Report on Case Management

This report discusses case management techniques for client wellness and autonomy through collaborative efforts. It explores various theoretical models, including intensive care management, strength-based case management, and more. The report also identifies the strengths and limitations of each approach and justifies the choice of approach for the given scenario. It concludes with a reflection on the role of a social worker in case management.

REPORT ON CASE MANAGEMENT
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Table of contents
Introduction......................................................................................................................................3
Discussion........................................................................................................................................3
Conclusion.......................................................................................................................................9
Reference list.................................................................................................................................10
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Introduction
Case management techniques are necessary to be applied to attain client wellness and their state
of autonomy through collaborative efforts. It becomes therefore required for the case managers
to rely upon a number of case management theories and models. Michelle being a 20 year old
young girl is affected with a number of mental and situational ailments. She is unemployed
hence cannot obtain the required resources for coping (Aidala et al., 2016). She is suffering from
Hepatitis C, works as a sex worker, she is into alcohol abuse. She is addicted to drugs, marijuana,
heroin and also benzodiazepines. As she was unable to pay her home rent she is presently
homeless as well. Michelle is found to undergo primary issues of crisis, substance abuse of
heroin and alcohol. Suffering from Post Traumatic Stress Disorder (PTSD), she is also working
as a sex worker in the streets and also shares drug syringes. She had eventually resulted in
getting affected with Hepatitis C. she has housing turmoil and is almost in a situation to become
homeless. In order to save her from this critical situation it is necessary that a Strength Based
Model shall be best appropriate for her.
Discussion
Evidence of understanding of the guiding principles and theories of case management and use of
these
A high quality of service in the form of case management is possible to be provided towards the
clients there are a number of theoretical models that shall be brought to discussion in context
with case management to deal with diverse client issues. They include the following:
Intensive Care Management
Clients facing mental illnesses of different sorts are likely to adhere to Intensive Case
Management (ICM). They tend to provide assertive outreach towards the clients through their
counseling services. They tend to make use of skill building among the clients to generate the
level involvement from their side (Edelman, Mandle & Kudzma, 2017). Family consultation is
anther productive method through which sufficient support and assistance is tried to be achieved
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from the part of their family members. Crisis intervention is found to be the foremost and most
effective processes which are conventionally followed in accordance with the Journal of
Psychoactive Drugs. This case management model is found to be similar to and be grouped
under assertive community treatment. This case management technique is likely to explore and
make use of team approaches and large caseloads into account.
It is termed as those models which are designed with the purpose of approaching clients having
low insight level. There are clients who are identified with short term as well as long term needs.
This model has been effectively working upon clients who were homeless and were in immediate
need of services and support. It is through this case management theoretical model that clients
are able to maintain their housing and achieve an optimum quality of life (Shepard, 2016).
Effective development plans for enhancement of skills are necessary. The health and mental
needs are required to be satisfied by engaging them into meaningful activities and building social
and community relationships.
I have realized that this model shall be effectual enough to address the problems of Michelle as
research upon this model has proved that this acts as one of the most effective case management
models. The ICM model seemingly has a moderately strong evidence base towards the homeless
population according to the homeless hub reports. ICM is recognized as one of the tested models
for supporting people with diverse levels of substance abuse population. Alcohol dependence
along with homelessness is the cases that are prominently assisted using it. With reference to the
Journal of Psychoactive Drugs ICM is able to implement cost effective and beneficial outcomes
for such affected populations (Hawkins et al., 2017). From the research journals and articles I
have understood that ICM is that case management model which is able to bring positive and
productive outcomes for people having severe mental illnesses.
The Strength Based Case Management
People who are suffering from a persistent state of mental illness are tried to be catered using
Strength Based Case Management. This model acts towards transforming from institutionalized
care towards implementation of independent living. Comprehensive Case Management towards
Substance Abuse Treatment are tried to be brought into focus (Abad et al., 2015). There are two
fundamental principles based on which the particular case management model was prepared.
