October 1997. Mental Health in New Zealand from a Public Health Perspective. Wellington: Public Health Group, Ministry of Health. c Joseph, Paul (Ati Hau). 1997. Māori Youth Suicide in Aotearoa: Selected Interviews with Māori Elders. Auckland: The University of Auckland: Iri Masters Thesis Series Number 10. d Ministry of Health, Ministry of Youth Affairs, and Te Puni Kōkiri - Ministry of Māori Development. 1999. In Our Hands: New Zealand Youth Suicide Prevention Strategy - Kia Piki Te Ora o Te Tamariki: Strengthening Youth Wellbeing. Wellington: Ministry of Health, Ministry of Youth Affairs, and Te Puni Kōkiri. e Ministry of Health and National Health Committee. 1998. Young People at Risk of Suicide: A Guide for Schools. Wellington: Ministry of Education. f Royal New Zealand College of General Practitioners and Ministry of Youth Affairs. 1999. Guidelines for Primary Care Providers: Detection and Management of Young People at Risk of Suicide. Wellington: Royal New Zealand College of General Practitioners and Ministry of Youth Affairs. New Zealand Qualifications Authority 2016 18152 28-Jun-16 6 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person g h Royal New Zealand College of General Practitioners and Ministry of Youth Affairs. 1999. A Quick Reference for Primary Care Providers: Detection & Management of Young People at Risk of Suicide. Wellington: Royal New Zealand College of General Practitioners and Ministry of Youth Affairs. Smith, Don; Beautrais, Annette. December 1999. "Identifying young people at risk of suicide". Social Work Now 14:23-34. Please note that at the time of registration, there were no specific resources recommended related to suicide intervention with older persons. 12 It is a principle of safe practice in working with suicide intervention that social service workers at all levels of competence participate in professional supervision (sometimes referred to as clinical supervision). People awarded credit in this unit standard demonstrate consistent use of professional supervision as part of safe practice. New Zealand Qualifications Authority 2016 18152 28-Jun-16 7 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person Elements and Performance Criteria element 1 Describe suicide risk factors and signs of distress that indicate that a person may be at risk of suicide. performance criteria 1.1 Description identifies suicide risk factors and signs of distress in terms of the resources in special note 11. Range: 1.2 seven suicide risk factors and/or signs of distress identified from any two of the resources. Description identifies ways that signs of distress are expressed within the context of a person's culture. Range: person's culture - Māori, one Tauiwi culture. element 2 Recognise suicide risk factors and signs of distress in a person. performance criteria 2.1 Suicide risk factors and signs of distress in a person are recognised in terms of the definition of suicide risk factors and signs of distress in one of the resources in special note 11. New Zealand Qualifications Authority 2016 18152 28-Jun-16 8 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person 2.2 Suicide risk factors and signs of distress in a person are recognised in terms of indicators, signs, and disclosures. Range: indicators, signs, and disclosures may include but are not limited to - behavioural signs; cultural signs; emotional signs; family signs; physical signs; situational signs; disclosures by the person; suicide plan; information or comments from ministers of religion, elders, leaders, family or whānau, peers; information from other professionals. element 3 Respond to a person with suicide risk factors and signs of distress. performance criteria 3.1 Responses are in terms of the safety of the person as being the first and paramount consideration. 3.2 Responses positively acknowledge the needs of the person. 3.3 Responses positively acknowledge the needs of the family or whānau and other supporters. 3.4 Responses acknowledge the characteristics of the person. 3.5 Responses acknowledge the characteristics of the family or whānau and other supporters. New Zealand Qualifications Authority 2016 18152 28-Jun-16 9 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person 3.6 Responses are made using interpersonal skills and language that respond to verbal and non verbal communications including body language. Range: interpersonal skills may include but are not limited to - active listening skills; use of voice tone and language; recognition of body language. 3.7 Responses seek sufficient information for recognition of suicide risk factors and signs of distress, and initiating safety procedures for the person. 3.8 Responses provide participants with sufficient information to enable them to access community support networks and services. element 4 Record and report on suicide risk factors and signs of distress in a person. performance criteria 4.1 Records of all information relevant to the person including recognised suicide risk factors and signs of distress are prepared and stored. Range: information relevant to the person including recognised suicide risk factors and signs of distress may include but is not limited to behavioural signs; cultural signs; emotional signs; family signs; physical signs; situational signs; disclosures by the person; suicide plan; information or comments from ministers of religion, elders, leaders, family or whānau, peers; information from other professionals. Evidence is required of three items of relevant information. New Zealand Qualifications Authority 2016 18152 28-Jun-16 10 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person 4.2 Records are prepared and stored in accordance with criteria established by legislation, ethical practice, and service provider guidelines. 4.3 Records are referred on and reported in accordance with criteria established by legislation, ethical practice, and service provider guidelines. element 5 Make a referral of a person with suicide risk factors and signs of distress. performance criteria 5.1 The referral process is based upon relevant criteria. Range: 5.2 The referral process identifies relevant issues for future involvement of the social service worker or social service provider. Range: 5.3 relevant criteria - observation of the situation; safety of the person who may be at risk of suicide as the first and paramount consideration; suicide risk factors; abilities and means of participants; available resources; input from other professionals; enterprise standards. relevant issues - factors that may lead to resumption of contact; future roles, functions, and services available from the social service worker or social service provider; means of re-establishing contact with the social service worker or social service provider; other sources of referral. The referral process is effected according to the established kawa and tikanga. New Zealand Qualifications Authority 2016 18152 28-Jun-16 11 of 11 SOCIAL SERVICE WORK IN SUICIDE INTERVENTION Recognise, respond to, and report suicide risk factors and signs of distress in a person Comments to: Careerforce PO Box 2637 Wellington 6140 Please Note: Providers must be accredited by the Qualifications Authority before they can offer programmes of education and training assessed against unit standards. Accredited providers assessing against unit standards must engage with the moderation system that applies to those unit standards. [Please refer to relevant Plan ref: 0222] New Zealand Qualifications Authority 2016