10. Read the Case Study Below and Answer the following questions:

1. What are Sues strengths?
2. What are Sues weaknesses?
3. What role (s) would you enact as her Case Manager?
4. Create a Service Plan and Service Delivery Model for Homeless Sue.

Homeless Sue Case Study: Case Management Policy 1

Homeless Sue, a 35 year old female, SS# 000-000-0000, Axis I Schizophrenia, Axis II Deferred, Axis III, Deferred, Axis IV: problems with social environment, occupational problems, housing problems, economic problems, Axis V GAF at time of admission to CM, 45. Sue is an Iraq war veteran. She served as a liaison to human resources and then as a paramedic. Sue was honorably discharged in 2009. Before she served she received a degree in medical technology for a community college. Her father was a veteran and she grew up on army bases. She attended five high schools in four years. Her mother was a secretary and a teacher. She had not seen her family for two years; she lived with them after her return from Iraq, but both parents and Sue could not find a peaceful way to live together. Sue can often be seen walking to and from the downtown area and the local grocery store. She spends most of her days on the streets. A case manager working downtown saw her walking through the rain and called a friend working for a shelter. She asked if she could refer Sue. The outreach team located Sue during one of her walks the next week.

The outreach worker learned that sue cleaned up several local businesses at night. She slept in the places that she cleaned. She appeared sober but complained of hearing voices. She believed that she was in danger of wild animals most of the time. She feared for her life; she thought her parents would find her and kill her. Sue had never been arrested. Sue indicated that she didnt want to live in a house and she did not want to live with anyone around. People scared her; noises scared her. Reluctantly, Sue agreed to come to an initial interview. She asked if the interviewer (who was also a case manager) if they could meet on the streets for the interview. The case manager agreed. After the initial screening, the case manager asked Sue if she would be willing to participate in additional in-depth interviews. She declined, but when each week the case manager encouraged her, she reluctantly said yes. Mental health assessments concluded with a diagnosis of schizophrenia. Sue refused medication. She continues to hear voices, rejects offered housing, but occasionally meets the case manager on the streets. She was willing to be placed on the agency service roles. The service plan for Sue continues to evolve.