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They are asserting direct control upon patients to provide them support which encompasses
search for resources such as housing and employment. The other one being examination of client
strengths and assets which shall be termed as resource management. The strength based
approach refers to the innate and inherent strengths of those individuals, organizations, families
and groups. Deployment off personal strengths is necessary to aid others through empowering
them and recovering them. While the health and well being of the people are to be restored to
asset based approach needs to promote and facilitate positivity. There are evidences which
suggest that strength based approach shall be beneficial to incorporate social improvement.
Creation of positive psychological impacts shall lead to enhance well being, helping children and
families to retain the treatment programs (Proeschold-Bell et al., 2018). These were especially to
address people misusing substances. The Journal of Psychoactive Drugs and SAMHSA state that
strength based case management is likely to improve outcomes through substance abuse.
Brokerage or Generalist Case Management
The case managers adhering to brokerage or generalist model tend to help clients with the
identification of their needs and broker resources. Instead of adhering to long term relationships
the case managers are likely to plan for client’s early contacts (Baria et al., 2018). The ongoing
monitoring is not provided or rather relative brief in nature. The client’s early contacts shall be
intended to be managed through case manager following a limited period plan than an intensive
long term relationship.
As the particular model adheres to limited contact between the case manager and the clients this
model is found to face a lot of criticism. The basic foundations of the case management process
are projected through this approach. This model has limited nature of relationships hence allows
case managers to provide services to more clients. This case management model is found to be
effectual in limited situations (Hanlon et al., 2018). One of the prime advantages of using is
model is the reception of immediate results towards clients as delivered through this approach.
One of the model applications were indicating the fact that large metropolitan areas were worked
upon by the case managers. These areas were intrinsically associated with HIV infected clients
having at least two referrals during the initial session towards the agencies and services. The
ongoing services are necessarily directed towards such agencies (Nyamathi et al., 2015). The
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case managers are found to be working with substance abuse affected people residing in those
specific areas. As those are metropolitan areas the access over funds are easily received for the
acquirement of treatment services and reduction in waiting periods. This model is found to be
applicable for clients who are able to procure sufficient resources and are not economically
deprived in nature.
Clinical Case Management
This model adheres to procure combined resources as well as clinical therapies and activities.
This is a theoretical approach where clinical and rehabilitation approaches are combined in
nature. Psychotherapy along with teaching specification skills are some of the activities that are
managed.
The common treatment approaches are explored using substance abuse programs. The staffing
consideration is professionally provided through economic and affordable manner. There are
specific women programs directed towards substance abuse issues through clinical case
management approaches (Hockenberry, Wilson & Rodgers, 2016). The therapeutic relationships
along with caregivers are necessary to be held through effective programs.
Clearly identify and justify your choice of approach utilizing principles and theories of case
management
With respect to the scenario of Michelle I have decided upon implementing intensive case
management and strength based case management considering the principles and theories of case
management. The use of intensive case management in case of Michelle is necessary as it will
help in bringing out the expected positive outcomes for Michelle. This model will assist her in
getting support for dealing with her crisis like homelessness, dependence on drugs and alcohol
and getting affected with hepatitis C. However before applying this model it is necessary to find
out her strengths so that they can be applied during her case management. Strength based
management will help in recovering the present state of Michelle by utilizing substance abuse.
This particular model will complement the various aspects of the intensive case management
leading to better solutions for Michelle to handle her crisis.
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Adhering to the core principles of the specific model chosen it is imperative to identify the
strength points of the addressing client. In context with Michelle it is found that resilient in
nature. Due to her growing problems related with household she was found to be surrounded
with a lot of problems.
Caring in nature is the common expected outcome which shall be considered as her strength.
However she needs to be treated in this dimension using strength based model as she was
stressed facing dangerous and turmoil life (Blankenship et al., 2015). Although she was
witnessing all these adversities and a drug abuse situations in her life she was able maintain an
appropriate health and care relationship along with her partner Tyler.
