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Client Information – Sonny D’Cruz Client #2: Sonny D’Cruz 123 Smith Street, West Melbourne Vic 3003 Ph: 0400 000 000 DOB/Age: 21-years-old 15/10/2001 Cultural Identity: Sonny was born in Australia. Alcohol and other drug use: Occasional alcohol intake. Cigarette smoker. Mental health: Sonny has been diagnosed with depression. He has a brain injury acquired in a car accident 18 months ago. This affects his short-term memory, cognitive skills and decision making. Sonny has been eating excessively since his accident. He says it makes him feel better but also sometimes he just can’t remember if he has had a meal or not, so he often eats two or more lunches or dinners. Before his accident he had a large social network and played a lot of sport. He was a popular and well-known face in his local community. His friends have largely dropped off since the accident but one or two stay in touch occasionally. He says he feels very sad about this and misses his friends. It has also been recently discovered that Sonny is self-harming – scratching at his thighs with pens and sharp implements such as dinner forks. His brother, Marlo, who is his primary carer, noticed this when helping him to shower. He felt some of the scratches were angry and infected looking. Physical Health: Sonny is significantly overweight. Marlo estimates he has gained 40kg in the 18 months since his accident. Sonny’s legs were badly damaged in the accident, and he now needs a stick to walk or stand up for any length of time. He is working on his strength and balance. He also walks laps of his backyard every day to try to increase his endurance. Family/personal network: Marlo and Sonny’s parents are deceased, leaving them each with a substantial inheritance. Marlo is his primary carer, with help from Marlo’s Partner Kat. They all live together in a townhouse in outer suburban Melbourne. Marlo has recently upped his working hours as he and Kat are expecting their first child. Marlo is worried how they will get on when Kat has the baby. Kat is supportive and wants Sonny to stay with them, but Marlo feels might be better if Sonny were to live elsewhere. Income: Sonny receives an income from Centrelink. Education/Employment: Sonny was at university studying economics at the time of his accident. He knows he can’t study any more but would like to find some way to fill his days. Housing: Sonny lives with Marlo and Kat in a three-bedroom townhouse. They all get on well and Sonny hates the idea of having to live elsewhere. The townhouse is well situated close to shops and public transport. Care Network: Sonny received a range of support services following his accident through NDIS; however, he chose to disengage from the NDIS provided support. He has expressed that he doesn’t think his issues constitute a disability and he doesn’t want to take away from more deserving individuals when he can pay for his own care. He is not currently engaged with any other services. Current Risks/Triggers/Goals: Sonny knows he has memory issues and worries constantly about forgetting appointments. He worries about making a fool of himself in public and is wary of any situation where he might have to ask for help in public. He recently had a situation where he got lost at the local shops and a shopkeeper had to help him get home. He found this most distressing. Scenario Sonny is a 21-year-old man who has an acquired brain injury as a result of a motor vehicle accident. This affects his short-term memory, cognitive skills and decision making. Sonny has come into First Access seeking assistance to address a range of issues. You will assume the role of Tori Waller, a support worker for First Access, and you have received an email regarding Sonny from your supervisor the Head of Care, John Ford. You have reviewed Sonny’s clients notes and prepared an assessment plan and are aware that Sonny has multiple interconnecting issues that he needs support for. To: Tori Waller, Support Worker From: John Ford, Head of Care Date/time: Tuesday 5th November Subject: Referrals to service providers Hi Tori, Further to your assessment of Sonny D’Cruz yesterday, please be sure to send his referrals to the service providers and your colleagues here at First Access. When you’re doing this, I suggest you also ask for their input to Sonny’s range of issues and their view of the assessment process undertaken. Please also let me know how I can help you to assess the client’s needs. Kind Regards, John Ford Head of Care 46 Yarrabilba Street, Melton 3337 Phone: 03 7654 3210 firstaccess.eduworks.com.au Email to Service Provider: To: From: Date/Time: Subject: Email to Dietician: To: From: Date/Time: Subject: Email to First Access Colleagues: To: From: Date/Time: Subject: Tori Waller and Sony D’Cruz { Role-Play} Tori Waller: Hi Sonny, it’s great to meet you. My name is Tori Waller, and I’m a support worker here at First Access. How r you? Sonny D’Cruz: Hi, Tori. Thanks for seeing me. Tori Waller: Absolutely, it’s my pleasure. Before we get started, I want to explain a bit about the assessment process today. We’re here to work together to identify the areas in which you might need support and to discuss the services that can best meet your needs. My role is to help guide you through this, ensuring you understand your rights and are comfortable at every step. Sonny nods, appearing attentive, though he occasionally looks out the window. Tori Waller: I’ll also make sure we respect your privacy and keep everything confidential, as outlined in our privacy policy. Does that sound alright to you? Sonny D’Cruz: Yes, that sounds okay. Tori Waller: Great. As part of this process, I need to get your consent to proceed with the assessment and to potentially share information with other services to facilitate referrals. Are you comfortable with that? Sonny D’Cruz: Yes, I’m okay with that. Tori Waller: I’ll send you the consent form. Take your time to read through it, and let me know if you have any questions. Sonny: Okay. I will do that. Tori Waller: Thank you, Sonny. Let’s move on to what brought you here today. I understand you have a few areas you’d like support with. Can you share what your main priorities are right now? Sonny D’Cruz: Well, I’m really excited about my friends Marlo and Kat’s baby arriving. I’d like to stay active and lose some weight, maybe by walking more. I also want to be more social and keep up with friends, but sometimes I get embarrassed because of my memory and using a stick. Tori Waller: It sounds like staying active and being social are important to you. It’s great that you’re thinking about positive changes. How do you feel your current challenges with memory and mobility impact these goals? Sonny D’Cruz: Eating makes me feel better when I’m down, but I know it’s not good. I’d like to remember when I’ve eaten, and getting around independently would make me happier and more like myself. Tori Waller: It’s understandable, Sonny. Let’s think about leveraging your friendly nature and knowledge about sports. These are great strengths! Have you considered roles like coaching or being a manager in sports, where your skills can shine? Sonny D’Cruz: I’d love that. Sports have always been a big part of my life. I just don’t want to feel like I’m taking resources from others who need them more, though I have support from a dietician already. Tori Waller: You absolutely deserve access to services that help you thrive. Let’s explore programs that support people with brain injuries to learn new skills. We can find a provider you’re comfortable with, and if you’re not happy with the service, we can always try another option. Sonny D’Cruz: Okay, thanks. I just don’t want anyone to be upset if I mess up an appointment. Tori Waller: Everyone understands that remembering appointments can be challenging. Providers are there to support, not judge, and we’ll make sure you feel comfortable with whoever you work with. Sonny D’Cruz: That’s a relief. Can you help me with a referral then? Tori Waller: Absolutely, Sonny. I’ll document everything from today and set up a referral to a service suited best for your goals and preferences. Let’s make sure this plan makes you feel supported. Sonny: Okay. Thanks. Tori Waller: I’ll handle the paperwork for the referral, and we’ll touch base after to see how things are progressing. Does that work for you? Sonny D’Cruz: Yes, that’s great. Thank you so much for your help. Tori Waller: My pleasure, Sonny. We’re here to support you every step of the way. It’s lovely to meet you. I will see you at the next appointment, okay? Bye for now. Please make the email and complete it and apply Australian source only Make an email to the Available service provider and email to the dietician, and email first access colleagues.
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