Section Two
Learning and Teaching Resources to Support Integration of Mental Health and Addiction in Curricula
Learning and Teaching Resources to Support Integration of Mental Health and Addiction in CurriculaOutcomes
Purpose
This section supports the educator to gain awareness of key assessment processes, tools and other resources that will assist in integrating CASN/CFMHN Entry-to-Practice Mental Health and Addiction Competencies for Undergraduate Nursing Education in Canada (2015) alongside best practices into the nursing undergraduate curricula.
Outcomes
At the end of this section, the educator will:
- Understand the extent to which mental health, illness and addiction knowledge and skills are currently integrated throughout the undergraduate nursing curricula.
- Identify areas in the nursing undergraduate curriculum that require integration of mental health, illness and addiction knowledge, concepts, attitudes and skills, based on the curriculum assessment tool.
- Develop a personal learning plan for the advancement of one’s own mental health, illness and addiction knowledge and skills.
Mental Health and Addiction Faculty Assessment Tools
Mental Health and Addiction Faculty Assessment ToolsIn order to effectively integrate mental health and addiction competencies into entry-level nursing curricula—and contribute to an environment that supports knowledge integration—it is important that faculty evaluate existing curricula content and engage in a personal self-assessment of mental health, illness and addiction knowledge to understand strengths and areas for improvement.
This resource provides two assessment tools, each designed to assist with identifying and addressing gaps in existing educational content, knowledge and skills. Both assessment tools have no demonstrated psychometric properties and are intended to support, stimulate and advance the ongoing development of nursing education in mental health and addiction.
- The Curriculum Assessment Gap Analysis Tool enables the assessment of content, structures and processes within current curricula in relation to the CASN/CFMHN entry-to-practice domains and competencies. The tool also assesses associated knowledge, concepts, attitudes and skills pertaining to the promotion of mental health and the prevention, assessment and management of mental illness and addiction across the lifespan.
- The Educator Self Assessment Tool enables the personal evaluation of educators knowledge and skills required for teaching and promoting mental health and for assessing, preventing and managing mental illness and addiction.
Who should use these tools?
These tools are most useful to curriculum development committees to promote the integration of mental health content, concepts, attitudes and skills across all courses in the undergraduate SEC. 2 nursing program, and to nursing faculty and educators for assessment and integration of and within individual courses.
Tool #1: Curriculum Assessment Gap Analysis
Tool #1: Curriculum Assessment Gap AnalysisThis tool aims to assist educators with evaluating existing curricula for integration of the knowledge and skills related to the use of CASN/CFMHN Entry-To-Practice Mental Health and Addiction Competencies (2015) and the content related to the RNAO Nurse Educator Mental Health and Addiction Resource in the following domains:
- Professional responsibility and accountability
- Knowledge-based practice
- Ethical practice
- Service to the public
- Self-regulation
INSTRUCTIONS: On the assessment tool (on page 19) indicate whether students are currently learning and applying the following theory, skills and tools, list courses where this is applied or planned to be applied and outline course learning objectives that align with the application and/or tool. At the end, develop an action plan to address gaps.
A) Professional Responsibility and Accountability
Yes | Course Name(s) (E.G. NURS 371) |
Planned | Course Name(s) | Current Course Learning Objectives Name(s) |
No | Plan for Future Offerings |
|
---|---|---|---|---|---|---|---|
Understands and applies mental health related legislation. | |||||||
Upholds rights and autonomy of persons with mental health conditions and/or addiction. | |||||||
Recognizes and responds to stigmatizing and discriminating attitudes regarding mental health conditions and addiction as well as the impacts on health-care outcomes. | |||||||
Applies principles of mental health promotion, and mental illness and prevention of injury principles. | |||||||
Knowledge of voluntary and involuntary care. | |||||||
Discusses clients’ and others’ protection from self harm when safety is at risk, while maintaining client dignity and human rights |
B) Knowledge-based Practice
Yes | Course Name(s) (E.G. NURS 371) |
Planned | Course Name(s) | Current Course Learning Objectives Name(s) |
No | Plan for Future Offerings |
|
---|---|---|---|---|---|---|---|
KNOWLEDGE, ASSESSMENT and PLANNING CARE | |||||||
Defines and discusses mental health, developmental and situational transitions, and the spectrum of mental health condition and addiction across the lifespan. | |||||||
