Case Management Report: Analysis of Case Scenarios and Management

This report provides a detailed exploration of case management principles and practices through the analysis of three distinct case scenarios involving Rangupati, Jessie, and Sarah. The report begins with an introduction to case management, emphasizing its role in integrating services to meet individual needs. Assessment Task 1 focuses on developing respectful case management relationships, involving other individuals, utilizing different practice models (Task-Centred, Anti-Oppressive, and Strength-Based), and addressing legal and ethical considerations, including duty of care, informed consent, privacy, and mandatory reporting. The report then transitions to Assessment Task 2, which involves a thorough examination of each scenario. For each case (Rangupati, Jessie, Sarah), the report identifies specific needs, safety and risk management considerations, and outlines the consulting case plan, collaborative approach, and appropriate resources. Additionally, the report describes the supportive practice models, strategies for monitoring and evaluation, and responsibilities associated with each case. The conclusion summarizes the key findings and recommendations for effective case management, highlighting the importance of client-centered approaches and collaborative strategies to improve service delivery. The report uses evidence-based practice and references to support its arguments and recommendations.

Case Management

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................1
ASSESSMENT TASK 1 ................................................................................................................1
1) Developing respectful environment in case management relationship...................................1
2) Involving other individuals in process....................................................................................1
3) Using different models............................................................................................................1
4) Legal and ethical considerations.............................................................................................2
5) Summary of arguments...........................................................................................................3
6) Impact on service delivery......................................................................................................4
7) Approaches to managing potential outcomes.........................................................................4
ASSESSMENT TASK 2 ................................................................................................................4
SCENARIO 1 .............................................................................................................................4
1) Rangupati's needs ...................................................................................................................4
2) Safety and risk management considerations...........................................................................5
3) Consulting case plan...............................................................................................................5
4) Collaborative approach ..........................................................................................................5
5) Appropriate resources.............................................................................................................5
6) Supportive practise models.....................................................................................................6
7) Strategies for monitoring and evaluation................................................................................6
8) Responsibilities.......................................................................................................................6
SCENARIO 2 .............................................................................................................................7
9) Jessie's needs and their identification.....................................................................................7
10) Safety and risk management considerations.........................................................................7
11) Meeting legislative and organisational requirements with consultation...............................7
12) Ensuring collaborative approach..........................................................................................7
13) Resources and considerations with responsibilities after devising referral..........................8
14) Practise model in application................................................................................................8
15) Techniques for monitoring and evaluation...........................................................................8
16) Responsibilities during the process.......................................................................................8
SCENARIO 3 .............................................................................................................................9

17) Sarah's needs ........................................................................................................................9
18) Safety and risk management consideration..........................................................................9
19) Consulting case plan.............................................................................................................9
20) Collaborative approach ........................................................................................................9
21) Appropriate resources...........................................................................................................9
22) Supportive practise models.................................................................................................10
23) Strategies for monitoring and evaluation ...........................................................................10
24) Responsibilities for concerned scenario.............................................................................10
CONCLUSION..............................................................................................................................10
REFERENCES..............................................................................................................................13

INTRODUCTION
A strategic tool which is used for enhancing the integration of services which are
supplied to individuals for accomplishing their specific needs is case management. In this report,
there is effective use of case management knowledge with regards to three case scenarios
provided for Rangupati, Jessie and Sarah.
ASSESSMENT TASK 1
1) Developing respectful environment in case management relationship
In establishing my case management relationship with a client, I would use approach
which would be client centric. This helps in developing an environment which is more respectful
and collaborative manner (Coventry and et. al., 2015). Listening to the client and effective
communication will be the two tools that I will be using for incorporating the client's
experiences. The reactions and behavioural attributes that are depicted by the client for every
intervention will help me and him/her to recognise respective barriers and opportunities. I would
ask the following questions primarily:
 What are you feeling currently?
 Are there any issues faced by you currently?
 What is your most favourite hobby that we could use to assess your problem in that way?
 Till now what has been your experience and what was positive or negative about it?
2) Involving other individuals in process
The inclusion of other individuals in the case management process is realised when there
is no development or improvement tracked in conditions of the client (Elwyn and et. al., 2014).
