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GCE JAN 2009 : A2, 9 Providing Services

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Centre Number 71 Candidate Number ADVANCED General Certificate of Education January 2009 Health and Social Care assessing Unit 9: Providing Services A6H31 Assessment Unit A2 9 [A6H31] MONDAY 19 JANUARY, AFTERNOON TIME 2 hours. INSTRUCTIONS TO CANDIDATES Write your Centre Number and Candidate Number in the spaces provided at the top of this page. Write your answers in the spaces provided in this question paper. Answer all three questions. INFORMATION FOR CANDIDATES The total mark for this paper is 100. Quality of written communication will be assessed in all questions. Figures in brackets printed down the right-hand side of pages indicate the marks awarded to each question or part question. For Examiner s use only Question Number 1 2 3 Total Marks 4275 Marks TASK Carry out an investigation of local service provision in relation to clients with mental health problems. Your investigation should address the following: 4275 Influences of the Mental Health Act 1983/Mental Health Northern Ireland Order 1986 and the NHS and Community Care Act 1990 on service provision Funding arrangements for voluntary organisations that provide services for clients with mental health problems Current trends in mental health The mixed economy of care and the services it provides for clients with mental health problems The strengths and weaknesses of the mixed economy of care approach to providing services for clients with mental health problems The physical, intellectual, emotional and social needs of clients with mental health problems and how they may be met by a voluntary organisation such as the Northern Ireland Association for Mental Health Methods of referral for clients with mental health problems and barriers to accessing services The roles of a range of health and social care practitioners who care for clients with mental health problems The importance of multi-disciplinary team working in providing care for clients with mental health problems The importance of codes of practice and charters of rights in contributing to quality care for clients with mental health problems The strengths and weaknesses of organisational policies and procedures in raising the standards of care for clients with mental health problems in care settings Ways in which quality of service provision can be measured 2 1 Carmel, aged 45, has suffered frequent bouts of depression for almost twenty years. As a result she has used a range of mental health services and has been admitted to hospital a number of times. She feels she has benefited from the help given to her by a variety of health and social care practitioners and by the voluntary organisation, the Northern Ireland Association for Mental Health. Carmel feels she would have benefited from help when she was much younger but did not have the knowledge to access services. Examiner Only Marks Remark (a) Write down four ways a voluntary organisation such as the Northern Ireland Association for Mental Health may be funded. 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] 3. ____________________________________________________ [1] 4. ____________________________________________________ [1] (b) Explain one different way each of the following practitioners may have provided care for Carmel. Clinical psychologist _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Community psychiatric nurse (CPN) _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4275 3 [Turn over Examiner Only Marks Social worker _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) Write down five methods of referral for clients with mental health problems. 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] 3. ____________________________________________________ [1] 4. ____________________________________________________ [1] 5. ____________________________________________________ [1] (d) Carmel feels her lack of knowledge was a barrier to accessing services when she was younger. Describe four other barriers clients with mental health problems may experience when accessing services. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4275 Remark Examiner Only 3. _______________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4275 [Turn over (e) Analyse how a voluntary organisation such as the Northern Ireland Association for Mental Health can meet the needs of clients with mental health problems. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4275 6 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] 4275 7 [Turn over 2 Campaigners for mental health charities argue that there has been a focus on providing care in the community and that the quality of provision in hospitals and residential settings has suffered. (a) Explain three ways the Nurses Code of Practice contributes to the quality of care provided in hospital or a residential setting. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (b) Discuss three ways the quality of service provision can be measured for hospitals. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4275 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 4275 9 [Turn over (c) Evaluate the effectiveness of organisational policies and procedures in raising the standards of care for clients with mental health problems in care settings. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4275 10 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] 4275 11 [Turn over 3 (a) Describe three trends in mental health in Northern Ireland. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (b) Explain two ways each of the following influences the provision of care for clients with mental health problems. The Mental Health Act 1983/Northern Ireland Order 1986 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 4275 12 Examiner Only Marks Remark The NHS and Community Care Act 1990 Examiner Only Marks Remark 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) The mixed economy of care approach to the provision of services has both supporters and critics. Evaluate this approach to providing services for clients with mental health problems. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4275 13 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4275 1 Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] (d) Within the mixed economy of care , multi-disciplinary team working is essential to provide care and support for vulnerable clients with mental health problems. Discuss the value of professionals working together to provide services for clients with mental health problems. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4275 1 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 4275 16 Marks Remark Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] THIS IS THE END OF THE QUESTION PAPER 4275 17 Marks Remark SP (NF) T76190/3

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Additional Info : Gce Health and Social Care January 2009 Assessment Unit A2 9 Unit 9: Providing Services
Tags : General Certificate of Education, A Level and AS Level, uk, council for the curriculum examinations and assessment, gce exam papers, gce a level and as level exam papers , gce past questions and answer, gce past question papers, ccea gce past papers, gce ccea past papers

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