Case Management Flashcards Quizlet PDF

Preview

Summary

Havrede Hill...

Description

Case Management Terms in this set (25) Case management is a process or method of service delivery with a set of assumed roles by service providers. Case managment is a way of heping people (originating in social work in settlement houses in New York & Chicago). Case What's the purpose of

management improves the quality of care t

case management?

vulnerable populations and controlls cost. Case managment assures accountability and is a problem solving process. Case managment is shaped by the environment andis a link between client and service delivery system (The National Association of Social Workers, 1992).

Case managers use the concept of systems theory dividing assessment areas into 3 levels: Personal interpersonal areas called the micro level institutional/organizational/community issues called Name and explained 3

the mezzo level

levels of case

social policy/governmental/cultural issues called

managment.

the macro level Interventional also account for these three levels. A systems approach to case managment assumes combining interventions in the domains of direct, indirect and outreach interventions.

Rose & Moore, 1995; Roberts De-Gennaro, 2008 1. Outreach to or identification of clients 2. Assessment of needs; assessing: -ability to meet environmental challenges -capability of family group -resources within the systems care -enabling the use of personal resources to meet environmental challenges -enabling family groups to expand their care taking capacity -facilitating effective negotiation -facilitating effective interchanges between groups and the formal system of care Name and explain roles

-evaluating the ongoing needs of the individuals

of a case manager.

-evaluating the extent individual is adequately supported by family or primary group -client's needs and strengths 3. Developing the care plane 4. Service or treatment planning 5. Linking or referring clients to appropriate resources 6. Monitoring cases to ensure that services are delivered and used 7. Establishing a written contract 8. Implementing the care plan 9. Evaluation 10. Closing the case 11. Follow up

Making a good referral assumes that case managers know the referral source and that there is a good fit between client needs and what is available. Case managers refer to a place where it is highly probable that client needs will be met. The only way case managers know whether a referral can help is to know how an organization functions, its program complement, the kinds of clients it serves, its track record, its staff and how user-friendly it is. The best way to investigate a referral is to visit the site, talking Why is it important to

with professional, reading brochures and other

assess the

published information, observing client flow and

location/program of the

asking about outcomes. Determine how referrals

referral?

should be made with client eligibility requirements, who to commnicate with and who would be the contact person. Knowing the specifics of financing and funding are important to know. Having an open line of communication between case manager and referral staff is essential for effectiveness. It is helpful to have good professional relationships. Asking the client about their experiences is helpful in determining effectiveness. Referral sources change overtime, directors change and services change.

What skills are needed to develop a good relationship with a client?

A good helping relationship requires empathy, active listening, focusing, reframing, summarizing, goal setting, negotiating, contracting parializing, offering warm fuzzies and being able to accept anger and corrective feedback.

Good assessment skills are essential in determining how a worker should proceed in a potential crisis situation. It's the case manager's responsibility to ensure the client gets the support needed to bring the situation under control. Case managers must quickly assess both severity of a potential crisis and Why is assessment a

the time available for resolving it. This assessment

critical issue for a case

should lead to an immediate set of goals with clear

manager?

behavioral steps designed to reach them. Case managers must maintain frequent contact, develop a clear plan and the responsibility for long-term support should be transferred if necessary, maintains contact with the client to ensure support is appropriate.

1. Defining the problem 2. Determining the severity of the problem 3. Developing hypothesis concerning why the problem occurs and understanding the cause leads Identify the eight steps of case management:

to an intervention strategy. 4. Establishing goals 5. Developing and implementing a service intervention plan 6. Evaluation 7. Termination 8. Folllow up

At the micro leve, personal/interpersonal is looking at the dynamics between family members and the psychological makeup of each of them. The mezzo level, the institutional category, guides assessment into the practical issues that could Describe how the identified presenting problem is related to the ecology of the family system.

cause stress in the family and create an atmosphere of dysfunction. The macro level, policy/political issues, guides case managers into governmental programs sand policies that contribute to the family's problem, how the family's racia, ethnic andor gender identify affect the family and their ability to gain access to services that could reduce stress. Developing intervention strategies at two or three system levels because the problem affects all levels and the interventionsneed to involve a broad approach.

To evaluate success of service, the case manager needs to track the effectiveness of the referrals, the Describe the process of evaluating the service provided to a client.

client's attendance and the outcome of the intervention over time. Two basic ways of evaluating the plan is through the client's self-report and through interacting with agency staff. Before contacting anyone, remember confidentiality and gain permission from the client beforehand.