For instance, if a person is found to use drugs & alcohol in excessive amount then there is a need
of seeking consultation from another expert. Additionally, there are many organisations such as
Alcohol & Drug council of Tasmania to which I can take my client for getting the proper
guidance and advice. A significant attribute of case management is assurance of safeguarding
and protection of client's rights. I would depict primary laws and legislations that are valid
according to client's situation. Furthermore, there are many organisations such as National Drug
strategy, National-Drug-&-Alcohol-Research which could me in assessing the clients facing
problems regarding addiction towards alcohol and other such practices. Also, in case if there is a
client facing issues regarding his mental health or any other type of trauma, social service could
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be effectively provided to him by aid of organisations such as Mental-Health-services in
Tasmania.
3) Using different models Task-Centred Model: Specific areas or targets that are causing issues to the clients are
recognised and alleviated through this model's implementation (Haddad, Brain and Scott,
2014). Anti-Oppressive Model: The social relations and their changing patterns are considered
in anti-oppressive practise model. Clients that have been subjected towards abuse of
power in the social set-up are usually dealt by help of this model.
 Strength Based Practise: The focus of this practise model is to promote the embracing of
strengths by the client through respectful collaboration by communities and care services
(Title, 2017).
My process of working with client is highly influenced by task-centred practise. My
services are mostly influenced by this model because it helps me in delivering the right
intervention as per the problematic area which has been recognised.
4) Legal and ethical considerations
Discrimination, Duty of care and Human Rights depict different elements of a social set
which help in safeguarding and protecting individuals from all sorts of social evils (Ignatavicius
and Workman, 2015). For ex: A person who has depression and has come up as a refugee to
some other country is subjected to discrimination on the basis of race. Although they could
rightfully claim human rights for their protection but any negligence experienced during delivery
of care services is regarded as breach in context to Duty of Care.
Informed consent is a form of access or grant provided by an individual especially client
to the social care practitioner with complete knowledge of the following consequences. Ex: A
client suffering from depression and some mental issues provides informed consent to his
associated social-care practitioner to readily communicate with him/her to further know & assess
the determined problem.
Privacy, Confidentiality and Disclosure are the terms which helps in protecting a client
from improper use of their personal information regarding personal information such as their
addiction habits or any type of depressive issues (Pitschel-Walz and et. al., 2015). Ex: The client
suffering from addiction of alcohol has certain private information which cannot be disclosed by
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the social-care practitioners of organisations such as Alcohol-Council, because of confidentiality.
The disclosure of this info can be made only through informed consent.
Policy Frameworks are known as structures which are logically developed for creating
proper administration with appropriate documentation (Pitschel-Walz and et. al., 2015). For
instance: Social care and other community services institutions such as Trauma Informed Care,
Recovery Hub, drug Education Network, have certain policy based documents which include
declarations for both practitioner and the client that avail services. This is known as policy
framework.
Mandatory Reporting is a type of authorised requirement applicable on the individuals
like general population, social-care practitioners and different stakeholders. It means informing
or reporting respective authorities for the occurrence of a matter. Ex: A child abuse case is
required to be mandatorily reported to the local police authority.
Children in the workplace depicts that certain events at the workplace involve children.
This is quite of a sensitive issue. Ex: The billionaire in Queensland had died and his 17 year old
child had to inherit the authority. This determines the existence of children at workplace which is
a punishable offense.
Codes of Practise is a framework which is applicable to all the individuals that have
certain duty of care in situations and circumstances which have been defined in the code (Sandall
and et. al., 2016). Ex: Multinationals has well defined codes of practise which indicates what
actions are legitimate and what are irrelevant for any person.
Work Role boundaries are helpful in setting limits for actions which are undertaken by
both employees and the employer at a workplace. Ex: Specific roles are defined in the
Community Services and social Care, Australia. This defines boundaries for actions taken by
every individual as per their position.
Rights and responsibilities are like guidelines which help in defining the duties and
freedoms withheld by a person while providing their services in an organisation (Stuart, 2014).
These vary from employees to employers and the stakeholders. Ex: A client who seeks social
care service as well as other community-services has rights to access it while medical
practitioner have their duty to provide right type of treatment to the patient.
Work place health and safety determines that individuals providing their services in an
organisation have to be safeguarded from different types of abuses and harm. Ex: A woman gets
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assaulted at the workplace which is a break of the health and safety rules. This indicates that the
organisation in which the woman is working is not efficient enough in maintaining the balance of
work place health and safety.
