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The Identification on Needs of Rage of Specific Client Group and How Their Need Is Provided for in Each Care Setting

Info: 8816 words (35 pages) Dissertation
Published: 9th Dec 2019

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Tagged: Health and Social CareHealthcare

The groups I have chosen include:

  • Children 3-4 years
  • Adolescent residential care
  • Older in residential care
  • Dementia
  • Autism
  • Bipolar disorder




                                         Content page
Cover page 1
Table of content 2
Aim 3
Introduction 4
Children 5-7
Adolescent 8-10
Older people 10-12
Dementia 13-15
Autism 15-18
Bipolar disorder    18-20
Role of care worker/specialist    21-22
Recommendation    22-23
Conclusion   23-24
Appendices   25-26


Bibliography 27





The aim of this assignment is to prove my understanding of the needs of a range of client of people in the community and recognise how those needs are provided for in a care setting. I will summarise the role of the care worker and provision that in statutory and voluntary care in at least two of these client groups.


This assignment based on examination of needs of range of client group and how the needs are provided for in a care setting. According to Maslow needs are necessity that someone need to survive and develop. In 1943, Abraham Maslow proposed five different kinds of human needs, beginning with the most basic: survival. Physiological needs, such as food and shelter, are followed by needs related to safety. Next, there are needs of love and belonging. Fourth, humans have needs of esteem, such as the need for being respected. The final need in the hierarchy is the need for self-actualization (fulfilling one’s potential)

Everyone has a different need, when providing for the needs of different groups of clients in community, there should be holistic approach plan for individual. Care should be person centered and based on the individual and diverse needs of the clients group and care provided to the client groups must be in relevant care setting.

In this assignment I will focus on the different client group in the community and how care setting provides their needs. I also will address state and voluntary care provision, also I will examine the role of the care worker and specialists concerning for each client group.

My source of information will be from primary and secondary research.


For this purpose of this assignment I will research the needs of pre-schooler (2-4) years.

According to Erick Erickson first stage of growth and development is from birth to around 18 months or 24months during this time they learn through their sense, learn through visual and touch and expression. Then early childhood from 18months to 3years and begin to be independent. The next stage play age, they begin pre-school and have more interaction with family and friends and they begin to develop a sense of responsibility.

The needs of the children depend on the age and stage of the children, children between 3-4 characterized as per schoolers. There five areas of development that children undergo as they grow to be young adults which are physical, intellectual, language/linguistic, emotional, and social needs. They can be easily remembered using the rather unfortunate acronym “PILES”.

Physical needs of pre-schooler include nutritious food, fresh air, Healthy living environment, exercise, fluid, cleanliness, warm clothes when it’s cold, bedtime at a reasonable hour. Any food given to these children at this period must be in accord with Food and Nutrition Guidelines for preschool service 2004.

The food served in pre-school services is of key importance in the young child’s health, particularly for children in full day care. Some areas of nutritional concern for young children are; ensuring appropriate energy intake for growth and development, the prevention of iron deficiency anemia, adequate intake of vitamin C and calcium. The provision of nutritious food positively enhances not only a child’s health, but also allows the child to take full advantage of the learning opportunities provided in pre-school

Intellectual needs

Children are interested by everything at this age and they start to ask questions about things and objects, this is so that they can develop the knowledge they need to understand what objects are and what they need to do. As a child intellect starts to develop they needs to be given books, coloring book, learning support, puzzles and games to support their intellectual development. The child will learn how to keep friendships, table manners and will learn his/her name between this age period

Linguistic/language needs of preschooler depends upon the child’s own pattern of development, their age, the opportunity to experiment and use language. They used method of communication called (special methods) stimulation, praise and other resources such as book, by the age 0f 3-4years preschool children begin to learn vocabulary by read and sing nursing rhymes with children, engage the children in activities and games that require listening and following directions.

Social and Emotional needs of preschool include component of positive environment, unconditional love, loved and valued, show them kindness and understanding and provides them lifelong security.

