You are a disability support worker employed at a drop in centre to run music groups, cooking classes, trivia quizzes and other activities. Julia has just started coming to your centre to participate in activities. She is blind and has been diagnosed with schizophrenia. Julia has a lot to say and is quite open with people that she is a voice hearer. Julia has told you that her ability to hear voices is a gift. Julia has told you that she takes medication, but “thankfully it does not stop me hearing my voices.”
Today, Julia has approached you quite upset and says, “My voices have been silent for two days. I think I need to reduce my medication.” You respond, “That’s great, Julia! That means that your medication is working and taking away your schizophrenia! Don’t reduce your dose – you will become mentally ill again.”
Julia yells at you, “I miss my voices.” One of the activity participants says to you, “I think you got it wrong – she’s clearly still a psycho.” You just shrug your shoulders.
What you could say:
What approach you could take:
Intervoice: The International Hearing Voices Network This website hosts an interactive online community. It includes information on ways of overcoming the difficulties faced by people who hear voices and describes the more positive aspects of the experience. Type: Web page Estimated reading time: multiple resources Produced by: Intervoice
Mental Health First Aid: Psychosis First Aid Guidelines This guideline helps identify signs that psychosis is developing, and includes information on how to deal with delusions and communication difficulties. Type: Guidelines (PDF) Length: 3 pages Produced by: Mental Health First Aid
The NDIS Code of Conduct – Summary for workers The NDIS Code of Conduct Guidance for Workers provides guidance for workers in the NDIS about complying with the NDIS Code of Conduct. The guidance provides information and examples about what the Code of Conduct means in practice.Produced by: NDIS Quality & Safeguards Commission