5) Summary of arguments
Specific social care conditions are tackled with help of evidence-based practises
especially in the case of individuals who are found suffering from drug or alcohol addiction,
depression issues or even mental-health issues such as depression. According to Unützer and et.
al. (2013), there are certain complexities and strategic decisions required for implementing the
evidence-based practises. On the contrary, Hammond (2010) stated that evidence based practise
is an accurate approach in providing respective intervention as per the objectives devised by
program supervisor.
6) Impact on service delivery
The services which are provided to clients are affected by several parameters like cultural
boundaries, specific needs or individual rights. If the service provider has conservative thoughts
and ideologies then it would become difficult to deliver effective intervention (Evidence-based
practise and service based evaluation. 2013). On the other hand, if service provider has balanced
personality with not much influence from the personal attributes of client, then service delivery
becomes smooth.
7) Approaches to managing potential outcomes
Case management can be successfully achieved only when there is proper cooperation
and collaboration among all the stakeholders associated with the client. I would develop an
approach which involves proper planning of every related individual's needs. Further, I would
accommodate necessary resources so that quality of entire service system can be improved. I
would also develop effective relations which are respectful and completely practical in approach
with workers, client and other stakeholders.
ASSESSMENT TASK 2
SCENARIO 1
1) Rangupati's needs
Following needs and their source of identification has been assessed in Rangupati's case:
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Needs Identification
Counselling through counsellor or community
services for improving mental health.
Rangupati and his family requires counselling
on mental health issues and their life
problems that are existing currently.
Psychotic episodes and Rangupati's mother's
depression has helped in identifying these
needs.
Effective communication through translator. No one in Rangupati's family is able to
understand or communicate English in
appropriate manner. This depicted the need
for effective communication.
Prohibition of alcohol and other drugs. Through observations, the incidences of self-
medication and acute drinking has led to
recognition of this need.
2) Safety and risk management considerations
I have identified that improper counselling and habit of highly addicted towards alcohol
is a major requirement to be responded on an immediate basis in terms of safety and risk. The
evidence for this consideration is indicated in the psychotic episodes of Rangupati which were
followed after heavy drinking. Further, translator has to be appointed for the family so that basic
interventions can be communicated and their importance can be realised by the family
simultaneously. Apart from these considerations, there is a need to solve depression of
Rangupati's mother so that situations can be improved.
3) Consulting case plan
Counsellors and psychiatrists will be consulted for developing the care plan for
Rangupati. Support from voluntary organisations and social-care workers that have experience in
dealing with refugees would be consulted. All the protocols and legislative requirements shall be
addressed by me through development of a follow-up of existing legislations like Disability
Services Act 1986, National Disability Insurance Scheme Act 2013, etc.
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4) Collaborative approach
I will ensure development of collaborative approach through meetings with client and his
family members. This meeting shall involve care providers, consultants with Rangupati and his
family. There will be discussion of all their needs and requirements which shall facilitate
formation of effective goals and objectives. Open ended discussion will be promoted so that
collaboration can be achieved with proper negotiation (Wager, Lee and Glaser, 2017). I would
take care that no disrespect or unethical action is initiated when cultural differences arrive.
5) Appropriate resources
Two major types of resources shall be required in execution of the support plan which
has been developed. These include human resource in the form of psychiatrists, counsellors and
volunteers from respective care agencies. Further, certain schemes or provisions which facilitate
the care services of refugees can be recognised for gaining financial help. This is the second
resource for this support plan.
Lack of proper communication channels amongst client & service provider and cultural
differences are two important considerations that have influenced the choice of referring to
another agency. Further, family members and the client himself is not experiencing any sort of
improvements in health with previous care providers. My responsibility after making the referral
is to look after the fact whether execution of services is taking place properly or not.
6) Supportive practise models
There are different types of practise models that would support the designed case plan
which are:
 Collaborative care model
 Client-centred accommodations
 Care coordination Model (Supporting people with depression and anxiety. 2017)
In practise, I concentrate on use of Care coordination Model which also includes delivery
of Client-centred accommodations. The application of this model involves management of
relationships amongst care workers like hospital management, local agencies and experts like
psychiatrists and counsellors with improved connectivity towards the service user. Through this
model, there is declaration of responsibilities which helps in proper monitoring and supervision
over client's improvements and progress.
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7) Strategies for monitoring and evaluation
I will meet Rangupati and his parents on a regular basis to monitor their actions as well as
the activities of concerned care providers. Evaluation shall be performed through appropriate use
of feedbacks and interviews with client. A measure of actual situation and the estimated
outcomes based on the goals and objectives shall help me in making respective changes. I will
definitely involve Rangupati and his family in the necessary decision making so that
effectiveness of proposed changes increases.
