Assertive Case Management Model Paper

The nature of the client/substance disorder or mental state informs the kind of assessment tools to be adopted (Center for Substance Abuse Treatment, 2009). Third and most importantly, needs assessment facilitates the clarification of some important issues prior to the assessment, it helps to make it clear to the community members on the purpose of the assessment, and the purpose and effectiveness of the treatment program that will result from the assessment. It creates awareness not only to the clients, but to their fairly members and the larger community. The community plays a significant role in enhancing the behaviors of the individual clients and make them respond to the treatment programs (Brown, 1997).

Mr. Gillespie is a 21 year old male who presented to the ED after an intentional overdose on 20 600mg of Gabapentin. Per documentation from ED staff Mr. Gillespie reported he became angry at his grandmother tonight and tried to "prove a point." Mr. Gillespe reported to staff threatened to overdose on his on pills, however dumped them in the toilet. He expressed after making threats to overdose on his prescribed Celexa did not phase his grandmother, he proceeded to take her Gabapentin. Per documentation Mr. Gillespe has been living with grandmother for 2 weeks and before that was living with his mother in Cary. At the time of the assessment Mr. Gillespie was calm and cooperative. He denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He appears guarded during the assessment. He reports tonight his grandmother and he got into an argument over him getting a job. He reports his grandmother informed him he has to be out by Friday. Mr. Gillespe denies history of self harm. He

Strengths-based case management (SBCM) is based on six principles that are the governing laws, values, or tenets on which the methods are based (Rapp & Goscha, 2006). These principles are the transition between the theory that seeks to explain people succeeding in life and the specific methods for assisting people toward that end (Rapp & Goscha, 2006) which is to, identify, secure and sustain resources that are both external (i.e., social relations, opportunities, resources) and internal (i.e., aspirations, competencies, confidence) rather than a focus on just external resources (active ingredient). The principles go as followed:

Case management is predominantly utilised in human service settings and focuses on the achievement of client wellness. The purpose of this essay is to define case management and outline the difference between client centred and provider driven models of practise. It will further more discuss the theoretical underpinnings of case management focusing predominantly on humanistic, social-ecological and task centred theories of service intervention. It will aim to provide an in depth analysis of the tensions and conflicts that may arise in case management.

Case management is a continuous balancing act of judgment calls, making ethical choices, getting along with coworkers, and following legal protocol. It is the duty of the case manager to know how to develop a relationship with both clients and coworkers while still maintain their professionalism. The healthcare professional must always leave their personal opinions at home and provide the same quality of care to all their clients regardless if they have different views, religion, sexual orientations, or cultures. The case manager needs to ensure that the client’s concerns will be put first no matter what, and should also clarify that the as the professional he or she will do all that is necessary to provide the best quality of care to their client.

Case management is not a lifetime service. With the lack of funds available for all the clients in need of service often times termination of service is the only option. In this paper we will examine the process a case manager goes through when termination of services occurs. We will also discuss how independent care will help in continued client growth.

Case management has seen rapid growth and expansion over the past decade, securing it a strong foundation in many hospitals and outpatient programs. The use of integrated case management models allows the populations that are served to continue to grow and expand to reach further vulnerable clients and their families. ICM has been found to not only be successful for individuals diagnosed with HIV, but also prisoners in the justice system, the homeless population, and young children and their families navigating difficult custody issues (U.S. Department of Health and Human Services, 2008). It also enables individuals from multiple disciplines to collaborate when it comes to a client’s care plans and their needs. This allows case managers and

The wide variety of client outcomes provides evidence that Bandura’s theory has some truthfulness to it. Bandura’s theory states that a client’s self-efficiency plays a role in the outcome of that client. For example, if a client is entering a program with full dedication to complete the program and remain drug free, they are more likely to successfully complete those goals. On the other hand, if the client enters the program and is unsure of what will come out of it, they most likely will not be successful. However, some clients may relapse or return to their pervious life style, only to return to the program at a later time and successfully complete the program. One client at Doors of Hope had been a repeat patient at multiple rehab facilities. It wasn’t until she was arrested and faced losing her children, that she gained a new perspective on the benefits of remaining sober. This client had entered the program with the intention of remaining sober and regaining custody of her children. From the very start of her involvement with Doors of Hope, this client has proved her desire to remain clean and have lived a lifestyle that supports that decision. This client is now drug free for close to six months, has rebuilt a relationship with her family members, and has recently been granted unsupervised

