6.6.3 Psychosocial rehabilitation case study: Jessica - guitar and guitar lessons | Rehabilitation Policy Library, 6 Psychosocial Rehabilitation, 6.6 How to determine if a psychosocial activity is reasonable

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6.6.3 Psychosocial rehabilitation case study: Jessica - guitar and guitar lessons

Last amended 
3 November 2016

Jessica has a back condition and no capacity for work for three months while she recovers from an operation. She is finding her rehabilitation slow, frustrating and isolating. Jessica’s provider has recommended the purchase of a guitar and guitar lessons.

The provider says that guitar lessons will increase Jessica’s community engagement by ensuring she regularly leaves the house and by introducing her to new people. Regular practice between lessons will give Jessica a meaningful task to undertake while at home and distract her from her ongoing pain.

Can this request be approved?

Criterion: Is the activity or intervention.....Example: Guitar and Guitar Lessons
This table outlines issues to be considered in deciding whether the activity is reasonable

1. … likely to achieve progress towards an agreed rehabilitation goal?

Jessica’s goals include self-management of her ongoing pain and increasing her community engagement. Taking guitar lessons aligns with these goals.

2. …likely to be effective?

Jessica is motivated to learn and practice guitar, which will provide a meaningful occupation for her while she cannot work. The lessons are in a group setting which will provide social contact.

3. … appropriate for the client given their medical restrictions?

Jessica has no health conditions that would be aggravated by playing the guitar and attending lessons. The lessons are easy to get to by bus.

4. … likely to improve, or at least not impair, their independent functioning?

Learning a musical instrument and attending lessons require self-discipline and accountability, both of which will assist with independent functioning.

5. … time-limited rather than a long-term or ongoing activity?

Jessica understands that the lessons will be approved for a limited time period. The provider has recommended one term of lessons.

6. … cost-effective in relation to other equally effective interventions or arrangements?

The cost of the lessons is in line with similar courses in Jessica’s area. However, it is DVA policy that equipment for rehabilitation activities be hired rather than purchased – see section 6.7 of this library.

7. … in line with community standards and expectations?

Yes, playing guitar is a common activity in the wider community, and the cost is affordable.

8. … unlikely to compromise the client’s personal safety?

Playing guitar and attending lessons is unlikely to compromise the client’s safety as there is no danger involved.

9. … in line with the client’s preferences?

Yes, Jessica has expressed an interest in learning the guitar.

10. ... any other relevant matters?

Jessica plays the piano and sings, so she is likely to be motivated to learn a new instrument.

Outcome: One term of guitar lessons and guitar hire were approved for Jessica.