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fundamentals case management
Fundamentals of Case Management Practice Skills for the Human Services 5th edition Nancy Summers - Solutions
Using one of the blank “Treatment or Goal Plan” forms found in the back of your book, develop a plan that addresses the immediate or most important needs of the older person you are following. Look at both strengths, including natural supports the person might be able to call on, and
The “Treatment or Service Plan” form should be placed under your release forms. This is a tentative form and does not need signatures. You will clean up and revise your recommendations in the planning conference, and then put the revised form in the chart in place of this original. Be sure that
If you have a question about a service in your community that you believe might provide the services your hypothetical client needs, call that agency for information. Most agencies have brochures or other informational literature they will send to you.
Before you go to a planning meeting, you need to know what services are available in your community. Gather information on various social service agencies. Some regional phone books contain special pages of social services. Some counties publish a directory you may be able to purchase. The library
To simulate a planning meeting, form groups of no more than five students (otherwise it will take too long for everyone to present a case). Present one of the cases you have developed to the group, following the instructions for the presentation provided in this chapter. Be sure to bring the
Look at the completed forms on the clients you have developed. Fill out referral forms for each agency to which you intend to send your clients for services. In each client’s chart, clip these together and place them at the back of the chart. Use a separate referral form for each agency.
Next, develop a face sheet for the front of each chart.
Now assemble each chart as indicated in this chapter, using a manila file folder and placing the forms on your client in the following order, with the face sheet on the top and the referrals on the bottom: a. Face sheet.b. Inquiry and referral form.c. Verification letter.d. Assessment form and/or
Read the following material, and then write a paragraph of no more than six sentences that covers the following:1. The focus of the interview2. Your assessment based on a concise summary of behavior, appearance, and affect3. Any resolution that takes place4. The reason for the next contact or the
Read the following material, and then write a paragraph of no more than six sentences that covers the following:1. The focus of the interview2. Your assessment based on a concise summary of behavior, appearance, and affect3. Any resolution that takes place4. The reason for the next contact or the
Using the section in this chapter on the common requirements of government funding sources, correct (or change) the following case notes: Case Note 1: Winnie was at the hospital for tests on 3/17/16. Those tests were done to determine whether she has a tumor on her thyroid gland. Homemaker
Tell what is wrong or left out of each contact note and rewrite an improved contact note in the space provided. Be sure the contact note has all four parts. Case 1: Jim came into the office today looking depressed. He said he wants another job. He sat slumped over in a chair and was unkempt. The
The broad goal is to keep Helen in her own home. List two very specific goals your agency will work on with Helen. Next, place the objectives for each goal under that goal. Remember the phrase “as evidenced by. . . .” Goal A:Objective 1:Objective 2:Goal B:Objective 1:Objective 2:Use the above
Identify Helen’s strengths, and show how these strengths will help her meet the goals. Helen’s strengths: Explain how these will help her meet the goals:Use the above vignette to develop a detailed treatment plan for the client. Helen is 89 years old. She has lived independently in her own
Helen broke her arm on November 9. What are your target dates for your goals?Use the above vignette to develop a detailed treatment plan for the client. Helen is 89 years old. She has lived independently in her own home until now. Last week she fell off a chair in her home while reaching up to
Describe a service intervention you will use with Helen to help her meet her goals.Use the above vignette to develop a detailed treatment plan for the client. Helen is 89 years old. She has lived independently in her own home until now. Last week she fell off a chair in her home while reaching up
The broad goal is to help Art adjust to the move. List two very specific goals youragency will work on with Art. Next, place the objectives for each goal under thatgoal. Remember the phrase “as evidenced by. . . .”Goal A:Objective 1:Objective 2:Goal B:Objective 1:Objective 2:Use the above
Identify Art’s strengths, and show how these strengths will help him meet thegoals.Art’s strengths: Explain how these will help him meet the goals: Use the above following vignette to develop a detailed treatment plan for the client. Art has been chronically ill with schizophrenia for many
Art and his sister went to mental health case management on January 12. What are your target dates for your goals? Use the above following vignette to develop a detailed treatment plan for the client. Art has been chronically ill with schizophrenia for many years. It started when he was in
Describe a service intervention you will use with Art to help him meet his goals. Use the above following vignette to develop a detailed treatment plan for the client. Art has been chronically ill with schizophrenia for many years. It started when he was in college, and he has been unable to hold
The broad goal is to help Lester get acclimated to the community. List two veryspecific goals your agency will work on with Lester. Next, place the objectives for each goal under that goal. Remember the phrase “as evidencedby. . . .”Goal A:Objective 1:Objective 2:Goal B:Objective 1:Objective
Identify Lester’s strengths, and show how these strengths will help him meetthe goals.Lester’s strengths:Explain how these will help him meet the goals:Use the above vignette to develop a detailed treatment plan for the client. Lester has been in prison and has recently been released on parole.