1. Developmental disabilities is a diagnostic term coveringproblems like mental retardation, autism,learning disorders and ADHD (American Associationon Mental Retardtion, 1992) 2. Health care and chronic illness involves many professional working with patients and their families during hospital stats. Involving what the families will need once the patients go home and the focus dep tends on whether recovery is likely or if the illness is chronic (Berger, 2002, 2009; Berkowitz, Hfalfon & Klee, 1992: Cesta &Tahan, 2003; Cohen & Deback 1999; Loomis, 1988) 3. Mental Healthand chronic mental illness:: some exhibit normal difficulties of living while others suffer from very sever mental illnesses 4. Addictions: working with populations addicted to legalized and illegal drugs 5. Child welfare is the most common setting for case managers (New York Cit Task Force on Managed Care in Child Welfare, 1996). The focus is varied from mental illness,developmental disabilities, economic aid, child protection, adoption and child support. The case manager assess the child's physical and emotional conditions, the appropriateness of living arrangements, treatment by adults and siblings where they reside and whether the child is at risk. The well-being of the child is the child is the major focus. 6. Geriatrics: case management has become an essential Professional service in all geriatric situations (Austin,1999; Austin & McClellan, 2009; Quin, 1993; Sullivan & Fisher, 1994) case managers can be found in many settings and must be active advocates for their clients and have a working knowledge of economic, medical and housing entitlements for low-income age clients. 7. Criminal justice: covers many situations from

youth at risk, programs that are alternative to incarceration and clients who have completed jail List and describe ten

terms and/or are on parole This includes

special populations and

addiction,mental illness, abuse (Frankel, White,

identify the most

Walter, lamon & McAulife, 1998).

difficult to treat and the

8. HIV/AIDS: since the mid 1980s, case management

reason for the

has been the method of choice for organizing an

difficulties.

delivering services to those afflicted with HIV/AIDS (Emely & Gusz, 1998) because of the numerous problems and systems needed for those afflicted with the disease (National Association of Social Workers, 1992). The case managers assistand facilitatethe mobilization of resources to manage the disease and the environmental stressors that leave the person feeling overwhelmed and powerless (Chernenko & Grube,1999, 2000 Gideon's, Kaopua. Tomaszewski 2002, 2009; Thompson, 1998). Advocacy and service coordination are critical in ensuring access to services that are often stigmatized and subject to discrimination, especially with housing and employment. 9. The homeless is the most difficult population to service as case managers This population includes: runways, adolescents & their families, men, Women and children. This population is difficult to locate because s they avoid help from professionals; they have multiple areas of need and they are difficult to sustain because of the high recidivism rate. Because they don't have homes, this population is more susceptible to health issues, may be dictions, are unemployed, have mental illness and co-occuring disorders such as an addiction combined with a mental illness. 10. Military and veterans: the last 10 years of military service reflect multiple deployments of longer duration than at any time in history, resulting in increased levels of combat stress, increase in levels

of depression and substance abuse, higher rates of survival from combat injuries, an elevated suicide rate, an increase in child and spousal abuse and an increase in family disruption Coordination and collaboration among service providers are essential to accessservices, prevent duplication of services preventing gaps in service development and too attain goals.

Why is it important o

An accurate diagnosis will suggest how severe the

make sure that the client

presenting problem is and whether the individual or

has been appropriately

family system is looking at short term interventions

diagnosed?

or a need for lifelong supports

Health care settings because working with patients and their families during hospital stays and arranging for what they will need once they go What is the most common setting for case management?

home is the focus of the case manager and depends on whether recovery is likely or if the illness is chronic. Chronic illness can be an economic disaster for the family can cause shock of the diagnosis leading to emotional, educational and financial crisis intervention. Chronically ill clients need various forms of long term support.

What problems are associated with the lack of standardized caseload size?

Staff turnover is a serious problem resulting from having too much on stress and too little pay. Staff turnover can play havoc with successful client outcomes. Staff turnover forces clients to start over again to reach their goal.

Client driven case management focuses on client needs without ignoring budgetary issues Quality of care is most important for staff and clients. The agency tries to develop a structure for good worker What problems are

client relationships where the family/community

associated with cost

systems are empowered to become involved in

containment

their case management planning and interventions.

organizations vs client

The ultimate goals is for clients to become their own

driven organizations?

case managers. There is s a continual dynamic tensions in case management programs between budgetary constraints and client care with a danger that cost containment and/or for profit issues will overpower client driven organizational models.

the ultimate goals is to be empowered to become a case manager or have a family member or friend take this role. All people need to have family & friends who care about them, care what happens to Discuss the emplementation and outcomes of the community approach model:

them and who are there for them. This model implies termination based on symptom reduction, satisfactory improvement, the client demonstrating their own case managment skills over time and a family friend network demonstrating their ability to perform as case mangers on behalf of their neighbor in need. The goals are to improve service, long term quality of life, strengthening of neighborhoods so family problems are shared and resolved by the community members....