3 to 4 years old children may be use hitting, biting, or pushing to solve conflict. They simply don’t understand the different between appropriate interaction yet. At preschool age is very essential to teach them the right and wrong way to express emotions and resolve problem with other. All children need consistent, attuned attention from their primary caregivers. It is important that parents or other caregivers develop a routine of focused interaction with each child because individual quality time is what makes kids feel valuable. Fulfilling a child’s attention needs is a key component in building a strong self-image and helps cement the parent-child bond.


Pre-school children are defined by law as “children under 6 years of age, who are not attending a national school or equivalent”. An example of 3-4 care setting for children in preschool including the following

Full day care service refers to structured day care for children from babies up to age 13/ 14 years, for more than 5 hours per day

Part time day care service means a pre-school service offering a structured day care service for pre-school children for a total of more than 3.5 hours and less than 5 hours per day.

Sessional pre-school: sessional pre-school service” means a pre-school service offering a planned program to pre-school children for a total of not more than 3.5 hours per session

Drop in Centre Pre-school service in a drop-in Centre” means a pre-school service offering day care which is used exclusively on an intermittent basis.

Child minder provide a Childcare service in their own homes and are self-employed.

The way an early year operates is dictation by the implement of the Child, Care Act 1991 (Early years’ service) 2016. In an Early Childhood Care and Education (ECCE) care is regulated by child care act 1991{early years’ service} regulation 2016 and Tulsa is responsible for inspecting pre-schools, play groups,

nurseries, creches, day-care and similar services which cater for children aged 0-6, under the Child Care (Pre-School Services) Regulations 2016. Care provided in response to the needs of children according to age and stages of development and services provided include the followings;

A safe, healthy environment that supports the physical, emotional, social, moral and intellectual development of all children, including children with an additional need are provided for them there is adequate and good management and staff for children in preschool. Staff in preschool are training on child protection, pre-school service ensures that there is suitable, sufficient, nutritious and varied food available for a pre-school child attending the service and complies with dietary and religious requirements, all reasonable measures taken to safeguard the health, safety and welfare of a pre-school child attending the service and ensure that the environment of the service is safe, there is enough suitable and competent adults that works directly with the children in the pre-school service always. pre-school service ensures that each child’s learning, development and well-being is facilitated within the daily life of the service through the provision of the appropriate opportunities, experiences, activities, interaction, materials and equipment, having regard to the age and stage of development of the child and the child’s cultural context. There is adequate and suitable facilities for a pre-school child to rest during the day and adequate and suitable facilities for a pre-school child to play indoors and outdoors during the day are provided, having regard to the number of preschool children attending the service, their age and the amount of time they spend in the premises, A pre-school service ensures that the pre-school children attending the service are adequately insured against injury while attending the service there is provision for adequate space per child in the premises, fixtures and fittings are kept in a proper state of repair and in a clean and hygienic condition and protected from infestation.

Voluntary support 


Statutory support

The Child and Family Agency

https://www.dcya.gov.ie/documents/childcare/National_Standar (Anon., n.d.)ds_for_Pre-School_Services.pdf



Adolescence can refer to the period of human growth that occurs between childhood and adulthood. It also considered the transitional stage from childhood to adulthood. However, the physical and psychological changes that occur in adolescence can start earlier, during the preteen or “tween” years (ages 9 through 12).

Adolescence may be roughly divided into three stages: early adolescence, generally ages eleven to fourteen; middle adolescence, ages fifteen to seventeen; and late adolescence, ages eighteen to twenty-one. In addition to physiological growth, seven key intellectual, psychological and social developmental tasks are squeezed into these years. The fundamental purpose of these tasks is to form one’s own identity and to prepare for adulthood.


For this assignment I will research needs of an adolescent in residential care including their physical, social, emotional, intellectual needs.

Physical needs:

 physical needs one must have to be alive, physical requirements for adolescence includes: well balance diet food, clothing, warmth, water, exercise, rest and sleep, clean and reasonable environment, they need stimulation, fresh air and support.

Social needs:

These are the needs forInclusiveness, love, belonging to a group, interaction with others in the residential, also adolescent can develop interpersonal skill by creating activities for them such as social gathering, sport, youth club, music and dancing.