Lester came into your office on May 6. What are your target dates for your goals?Use the above vignette to develop a detailed treatment plan for the client. Lester has been in prison and has recently been released on parole. He has family in the area, but he distanced himself from them after high
Describe a service intervention you will use with Lester to help him meet his goals. Use the above vignette to develop a detailed treatment plan for the client. Lester has been in prison and has recently been released on parole. He has family in the area, but he distanced himself from them after
The broad goal is to help Rick succeed at the alternative school. List two very specificgoals your agency will work on with Rick. Next, place the objectives for eachgoal under that goal. Remember the phrase “as evidenced by. . . .”Goal A:Objective 1:Objective 2:Goal B:Objective 1:Objective
Identify Rick’s strengths, and show how these strengths will help him meet thegoals.Rick’s strengths:Explain how these will help him meet the goals:Use the above vignette to develop a detailed treatment plan for the client. You are a case manager in an alternative school for teenagers who have
Rick came into your office on December 10. What are your target dates for your goals? Use the above vignette to develop a detailed treatment plan for the client. You are a case manager in an alternative school for teenagers who have behavioral and emotional problems, and Rick is referred to you.
Describe a service intervention you will use with Rick to help him meet his goals. Use the above vignette to develop a detailed treatment plan for the client. You are a case manager in an alternative school for teenagers who have behavioral and emotional problems, and Rick is referred to you.
The broad goal is to help Christina and Christina’s family reunite successfully. List three very specific goals your agency will work on with Christina and her family. Next, place the objectives for each goal under that goal. Remember the phrase“as evidenced by. . . .”Goal A:Objective
Identify Christina’s strengths and any strengths you see within her family, and show how these strengths will help Christina and the family meet their goals.Christina’s and Christina’s family’s strengths:Explain how these will help them meet their goals:Use the above vignette to develop a
Christina came into your office on April 4. What are your target dates for your goals?Use the above vignette to develop a detailed treatment plan for the client. Twelve-year-old Christina has come to the attention of your agency because her parents have abused her physically. The case was reported
Describe a service intervention you will use with Christina and her family to help them meet their goals. Use the above vignette to develop a detailed treatment plan for the client. Twelve-year-old Christina has come to the attention of your agency because her parents have abused her physically.
1. Record in your contact notes a termination interview, indicating the reason for termination and any follow-up arrangements you made for the client after he leaves your services. Refer to the goals for such an interview in this chapter.2. Write your client a letter as a follow-up to this
1. Record in your contact notes a termination interview, indicating the reason for termination and any follow-up arrangements you made for the client after she leaves your services. Be sure your termination interview includes the parents, and indicate if the child was present. Refer to the goals
1. Record in your contact notes a termination interview, indicating the reason for termination and any follow-up arrangements you made for the client after he leaves your services. Indicate if others were present, such as relatives or a worker from a new service where your client will be going.
Organize the record you have compiled on any client you have been following. The record should be organized according to Appendix C.
In a group of no more than four people, see how many feelings you can name in 10 minutes. Remember that there are many different degrees of the same feeling. After you do the exercise check your list against the list in the appendix.
