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15 Cards in this Set
- Front
- Back
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Population #1- Developmental Disabilities |
-developmental disabilities cover so many things from mental retardation,autism, learning disorders, and ADHD -case managers usually deal with children and adults in this population -the first step should always be seeking a current diagnosis(you should refer them out; this identifies severity/interventions) -guidelines for working with this population was adopted by the American Association on Mental Retardation now the American Association of Intellectual and Developmental Disabilities in 1994 -service coordination (case management) with children often involve attending to the needs of the whole family (locating/ managing treatment and navigating social services, health, and welfare systems) -when working with adults, the client is your only focus. Most of the time, their family has passed and their are placed in group homes while others need housing, food, health care |
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What is service coordination? |
Service coordination( case management) is an ongoing process that consists of assessment of wants and needs, planning, locating, and acquiring supports and services, and monitoring or follow along. The individual and/or family is the defining force of the service coordination process -service coordination should be offered to all people w/ disabilities -service coordination should be flexible and include advocacy, education |
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Treatment for autism |
-when one makes an autistic diagnosis, the child will need intensive early treatment including speech or signing, motor, and social skills -parents need training in how to handle supporting their kids - family therapy -cost is a big issue -ADHD can be treated with medication, parental education, or behavior modification. - CM may include intensive training for parents/caretakers, arranging for teacher training, finding appropriate school placement, and referring the child to a physician or psychiatrist |
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Population #2- Health Care and Chronic illness |
- CM in these settings are common and the work is based on whether the illness is chronic -time spent with client will alter prognosis - CM's must have working knowledge of financial resources -CM's play a teaching role and a central hub to community resources -they make referrals to support groups and continual access to individual and family counseling -crisis intervention skills are important when families first hear of a chronic illness. Such crises happen at an emotional, financial, and educational level -since chronic illness can be an economic disaster, manager's focus must be on how to pay for treatment -CM's have to advocate for their clients |
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Population #3 Mental Health and Chronic Mental illness |
-CM uses a strengths based persective -community support is vital - CM/ client relationship is critical -outreach is a big goal -family as well as individual counseling therapy should always be considered when dealing with younger clients/adolescents -if young people are deemed out of parental control or serious danger to themselves or others they can be hospitalized or placed in foster care. In this case the CM is the coordinator, broker, and mediator between the client/family, foster care, and other facilities -for adults assesment for family is still key along with addressing housing and basic living or locating help with medications. Once that is complete they may need other services like job training, day treatment, education, therapy, and socialization |
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Population #4 Addictions |
- many D&A programs refer clients to A.A. or N.A.(programs run by people in recovery) -assessing whether a client has an addiction( first step of a case manager) is not easy task because they can be functional for years until they start to show marked signs of impairment in functioning. -often in above step, the CM has to convince the individual and family that addiction exist. In this step a CM acts as a teacher -the seriously addicted require hospitalization so a CM should know what treatment facilities are available, what they cost, where they are, how they are financed, and how to get people in them -once withdrawal is completed recovering addicts need intensive support from family, friends, and possibly employers. CM's offer this support by referrals for therapy, group help, and specialized employment programs -family support is critical in the support process of individuals with addictions so CM's have to find support for all family members to change behaviors and encourage positive change - chronic depression and anxiety, joblessness and poverty are often correlated with addictions -CM's are tasked with designing community support to combat long term drug free behavior and then tracking clients over extended period of time. Recidivism in drug treatment programs are high. CM's also have to find ways to get people to stay clean -referrals to programs offering short term support may work for a while but long term support programs are strongly recommend to achieve full recovery for clients and their families - CM's need to have relapse prevention skills |
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Population #5 Child Welfare |