Sustaining employment- Michelle was suffering from a lot of psychological, physiological as
well as situational turmoil. Despite all these adverse circumstances she did not leave her
profession of working as a sex worker as she knew that was the only source of income she had to
run her living.
She had elements of compliance within her which became evident when her goals and working
efficiency are found to match with those of the objectives of the particular case management
professionals (Harris et al., 2018). It was easy to administer and bring about positive changes
within Michelle her goals in life tended to be coherent and in compliance with those of the case
management processes.
Strength and limitation of the case management approach to the scenario
Intensive case management proves to be quite effective in case of Michelle as it is cost effective
and regarding the current economic condition of Michelle and Tyler this model will help them in
overcoming their crisis they are facing now. This approach includes proper counseling services
that are needed for management of PSTD, crisis and substance abuse. The first goal in the case
plan can be effectively achieved by the use of intensive case management. The third goal in the
case plan can also be achieved by the implementation of both intensive case management and
strength based case management. The strength based case management approach has helped in
identifying the strengths of Michelle which will help her as well as the general practitioner to
provide the better treatment for Hepatitis C and substance abuse. The approaches are appropriate
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for handling the current scenario but both of the models depend on team approach and improper
team approach can prove to adverse for Michelle’s condition.
The ways case management principles and approach influences my practice as a social worker
Case management is all about improving the various health aspects of the service user as well as
promotes wellbeing among others. Depending on this principle I look forward in taking up every
possible measure for improving the lives of my clients. According to the guiding principles of
case management I emphasize on advocating for the support that my clients require. I focus on
the proper use of the empowerments and resources of my clients in an objective and supportive
manner. Being a social worker it is necessary for me to ensure that the professional from across
various organizations must cater to the benefits of my clients. On the basis of the case
management approach and principles I have set my first and foremost goal of being a social
worker is to focus on the betterment of the functional, emotional, clinical and psychosocial status
of my clients. I give importance to continuous development of my skills, experience and
knowledge for effectively rendering proper support services to my clients in order to ensure them
with a healthy living.
Self reflections on my role play with respect to the cases scenario
In case of Michelle I have played the role facilitator. It is my duty to look after the meetings
which are held for discussing the progress of Michelle and to prescribe any change or
improvement in the case management approach for observing better outcomes. I am responsible
for providing every kind of support to Michelle for ensuring her well being. I am trying my best
to involve the responsible organizations and professionals in ensuring proper aids to her. The
case plan that has been discussed in the meeting has been designed with utter care by considering
not only the situation of Michelle but also of Tyler. It is my priority to look after the
improvements that are taking place. So far the things are going according to the plan. The overall
procedure is time dependent. Patience and time is needed to observe the expected outcomes. I am
constantly providing encouragement not only to my clients but also to the case management team
so that a better life can be provided to Tyler and Michelle.
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Conclusion
With the effective implementation of Strength Based model of case management it can be
established that desirable changes can be brought into Michelle’s life. The mental illnesses can
be appropriately addressed with the realistic approaches (Nyamathi et al., 2017). This may
require optimum exploration and exploitation of her strength characters and make them get
projected in yielding productive outcomes. Michelle is necessary to attend the psychological
foundation that runs as support groups towards aboriginal women of a specific region different
social connections along with a sense of belonging were directed towards people affected with
such psychological problems. The psychologists shall take appropriate care towards each of
those necessary aspects of difficulties encountered by Michelle. The strength based model shall
allow Michelle to gain knowledge and understanding regarding the positives in whatever she is
attached with in her life (LaBelle et al., 2016). With the help of sex worker outreach project she
shall be able to renew her employment life. These are projects where she shall be advised to save
her way to employment. She must create a sense of belonging and safety by gaining education
regarding Hepatitis C they shall aim to provide safe working for Michelle.
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Reference list
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