Emotional needs

 Adolescence need to be safe, respect, understand, valued and appreciated, free in control, and acceptance. They also need their own space, boundaries, and they need emotional support, Companionship, counselling and encouragement as well.

Intellectual needs: The needs and opportunity to go to school and learn, motivation and establish what they love to do. They need motivation and orientation for their future. They need more academic support for those struggling with their studies and making sure they are all having correct Education.


Alternative care is a care provided by the state for Adolescent. The reason of this is to guarantee that where young people cannot live at home or in another family arrangement, the HSE will provide a safe and nurturing environment for them to live.

Residential care may be the best options as living in a foster care placement may constantly remind them of the dysfunctionality of their own family, adding to their pain and frustration.

The care option includes placement in foster care, placement with relatives or residential care.

Residential care for an adolescent is supported by HIQA and care is provided by the state

The service that provided for teen in residential care includes the following

  • To co-ordinate and ensure that the young person’s care is progressed and that the young person’s life in the centered is supported positively and with individual care. (Petrie et al. 2006)
  • It is the responsibility of the residential staff and care, acting on behalf of the society at large to promote the children’s wellbeing and to minimize the negative consequence of separation; this overall aim is usually broken down into several professional tasks that permeate all aspect of life in residential care. They include developing and working with care plans and placement plans, relationship building and key working (Chakrabarti and hill 2000: 9)
  • All young people under 16 years of age must attend school. It is important that adolescents living in residential care should be supported to continue with your education and have access to suitable education.
  • Adequate and suitable furniture, bedding and furnishings are provided, the premises are clean, appropriately decorated and maintained in good structural conditions and adequate recreational facilities are provided.
  • Adolescent in residential Centre are provided with food in quantities adequate for their needs which is properly prepared, wholesome and nutritious, involves an element of choice and takes account of any special dietary requirements.
  • The social care practitioner must have a clear understanding of the needs of the young people generally. (according to Residential forum 1998:11)
  • (cited in Murgatroyd 1996:1) suggested that the professional caring relationships have three basic qualities that the worker needs to be able to communicate which including empathy, warmth and genuineness.
  • Creating and maintaining meaningful relationship through everyday activities (Gilligan 2001:56 suggest that)


According to Thesaurus dictionary ageing is defined the process of growing old or developing the appearance and characteristics of old age.

As body ages, gradual changes occur in body’s pace. With age, the skin becomes less elastic and more lined and wrinkled Fingernail growth also slows. The oil glands gradually produce less oil, making the skin drier than before, Hair become gradually thin on the scalp, pubic area, and armpits. As hair pigment cells decline in number, gray hair growth increases, over time, changes in the ear make high-frequency sounds harder to hear and changes in tone and speech less clear. With age, the body typically needs less energy, and metabolism slowsand the kidneys decline in size and function and age also decreased mobility.


Needs of older people depend on their age and circumstance

Physical needs

These are the first and most basic of all needs for older people has to do with physical survival. This is the need for sufficient nutritious food, drink, comfortable housing, clean clothing, sound sleep, good health and sanitation.

Emotional needs

Emotional needs associateto the human needs to feel loved and natured, and to have a close attachment with other people. Emotional needs are centered on the feeling of the individual and their ability to express or support these feeling.

Intellectual needs

This indicate to the needs to keep the brain active. Mental alertness can be stimulated by interest and hobbies. As physical capabilities fail, it is very important to keep up an interest in various activities to enhance and expand mental agility. It very essential for older people to continue reading, learn from others, learn new activities, keep the brain active with crossword puzzles, brain teasers and they should have access to library.

Social needs

 Social needs are important basic human needs. Is the ability to form and maintain relationship, both personally and professionally, when social needs are not satisfied, this can lead to mental and physical health problems like loneliness and isolation. With a growing population of older adults and the need for them to stay healthy and community-dwelling, satisfying social needs is important. There are many social activities that an elderly person can participate in examples are board games and cards, Food-centered activities, Sensory stimulation, Finger painting, and Gardening.



Elderly person may live in the community or residential care. Other options for older people would be home care provided by HSE, hospital, Rehabilitation facilities and Nursing home.

