Domain 6 - Social and Environmental Stressors (Contextual Domain)¶
This initial assessment domain should consider how the person’s environment might contribute to the onset or maintenance of a mental health condition. Significant situational or social complexities can lead to increased condition severity and/or compromise ability to participate in the recommended treatment. Unresolved situational or social complexities can limit the likely benefit of treatment. Furthermore, understanding the complexities experienced by the individual (with carer/support person perspectives if available), may alter the type of service offered, or indicate that additional service referrals may be required (e.g., a referral to an emergency housing provider).
Assessment of an individual on this domain should consider life circumstances that may be associated with distress such as:
- significant transitions (e.g., job loss, relationship breakdown, sudden or unexpected death of loved one),
- trauma (e.g., physical, psychological, or sexual abuse, witnessing or being a victim of an extremely violent incident, natural disaster),
- experiencing harm from others (including violence, vulnerability, exploitation),
- interpersonal or social difficulties (e.g., conflict with friend or colleague, loneliness, social isolation,bullying, relationship difficulties),
- performance related pressure (e.g., work, school, exam stress),
- ability to or difficulty having basic physical, emotional, environmental, or material needs met (such as homelessness, unsafe living environment, poverty), and
- legal issues.
0 = No problem in this domain – no descriptors apply
1 = Mildly stressful environment
- Person experiences their environment as mildly stressful.
2 = Moderately stressful environment
- Person experiences their environment as moderately stressful.
3 = Highly stressful environment
- Person experiences their environment as highly stressful.
4 = Extremely stressful environment
- Person experiences their environment as extremely stressful.