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Mental Health

100: Reactive Depression - Suicidal

102: Depression & Unemployment


104: Schizophrenia


106: Delirium, Dementia and Depression

106B: Delirium, Dementia and Depression

108: Severe Depression

110: Severe Anxiety and Panic Attacks


214: Post-Partum Depression


601: Pain, Depression & Addiction


603: Ulcers and Alcoholism


603B: Alcoholism and Post-Traumatic Stress Disorder


611: Obesity and Depression


801: Teen Alcohol and Drug Abuse

908: Mental Health Youth Group (3-part)


 


100: Reactive Depression - Suicidal

A depressed teenager has a series of physical complaints that are closely connected to his emotional state.  A nurse or social worker must recognize the big picture from the details he provides.

LEARNING OBJECTIVES:  listening skills, establishing trust, demonstrating empathy, identifying and assessing client’s status

SIMULATOR ROLE:  Mike or Michele Jones (16 -18)

                                 * Note: This simulation is adaptable to either a male or female client.

LEARNER ROLE:          Nurse at a walk-in clinic OR

                                    Social worker at a walk-in clinic

SETTING:                      Walk-in clinic or community counseling centre    

INFORMATION FOR LEARNERS: Mike (Michelle) lives with his mother and stepfather. At his mother’s urging, he has reluctantly agreed to speak with someone at a clinic about his high blood pressure. He seems listless.

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102: Depression & Unemployment

This young man is angry at himself for being unemployed and furious at the system for telling him to go on welfare.  A counselor/social worker needs to help him explore his options. 

LEARNING OBJECTIVES: listening skills, developing trust, demonstrating empathy, setting goals, identifying strengths

SIMULATOR  ROLE: Stan Hopper - mid twenties

LEARNER ROLE: Counselor/Social worker

SETTING: Walk-in Community Centre Counseling Office

IINFORMATION FOR LEARNERS:  Stan Hopper’s employment insurance (EI) has come to an end. He has not worked in over a year and as a next step, the EI representative booked him for an appointment with a counselor/social worker to discuss potential next steps, possible job avenues and the ending of his EI coverage. The hope is that a fresh approach may give Stan a new direction. You are the counselor/social worker assigned to Stan Hopper’s case. You are meeting him for the first time at your office in the local Community Centre Walk-in Counselling Service.

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104: Schizophrenia

This troubled young person has not only his illness to contend with but clashing views on his treatment between his parents and his doctors. 

LEARNING OBJECTIVES: listening skills, developing trust, demonstrating empathy, clarifying perceptions, developing and communicating acceptable strategies for intervention

SIMULATOR ROLE:       Brian Chow – early 20’s

LEARNER ROLE:          Nurse or social worker/counselor

SETTING:                     ** A counselling session

INFORMATION FOR LEARNERS: This individual has been assessed as non-suicidal and non-homicidal but suffering symptoms such as hallucinations and delusions of persecution.  You must engage with this fellow in order to fully understand his situation.

**Note:  The specific location and how Brian arrives at the counselling session can be determined by the needs of the class.

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106: Delirium, Dementia and Depression        

This simulation was developed from a grant for the Collaborative Nursing program at Ryerson University, George Brown College and Centennial College


This older woman is currently recovering from knee surgery with a short term stay in a long term care facility as her usual family care providers are currently out of the country. While in care, there is a request to determine if Agnes is still capable of living in her own home and caring for herself.

LEARNING OBJECTIVES: listening skills, developing trust, demonstrating empathy, assessing needs - learners will be challenged to assess for all the possibilities – dementia, delirium or depression

SIMULATOR ROLE:         Agnes Morrow (about 75 years old)

LEARNER ROLE:            Nurse or Social Worker 

SETTING:                     A long term care facility

INFORMATION FOR LEARNERS: Although Agnes wants to remain at home there is some evidence that she may no longer be fully able to take care of herself.  The learner is part of a team being asked to determine whether Agnes will be able to return to her home and manage with some support.          

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106B: Delirium, Dementia and Depression         

This simulation was developed from a grant for the Collaborative Nursing program at Ryerson University, George Brown College and Centennial College

This older man is currently recovering from knee surgery with a short term stay in a long term care facility as his usual family care providers are currently out of the country. While in care, there is a request to determine if Albert is still capable of living in his own home and caring for himself.

