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27 Cards in this Set

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Case Management
Collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates options to meet an individuals health needs through communication and available resources to promote quality, cost effective out comes.
Case Management - role
Advocate
1. Identifying engaging clien
2. Assessing the client's needs
3. Locating appropriate services
4. Planning how the services will be used
5. Linking the client to resources
6. monitoring the process used to achieve deisered targeted outcomes
Case Management- practice
Strength based been shown to be effective helping strategy as opposed to weakenss based forcusing on pathology and disease - PIE approach
Case Management Functions
1. on going assessment, evaluation to remain aware of client's needs
2. Develop. of overall case plan, focus progression and linkage services for client
3.linkage to serv, help overcome difficulties with accessing serv., and contact with serv., providers
Advocacy
the act to directly defend, intrvene, support or reccomend a corse of action on behalf of one or more indivduals
Class Advocacy
(Macro)Social action - an issue that represents the interests of a particular class of individuals
Case Advocacy
(Micro)Intervention between client and unresponsive system
Case Management
Seeking assurances from providers that client will receive all services needed or requested, even if services are not routine part of a provider's activities
Indications of Case Advocacy
1. Client unable to act on own behalf
2. An Agency or individual fails to provide services or benefits entitled to client
3. client expriences discrimination, race, gender, s.orientation, etc
4. deficiencies in serv. causing new or exarcerbating problems
5. Services humiliate or dehumanise client
6. existing polcies adverse impact on client
7. A group of clients common no services exist
8. unusual needs or services that do not exist
9. legal rights denied or violated
10. org or institu. policies have adverse impact on client
Consideration before taking advocacy
1. Clients needs intervention to bring about change in the environment
2. Extent in which client can be empowered
Consideration when performing case management
General Consideration
*Consider the change agent, target system, nature of the problem, and goal and authorization of the intervention
* emphasise communication and medaition, rather than power
*result of intervetion influenced by openness oftarget system and resources of change agent
Consideration when performing case management
Assessing the Problem
Start where client is - complete exploration and assessment and develop a contract to establish goals
Consideration when performing case management
Designing Intervention
What is the problem, what is the objective, target system, sanction, resourrce available, hoew responsive is target sys., level of intevention, object of the intervention, plan and method of inteven., what were results of previous advocacy effort
Advocacy and Client self Determination
Address client's interest, if client not interested don't pursue issue
consultation
process in which human services proffessional assists a consultee with work related problems within a client system
Types of Consultation
1 Organizational consultation - regard the whole aor structure and processes.
2. Mental health Consultation - 2 professionals one tries to help other maximise social, emotional develop. of client
3.behavioral consultation - using behavioral principles to resolve problem
4. Advocacy Consultant Foster the goals of specific disenfranchised groups
Types of mental Health Consultation
1. Client centered case consultation
2. Consultee centered consultation
3. Program centered administration consultation
4. consultee centered administration consultation
Stages of Consultation
1. Entry
2. Diagnosis
3. Implementation
4.Disengagement
Consultation Vs. Related intervention
1. Supervision - Supervisor has administrative responsibility and power over supervisee
2. Collaboration- 2 or more professionals work together to serve given client
Social worker use of self in therapeutic relationship
*Behaving authentically
*Social worker appropriate Self disclosure
Authentic Responding
*Providing positive feedback
*Describing a personal experience
*Offering insights, ideas and reactions related to the problem
*Expressing your feelings when a client has put you in an awkward position, or unreasonable behavior.
Assertiveness is necessary for
*Isuing directives
*Confronting a client to further therapeutic goals
*Interupting disfunctional interactions
*maintaining focus in an interview
*Openly addressing client anger
*Setting limits and saying no to a client
Case Management
Process of coordinating social work services and activities to more fully meet the needs of a client. Often involves case finding, multidimentional assessment, on going assessment of client's progress. Occurs in agencies and communities.
Case Management practice
Strength based practice shown to be effective in helping strategy
Case Managing functions
1. On going assessment, evaluation and contact
2. Development of overlal case plan
3.Linking a client to needed services
4. First hand monitoring of services provided to ensure effectiveness
The role of a Casee Manager
1. identifying and engaging the client
2. Assessing the client's record
3. Locating appropriate services
4.Planning how the services will be used
5.Linking the client to resources
6.Monitoring the process used to achieve desired outcomes
Recording Procedures
*Diagnostic summary recording (Hamilton) - on going psychosocial assessment. not commonly used
*Person Oriented Record - accountable and goal orietented documentation of interventions.
*SOAP charting - Subjective, Objective, Assessments and plan
* Standadized Forms
* process Recording - documenting word for word