Residential care for older people is supported by HIQA.                                                                                                                                                  HIQA’s also has the role is to develop standards, inspect and review health and social care services and support informed decisions on how services are delivered.

Service provided to the older persons in residential care in response to their needs including the following

  • Each resident is offered a daily menu with a choice of main meal that reflects their preferences and dietary requirements.  All meal cooked fresh each day with menus being specifically designed to meet the needs of the residents.
  • The residential service provides bedroom accommodation with sufficient space to cater for the assessed needs of each resident and considers their privacy and dignity. There is also availability of sufficient accessible toilet and shower facilities to cater for the                  assessed needs of residents in a timely, dignified and appropriate manner sufficient space for residents to keep personal possessions and sufficient space for residents to store their clothes.
  • There is suitable and sufficient heating with a minimum temperature of 18°C (65°F) in bedroom areas and 21°C (70°F) in day areas. Internal heating systems consider external temperatures and are adjusted accordingly.
  • an adequate number of washing machines of industrial standard (with disinfection temperatures for washing soiled laundry) and dryer
  • Each resident makes decisions about their own life, support services and care in the residential service and they feel safe and secure while living there. Residential services ensure that residents maintain as much autonomy and independence as possible.
  • Call systems with an accessible alarm facility are provided in every room normally used by residents and for every bed, with due regard to the resident’s safety
  • Each resident has access to local, national and international news in an accessible format and in accordance with their preferences. This includes access to radio, television, magazines, newspapers and information via computer or notice boards. The resident can carry out personal affairs in private and to exercise choice if it does not infringe on the rights of other residents.
  •  A range of activities are provided for the residents including art classes, flower arranging, yoga/meditation, card game and bingo game There are sufficient numbers of trained staff to support an activity program that is suitable for all residents, they are also adequate arrangement to allow religious observance by residents.
  • Telecommunications and information technology devices are made available to residents, and they are facilitated to use them to support them to communicate and maintain contact with family, friends and others.
  • The premises include safe, secure outdoor spaces which residents are supported in using and which provide positive sensory stimulation. Outdoor spaces are accessible to residents with disabilities and include seating and facilities for recreation.

(Dife resources)

Voluntary support

Alone: They work with older people who have difficulties with loneliness, ill health, poverty, poor housing or homelessness.  They support them through these challenges and link them in with the relevant services they need to live in the community.

Statutory support

HSE:  HSE provides a wide range of services for people growing older in Ireland.



Dementia is the umbrella term used for a range of symptoms that manifest in a decline in intellectual functioning, caused by degenerative disease of the brain. This decline in functioning can lead to a progressive deterioration in memory, intellect, judgement, language, insight and social skills. It affects the person’s ability to carry out daily activities.

The most common forms in Ireland are Alzheimer and vascular dementia According to report in in Ireland There are currently almost 48,000 people living with dementia, over half of whom have Alzheimer’s disease, a progressive neurodegenerative disorder. That number is expected to rise to 153,157 by 2046, according to a 2013 study, The Prevalence of Dementia in Ireland, by Suzanne Cahill and Maria Pierce

Alzheimer’s disease is the most common and well-known cause of dementia. It is thought to cause over half of all cases. It is recognized by the buildup of protein on the brain which forms plaques and tangles that stop the brain working as it should.

Vascular dementia is the second most common type of dementia and it occurs when the blood supply to the brain is damaged. There are two main types of vascular dementia; one caused by stroke and the other by small vessel disease.

Common behaviour associated with AD and VD are pacing and wandering which can also lead to increased energy expenditure and short attention span during meals, change in mood, inability to remember somethings and difficulties in completing daily tasks. (Alzheimer’s Association)

The needs of People with dementia are directly related with to their conditions and their needs include the following

Physical needs

This is the needs for good diet and proper food, appropriate body temperature, clean cloth, adequate house, enough fluids, exercise, finger message, high do therapy, assistance with medication, assistance with completing daily task and enough rest and sleep.

Social needs

This is the needs for love and belonging, friendship, group activities, trips, outies, gardening, music and entertainment. also, like organize activities for them such as imagination gym which would help them to feel relax.