- very common; one of the most common settings for CM'S -"child welfare" includes any and all services of child's well being whether the focus is on mental illness, developmental disabilities, economic aid, child protection, adoption, or child support in divorce situations - remember the primary client is always the child...it is the responsibility of the CM to assess the child's well being and safety in home if determined to not be safe they have to coordinate with a judge who is the only one who can legally remove a child or order parenting classes -CM's have to function as coordinators and mediators between parents, social service agencies, and the courts - CM's are responsible for locating in home services for parents to keep children and getting the parents drug treatment if needed -CM's are also responsible for tracking the progression of reaching treatment/service goals and determining if the parent is ready to regain custody of their child. If in foster care, the CM recommends that the child comes home -options for protective CM is first a referral for in home services and then foster care (removal from home-temporary/ long term ). They also are responsible for following up with the family to ensure safety -CM's should consider referrals to mental health services for the whole family -some case managers work in family preservation to help families achieve in home services -some CM's have to arrange long term foster care or adoption because family members are deemed as unable to care for their kids -burnout is pretty high
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Why are kids placed in multiple foster care facilities/ not adopted? |
-lack of foster parents -severity of foster children -inadequate financial reimbursement -instability of foster parents due to personal issues - lack of adoptive parents -age, special needs, and legal roadblocks make adoption difficult |
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Population #6 Geriatrics |
-increasing population -CM's can be found in mental health facilities, hospitals, family-service, senior centers, supported housing, or nursing homes -CM's need to be strong advocates for these individuals and be knowledgeable about, economic, medical, and housing entitlements for low income aged individuals. These basic needs including socialization, connecting with family, mental health and addictions support can also be a focus - possible family caretaker support can also be a focus -work with this population is going to increase for years to come -need grief counseling skills
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Population #7 Criminal Justice |
-work with at-risk youth, alternative incarceration programs, follow-up with previous offenders, combination of mentally ill/ addictions(M.I.C.A), perpetrators of crime, juvenile delinquents, and violent criminals -in corrections, CM's must understand how the legal system works and the various penalties. -CM's conduct assessments, collect psychosocial information, and make hypotheses about involvement with crime -Recidivism is a major problem -tracking and long term maintainence are critical challenges in this system |
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Population #8 Infectious Diseases- HIV/AIDS |
- Case Management has been around since the mid 1980s to organize and deliver services to those living with disease - CM's help clients manage their health, obtain and maintain essential entitlements, obtain essential services, develop skills in activities of living, including communications, negotiation, and self advocacy, helping clients develop a support system, and help clients increase self esteem and quality of life - CM's also address the emotional and service requirements of the children of these clients. They must be careful not to get too emotionally attached - CM's need to engage clients in an educational process addressing prevention and risk reduction |
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Population #9 The Homeless |
-group includes men and women, including runaway adolescents and families with young children. -they are hard to find and don't seek professional help,they have multiple areas of need, they have a recidivism rate and often are unsustainable in treatment - CM's can help clients get services to help treat their mental illness and drug addiction at the same time but it is difficult to get a slot, the programs are expensive, and long term commitment is not likely -a CM really has to form a trusting/caring bond with the individual or their family into treatment -this population often needs emotional support, help with nutrition, employment, basic health, education, and job training -they may need help with addictions, chronic mental illness, finances, infectious disease, housing, safety |
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Population #10 The Military and Veterans |
-in 2010, President Obama signed an agreement to help military service professionals called "Strengthening Our Military Families: Meeting America's Commitment"...outlines governmental commitment to enhancing the well being/ psychological health of military families, increased education for spouses and children, and increased child care - CM's help with information and referral to access benefits and services including education, assessment, coordination of medical,rehabilitation, and mental healthcare, referral for individual and family, or group counseling& vocational/employment services, housing assistance, wellness programs, legal assistance/advocacy, financial literacy, mediation, and burial services - the US Department of Veteran Affairs or Veterans Administration offers clinical case management services and community based outreach center programs to veterans with mental illness - the VA's Community Assertive Treatment services include case management for elderly and homeless veterans who are not located near a VA facility - the Rural Access Network for Growth Enhancement offers services for veterans in rural areas -Veterans Inc., coordinates treatment services for veterans who seek out their assistance -USA Cares offers financial assistance with utilities and mortgages and along with public agencies, provide services to homeless, mentally ill, and addicted veterans -homelessness is targeted by the Department of Housing and Urban Development and the VA's Supplement Housing program -military social work professionals offers CM services to address the needs of uniformed service members, veterans, and their families |
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Treatment for Disabled Population |
houing, food, health care, life skills, supervision, supported employment, family support |
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Treatment needs for military and vets |
-PTSD/ combat stress -depression -addiction -combat related disability -suicide (rates are high) -domestic violence -financial literacy |