First, you be the worker and let your partner play the part of a person who is seeking help for a personal problem or condition. Play the recording back. Critique your efforts with your partner, looking at ways you might improve your responses.Try this exercise as often as you need to in order to
You are seeing a 40-year-old man for the first time. He has a diagnosis of schizophrenia. This is a chronic condition that started when he was 19 and went away to college. Today he has come in to see if you can help him with a better place to live. He tells you he just wants to “live somewhere
Elise is using alcohol to self-medicate. She suffers from debilitating depression, but since adolescence she has turned to alcohol and street drugs to alleviate the symptoms of this depression rather than take her medication. Her reasons for doing so are that the medication is too expensive, coming
Elmer does not want to be abusive to his wife and wants his marriage to resume. His wife left and is staying in a shelter where she has indicated that she will not come home until Elmer gets some help. Elmer admits to you that abusing his wife was “probably wrong” but seems to resist any ideas
Ben has been sober for 2 years and is now working consistently on a job he likes. He divorced his wife during the time he was in rehab because she could not give up her drinking and seemed to “want to pull me down.” Now she has returned, intoxicated, and begging him to take her back. They
Marlo wants to stop drinking and get her children back. They were removed from her home a year ago after Marlo had her fourth DUI and caused an accident on a city street. She has been in jail and is now in a halfway house while on parole. (a) What are some interviewing techniques you might use
Kelly has talked and talked about getting a divorce from her husband who abuses her occasionally and has always been remote and uninvolved in their marriage. You feel strongly that she should leave because you see the abuse escalating. (a) What are some interviewing techniques you might use to
Do you see differences between the issues the man is having with the agency and the issues the woman is having with the agency? Are you and your agency more to blame in one instance than in the other? How does your response differ as a result?In the examples that above, formulate an initial
A woman who is in your shelter feels neglected. Twice you are interrupted when you are talking to her because of severe emergencies. You apologize both times and continue your discussion with her, but you are short-staffed and things at the agency are unpredictable. The second time this happens,
A man is coming to your agency for assistance after release from a drug rehabilitation center. He wants you to do more for him than you think is wise. You have been very helpful in ways you could, but you have also insisted he do some things for himself because you do not want him to become
A man is waiting for his Social Security disability check to start. He has a serious heart condition and has been told he should not be out in extremely cold or hot weather. You stop by on a home visit and discover he is out on a cold day shoving piles of snow off the driveway. He tells you it is
A woman staying in the shelter where you work has left her baby in the care of others repeatedly and gone out. She says she is going to the store or to look for an apartment or a job, but others let the baby lie in the crib and cry. You have had to feed and change the baby on several occasions. You
A man on your caseload, addicted to heroin, has been arrested for selling heroin to a minor. You go to see him at the county prison where he tells you that selling heroin was the only way he could support his own habit. You use an I-message to express your concern and initiate an exchange of
To a child who says the other kids do not like him, but who is always hitting the other children and calling them provocative names: “You’re half the problem, you know. Stop yelling and hitting everyone, and they’ll like you better.” Look at the above worker communications, and
A man whose wife just left has told you he wants to give up his job and simply leave the area, having no further contact with either his ex-wife or his children. You are concerned that he has not had time to think this through. You use an I-message to express your concern and initiate an exchange
To the woman who has been in a wheelchair for several months following an accident in spite of her doctor’s feelings that she could now be up walking with crutches: “You need to get out of that chair and practice walking. The doctor says you don’t need the wheelchair.” Look at the
A woman who is refusing to take medication that would prevent her from having a psychotic episode comes to you and says she is not sure what to do. She does not feel well, but she would like to be able to handle things without medication. You use an I-message to express your concern and initiate an
To the man who complains about his neighbors but spends time on his porch yelling at the children, which starts neighborhood feuds and tensions: “You’re always yelling at them. Of course they fight with you!” Look at the above worker communications, and identify what is wrong with the
A man who has been sitting by his wife’s side since she slipped into a coma is weary and has neither eaten nor slept for over 24 hours. You approach him with an I-message expressing your concern and initiate an exchange of views. In the vignettes that above, you have a problem a concern
To the woman who has completed 10 weeks in a rape victim support group and is still unable to work or leave the house much, but who says she is fine and getting over it: “It doesn’t seem to me like you’re getting over it. If you wanted to get better, you would force yourself to go out
A woman has not come out of her house since she suffered a major injury at work. Although her doctors say she will be able to return to work if she goes to rehabilitation, she refuses to go and cites her concern for her fragile recovery. You have talked to her many times by phone and invited her to
To the person who had trouble completing a high school equivalency exam and is now talking of becoming a doctor: “You need to be more realistic about what you can and can’t do. Think of some other career.” Look at the above worker communications, and identify what is wrong with the way
An elderly woman is trying to decide what to do about her need for help. The decision is between staying in her own home with assistance, or selling her home and entering a nursing home. She is very torn. You have arranged for help, which seems to be working well, and you visit her each week.