Emotional needs

Emotional needs for people dementia are to be love and be love, acceptance, they need to be treat with dignity and patience, they need their own space, and they also need support.

Intellectual needs

This indicate to the needs to keep the brain active and these needs, including reading books, newspaper and magazine, puzzles, and games, art and craft.

People with dementia lives in the community or residential care. The residential care for people with Dementia is supported by Alzheimer association of Ireland and HSE.

The services provided to person in residential care with dementia including the following

Suitable environment: People living with dementia who live in a residential Centre need the same amount of space as if they were living at home. The environment in a residential Centre is monitored and provide acceptable levels of noise and stimulation. There is Freedom and choice of movement through the Centre. Areas of quiet space for reflection and interaction with others are also available.

Suitable staffing: staffs make sure that residents with dementia have sufficient support to complete their health and personal care routines and to participate in the daily life of the service.

Care plan: assist the resident to maintain their sense of identity and includes them in decision-making whenever possible builds on the resident’s abilities and includes strategies, such as physiotherapy or occupational therapy, to help the resident to complete their daily routines and maintain their functional abilities for as long as possible. Residential care facilities are generally resident centred and are required to promote the independence of the person.

Service provided in the community for people with Dementia are the following

  • Day care centre: provide dementia specific, person centred care to meet the needs of the person with dementia in a warm, welcoming and safe environment while providing support and stimulation.
  • Social group: The Club is a social gathering once a week where people can drop in to chat, access information and support, meet other people as well as to exchange ideas and experiences.
  • Society branches: this help to achieve the mission to meet the needs of those affected by dementia
  • Alzheimer café: The cafes provide an informal way to meet others living with dementia and to meet health and social care professionals.
  • Community Dementia and support nurse: The service provides a dedicated local point of contact in Roscommon to support people with dementia and their families to live well at home.
  • Home care service: home care service offers dementia specific, person centred care and trained their staff work with clients to ensure that they meet the needs of dementia people.

(The Alzheimer society of Ireland)


Voluntary support

The Alzheimer Society of Ireland

Statutory support

Irish Senior Citizens Parliament


Autism is a complex neurobehavioral condition that includes impairments in social interaction and developmental language and communication skills combined with rigid, repetitive behaviours. Because of the range of symptoms, this condition is now called autism spectrum disorder (ASD).


There are four main area of difficulty for people with autism which are

Social communication: people with autism have difficulties with both verbal and nonverbal language and some people with autism may have only limited speech or be completely nonverbal alternative communication techniques such as sign language or visual symbol may be used

Social interaction: people with autism display trait of low esteem and prefer to be alone rather than seek out the company of other people. Also, they don’t have ability to expressing feeling, and emotions.

Social imagination: people with autism have difficulty with determine and interpreting other thought feelings and action and have difficulty in identify hazard or foresee what will or might occur next.

Social processing: many persons with autism have unusual responses to sensory input. They have difficulty processing and integrating sensory information, or stimuli, such as sights, sounds smells, tastes and/or movement. They may experience seemingly ordinary stimuli as painful, unpleasant or confusing.


There is no known single cause for autism spectrum disorder, but it is generally accepted that it is caused by abnormalities in brain structure or function, genetic, and problem at birth.

For this Assignment I will research the needs and the care setting of teen with autism in the community.

Physical needs

These needs include adequate and nutrition food because people with autism don’t eat that much. They need help with person care or grooming, well comfortable house and nice environment that takes account of their sensory differences, water, fresh air, warmth, also they need adequate and well sleep because people with autism have a sleeping problem.

Social needs

Teenage social relationships can be complicated, especially for children with autism spectrum disorder (ASD). Strategies like role-play, video-modelling, Social Stories, watching tv program, prompt cards and hobby groups can help child to practice the social skills they need for a positive social life. Also, by organize any event that they may loves love for them so that they can invite people to participate in the event by this it will help them to form relationship with others and improve his sense of belongings.