Discusses how mental health co-morbidities affect individual health, levels of disabilities and use of mental health services. | |||||||
Describes key elements of the following theories:
|
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Applies the following theories in clinical practice:
|
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Provides opportunities to understand the interrelationship of physiology, pathophysiology and mental health and addiction. | |||||||
Discusses complementary therapies and mental health conditions and addiction. | |||||||
Provides knowledge of medications used to treat addiction and withdrawal. | |||||||
Provides knowledge and experience to perform a mental status exam. | |||||||
Provides an opportunity to apply therapeutic relational skills. | |||||||
Identifies clients’ emotional, cognitive and behavioural states, anxiety levels, indices of aggression, self-harm, suicide, risk to others, competency for self-care, signs of substance abuse, addiction and withdrawal. | |||||||
Includes the role of social determinants of health on mental health outcomes. | |||||||
Discusses treatment and management of mental disorders and addiction. | |||||||
Provides opportunities for care planning in collaboration with persons impacted by mental health concerns. | |||||||
Discusses the negative effects of violence, abuse, racism, discrimination, colonialization, poverty, homelessness and early childhood maltreatment on mental health. | |||||||
Recognizes impact of trauma and uses a trauma-informed approach to plan care with clients. |
C) Application of Knowledge
Yes | Course Name(s) (E.G. NURS 371) |
Planned | Course Name(s) | Current Course Learning Objectives Name(s) |
No | Plan for Future Offerings |
|
---|---|---|---|---|---|---|---|
Integrates relational care practices and mental health promotion skills within all clinical placements. | |||||||
Provides a mental illness and/or addiction clinical placement. | |||||||
Communicates therapeutically with persons and families who are experiencing a range of mental health conditions, addiction, abuse, bereavement or crisis. | |||||||
Uses self-therapeutically in providing health promotion, prevention, and supportive care. | |||||||
Engages in strengths-based care to promote resilience. | |||||||
Engages in advocacy for persons experiencing mental health condition or addiction. | |||||||
Engages individuals and families in education regarding their mental health, illness and/or addiction. | |||||||
Applies principles of recovery oriented, trauma-informed care, social determinants of health and harm reduction with clients. | |||||||
Administers medication used to treat mental illness and/or addiction safely, monitors for therapeutic e ects, side e ects, adverse reactions and intervenes appropriately. |
D) Ethical Practice
Yes | Course Name(s) (E.G. NURS 371) |
Planned | Course Name(s) | Current Course Learning Objectives Name(s) |
No | Plan for Future Offerings |
|
---|---|---|---|---|---|---|---|
Provides safe and respectful environment to clients receiving voluntary or involuntary care seeking or receiving treatment for a mental health condition and/or addiction. |
|||||||
Assists persons with a mental health condition and/or addiction to make informed decisions about their care. | |||||||
Demonstrates understanding of cultural competency and cultural safety. |
E) Service to the Public
Yes | Course Name(s) (E.G. NURS 371) |
Planned | Course Name(s) | Current Course Learning Objectives Name(s) |
No | Plan for Future Offerings |
|
---|---|---|---|---|---|---|---|
Demonstrates knowledge of the health-care system or receiving treatment for a mental health condition and/or addiction. | |||||||
Recognizes impact of organizational culture on the provision of mental health care and acts to ensure appropriate services are delivered safely. | |||||||
Facilitates and engages in collaborative inter- and intra- professional and intersectoral practice. |
F) Self-regulation
Yes | Course Name(s) (E.G. NURS 371) |
Planned | Course Name(s) | Current Course Learning Objectives Name(s) |
No | Plan for Future Offerings |
|
---|---|---|---|---|---|---|---|
Evaluates individual practice and knowledge when providing care to clients experiencing mental illnesses and/or addiction. | |||||||
Identifies one’s own morals, values, attitudes, beliefs and experiences and the effect these have on care. | |||||||
Identifies learning needs related to mental health promotion and mental illness and addiction assessment, management and prevention. | |||||||
Seeks new knowledge, skill, supports related to nursing persons and families with mental health conditions and addiction. | |||||||
Evaluates self- learning related to mental health promotion and mental illness and addiction care. |
Recommendations:
Action plan for integration:
Tool #2: Educator Self-Assessment
Tool #2: Educator Self-AssessmentINSTRUCTIONS: Evaluate personal knowledge and skills regarding mental health and addiction in nursing education and practice with the following Self-Assessment Tool (on page 30). At the end, add up the score for each section and then the total score. See scoring guide at the end for assessing strengths and weaknesses.
