Fundamentals of Case Management Practice Skills for the Human Services 5th edition Nancy Summers - Solutions

The worker to a man with intellectual disabilities whose mother, with whom he has always lived, died unexpectedly: “What did your mother die of?”Read the above questions and decide which of them are better than others. Place a check mark next to those you think are good questions, and then
A woman tells a worker about a long and difficult marriage she has endured. She mentions abuse, both verbal and physical, and talks about her own failing health in recent months. The worker asks, “Why can’t you just bring yourself to divorce him?”Read the questions that above follow and
A woman is referred to the social service department in a large hospital after having a stroke. She is somewhat incapacitated and has had a lot of therapy while hospitalized. Now she is going home and needs therapy at home. The worker asks, “What kind of therapy do you want?” What would you
The worker to a single mother who has been referred for parenting skills training: “Could you tell me something about the problems you have been having with Johnnie?”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 woman is telling about the time her coworkers waste when the supervisors are out at meetings all day. The worker responds, “Why don’t you say something?”Read the questions that above and decide what makes them bad questions. In writing your criticism, look for questions that assume
A worker is interviewing a man in the food bank. He tells the worker that he and his children have not eaten for 24 hours and that he has spent most of that time getting referred around town until he finally got a voucher to come to you for food. The worker asks, “Why don’t you have any
The worker to a woman in a shelter who has been out searching unsuccessfully for a house or apartment for herself and her two children: “Where all did you look?”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 patient in a partial hospitalization program for the chronically mentally ill tells the worker that when the group went to the mall, one of the patients took a pair of socks without paying for them. The worker asks, “You told someone right away, didn’t you?”Read the questions that above and
A man calls a hot line and tells the mental health worker he wants to die. The volunteer asks, “Does this have to do with being abused as a child?” The man is startled and says, “Why, uh, no. Not really.” The worker asks, “Well, what’s the problem?” What open question would you have
The worker to a man who is requesting food for his family after running out of unemployment compensation and being unable to find a job: “Can you describe the sort of work you would be looking for?”Read the above questions and decide which of them are better than others. Place a check mark next
A man wants to know if his wife is all right after she has been raped. He is sitting with a worker in the waiting room while his wife is being seen in the emergency room. The worker answers his question with one of her own: “How much does your wife mean to you?”Read the questions that above and
A child is talking to a youth worker while he waits for his mother to get a place to stay. “We’ve lived in 16 places,” he announces, “and I’m only 7.” The worker says, “What school did you go to last?” What open question would you have asked to help the child talk about what all
The worker to an elderly woman whose dog of 15 years has died: “Couldn’t you get another one?”Read the above questions and decide which of them are better than others. Place a check mark next to those you think are good questions, and then explain why you think they are better than the ones
A woman has come into temporary shelter with a lot of debts. She has been out looking for work today and is discouraged about not finding anything yet. She sits down tiredly in the worker’s office and talks about what her day was like. The worker asks, “Did you have to get so many debts?”Read
An older man has just lost his job after repeated warnings to come to work sober and seek help for his alcohol addiction. He has decided that he should get help now. “Too little, too late,” he says with resignation. “I should have been here 6 months ago.” The worker asks, “Why did you
The worker to a young woman who has just discovered her best friend and her boyfriend have been seeing each other behind her back: “Can you tell me something about your best friend?”Read the above questions and decide which of them are better than others. Place a check mark next to those you
A man is telling you about the night he witnessed a murder. The victim was his brother-in-law, and although he was never very close to him, he feels that maybe he could have stopped his death in some way. The worker asks, “Why don’t you just go and ask the police?”Read the questions that
The human service worker is on the phone with a woman, the victim of child abuse. The woman tells how she has felt recently, how she needed to call, and then sighs and says, “Oh, I don’t know how to begin.” The worker asks, “Did your father do this to you?” What open question would you
The worker to a teenage boy who is afraid of failing a math course and losing an opportunity to get a scholarship: “Can you tell me a little bit about this math course?”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 calls and says he is depressed. He has felt depressed for some time and is now thinking of suicide. The worker asks, “Where is your wife? Are you divorced?”Read the questions that above and decide what makes them bad questions. In writing your criticism, look for questions that assume
