07/05/2026
Mental Health Chaplaincy: looking after spiritual, religious, faith and cultural aspects of identify that impact mental health.
A spiritual assessment can be a useful way to understand the relevance and importance of spirituality on mental and physical health.
What is a Chaplain? And what does a Spiritual/religious assessment mean?
Imagine I am holding a large golf umbrella with lots of coloured segments and each of those colours represents a religion, faith, spirituality and culture. Although chaplains have their own personal faith, we are there to support everyone. I had four referrals for a client from different areas of the Community Mental Health Team. This was encouraging to see that they all thought that including faith/spirituality would benefit the Patient's Care Plan.
A spiritual assessment can be done by anyone and does not need a Chaplain. However, a Chaplain does have a wealth of experience of navigating different cultures and religions and they are aware and reflective of not projecting a personal bias.
A commonly used framework for assessing spiritual/religious need is HOPE:
Hope: "What are your sources of hope and comfort?"
Organized religion: "Are you part of an organized religion, and are there any practices that are important to you?"
Personal practices: "Do you have personal spiritual practices, such as prayer, meditation, or reading sacred texts?"
Effects on care: "How have your beliefs influenced your health or your decisions about your care?"
Another is F**A:
F - Faith or Belief
This section assesses a patient's spiritual or religious beliefs and whether they find meaning in their life through them.
I - Importance or Influence
This area explores how important spirituality is in the patient's life and how it might influence their health care decisions.
C - Community
This part identifies if the patient has a spiritual community that provides support.
A - Address in Care
This final step helps the clinician and patient develop an action plan. It focuses on how the patient's spiritual beliefs should be incorporated into their overall care plan.
Is there anything you think should be in this assessment or questions that as a patient, you would like to be asked?