A man has been on pain medication for a number of months, prescribed by his doctor for intractable low back pain. Following surgery he continues to feel a need for the medication although he is walking well and is pain free. When his doctor began to reduce the prescriptions for the pain medicine
A woman, recently diagnosed with ovarian cancer, is using a prescription medication her doctor gave her to help her with the anxiety of facing the perpetrator in court. Lately you feel she has been abusing her medication. Her speech seems slurred, and you often see her slip one of the pills into
Marie was a client of a partial hospitalization program. She was loud and demanding, but she often felt hurt upon learning that others were afraid of her or reacted to her as if she were angry. As a result of an encounter in the partial program, she is sent to you, her new case manager, to see if
Annette came to your office needing her prescription filled. She was in Marywood Hospital, a private mental hospital, and was discharged on Tuesday. She was given prescriptions but has no money to fill them. She has no job and probably is eligible for prescriptions paid for by the county. You open
“This whole setup is the pits. He gets to stay in the house after beating me half to death, and I have to go to this cramped little room. Does that make sense?”FEELING:EMPATHIC RESPONSE:People communicate words and ideas, and sometimes it seems appropriate to respond to the content of what
“I know you said this is temporary housing and all, but I never had a place like this place. I can’t stand to think I have to move again sometime, and God knows where I’ll go.”FEELING:EMPATHIC RESPONSE:People communicate words and ideas, and sometimes it seems appropriate to respond to the
“Those dirty, lousy creeps! Everything was fine in my life, and they really, really ruined everything! I don’t care if I go on or not. Why live if someone can just take everything away from you in one night?”FEELING:EMPATHIC RESPONSE:People communicate words and ideas, and sometimes it seems
“When I was in court, the defense attorney really pounded me. You know, like he thought I was lying or didn’t believe me or thought I was exaggerating.”FEELING:EMPATHIC RESPONSE:People communicate words and ideas, and sometimes it seems appropriate to respond to the content of what someone
Persis has been clean for 9 months and comes in to see her case manager about how she is really tempted to use again. Persis asks if there is something more she can do. The worker says, “Oh, come on. It’s been 9 months. Get down to business and focus on the good things in your life. It’s all
Tonda is discussing her need for help with a depression that, she says, started several months ago. She talks about the amount of time she has missed at work and how it has reached a point where she sleeps most of the day. The worker says, “Tell me a little bit about what was going on when this
Reynaldo just lost his job and is frantic about how he will pay the rent. He talks to the worker about how he will pay his rent and whether he will be eligible for unemployment. In the course of the conversation, he mentions his fear of going home to face his wife. He does not believe she will
Lindsey is an alcoholic and tells her worker she wants to stop drinking but doesn’t know how. She tells the worker that for a while she stopped drinking while she was going to AA meetings, but she stopped going and began to drink again when she reunited with old friends. The worker says,
Ada is very upset over the divorce settlement. She got the house and the children, but very meager support and only a small amount to go to school to upgrade her skills. As she speaks with the worker, she is crying and expresses the belief that she cannot make it. The worker replies, “Look, get
Shawna wants to go to college. She attended a poor rural school where most of the students do not go on to college. Her scores for the entrance exams were very poor in math, and she feels unsure that the developmental course being offered to her at the college will really help her catch up. She
Ed suffers from chronic mental illness and needs medications to maintain his mental health. Recently he went to several workshops on the use of supplements and vitamins to maintain mental health. He wants to discuss these ideas with his worker. He makes it clear that he is not really thinking of
Elvita has decided to leave an abusive relationship, but she feels guilty leaving her abuser’s children behind. She talks about how she knows that once she leaves, she cannot have any more contact with the children; and she is worried about how that will affect these children whom she has come to
Anita and her family moved, and her parents feel Anita is not adjusting well to the move. Anita wants to return to her old school to be with her friends. Her parents ask the worker to talk to Anita about her desire to return to her former school. Anita talks about how strange the new school is and
Carlos is afraid his mother is dying. He is talking to the worker in the hospital emergency room about an “attack” his mother seemed to have when she could not breathe and turned blue. She was brought to the hospital in an ambulance, and Carlos is waiting to see whether she will be all right.