LEARNING OBJECTIVES: listening skills, developing trust, demonstrating empathy, assessing needs - learners will be challenged to assess for all the possibilities – dementia, delirium or depression

SIMULATOR ROLE:         Albert Morrow (about 75 years old)

LEARNER ROLE:             Nurse or Social Worker 

SETTING:                      A long term care facility

INFORMATION FOR LEARNERS: Although Albert wants to remain at home there is some evidence that he may no longer be fully able to take care of himself.  The learner is part of a team being asked to determine whether Albert will be able to return to his home and manage with some support.   

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108:  Severe Depression                                                               

This woman is currently unemployed and is experiencing severe depression. She needs someone to help her distinguish reality from her feelings of worthlessness and shame.

LEARNING OBJECTIVES:          listening skills, responding to non-verbal cues, maintaining objectivity, developing collaborative solutions for behavioural change

SIMUALTOR ROLE:                   Laura Baines

LEARNER ROLE:                      Nurse / Social Worker / Counselor

SETTING:                                  Counseling Office in hospital / Community Health Centre

INFORMATION FOR LEARNERS: Laura has left her family home in Sault Ste. Marie to pursue what she believes to be her dream. She has been living on the street and in shelters since her savings ran out 4 months ago.

*Note: Laura can arrive at a counseling office on her own accord or she can be brought in by a concerned bystander.

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110: Severe Anxiety and Panic Attacks                               

This woman is suffering from anxiety and panic attacks and is beginning to feel agoraphobic as a result. She needs someone to help her separate her irrational thinking from reality.

LEARNING OBJECTIVES:          listening skills, responding to non-verbal cues, maintaining objectivity, developing collaborative solutions for behavioural change.

SIMULATOR ROLE:                   Mary Fisher

LEARNER ROLE:                      Nurse / Social Worker / Counselor        

SETTING:                                  Counseling office in hospital / community Health Centre

INFORMATION FOR LEARNERS:  Mary has taken a leave of absence from work because she is constantly afraid of having another panic attack. As her disability insurance is running out, her employer has recommended that she seek support in order to be assured that she is ready to return to work. Mary has made an appointment.

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214: Post-Partum Depression

Note: Development of this simulation was supported by Invest in Kids Foundation; Centre for Health Promotion, University of Toronto; Faculty of Community Services, Ryerson University.

This married woman is currently on maternity leave from her job and appears anxious about her ability to cope with two children, her 4 year old son and a 2 month old daughter.

LEARNING OBJECTIVES:          Empathetic listening skills, developing trust, finding collaborative solutions.  Learners will need to find out about how this family operates.

SIMULATOR ROLES:                 Meg Allen (30-35); Sam Allen (30-37)

LEARNER ROLE:                      Nurse / Early childhood educator / Social worker

SETTING:                                  A visit to the Allen’s home

INFORMATION FOR LEARNERS: Meg is currently on maternity leave from her job as an accountant, in a large firm in the downtown core of the city, after the birth of her daughter Emily who is now 2 months old. Since her older son Tyler, 4 years old, contracted pneumonia and was unable to attend child care for two weeks life at home has been more stressful. Meg saw a poster for “Healthy Babies Healthy Child” in her doctor’s office and he suggested Meg call them. After discussion, it was agreed that a home visit would be best when her husband Sam would be working from home and able to participate in the interview.

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601: Pain, Depression & Addiction

A patient with a painful disease has become an alcoholic.  A counselor must try to make her see the problem and begin to rebuild her life.

LEARNING OBJECTIVES:  establishing rapport, building trust, encouraging dialogue, responding to non-verbal cues, conveying support, acknowledging feelings, highlighting strengths

SIMULATOR ROLES:     Julie Dixon (25 - 35)

LEARNER ROLE:          social worker/nurse

SETTING:                      Hospital

INFORMATION FOR LEARNERS:  Julie was admitted for tests due to severe joint pain and swelling. She also has a fever.  She has been in the hospital for a couple of days.  Blood and urine tests revealed high alcohol levels.  You have been asked to speak with her about this.

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603: Ulcers and Alcoholism

A middle-aged man refuses to admit his drinking is destroying his life.  Now, it has caused him stomach ulcers and his doctor has recommended that he get some help in dealing with the effects of alcohol in his life.

