University Case Management: Client Assessments and Service Plans

This case management assignment presents three distinct case studies, each focusing on different client scenarios and challenges. The first case involves a family dealing with a 12-year-old antisocial boy, a 17-year-old with suicidal tendencies, and their grandmother's struggles. The second case centers on a 16-year-old girl experiencing domestic abuse. The third case examines a 27-year-old man with drug addiction and potential schizophrenic episodes. For each case, the assignment requires detailed narrative summaries including psychosocial histories, presenting problems, current behaviors, needs, and plans. It also requires the identification of problems, severity assessments, hypotheses, and both long-term goals and short-term objectives. Finally, the assignment explores client strengths that can be leveraged to achieve the objectives, providing a comprehensive analysis of each case and the development of appropriate service plans. This assignment is designed to provide students with practical experience in case management, including assessment, planning, and intervention strategies.

Running head: CASE MANEGEMENT
Case Management
Name of the student
University name
Author’s note

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CASE MANEGEMENT
Case study 1:
Client Name: _____Robert __________________________ Age: ___12__ Sex:
____Male__
Client Name: _____Adam__________________________ Age:____17_ Sex: ____Male__
Client Name: ________Abigail_______________________ Age:__62___ Sex:
__female____
Please provide a narrative summary for all sections detailed below.
Psychosocial
Assessment
Personal history information:
The case study focuses highlights the dilemmas faced by a family as
a whole. Here, the boys Robert 12 years old and Adam 17 years old
had been living with their grandmother Abigail who is a 62 years old
woman. She had been doing her level best to support the boys but she
feels that both the boys have been presenting a number of
psychological issues and needs immediate attention. Robert who is
the youngest member in the family tends to be very anti-social and
particularly resists any kind of love and attention. He often becomes
angry when elders try to talk to him and hides in spots where no one
could see or recognise him.
Adam is a 17 years old boy under the care of his grandmother
Abigail and has been admitted to the hospital on multiple occasions
due to suicidal attempts as the boy feels psychologically depressed
due to his dysfunctional family status.
Abigail is a kind hearted, hard working grandmother who had been
bestowed with the responsibility of the kids. She had been divorced
from her husband for more than 10 years and required financial
assistance in helping the boys.
Presenting problem history:
The 17 years old grandson of the Abigail has had a suicidal history.
Current state of problem behaviour:
The grandchildren of the woman both Adam and Robert had been
presenting signs such as lack of sleep along with suspicious activities
such as making weapons in school.

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CASE MANEGEMENT
Current needs, immediate plans:
 To provide the boys with emotional counselling
 To assist the family with financial as well as emotional help
Problem(s)
Identification
The main problem(s) affecting the client’s well-being is…
 Dysfunctional family
 Lack of sufficient finance
 Teen psychological trauma
Problem Severity Number of times the problem(s) has occurred/time span:
 Adam is not able to sleep each night
 Robert shows signs of getting involved in suspicious
activities to make weapons and detest elder’s involvement
and support
Hypothesis The problem is occurring because…
The family lacks sufficient social support and attention which could
take them out from their miseries
Goal Setting Long-term goal(s) for the client to achieve:
 Make the boys emotionally stable
 Make the family economically competent
Short-term objectives that will help the client reach the goals stated
above:
 Provide Adam with holistic care regimen such as
incorporating daily care exercise which could reduce the
issues of insomnia within the patient
 Spend more time with Robert to identify his problem
What personal strengths can the client use to help reach his or her
short-term objectives?
Here, the patient shares an affectionate and loving bond with her
grandchildren, which she can use for guiding them or counselling
them positively.

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CASE MANEGEMENT
Case study 2:
Client Name: ______Charlene_________________________ Age:__16___ Sex:
__female____
Please provide a narrative summary for all sections detailed below.
Psychosocial
Assessment
Personal history information:
The girl presented over here is a 16 years old girl suffers from
domestic abuse which had been affecting her on a psychological and
emotional level. Additionally, the girl had been recently bunking her
classes and remains distracted and socially disconnected.
Presenting problem history:
The girl had been reportedly being physically and verbally abused by
her father on several occasions.
Current state of problem behaviour:
The girl remains socially disconnected and depicts an unkempt, weak
and insecure look. Additionally, she had been falling in the bad
company within the school.
Current needs, immediate plans:
 The girl needs to be removed from the care of her father
 She needs to be provided with effective counselling to
prevent her from falling into bad company
Problem(s)
Identification
The main problem(s) affecting the client’s well-being is…
 The history of abuse and victimization from her father
Problem Severity Number of times the problem(s) has occurred/time span:
 On several occasions many times being unreported.
Hypothesis The problem is occurring because
The girl had been growing up in a closed dysfunctional family
without much support and assistance from outside Additionally, the

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CASE MANEGEMENT
addiction to drinking of the father had subjected the family to more
misfortune.
Goal Setting Long-term goal(s) for the client to achieve:
 Safety from abuses along with regaining self autonomy
 Get into positive social company
 Provide the father with rehab focussing on alcohol
withdrawal
Short-term objectives that will help the client reach the goals stated
above:
 Attend community and support service centres where the
needs of children like her are catered to
 Provide the child with counselling support at school so that
she could get back to her studies
What personal strengths can the client use to help reach his or her
short-term objectives?
 Active communication skills in fully relating his or her
problem situation(S)
Case study 3:
Client Name: _____Jason__________________________ Age:__27___ Sex: _male_____
Please provide a narrative summary for all sections detailed below.
Psychosocial
Assessment
Personal history information:
Jason graduated from college with grade C and had been managing
with marginal level jobs. Many have reported that he had a
problematic childhood and suffered from dysfunctional family issues.
Additionally, he had been suffering from severe drug abuse.
Presenting problem history:

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CASE MANEGEMENT
The patient had a dysfunctional family and lived alone in the town
where he had occasional fits for indulging in drugs, which also
impaired his capability to function.
Current state of problem behaviour:
The patient was suffering from occasional schizophrenic attacks
where he would imagine himself to be George Washington who
needs to cross the river to meet his troops. The patient had also been
caught by the police for stealing horses and riding them in the middle
of the town.
Current needs, immediate plans:
 Psychological counselling
 Anti-psychotic drugs
 Rehab for control of drug addiction
Problem(s)
Identification
The main problem(s) affecting the client’s well-being is…
 Heavy drug addiction affecting the capacity to perform of the
patient
 Getting involved in illegal activities under heavy drugging
Problem Severity Number of times the problem(s) has occurred/time span:
The patient undergoes a complete transformation of character
imaging him to be the president of the United States.
Hypothesis The problem is occurring because…
The patient has taken to drug addiction
Goal Setting Long-term goal(s) for the client to achieve:
 Regain consciousness and logical thinking through anti-
psychotic drug administration
 Remove the drug addiction by making the patient aware and
educated regarding the effects of following a healthy diet
Short-term objectives that will help the client reach the goals stated
above:
 Attend community based mental health care centres which
will help the client identify with people who come from
similar spheres of life or has been presented with similar
problems

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CASE MANEGEMENT
What personal strengths can the client use to help reach his or her
short-term objectives?
The client can use strong communication skills for relating his
problems to the nurse better, which can help in designing intervention
strategies.