The human service worker is trying to learn what happened that resulted in Mrs. Peters being without housing. Mrs. Peters says she has been “on the street a while now.” The worker asks, “Have you been on the street for 2 years, 3 years?” What open question would you have asked to learn more
The worker to a woman who is grieving after her husband died in a hunting accident: “Could you tell me about your husband?”Read the above questions and decide which of them are better than others. Place a check mark next to those you think are good questions, and then explain why you think they
A human service worker in the emergency room is talking to a man who was hit on the head before he was robbed. He seems to be having trouble getting the story out, but he wants to tell the worker everything that happened. The worker has been with the man a long time. She thinks that it is late and
The worker to a woman in the hospital waiting room whose baby just died of pneumonia: “How old was your baby?”Read the above questions and decide which of them are better than others. Place a check mark next to those you think are good questions, and then explain why you think they are better
A woman is telling a worker why she has come to the shelter tonight. Right in the middle of her gripping tale about what was going on at home only a few hours before, the worker says, “How long has this been going on?”Read the questions that above and decide what makes them bad questions. In
A single mother brings her 12-year-old son in because they are “not getting along.” She reports that he does not listen and comes and goes as he pleases. His homework has fallen off and his grades have slipped, but he is still doing well in math and likes his math teacher. The boy’s father
A man in his 60s comes in on the recommendation of his doctor. He had a back injury some years ago and was placed on codeine at the time. After the back injury, other things went wrong. The plant where he worked closed down and his mother died. He found himself feeling very alone and uncertain
A woman comes in complaining of depression. She says it started when her husband left with a younger woman and she has not been “right since.” She reports having difficulty falling asleep and complains of no appetite. She says she has missed more than 3 weeks of work since he left last month.
A police officer asks you to come to the home of an older man he has been concerned about for several weeks now. The man is delighted to see you and tells you that he is having pains in his legs and is unable to walk. During your visit, he asks you to get things for him that are nearby, but
A father brings in his 14-year-old daughter who is running the streets, refusing to listen, and failing in school. He is at his wits’ end, saying he must work and cannot be home when the girl returns from school. Her mother died 4 years ago, and the trouble started when the daughter was about 12.
A man has been referred by his family physician for help. The man seems extremely inebriated. His wife brings him in and says she is worried that he may go into delirium tremens if he withdraws from alcohol too quickly. His family physician did not see him but sent the couple straight to your
A mother of two preteens has brought her son in for services. The woman is a widow. She confides that she has been having trouble controlling the boy, who is the oldest, and that the girl is disgusted with her brother’s behavior and does not want to be involved in helping him. Lately, the boy has
A woman and her two children are waiting to receive their welfare check. They came to your state from another to escape an abusive husband and father. The woman is frail and appears sick. They have no place to go and have not eaten in several days. The children smell as if they need a bath and are
A man with an intellectual disability lives alone with his widowed mother. She has fallen and broken her hip and will be at the rehabilitation hospital for about 6 weeks. He cannot stay alone. He has a job at Goodwill Industries. County transportation takes him there every morning at 8:30 a.m. and
You are the case manager for a man who has only recently had a first manic episode. He had submitted to treatment, responded well, and returned to work. However, he is currently experiencing another episode, and this one seems more severe. He is not sleeping or eating, is sending cryptic messages
You are called by the daughter of an elderly woman who lives alone. The daughter lives in another city and is concerned because her mother does not drive and has seemed unhappy and listless on the phone. The daughter expresses concern that her mother seems lonely and is perhaps depressed. The
A 72-year-old woman on your caseload has been in mental health services for a number of years, ever since the year after she graduated from college. She has had severe episodes of schizophrenia over the years with countless hospitalizations and prescriptions for numerous antipsychotics and
When responding to feelings, it is important to know the intensity of the feeling. It is very important to reflect to clients an accurate reading of what they must be feeling. All feelings have varying degrees of intensity. For each word listed here, list other words that mean the same thing but
