module 6 grief and loss learning resource 30.4.13

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  • 1. Grief and LossCHC51712 Diploma of CounsellingModule 6
  • 2. Copyright CTA CHC51712 MODULE 6 Grief and Loss Version Date: 30.04.13 P a g e | 2ContentsOverview...................................................................................................................... 3Unit Description......................................................................................................... 3Learning Outcomes (Essential Skills)............................................................................ 3Content Areas (Essential Knowledge) .......................................................................... 3Module Duration and Workload................................................................................... 4Required underpinning knowledge for this module........................................................... 5What is grief?......................................................................................................... 6Elisabeth Kubler-Ross (Stages Theory) 1969............................................................. 9J. William Worden (Task Theory) 1982....................................................................10Margaret Stroebe and Henk Schut (Dual Process Model) 1999...................................11Steps in providing support and care relating to loss and grief...........................................211. Identify effects and impact of loss and features of grief ...........................................212. Engage empathically with people who are living with loss.........................................303. Provide support for individuals who are grieving and identify potential for healing andgrowth.....................................................................................................................314. Identify, inform and refer to appropriate grief and bereavement care services andresources.................................................................................................................345. Identify and recognise risks associated with grief and bereavement support ..............356. Access appropriate supervision and debriefing.........................................................367. Review and evaluate grief and bereavement support provided..................................36READINGS & RESEARCH...............................................................................................38REFERENCES...............................................................................................................38WEBSITES...................................................................................................................38
  • 3. Copyright CTA CHC51712 MODULE 6 Grief and Loss Version Date: 30.04.13 P a g e | 3MODULE 6 Grief and LossThe unit of competency in this Module is:CHCCS426B Provide support and care relating to loss and grief.OverviewUnit DescriptionCHCCS426B This unit describes the knowledge and skills required to provide support forindividuals who are experiencing loss, grief and bereavement.Learning Outcomes (Essential Skills)At the end of this module of study you will be able to:1. Recognise expressions of loss, grief, trauma and bereavement2. Respond appropriately to a range of approaches and responses to loss, grief andtrauma3. Engage with individuals experiencing loss, grief trauma and bereavement withempathy, sensitivity, professionalism and courtesy4. Refer individuals who show some signs of mental illness to appropriate services5. Apply verbal and non-verbal approaches to dealing with and responding to grievingindividuals6. Use effective communication skills, including:o empathic listening skillso use appropriate communication techniques to respond to individual needso provide information clearly and sensitivelyo obtain feedback to confirm understanding7. Maintain documentation as required, including effective use of relevant informationtechnology in line with work health and safety (WHS) guidelinesContent Areas (Essential Knowledge)The following areas are the essential knowledge required for this module. These arediscussed in more detail in the following section. Knowledge areas covered are: Potential impact of specific loss(es) and common features of:o grief and bereavement at the individual, family and community level
  • 4. Copyright CTA CHC51712 MODULE 6 Grief and Loss Version Date: 30.04.13 P a g e | 4o trauma at the individual, family and community levelo complex grief at the individual, family and community level Reactions to loss and associated expressions of grief and bereavement Awareness of how loss, grief and bereavement can impact on social and emotionalhealth and well being Integration of loss Distinctive social, cultural, ethnic and spiritual differences in loss, grief andbereavement Awareness of the context and circumstances prior to loss and their impact on griefand bereavement Understanding of a stress vulnerability model Awareness of the broad spectrum of loss Strategies for formal and informal grief and bereavement support Available grief and bereavement care services and information resourcesModule Duration and WorkloadThis module is 4 months in duration. Learning and assessment should be completed withinthis time frame.
  • 5. Copyright CTA CHC51712 MODULE 6 Grief and Loss Version Date: 30.04.13 P a g e | 5Required underpinning knowledge for this moduleThe study of grief and loss is an important one for a counsellor. Losses occur for us all everyday in small ways. Fortunately, the larger losses that occur are usually more infrequent, asto lose someone close to us means a major readjustment in life. The loss of a child, partneror parent is at the very least incredibly disorientating and at worst can mean that we candespair to the point that our own life seems meaningless and not worth living. When oneperson ends their life others can feel for a time like they too dont want to go on.Supporting people to deal with loss is an important skill to learn in counselling. Losses canrange from job loss, moving locations, losing a home, loss of faith, through to separationand divorce or the loss of friends and family members through death. Fortunately (orunfortunately) we are all, to some extent, experts for we have all experienced losses. Ourcapacity to self-reflect is an important skill in helping others deal with loss as we can identifythe steps and stages that we have gone through on our own grief journeys which areprobably not so different from what others experience as well.Of course, if someone has a series of losses in their life, it can be extremely hard to findlevel ground. Suicides, long drawn-out painful illnesses and other traumatic losses canrequire expert attention and the capacity to identify when someone is at risk. It is importantto be able to recognise these risk situations so that we can refer appropriately if someone isnot recovering from a loss.There is a warning with the study of grief and loss. If you have recently lost someoneprecious to you, you could find that this study unit may distress you. It is important to talkfrankly about this with your trainer in order to design strategies to support you through yourstudy of this vital area.The following points cover the required knowledge set out in the competencies for thismodule.Potential impact of specific loss(es) and common features of griefand bereavement at the individual, family and community levelLosing anything is frustrating at the least. You may remember a time when you lost yourwallet or purse. Consider the thoughts, feelings and actions that occurred at the time. If youfound the wallet you would have been relieved and happy as you realised what it wouldhave meant to have to replace your drivers licence, credit cards, money etc. If you had lostthat wallet permanently you may have experienced any or all of the following:Possible thoughts: I am so stupid, why didnt I check it? Its his fault, if he hadnt distracted me at that moment! Where could it be? Maybe I left it in the car. Maybe one of the kids took it out of my bag.
  • 6. Copyright CTA CHC51712 MODULE 6 Grief and Loss Version Date: 30.04.13 P a g e | 6 This is dreadful, it will mean I cant get on this flight, and my colleague will be angrywith me.Possible feelings of: Agitation Dread Anxiety Anger Frustration Sadness Shock DisbeliefPossible body sensations: Sinking feeling Stomach knot Palpitations Tightness in the chest Shoulder tension Sweaty palms HeadachePossible actions: Frantic searching Going over and over retracing steps Anger outbursts Exclamations Aggression TearsAll this over a wallet or purse!Loss can be disorientating. There is a period where we try very hard to reverse the loss evenif it makes no sense and it is clear that we will never see that thing or person again, that itis truly over. We may play with thoughts of if only trying to reverse the damage.What is grief?The period of adjustment to a loss is called grief. It is the experience of getting used to theloss and it is not easy.In our counselling work we will encounter many, many people who are in the process ofgrieving. Many of them wont realise what they are experiencing is grief. However,