LEARNING OBJECTIVES:  establishing rapport, building trust, encouraging dialogue, responding to non-verbal cues, conveying support, acknowledging feelings, highlighting strengths

SIMULATOR ROLES:     Mr. Durkin (45-65)

LEARNER ROLE:          Social worker/counselor or nurse

SETTING:                      Hospital / Community Health Centre

INFORMATION FOR LEARNERS: Mr. Durkin went to the doctor because of acute pain in the stomach area that’s aggravated by smoking, drinking and spicy food.  It has wakened him three times this week. The doctor referred him for some tests, but also recommended he speak to a social worker/counselor/nurse.

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603B: Alcoholism and Post-Traumatic Stress Disorder

A middle-aged police officer refuses to admit his drinking is destroying his life.  Now, it has caused him not only a decline in his health but has resulted in his being assigned to a desk job.

LEARNING OBJECTIVES:  establishing rapport, building trust, encouraging dialogue, responding to non-verbal cues, conveying support, acknowledging feelings, highlighting strengths

SIMULATOR ROLES:     Mr. George Durkin (45-55)

LEARNER ROLE:          Psychologist/Social worker/ nurse

SETTING:                      Hospital / Community Health Centre 

INFORMATION FOR LEARNERS: George Durkin is a police detective who has been removed from his regular duties working Guns and Gangs to a desk job. It has been strongly recommended that he seek counseling outside the available Police Services. This was suggested in order to provide George with support without his hiding behind his assumptions about police culture.

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611: Obesity and Depression

This simulation was developed in collaboration with the IDPP – Internationally Educated Dietitians Pre-Registration Program.

An overweight woman is skeptical about seeing a dietitian but needs help understanding and managing her situation.

LEARNING OBJECTIVES:  conducting an assessment, asking effective questions, active listening, developing collaborative goals and solutions

SIMULATOR ROLES:     Sandra Marley (mid 30’s)

LEARNER ROLE:          dietician

SETTING:                      Community Health Centre          

INFORMATION FOR LEARNERS:  You are a dietician in a Community Health Centre. You have received a phone call from Sandra Marley, who explored the possibility of setting up an appointment with you. During your short phone conversation, Sandra said she had been referred to you by her social worker, whom she has been seeing her for a while now. As an answer to the reason of referral, Sandra said she is struggling with obesity. She mentioned that the therapist convinced her you were a reliable professional. Then she inquired on your experience dealing with obesity and of your success rates. Though Sandra didn’t sound convinced, she booked an appointment with you.

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801: Teen Alcohol and Drug Abuse  

This teenager is here because of his girlfriend – he doesn’t believe ‘partying’ is a problem.  Someone who can draw out the details of his life might make him willing to enter a substance abuse program.

LEARNING OBJECTIVES:  listening skills, responding to non-verbal cues, establishing a rapport, building trust, developing collaborative goals

SIMULATOR ROLE:       Travis Milton (18)

LEARNERS ROLE:        Social worker / Nurse

SETTING:                      Community Health Centre

INFORMATION FOR LEARNERS: Travis enjoys having a good time with his friends and so he drinks and smokes a little pot.  His mother and girlfriend feel he may need some help so convinced him to see someone about what they say is his drinking and drug abuse.  He doesn’t think he has a problem.

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908: Mental Health Youth Group (3-part)

This simulation was developed in collaboration with Judy Finlay of the School of Child and Youth Care at Ryerson University.

This simulation takes place over 3 separate classes, simulating stages of group development.  A group of young people meet weekly at a closed meeting.  This is an involuntary, 20 week group and the meetings are Week Two, Week Eight and Week Sixteen.

LEARNING OBJECTIVES:  assisting youth in planning for the future, managing group dynamics, addressing individual needs and concerns, building rapport, responding to non-verbal cues

SIMULATOR ROLES:     Jeremy

                                    Samantha

                                    Marta

                                    Rob

                                    Sharma

                                    Charlie

LEARNER ROLE:          CYC worker

SETTING:                      Mental health care facility

INFORMATION FOR LEARNERS:  This group has been mandated by mental health counselors and parole officers to attend a 16 week, 32 hour youth mutual aid program for youth who are transitioning from high school and looking for direction in their lives. This is not a voluntary group.  The purpose of the group is to provide information about options, learn about mutual support/aid and empowerment and make some choices about their futures.

*More learner information available upon request.

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