Intellectual needs

Children with autism spectrum disorder (ASD) can struggle with focus, attention, transitions, organization, memory, time management, emotional control and frustration Difficulties with these abilities can affect a child’s learning. Children with need the skill of joint attention for developing communication and language skills, also they need sign language, symbols, PECS, augmentative devices and therapy support.

Emotional needs

People with autism need to be safe, loved, treated with dignity, they require a lot patience and support from their family and they need constant attention, care and monitoring.


The HSE provides and funds range of services for people with intellectual, physical and sensory disabilities or autism and their cares. These services include basic health services as well as assessment, rehabilitation, income maintenance, community care and residential care respite, home care and day care.

Service provided for teen with autism whose lives in the community include the following

EDUCATION: Teen with autism who live in community may be place in a special school or place in ASD unit attached to a mainstream school or place in mainstream school with or without the additional support of a special needs assistant depending on the stage of their behavior. The National Council for Special Education (NCSE) provide Special Education Needs Officers (SENOs) whose role it is to assist families of children with special educational needs in accessing educational placements.


Social skill training: this including teenagers to read non-verbal cues like eye contact, body language, tone of voice and facial expression. It often includes skills like seeing things from other people’s perspectives, solving social problems and understanding social and emotional rules. Autism teen might be able to do some social skills training one on one with a therapist or teacher, or as part of a group. Some programs include outings, so autism teen can try their new skills in the community. This helps them apply the skills they learned in one setting to other settings, situations and people.

Autism friendly cinema screening: The special performances have subtle changes to the cinema environment which mean that people who have sensory difficulties have a more positive experience than they would in a traditional cinema setting. Changes include:

         The lights being kept on at a low level

         Lower than usual sound levels

         No trailers or advertisements – just the film

         Allowance for increased levels of movement and noise

Training for the parent: there is a comprehensive range of training programmes for parents and individual on the spectrum to facilitate and empower them to create the best   possible opportunities of life for all families affected by autism.

Occupational therapy: to help the older people to make the most of their abilities to perform daily activities and to remain independent as possible. They work with people who have physical or mental health problems

Autism friendly shopping times: Supervalu has created autism shopping hours for teen with autism where their parent can bring them every Wednesday night from 7pm to 10pm the store will: Dim the lights, turn off the radio, turn off chill fridge lights where possible, no loudspeaker announcements, put away red baskets (as they can be noisy)

Community Activities: There are many opportunities for activities for individuals with autism in the communities. Activities in the community include: Public/private facilities: pools, parks, fitness clubs, Trips and outings Exercise and sports Hobbies, games, arts and crafts Social Events Youth groups or religious community activities

Voluntary support

Brothers of Charity service Ireland

Statutory support

Health Service Executive (HSE)


Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks.


There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels and they are:

Bipolar I Disorder: is characterized by one or more manic episodes or mixed episodes (which is when someone experience symptoms of both a mania and a depression).

Bipolar II Disorder:  is a milder form of mood elevation, involving milder episodes of hypomania that alternate with periods of severe depression.

Cyclothymic disorder: describes brief periods of hypomaniac symptoms alternating with brief periods of depressive symptoms that are not as extensive or as long-lasting as seen in full hypomanic episodes or full depressive episodes.

Other types. These include, for example, bipolar and related disorders induced by certain drugs or alcohol or due to a medical condition, such as Cushing’s disease, multiple sclerosis or stroke.

for this assignment I will research the needs of adult in the community who have bipolar disorder

Physical needs

Physical needs of someone with bipolar disorder are supporting in completing daily living activities, adequate and enough rest, nutrition food, clothing, water and regular exercise.

Emotional needs

Someone with bipolar disorder needs encouragement, they need to feel safe, they require support and patience, they also need continuous care, attention and observing.

Social needs

Social needs for adults who have bipolar disorder is to join a support group where they can share experiences, giving and receiving support from other people who are bipolar in the community, they need to attend group therapy which will help them to face their mental health challenges also they need to find something that interest that may do this can be going to book club, a sewing class, lunch or cooking class or participating in community gardening.