You have developed a goal plan for a child. The parents agree with the plan, which involves summer camp and other recreational activities over the summer, all with a therapeutic program. The teacher calls to tell you that this child can hardly benefit from school and that sending him to camp is a
Hannah had a fairly ordinary chemical technician’s job at the company when the accident occurred. The company offered to pay all her medical benefits and a small stipend to support her while she trained for another kind of work, not to exceed 5 years. Hannah lives alone and has few friends. She
You are arranging for housing for a woman who is in a homeless shelter. Her parents come to see you and ask you to see that she also goes to therapy. They tell you she has never “seemed right,” and they ask you to give them your opinion of her mental status. Who owns the problem? In the
Hannah had a fairly ordinary chemical technician’s job at the company when the accident occurred. She and four other people were blinded by the accident. Hannah has told you she wanted a lawyer while she was still in the hospital, and she also feels the group should meet regularly to talk about
Your client is going to court on his third DUI charge. The family of the woman whose car he hit calls your office before the proceedings because the article in the paper stated your client was receiving help from your agency in preparation for the trial. The family wants you to withdraw your
Hannah is a student working on a chemical engineering degree and doing a chemical engineering internship at a chemical plant near the college. She wants to remain in school. Her family is supportive of this, but they live in another state. Hannah was using this job to pay for her education. Now
You are working with a support group. One of the participants tells you on the side that another participant is monopolizing the group’s time with frivolous details and asks if you will do something. Who owns the problem? In the above situations, identify who owns the problem. As you study
Hannah is a student working in a small chemical lab while completing a chemical engineering degree. She wants to remain in school. Her family is supportive of this, but they live in another state. Hannah wants a seeing-eye dog, has a landlady who is afraid of dogs but who might accept one, and
You have placed a woman in temporary housing after she left her home following severe abuse by her husband. The husband calls demanding to know where she is and tells you he will get his lawyer and sue you if you do not tell him. Who owns the problem? In the above situations, identify who owns
Hannah is a student working on a chemical engineering degree. She worked part time to pay her school expenses at a large chemical corporation. She wants to remain in school. Her family is supportive of this, but they live in another state. Hannah’s roommates seem hesitant about her returning to
You are talking to the victim of a violent crime in the emergency room. Her boyfriend barges in and demands to know “what’s going on.” Who owns the problem?In the above situations, identify who owns the problem. As you study each case, decide whether it is you, as the worker, who owns the
Hannah has an intellectual disability and worked as a custodian at the company where the accident occurred. The company gave her $5,000 at the time of the accident, and the hospitalization plan and workers’ compensation helped pay the initial medical bills. Hannah lives with her parents, who are
The mother of a rape victim, with whom you have been working, calls and says that ever since the rape, her daughter has been crying and unable to eat or sleep. She tells you it is urgent that she know exactly what happened to her daughter, but that her daughter refuses to talk about it. She asks if
Hannah was a custodian at the small chemical engineering company where the accident occurred. The company had little insurance, and it has no interest in hiring her back for any reason. The company did give her $5,000 at the time of the accident, and the hospitalization plan and workers’
You work at a victim/witness resource center where you assist the victims of crime to handle the emotional and technical ramifications of the crime before they go to court. The husband of a victim, a woman who was carjacked by a teenager one night, takes you aside and asks you to persuade his wife
Hannah is a PhD chemist with the corporation where the accident occurred. She has received a huge settlement from the corporation’s insurance company. The corporation has said she can come back to work if she can be retrained in some way, possibly with computers. Hannah has a supportive husband
A woman you have placed in temporary housing is angered by the loud music of her neighbors. She appeals to you to do something about it. Who owns the problem? In the above situations, identify who owns the problem. As you study each case, decide whether it is you, as the worker, who owns the
Harold is seeing a man who is coming out of rehab after years of drinking. Remembering how hard it had been for him to find a job and a place to live away from his drinking buddies, Harold begins with a lecture on how to find a job and how to stay away from “the guys you used to drink with.”
