Question: Role Play Script: Jukka Sepp { Simi } Setting: Jukka enters Simi's grandmother's house, observing its disarray. Simi is lying on the couch. Jukka: (Gently)

Role Play Script: Jukka Sepp { Simi }

Setting: Jukka enters Simi's grandmother's house, observing its disarray. Simi is lying on the couch.

Jukka: (Gently) Hi, Simi. It's Jukka from First Access. I'm here to check in on you. How are you feeling today?

Simi: (Weary voice) Do you have any money or food?

Jukka: I didn't bring any money or food today, but I'm here to help figure out some other ways we can support you. I can help you find resources to get what you need.

Simi: (Huffs, closes eyes) I'm too tired to talk. I'm going to sleep.

Jukka: I understand you're exhausted and I'm really sorry for everything you're going through. You've been through a lot lately, and I just want you to know I'm here for you whenever you're ready to talk.

Pause and maintain a calm and caring demeanor, allowing Simi to process the presence of empathy.

Simi: Seriously, what's the point? You're wasting your time. I'm done! You should leave.

Jukka: It's okay to feel overwhelmed, especially with everything on your mind. I'm not here to pressure youI'm here to listen and help you find a way forward if you decide you want to. What's important is that you're not alone in this.

Simi: (Begins to listen, deflects) Can you give me money again?

Jukka: I can't provide money directly, but I can connect you with services that can help with groceries and other essentials. Would it be okay if I shared some info about those resources?

Simi: (Starts opening up) Drugs and drinking are the only things that make me feel okay. I just want to be completely numb.

Jukka: I hear you, Simi. Sometimes, it feels like that's the only relief. But there are other ways that might help without the hangover or harm. When you feel ready, we can explore some programs that focus on well-being. They're designed for situations just like yours.

Simi: (Throwing face into hands) Why'd she have to die?!

Jukka: Losing your grandmother is incredibly tough, especially when she's been your support system. It's understandable to feel angry and lost. Grieving is complex, and it's okay to feel this way. Your love for her is clear, and she meant so much to you.

Simi: (Reflectively) My Grandma was the only person I trusted. She always stood up for me.

Jukka: She sounds like she was an amazing persona true rock for you. It's people like her who help remind us of the strength we have inside us. She'd be so proud of you for reaching out today.

Simi: She was into all that church stuff, wanted me baptised. If there were a guarantee I'd see Gran again, I'd do it.

Jukka: Your grandmother's beliefs were a comfort to her, and it sounds like they brought you two closer. Exploring your own spirituality or beliefs might be something you'd consider when you're ready. It could bring some peace or connect you to her memory.

Simi: There's probably nothing when you die, but at least I wouldn't feel anything anymore.

Jukka: You don't want to really die, you just don't know what your options are, and you are too tired to think about it all. I can understand why you might feel that way, and it's important to think about what you're going through now. Feeling numb may seem easier, but having support could help lighten the load. I know someone you might feel comfortable speaking with? They can help create a plan to make things manageable for you.

Simi: (Engaging) I don't know what my options are. I'm just too tired to think about it all.

Jukka: Let's take it one step at a time. We can look at grief counselling, support groups, and even some practical help around the house. There's a team ready to help. Would you like to talk about these options more?

Simi: Yeah, okay. I guess that would be good to know.

Options to offer:trauma care specialist,

Drug and Alcohol Rehabilitation: substance abuse recovery,

mental health counselling, and grief support. These are options, and I know it's too much for you to think about all this now, but I would really want you to consider these options for your own good. What do you think?

Also, Simi, I need your consent to make these referrals for this service Is that okay with you?

Simi: Yeah, I guess so.

Jukka: Great. I'll cover the details and help navigate these services while keeping everything confidential, just between us, okay?

And please, if you have any other questions or even just want to talk to someone, please don't hesitate to call me. Our service will definitely be there to listen and talk to you, okay?

Complete this form to record freely given, informed consumer consent to share their information with a specific agency/ies for a specific purpose/s.

Section One: Personal/Health Information to be Shared

Service Type

Examples:

  • physiotherapy
  • counselling.

Name of Agency

Examples:

  • Howarth Community Health Centre
  • Melton City Council.

Type of Information

Examples:

  • all relevant information
  • exceptions as stated by the consumer.

Purpose/s

Examples:

  • referral
  • shared care/case planning
  • informing services participating in consumer's care.

Section Two: Record of Consent (select method of consent)
Written consumer consent. The worker/practitioner has discussed with me how and why certain information about me may be shared with other service providers, as above. I understand this and I give my consent for the information to be shared.
Name:
Signature:
Date (dd/mm/yyyy): ____ / ____ / ________
Verbal consumer consent. I have discussed with the consumer how and why certain information may be shared with other service providers. I am satisfied that this has been understood and that informed consent for the information to be shared, as detailed above, has been given.

Consumer does not have capacity to provide consent.

That is, they do not understand the nature of what they are consenting to or the consequence(s).

Consent given by Authorised Representative

There is no Authorising Representative, or they were uncontactable; therefore the information will be shared as set out in the Health Records Act 2001*

* If it is not reasonably practical to obtain consent from an authorised representative or the consumer does not have an authorised representative, health information can still be shared in the circumstances set out in the Health Records Act 2001. This includes where the sharing of information is done by a health services provider and it is reasonably necessary for the provision of a health service or where there is a statutory requirement.

To ensure that the consumer's Authorised Representative can make an informed decision about consenting to the sharing of information as detailed above, the worker/practitioner should:

(Tick when completed)

  1. Discuss with the consumer the proposed sharing of information with other services/agencies.
  • Completed
  1. Explain that the consumer's information will only be shared with these services/agencies if the consumer has agreed and, when referring, advise that referral for service can still proceed if the consumer does not want the information disclosed.
  • Completed
  1. Provide the consumer with information about privacy, such as the brochure:

Your Information - It's Private.

  • Completed
  1. Provide the consumer with a copy of this form once completed.
  • Completed

Consent Obtained/Witnessed by:
Name:
Position:
Agency:
Signature:
Date (dd/mm/yyyy):
Contact Number:

Fill in this template with an Australian services

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