8) Responsibilities
For the entire process, I have following major responsibilities:
 Arranging personalised sessions and meetings with care professionals and clients.
 Looking after the fact that goals and objectives are aligned with care activities.
 I also have a responsibility to keep track of individual health of Rangupati and his family.
 To ensure appropriate assistance in communication to the client.
SCENARIO 2
9) Jessie's needs and their identification
In Jessie's scenario, following needs are realised with respective sources of identification.
Needs Identification
Disabling access to sharp tools and objects for
Jessie.
Self-harming tendency of Jessie has been
confessed by her during my first visit.
Counselling for parents I have observed during my first visit that
Jessie's parents were not able to provide proper
her care and support.
Support from local care groups Jessie's elder sibling Ann and younger brother
Mick requires medical and psychological
support while her parents need to understand
Jessie's current situation.
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10) Safety and risk management considerations
The first and foremost safety management response has to be completely cut off Jessie
from handling sharp tools and weapons which can be self-harming because she herself stated
during my second visit regarding the stained blades and tissues. There is an alarming signal of
mental illness like depression which needs to be tackled with psychological help. I have also
realised that her parents are not so supportive for upliftment of Jessie's conditions. Hence, the
evidence-based strategy should include counselling of parents.
11) Meeting legislative and organisational requirements with consultation
I would consult local volunteers to provide continuous monitoring for Jessie and also
seek support from an expert psychiatrist to develop an effective case plan. I would align the
fundamentals of basic legislations like the Privacy Act, Mental Health Act 2014, etc. for making
the case plan more appropriate. Furthermore, I will go through the laws and rules which are
defined in health and social care organisation.
12) Ensuring collaborative approach
Collaborative approach is developed only when every individual related directly with the
client is participating and bringing effectiveness in working. I will make sure that Jessie's parents
do attend the meetings and sessions which are subjective for improving Jessie's health.
Additionally, there can be constructive discussions followed with negotiations so that
respectfully an efficient plan can be developed and implemented.
13) Resources and considerations with responsibilities after devising referral
There is a requirement of care professional who would monitor Jessie's activities and also
a psychiatrist who would help client to overcome her emotional breakdown. I have considered
referring to an extensive care organisation because their support shall help in reducing the
episodes of self-harming in case of Jessie. After devising this referral, I have a responsibility to
keep close eye over both Jessie and the care provider's activities for avoiding negative
consequences.
14) Practise model in application
There are numerous practise models which are used for supporting the designed care plan
like Chronic Care Model, Integrative Care Model, Client-centred accommodations, Collaborative
care, etc. Considering Jessie's conditions, chronic care model is to be applied for enhancing the
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implementation of case plan (Ross, Curry and Goodwin, 2011). Its application is for the primary
care and providing solutions to chronic diseases. There is inclusion of practical approach with
evidence-based strategies. Both client and their family members are actively involved for
providing effective information.
15) Techniques for monitoring and evaluation
For ensuring successful execution of this case plan and attaining respective
improvements in Jessie's conditions, I will look after the fact that proper monitoring takes place.
There is transparency and accountability in the entire process which helps in managing mistakes
and making respective interventions in time. Whenever a need is addressed for introducing
changes, there will be acquisition of permission from client or any respective guardian. Since,
Jessie is too young for such consideration, I will involve her mother for the same.
16) Responsibilities during the process
I have following responsibilities during the entire case management process:
 Assuring proper planning, implementation and monitoring of the case plan.
 Fulfilling resource requirement at any stage of execution.
 Regular reporting and monitoring for Jessie's situation.
 Tracking the needs and requirements of clients.
SCENARIO 3
17) Sarah's needs
Sarah being a 25 year old girl has no family support and community help. There is a need
for her to have proper treatment of schizophrenia through proper care practitioner. She is also
involved with alcohol and other drug issues which limits social interaction and causes severe
implication over societal existence. Hence, there is a need for giving appropriate rehabilitation
for drugs to Sarah.
18) Safety and risk management consideration
The primary consideration for Sarah in terms of safety and risk is to prohibit contact and
relationship with Julie. This evidence based strategy has been adopted because Julie is a drug
dealer and also physically abuses Sarah which is not good for her condition. Further, prohibition
of alcohol and marijuana has to be assured through engagement of Sarah in a rehabilitation
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