Case Management W3 Flashcards
4 Models of CM
- Brokerage Model (1 of the fiscal models)
- Clinical CM model
- Recovery Model
- Strengths-Based Model
CM attributes and Characteristics
- Personal characteristics of CM may be significant
- Throughout CM process, you will need to demonstrate:
> Self awareness and insight
> Capacity to communicate acceptance and genuineness
> Respect of others
> Empathy and attunement
> Cultural sensitivity
Intake
Often occurs during initial interview with client…
- Information gathered about client (age, gender, family and other supports, desire to get help, presenting problems)
- Determine clients eligibility to appropriate services from the information gathered
- Provide client with info about services at this time
> Starting point of providing support
> The process by which clients come into the service (gate keeping = attracting and screening)
Preparing Initial Interview
Consider:
- Cultural requirements
- Client require an advocate?
- Client require other assistance?
- Physical environment make client feel comfortable?
Physical setting initial interview
- Ensure confidentiality
- Avoid physical barriers
- Avoid interruptions
- Where would you hold the interview?
“Bio”-Psycho-Social focus
Biological - biological components of a person’s current situation. (generic predisposition of health or mental health/illness)
Bio-Psycho-“Social” focus
Social - Focus on clients social arrangements and relational context, and how their current issues accentuate or alleviated by their social context
Aspects of clients bio-psycho-social status is impacted by social structure including
- age
- gender
- class
- ethnicity
- disability
- sexuality
- health
Bio-“Psycho”-Social focus
Psychological - How a person makes sense of their situation and capacity to cope. (elderly selling their home can)
- see it as opportunity to mingle with other elderly in a nursing home.
- See it as failure to hold onto their independence.
In CM, what is assessment
Process where information is gathered, analysed and synthesised.
What is needs
- CM is needs based
- Can be conceptualised as a circumstance in clients life that requires action, to assist them attain an adequate lifestyle
- Meet a satisfactory level of existence in daily living environment
- Influenced by several factors (psychological make up, social situation, level of support)
Assessment of need
- Identify met and unmet needs
- Identify resources
- Opportunity to determine most effective ways to address needs
- Monitor overall progress
Moxley’s Assessment Frame work (4 categories of assessing client need)
- Nature of client needs
- Client capacity to address need
- Contribution of informal supports
- Contribution of HS agencies (formal support)
Major areas of client need
- Income
- Housing and shelter
- Employment/Vocation
- Physical Health and safety
- Mental Health/ Emotional well-being
- Social and personal relationships
- Reaction and leisure
- Capacity to self care
- Transport
- Legal
- Education
Life domains
- Person
- Social
- Work
- Family
Clients Capacity - Emotional
- Ability to cope
- Emotional affect
- Range of emotions
Clients Capacity - Physical
- Illness or injury
- Impact of medication
- Aids/equipment
Clients Capacity - Behavioral
- Social skills
- Listening skills
- Personal Habits
- Ability to accept responsibility
- Overall behaviour
Clients Capacity - Cognitive
- Perception of reality
- Judgement/decision making ability
- Intellectual capacity
Planning or problem solving
Assessing formal supports
- Individual
- Social networks
- Formal networks
Informal supports
Individually consider…
- Who client would contact if they have problems
- How often are they in contact with them
Formal supports
- Include agencies, orgs and professionals
- Can operate in either the private or public arena
- Will be employed where informal resources are unavailable
Impact of technology and digital age
Digital literacy
- Understand technology
- Using technology
e-professionalism
- Use of self online
- Engagement with others online
Expand practice competence
- Knowledge
- Skills
- Values
Integration of assessment data
Information collected needs to be analysed and integrated to enable conclusions to be drawn regarding the factors that cause and maintain the issues for the individual.
Needs assessment matrix is a good tool to assist in summarising and synthesising needs of clients