Mental Health Foundational Concepts
RATE YOUR PROFICIENCY IN THE USE OF: | Beginner | Advanced | |||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
Therapeutic relationships | |||||
Suicide and self-harm assessment and interventions | |||||
Trauma and trauma-informed care | |||||
Crisis intervention | |||||
Recovery orientated approach | |||||
Harm reduction theory and approaches | |||||
Mental health continuum | |||||
Mental health including: Resiliency |
|||||
Cultural competency and cultural safety | |||||
Total |
Mental Health and Illness Approaches
RATE YOUR PROFICIENCY IN THE USE OF: | Beginner | Advanced | |||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
Mental health promotion and prevention of mental health condition approaches | |||||
Assessment and management of mental illness (i.e., DSM 5, Mental Status Exam, Cultural Formulation Interview for Cultural Assessments) | |||||
Knowledge about psychological, sociological, physiological and pathophysiological aspects of mental health and illness, including co-morbidities | |||||
Pharmacological and psychosocial interventions for mental illness, addiction and co-occurring disorders | |||||
Applying a collaborative, strength-based recovery-oriented approach to assessing, planning and evaluating care of person and families experiencing mental illness and/or addiction | |||||
Total |
Professional Responsibility and Accountability
RATE YOUR PROFICIENCY IN THE USE OF: | Beginner | Advanced | |||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
Mental health and addiction legislation and acts at the provincial, federal, territorial and international level | |||||
Pro ciency on professional standards and regulatory standards when promoting mental health and preventing or managing mental health conditions and addiction | |||||
CNA(2008)Code of Ethics | |||||
Knowledge regarding recognition, response and impacts to care regarding stigmatizing and discriminating attitudes regarding mental health conditions and addiction | |||||
Techniques for protection from client self harm when safety is at risk |
|||||
Total |
Ethical Practice
RATE YOUR PROFICIENCY IN THE USE OF: | Beginner | Advanced | |||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
Knowledge on voluntary and involuntary admission and how to provide safe and respectful environment to clients with mental illness and addiction | |||||
Providing individuals with mental illness and addiction the support they require for making informed decisions about their care | |||||
Understanding and applying principles of cultural competency and cultural safety when caring | |||||
Application of self-re ection when working clients experiencing mental health conditions and/or addiction | |||||
Total |
Service to the Public
RATE YOUR PROFICIENCY IN THE USE OF: | Beginner | Advanced | |||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
Knowledge of the Canadian health-care system and application to daily practice | |||||
Impact of organizational culture on the provision of mental health care and acts to ensure appropriate services are delivered safely | |||||
Facilitation and engagement technique to establish and maintain collaborative inter- and intra-professional and intersectoral practice | |||||
Total |
Self-regulation
RATE YOUR PROFICIENCY IN THE USE OF: | Beginner | Advanced | |||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
Evaluation of individual practice and knowledge when providing care to clients with mental health conditions and/or addiction | |||||
Identifies one’s own morals, values, attitudes, beliefs and experiences and the e ect these have on care | |||||
Identify learning needs related to mental health promotion, and the assessment, management and prevention of mental illness and addiction | |||||
Seek new knowledge, skill, supports related to mental health conditions and addiction | |||||
Total |
SCORING
Mental health overview ............................................................................................................................................ /45
Mental health and illness approaches.............................................................................................................. /25
Professional responsibility and accountability............................................................................................ /25
Ethical practice............................................................................................................................................................. /20
Service to the public.................................................................................................................................................. /15
Self-regulation.............................................................................................................................................................. /20
TOTAL ...................................................................................................................................... /150
SCORING GUIDE
0 - 50 — Novice educator
There is great potential for ongoing learning and future growth.
Next steps:
- Knowledge development should be a priority. Recommend self-study, beginning with resources listed in this toolkit, RNAO Best Practice Guidelines and associated resources.
- Seek supervision and assistance from peer mentors with more advanced expertise.
- Solicit student feedback and guidance.
- Develop a personal learning plan that focuses on key knowledge domains.
- Use this resource to guide learning plans.
51 – 100 — Intermediate level experience and expertise
Continue to build on base knowledge and skills, and develop teaching practice.
Next steps:
- Recommend self-study focused on knowledge gaps and peer learning with more expertise.
- Develop confidence in testing out innovative, evidence informed approaches.
- Use RNAO Best Practice Guidelines and associated resources as well as this resource to build capacity.
101-150 — Well-developed knowledge base and expertise
Continue to seek challenging opportunities to maintain and advance knowledge.
Next steps:
- Be sure to share knowledge and experiences with peers.
- Engage in leadership activities.
- Offer support and encouragement to faculty with novice and intermediate-level expertise.