Intellectual needs




Services provided for adult with bipolar disorder that lives in the community including the following:


People with a long term mental health difficulty are more likely to have a low income or rely on social welfare than the rest of the population. People with mental health difficulties are also more vulnerable to homelessness.
A home is much more than a physical building. Suitable, stable housing is a key support to someone with a mental health condition. A suitable home in a supportive community can give someone a safe and secure environment and is important for recovery and maintaining good mental health. The quality of accommodation, its location, and security of tenure are all important aspects that contribute to other supports to recovery, like good access to public transport.


People with a mental health difficulty will have varying levels of support needs, on a spectrum varying from full-time medical support to occasional social support. The support needs of people can be categorised as medical, social and personal needs. Multi-disciplinary teams including the HSE Community Mental Health teams, local authority housing welfare staff and housing association staff may need to work together to provide appropriate supports for tenants with mental health difficulties

Sheltered workshop

This is a community facility where the emphasis is on people with mental illness working in area suited to their skill or needs with support and guidance from trained staff.

Out-patient and community service

The aim of out-patient and community services is to treat and support individuals in their own home and communities where possible. Service user are provided with the appropriate level care depending on their individual needs.



The three clients that I choose include older people, people with autism and people with bipolar disorder.

Role of one care works who work some with bipolar disorder

Mental care worker

mental health social workers’ role is to focus on the interface between the individual and the environment and recognise the impact of social, economic and cultural factors on the health and wellbeing of individuals and communities also mental care workers enhance someone with bipolar disorder social functioning, promote recovery and resilience and give them support in all area as much as possible.

Two specialists working with people with bipolar disorder


psychologist helps people with bipolar disorder to recover from distress of depressive or manic episodes.  Psychologist provide psychotherapy or talk therapy for some with bipolar disorder. Psychologists reduce psychological distress and enhance and promote psychological well-being for people with bipolar disorder.

Occupational therapy

Occupational therapy helps people with bipolar disorder to make the most of their abilities to take care of their self, perform daily activities and to remain independent as possible. And identify treatment goals that are meaningful to someone with bipolar disorder such as personal care routine, communicating effectively with family, monitor their response to the medication used and educate family member and caregivers about mood disorder and collaborate them with on treatment goals.

Role one care worker working with dementia

Health care assistant

Roles of health care assistant who works with people with dementia is to assist and support them in carry out daily living activities and understand the situation of person with dementia in the context of their individual setting. It’s duty of health care assistance to provides people with dementia with physical, social, intellectual, and emotional support for them.

Two specialists working with people with dementia

Diversional therapy

Diversional therapy role is to facilitate the process of empowerment, facilitation, coordination and planning of leisure and recreational programme that are designed to support, challenge and enhance the psychological, social, emotional, spiritual, cognitive and physical wellbeing of people with Dementia.


A dietitian completes a comprehensive nutritional assessment and provide a nutritional care plan for someone with Dementia and offer advice and support for people with dementia who are experiencing weight loss or excessive weight gain.

Role of care worker with people with autism

Social care worker

The role of social worker is committed to maximising the wellbeing of individuals and society. Accordingly, social care working with teen with autism maintain a dual focus in both assisting them so that their parent can take rest and improving their physical social and emotional wellbeing. Social workers also improve the psychological, institutional, and social functioning of teen with ASD and offering support to their family to improve interactions and successes at school and home.

Two specialists working with teen with autism

Speech therapy

Speech therapy improve overall communication, they helps someone with autism to articulate word well, it also help autism people to develop conversational skill,  speech therapy also help people with autism to learn self-regulation and how to play and interacting with peers and this makes it possible for people with autism to improve their ability to form relationships and function in day-to-day life.

Occupational therapist

Occupational therapist helps a person with autism to develop play/social skills, daily living skills, feeding skills, and sensory integration.