A man calls and says he was sexually abused as a child. It has come to haunt him recently, but he is not sure where he should turn for help. You encourage him by: You discourage him by:Above are two vignettes. Decide what you would do or say to encourage the person, and then decide what
A woman, the mother of two children, has been without a home for a number of months. She tells you she really wants a permanent place to stay. You know there are very few places she can go. You also know she has some talents and interests strengths that might be to her benefit. You encourage
Chris is a single father who is trying to work and raise three small children. His wife was killed 2 years ago in a traffic accident. After the initial shock and outpouring of support from friends and neighbors, Chris found himself alone with all the responsibilities and very unsure of himself. He
Margie is in a sheltered workshop for people with developmental disabilities. She does well at work and has many friends. She lives with her mother, and her mother is not happy with the new level of independence Margie is developing. She often goes out with others from work and the supervisors for
To the person who has lamented not spending enough time with his son: “Children are important. They grow up fast. You only have so long to spend with them when they are kids. You should keep that in mind.” Look at the above worker communications, and identify what is wrong with the way
You are interviewing a rape victim when her boyfriend barges into the room and demands, “What’s going on in here?” Your message expresses your need to continue the interview. Do not allow another person in the interview room with the client until you and the client have decided privately
To a person who bounced three checks in 3 months because she cannot seem to balance her checkbook: “Go take an accounting course, for heaven’s sake!” Look at the above worker communications, and identify what is wrong with the way each one is expressed.
You have been working with a child in temporary housing. You have discovered the child is very artistic, and you have found an artist who is willing to volunteer time to teach the child on Saturday mornings. The mother of the child is upset and tells you that it is impossible “the kid has any
A man with two children needs temporary shelter. His oldest, a daughter, is old enough to drop out of school; and in the course of placing him, you learn that he has encouraged her to do just that. He tells you he needs someone at home to look after the place, now that they have one, and to see
To a person who is always forgetting to take his insulin: “I’m sick of these socalled lapses of memory. You must want to feel sick most of the time!” Look at the above worker communications, and identify what is wrong with the way each one is expressed.
You have been working with a man who was beaten and robbed. Because of the injuries, he has been unable to work. His employer calls you several times, saying he thinks the man is simply “freaked out” and needs to get over it. The boss tells you that he has told the man this on several
A woman you have been working with tells you her husband is really a dear. He has done many wonderful things for her, and she is feeling guilty about calling you, but he does keep her confined to the house and slaps her a lot. You use an I-message to express your concern and initiate an exchange of
To a person who is driving without a driver’s license: “You’re just doing this to tempt fate.” Look at the above worker communications, and identify what is wrong with the way each one is expressed.
You are interviewing a man who appears to be quite delusional in the hospital emergency room. The new security officer at the hospital does not seem to understand that the behavior is part of an illness, and he keeps entering the room and asking, as if the patient cannot hear, “Is he giving you
A woman, who has been a prostitute, recently discovered she is HIV+. She is currently staying in a shelter where you see her. Several nights she comes in drunk and tells you, “Hey, it doesn’t hurt as much this way.” The next day you approach her with an I-message expressing your concern and
To a person who is drinking and taking tranquilizers: “That’s a risky thing to do!” Look at the above worker communications, and identify what is wrong with the way each one is expressed.
A young woman and her baby have been given a voucher for temporary shelter after she lost the apartment in which she was living. She was evicted for back rent, and her rent fell into arrears only when she was laid off several months ago. She has worked, but she cannot earn quite what she was making
An elderly woman has been having trouble caring for herself in her own home. Twice now, in the middle of the night, she has called an ambulance and has been taken to the hospital for chest pains. When her heart is checked, she is found to be in good health, if a little frail. The worker who is
A man and woman have been referred by the county Children and Youth Services for parenting skills training. They are poor and have had their four children removed from the home. They have been told the children will be returned when they complete the course and demonstrate they can use the skills
The worker to a woman who was accosted and assaulted in her neighborhood and is afraid of calling the police: “Can you tell me a little bit about what happened tonight?”Read the above questions and decide which of them are better than others. Place a check mark next to those you think are good
A man is trying to sort out whether or not to leave his employer. He feels that the small company is poorly run and that he could do a better job if he went out on his own. On the other hand, he likes his employer, and he feels sorry for him and the mess he’s made of his business. He knows that
A 16-year-old girl was brought in by her parents after they caught her and some of her friends huffing glue and gasoline. The girl is reluctant to talk and seems a little petulant about being brought in. The worker asks, “Huffing glue. So tell me, you did it to get high, to be one of the crowd,
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