Strengths and Weaknesses for Integrated Treatment In a perfect world, integrated treatment approaches for all clients is a thorough, thoughtful, and positive approach to the overall recovery of the individual, especially for those with co-occurring disorders. Currently, through my professional work as a drug and alcohol case manager, both site and field-based, I see the strengths as a collaborative and integrated approach to treatment for these individuals, including a variety of programs and professionals, ranging from drug and alcohol treatment providers, mental health counselors, psychiatrists, and certified recovery and peer specialists. Van Wormer and Davis (2018) highlighted the evidence-based Assertive Community Treatment (ACT) approach

I have been a case manager for more than five years and this is reflected strength finder assessment indicated restorative theme. “love to solve problems” (Rath, 2007, p. 153). Nurse case manager is my career path which I

According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts” (Herdman, John W., 6th Ed.). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates, monitors and evaluates options required to meet the client’s health and human service needs. It is characterized by advocacy, communication, resource management and promotes quality cost-effective intervention outcomes. The Case Management Process centers on the client and the client’s support system. It is holistic in its approach to the management of the client’s individual and specific situation and that of the client’s support system. It is adaptive both to the case manager’s practice setting and to the healthcare setting in which the client receives services. Case management is not a profession unto itself however; it is a cross-disciplinary and interdependent specialty practice within the health and human services profession. Everyone directly or indirectly involved in healthcare benefits when healthcare professionals and

Social work is very diverse, there is not one sole solution, or strength metaphor which can cover all fields. However, there are assessments which can be applied to certain situations, given the practitioners beliefs. “Accessing Clients Strengths: Clinical Assessment for Client Empowerment” is an article written by Charles D. Cowger, and is based on a mainstream contextual understanding that the primary goal of social work is to assist individuals with their relationship to others, and to institutions in a way to promote social and economic justice with regards to the importance of a client strengths perspective for assessment, which, proposes 12 practice guidelines to foster a strengths perspective(Cowger, 1994, p.262).Theory of strengths assessment focuses on two aspects of empowerment, personal empowerment and social empowerment. Personal empowerment dynamic recognizes the uniqueness of each client and their ability to take charge and control of their lives and their own betterment process. The social empowerment dynamic states that personal empowerment is related to opportunity and that individuals behaviors are derived from society. Through social empowerment, the individual plays a key role in shaping their surrounding and vise versa by having various opportunities and access to certain resources.

In order to support the individual, Sheena’s place recognizes that the individual is an extension of a larger community. One of the groups offered by Sheena’s place is their Support group, the support group incorporates the individual’s family and friends. One of the guiding principles of Andrew Malekoff frame work outlining strength based practice with adolescents, recognizes that “groups are structured, taking into consideration the person as whole and not only the problem”. By critically analyzing Support groups and applying Malekoff principles, we will examine the effectiveness of how support groups recognizes the individual as whole and not just the problem.

It is our job as Social workers to find and secure the right services for our clients to access. The author states that “once there have been a thorough intake and assessment, one of the next task is making sure that there is enough support to help the client complete the intervention plan” (Ward & Mama, 2006, 143) Case management is combined of many different things such as big and small tasks. Sometimes services are not the right fit for the client we need to adapt and develop a back up plan. The author states that case management is “ the corner stone of social work practice and is one of the jobs most widely available to entry level

Problem solving approach is a traditional and foundational aspect of general Social Work practice. It is based on identifying a problem or set of problems facing a client and formulating a framework of possible options with the hope of fixing the problem or improving the situation. Although, the worker may guide the client and inform them of the possibilities and options available, the client is still solely responsible for their own choices and actions. The formal application of this principle is the definition, assessment, setting of goals, intervention and resolution.