I will be making recommendation for teen with autism who live in the community and older people who lives in the residential care.

my first recommendations are for teen with autismwho live in community, visiting a supermarket, or shopping center is not easy for people who have autism spectrum, often shops by their nature can be noisy, unpredictable, busy and involve a lot of communication. This can make it very difficult for people autism  to face going into a shop at all, by this I recommend that all stores should introduce autism- friend shopping hours where they should choose a day and or some hours off in a day for people with autism to do shopping, this can just once in a week where they should  just give people with autism like three hours to do shopping, the bright light in the shop should put off, turn off chill fridge light where possible, put away all the basket away, make no noise  and no loudspeaker announcement should be made and also dim the shop light. Also, in aspect of their education I recommend that government should equip these students with the skills that will enable them to compete and achieve and achieve their aim in life. Government should also create a more autism aware and friendly society by encouraging people and organization to be become more supportive of those with autism.

My second recommendation is for the older people in residential care, older people in residential care needs more space, some of them are not comfortable the way they were three people in a room, they need their own privacy. I recommend that each person should have their own room and also some time health care worker neglect the needs of older people and this is due to inadequate staff in the facilities I recommend that HSE and HIQA should ensure that adequate and appropriate staffing is provide in all facilities in keeping with the numbers, dependency levels and needs of residents.


The preschooler without a doubt is growing and beginning to explore the new world around them, therefore it is vital that the primary caregiver pays attention to their needs in order for proper growth and development, there is a lot of care setting provided for children in preschool which are full day care, part time day care, sessional preschool, drop in center and childminder and care is regulated by child care act 1991{early years’ service} regulation 2016 and inspected by Tulsa and they provide enough, suitable and competent adult working directly with the preschool children in the preschool service always.

Adolescence is the transitional stage during which child mature into an adult, in this stage a lot of changes occur which are physical, social, emotional and intellectual changes. Some adolescent who can’t live with their parent are placed in residential care or fosters care to meet their physical, social, emotional and intellectual needs and the services provides adequate and suitable furniture, bedding and furnishings, and make sure the premises are clean, appropriately decorated and maintained in good structural conditions and adequate recreational facilities are provided for the adolescent in residential care.

Ageing process is gradual, the needs of older people depend on their age and circumstance elderly people may live community, but most ageing people are place in residential care to meet their physical, social, intellectual and emotional needs at appropriate time and the service provided in residential care include each resident is offered a daily menu with a choice of main meal that reflects their preferences and dietary requirements.  All meal cooked fresh each day with menus being specifically designed to meet the needs of the residents.

Dementia is a general term for a decline in mental ability severe enough to interfere with daily life. There are two types of common dementia in Ireland which are vascular dementia and Alzheimer disease, people with dementia can live in the community or residential services and there is a lot of services which are available for someone with dementia who in community or residential to meet their needs also Alzheimer society of Ireland provide information and care for patient with dementia.

Autism is a complex neurobehavioral condition that includes impairments in social interaction and developmental language and communication skills combined with rigid, repetitive behaviors. There is a lot of services provided for teen with autism who lives in community to meet their needs such as social skill training, mainstream school also there is tanning for their parent.

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. Adult with bipolar disorder who lives in the community have access to social care work or health care assistance to help them with day to day task and for them to meet up with their needs.



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Anon., Idea For Nursing Home Activities. [Online]
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Anon., n.d. dcya. [Online]
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Anon., n.d. Improving Quality of Life For Older People in Long Stay Care Setting In Ireland. [Online]
Available at: http://www.ncaop.ie/publications/research/reports/93_Imp_QoL_Long_Stay_Care.pdf
[Accessed 07 December 2017].

Brennan, J., 2013. National Dementia Strategy A Social work perspective. [Online]
Available at: https://www.alzheimer.ie/Alzheimer/media/SiteMedia/ImageSlider/Fixed/NDS-A-Social-Work-Perspective-09-04-13-revised.pdf
[Accessed 10 December 2017].

Dementia a month in the life. 2015. [Film] Ireland: BBC.

Hillard, L., 2013. Caring for Dementia Patient. 15 NO 8 P. 64(August ), p. 20 to 25.

WebMD, 2005. Benefit OF Speech Therapy for Autism. [Online]
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[Accessed 12 Decembe 2017].

https://www.healthychildren.org/English/ages-stages/teen/Pages/Stages-of-Adolescence.aspxstages of Adolescence

https://www.webmd.com/healthy-aging/tc/healthy-aging-normal-aging#1 changes in the elderly


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