This assessment requires students to create a portfolio that integrates both creative and analytical components to explore the lived experience of dual diagnosis within a historical or cultural context. The submission demonstrates understanding across theory, policy, epidemiology, and contemporary practice.
By completing this portfolio, students will demonstrate their ability to:
Identify various presentations of dual diagnosis
Discuss historical and cultural variations in dual diagnosis
Describe and analyse patterns and prevalence of harm
Review policy and legislation concerning dual diagnosis interventions
Critically appraise literature and policy documents on contemporary practice
Compare advantages and disadvantages of intervention approaches
Evaluate outcomes of health promotion strategies in dual diagnosis populations
Your portfolio must include three components:
Create an original piece representing the lived experience of a person with dual diagnosis in a specific historical or cultural context. Examples include:
Poem
Short story
Reflective narrative
Painting or drawing
Collage
Digital artwork
Mixed-media piece
Accompany the artefact with a 300-word explanatory statement outlining:
Your creative choices
The context represented
How this artefact reflects the lived experience of dual diagnosis
Your essay must address the following sections:
Identify and discuss at least two different presentations
Provide clinical examples
Support discussion with current literature
Compare dual diagnosis understanding and management across two eras or cultural settings
Link insights from your creative artefact
Present relevant epidemiological findings
Analyse impacts on individuals, families, and communities
Critically review:
One national policy
One local (state or health service) policy or guideline
Discuss implications for clinical practice
Select two recent peer-reviewed articles or policy documents
Evaluate strengths, limitations, and relevance to nursing care
Compare at least two intervention models (e.g., integrated vs parallel care)
Discuss evidence, feasibility, cultural appropriateness
Evaluate health promotion and harm reduction outcomes
Use case examples or recent research to support your discussion
Provide a reflective piece considering:
How the creative and analytical process shaped your understanding of dual diagnosis
Any shifts in your attitudes or assumptions
How insights gained will influence your future nursing practice
This assessment requires students to develop a Creative Lived Experience Portfolio that examines dual diagnosis within a chosen cultural or historical context. The portfolio consists of three integrated components:
Creative Artefact – an original work (poem, short story, narrative, or visual artwork) representing the lived experience of a person with dual diagnosis. A 300-word explanatory statement must accompany the artefact to justify creative choices, describe the context, and explain how the piece reflects lived experience.
Analytical Essay (1,500 words) – a structured academic analysis addressing:
Various presentations of dual diagnosis with clinical examples
Historical and cultural variations
Patterns and prevalence of harm
Review of national and local policies/legislation
Critical appraisal of contemporary practice literature
Comparison of intervention models
Evaluation of health promotion strategies
Personal Reflection (200 words) – a reflective discussion on how the creative and analytical tasks shaped understanding and attitudes regarding dual diagnosis, and how these insights will influence future nursing practice.
The assessment aligns with key learning outcomes such as identifying presentations of dual diagnosis, evaluating interventions, analysing harm patterns, reviewing policies, and critiquing literature.
The academic mentor supported the student through a clear, structured, and scaffolded process, ensuring each component of the assessment was addressed logically and meaningfully.
The mentor first helped the student break down the assessment into its three major parts artefact, essay, and reflection. This ensured clarity on expectations, word limits, learning outcomes, and assessment purpose.
The mentor guided the student in:
Choosing a historical or cultural context relevant to dual diagnosis
Selecting an appropriate creative medium (poem or narrative)
Embedding emotional, social, and clinical aspects of lived experience
Writing the 300-word explanation connecting creative choices to theoretical concepts
This step ensured that the artefact meaningfully connected to later essay discussions.
The mentor organised the essay into seven clear sections aligned with the assessment brief. For each section, they guided the student as follows:
Presentations of Dual Diagnosis: Identify two clinical scenarios, integrate literature, and highlight complexity.
Historical & Cultural Variations: Compare two time periods or cultural settings and relate these insights to the artefact.
Patterns & Prevalence of Harm: Use epidemiological reports to analyse impacts on individuals and communities.
Policies & Legislation: Select one national and one state-level guideline, critique applicability, and discuss practice implications.
Appraisal of Contemporary Literature: Choose two quality sources, critique methodology and relevance.
Intervention Approaches: Compare integrated and parallel care, addressing cultural appropriateness and feasibility.
Health Promotion Strategies: Evaluate harm reduction and prevention strategies through recent research.
This step-by-step guidance helped the student maintain academic flow, integrate evidence, and address all marking criteria.
The mentor encouraged the student to reflect on:
How creative exploration deepened empathy
How analysis strengthened understanding of systemic and clinical complexities
How the assessment process influenced future nursing values and practice
This ensured the reflection was personal yet academically aligned.
The mentor helped the student cross-check that all seven learning outcomes were addressed through the artefact, essay, and reflection. This ensured the final portfolio demonstrated:
Knowledge of dual diagnosis presentations
Cultural/historical awareness
Understanding of epidemiology
Policy interpretation
Critical appraisal of literature
Evaluation of interventions
Insight into health promotion outcomes
Finally, the mentor guided the student in bringing all parts together into a polished submission logically connected, evidence-based, and reflective of both academic learning and creative understanding.
The academic mentor’s structured approach enabled the student to produce a cohesive and insightful portfolio that fulfilled all assessment requirements. The student demonstrated strong analytical skills, creativity, cultural awareness, understanding of harm patterns, critical evaluation of policy and literature, and ability to compare intervention models. The reflective component further showed personal growth and readiness for future nursing practice.
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