Marissa is interviewing a woman who has come in for help with her bills and job-readiness training. The woman is the mother of a 2-year-old boy. Marissa is the mother of a 2-year-old boy as well. She considers herself an excellent mother. She prides herself on how she adapts her life around the
Candy is working in a shelter for homeless men. She is new at her job and enjoys what she is doing. The fact that many of the men are in poor physical health and are unwashed is of great concern to her, and she works hard to meet the basic needs of the residents, such as food and clothing and a
Carlos is working with a woman whose father is the president of a large bank in another city. She has become depressed and needs a referral to a therapist and perhaps a psychiatric assessment. Carlos is reluctant to talk to her about needing “psychiatric help” because he assumes this would be
Gloria was raped by her stepbrother when she was 16 and he was 23. It was a very difficult situation; law enforcement officials were called, and eventually the situation broke up her family. She is currently working at a rape crisis center and is talking to a client whose situation reminds her of
Mary Lou was once in a very abusive relationship. She was able, through much counseling and grit, to become assertive enough in her own behalf to get out of the situation. Today, she is happily married and the mother of two lovely children. The client she is talking to is in just such an abusive
Bill is feeling very proud of himself. He talked to a man who had very complicated problems this afternoon. He put everything down on paper, while the man sat by his desk and drank a soft drink. Then Bill decided on the best way to handle the situation. The man finished his drink, did just what
Alice is very upset because she gave the client some names of people she thought might be helpful in solving the client’s problem. Today, she met one of those people at the local deli where she eats lunch and learned that the client has never been in touch with that person. She has been trying to
There are five grade levels of responses you might give to people who have come to you needing assistance in sorting out their problems and feelings.Grade A. These responses are the most useful in establishing rapport and encouraging a continued dialogue:Centers on the client entirelyStays on the
A young Hispanic woman is admitted to the hospital, and the doctor believes she is showing obvious signs of schizophrenia. She is hallucinating and has not been eating. Her family tells you this problem is the direct result of her sinful behavior. According to them, she is too friendly with the
A Mexican American family brings an elderly aunt to the emergency room. The older woman is severely depressed and emaciated. She also appears to be nearly catatonic. She is admitted immediately to the hospital on an emergency commitment. You learn that this woman has been in severe depression for
After the birth of her fourth child, a Puerto Rican woman is referred for depression by her family doctor. At the intake interview, her husband comes and answers all questions. He indicates that he will decide what she needs and what is to be done. The wife says very little and speaks only when she
You work in the school counseling office, and you have been asked to help a gifted young Vietnamese student fill out applications to several prestigious colleges. She is in line for a number of scholarships. She works on the applications, but with obvious reluctance, and indicates she cannot
A Chinese woman is hospitalized for a serious infection, and her doctors think she seems depressed over possible home problems. You talk to her, and she appears to reassure you that everything at home is fine. When you come in the next time, she wants you to talk to her husband instead. He, too, is
A Japanese family in the emergency room is seeing you because of a serious accident in which their teenage son was severely injured. During the course of the conversation, you cross your legs so as to be more comfortable. The family continues to talk to you in a polite but superficial manner, and
A man from Vietnam is in your office because his 11-year-old daughter has been having trouble in school. The school suggested the daughter be tested by your agency. You are doing the intake, but only the father has come into the office. He is very reluctant to tell you any specifics, but talks
Mr. Groff is 93 and living alone in his home. He only stopped driving last year. He would like to get out more, perhaps go to the senior citizen center. In addition, he would like to go to the Lions Club and to participate in a foreign policy club he belonged to for years. He tells you sadly that
Maria is paralyzed from the waist down following an accident three summers ago in a swimming pool. She is hoping to complete her degree in accounting, but she is complaining of depression and an inability to focus on school. When you see her, she looks anxious and tired. Her affect is flat, and she
Look at Florence’s problem as she presented it to the case manager. Decide which parts of her problem are on the micro level, which parts are on the meso level, and which parts are on the macro level. Florence came in to see a case manager in an agency that addresses child abuse and neglect.
Arnie has problems with substance abuse. He considers himself an “alcoholic who likes a little cocaine now and then.” He is funny, articulate, and clever. When he comes to the case management unit he seems open about his progress and regressions. He always asks how his case manager is doing,
Marcella began to drink in the evenings after work when her husband left her for another woman. As the months went by, the divorce became increasingly acrimonious. There were accusations, attempts to take Marcella’s money, and attempts to deprive her of custody of the children. The children began
Pedro noticed that his colleague, Antoine, was using clients’ spending money to make small purchases for himself. Each resident in the group home was given a specific amount of spending money every month, and it was kept in the resident’s envelope. When money was spent from the envelope, a
Beatrice, who has suffered from schizophrenia for most of her life, has been placed in a long-term residential facility. One night the worker decides to take the residents to a movie. The residents all get in the van to go to the movies, and the worker waits to leave until everyone has a seat and
A new worker, Jill, is working at a large residential facility for the mentally ill and has been assigned four clients for whom she is to develop goals and objectives to help these clients move forward to greater independence. She meets with the first two clients and then confides to a worker who
Clark is currently enrolled in treatment, and you are his case manager. He asks you if he may read his medical record. You should: a. Ask Clark to put the request in writing, and assist Clark in completing the written request if he seems to have limited skills in reading and writing. b.
While having lunch in the staff room, Jorge is obviously mad. He spent one morning taking a meticulous social history from a new client. The client, a man in his 20s, was pleasant and helpful. He seemed to genuinely want the assistance of the agency and to like Jorge. Two more interviews followed
Jerry was a client who improved and was discharged 2 years ago. You receive a call from the National Can Company. The caller explains that Jerry has applied for a job and that the company would like to hire him. Jerry told them he was in treatment 2 years ago and was discharged after showing
Kitty has a whole list of things to do today and doubts she can get it all done. She hates the way there are always things left to do at the end of the day. It just seems that no matter how hard she works, something new comes up that she cannot complete. One of her clients, Isabel, has told her on
Patty is completing a student internship for her associate’s degree in the therapeutic activities program. She asks to review the medical records of the people who were just in her projects group. You are supervising Patty. You should: a. Advise Patty that the records are confidential and
Ted is in a clinic with his elderly client, Gretchen, for a routine blood workup, which they do every other month. He notices Gretchen is bruised on the face and arms. For a while he makes small talk with her, and then he asks her about the bruises. She is somewhat evasive but indicates, “They
Bill Jones is a client who has been in alcohol treatment programs at your facility. He is currently depressed about his pending divorce and present marital separation. He has signed a release of information form for you to share information with his priest, who is counseling Bill about his
Carmen is supposed to see her small caseload of persistently mentally ill individuals at least twice a week. Lately, with school and her mother’s death, she has not really seen her clients that often. She has checked in with them on the phone, but she also has used time when she was out seeing
Mary Smith is a depressed elderly woman who was admitted to Polyclinic Hospital due to severe back pain. She was advised she might need surgery to correct the problem. You are her case manager at the Office of Aging, and she calls to say she is considering suicide. The constant back pain has made
Jim is doing an intake with a man who claims he is depressed. He tells Jim that ever since his wife left he has had trouble concentrating and waking up in the morning. He talks about how lonely it is at home, how much he misses his children, how he is tempted to drink in the evenings, and how
In the case above you would.a. Release the complete chart.b. Release just the discharge summary.c. Release only those portions of the discharge summary that the school needs for their work with the boy and not release the initial intake summary as it contains information that is no longer relevant
Elizabeth visited the home of an elderly man and got him to sign a release of information form so she could process an application to the county nursing home. In the man’s records were references to the fact that many years ago as a teenager he was convicted of shooting a man in a bar fight, a
A 13-year-old boy requests that his school counselor be sent a copy of his initial interview and discharge summary. He signs a release of information form, documenting his written consent for the information to be transmitted. You should: a. Forward the material to the school
Carl is uncomfortable around gay men. Bert, his client, is gay and has just broken up with his lover. Bert, who is 42 years old, had been in a long-term relationship and is devastated and in tears in Carl’s office. Because Bert has suffered from severe depression in the past, Carl attempts to
Kelly requests a copy of his current treatment plan. You should: a. Have Kelly put the request in writing and discuss the issue with the treatment team. b. Make a copy of the current treatment plan and give it to Kelly. c. Discuss the treatment plan with Kelly and then see that he
A children’s case manager writes a letter to a parent of a 14-year-old girl, currently a client at the case management unit. In the letter is this: “While it has not been confirmed or established that your daughter was sexually abused, it is my opinion that she has experienced sexual abuse in
Jennifer had a long day and was trying to get out of the office before 5:00 p.m. She had one more person to see. Dr. Adams had asked Jennifer to give Abdul, a young man recently diagnosed with schizophrenia, a prescription for a new medication. Jennifer had her coat on when she handed the
Paula is a 17-year-old client in the daytime partial hospitalization program. Her mother phoned and requested to know Paula’s psychiatric diagnosis so that she could inform the family’s physician who is treating Paula for diabetes. You should: a. Advise the mother of the diagnosis and the
An older woman comes to you for help after a particularly abusive incident with her husband. She admits that she is becoming increasingly afraid of him. She has no friends and no job, “because he wouldn’t let me out of the house or out of his sight.” She has a number of old bruises and lost
A man comes in who was referred by his job for possible crack use. The man admits he uses crack, but rarely and certainly not to the extent that it would interfere with his work. He will be given 4 weeks off if he enrolls in a legitimate program for detoxification. He seems reluctant and torn.
A woman with two small children is referred to you because she recently lost her apartment. She has a meager income from a part-time job as a clerk in a convenience store and was unable to pay the rent and take care of other bills. She seems unaware that she might be eligible for financial

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Fundamentals of Case Management Practice Skills for the Human Services 5th edition Nancy Summers - Solutions

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