The case management process consists of five parts: assessment, treatment planning, linking, advocacy, and monitoring. It is not a linear process and does not follow the order it is written up. There may be some back and forth and returning to certain points.
Screening
Contact between an addictions counsellor and a client is usually initiated by the client referring him/her self, an outside agency refers them, family physician or the addictions counsellor initiates contact through outreach or other agencies. Assessment can be seen as the beginning of treatment and it becomes an opportunity to encourage the client to begin to move towards change. The initial assessment involves a mutual investigation and exploration between the client
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Although the main goal of the assessment is to refer clients to treatment, many clients refuse treatment. However, they are willing to accept referrals to non-addiction agencies to resolve problems that have either been caused by addiction or that led to the problems. This assessment may be an intervention that the client needs. You will want to use the appropriate research-based screening tools that may be applicable to the client’s individual circumstances.
Treatment Planning
The treatment planning process helps the client select the level and intensity of treatment that works best for them. When planning treatment the counsellor can consider preferences and the services available. The treatment plan may change over time but it provides a focus for ongoing support. The treatment plan comprises of two main functions, it allows for a negotiation between the client and assessor for specific interventions to address the identified problems as well as allows them to develop a manageable plan. It is important when negotiating with the client that the counsellor listens to what the client wants and is capable of undertaking with agreement to implement. Each client is unique and every treatment plan should also be tailored to meet his or her needs. The client must agree to all aspects of the plan. The treatment involves four stages, prioritizing problem areas and exploring options with the client, matching services available to the client's
A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”
There are various assessment tools obtainable for assessing the needs for patients or clients. The addiction professional uses assessment instruments as one component of the counseling/treatment process taking into account the client’s personal and cultural background. The assessment process promotes the well-being of individual clients or groups (NAADAC, 2015). This process helps determine how much and what kind of treatment your client needs. It is important to be aware of different types of assessments as well as being familiar with how they work in each situation. As we assess George we will use two different assessment tools to give as an example of how to assesss the needs of this client.
The first stage is being patient; take the time to listen to the client to build rapport and trust. From listening to the client you can understand what the issues are and how much insight and maturity they have, their support system, and any other information to develop a client/case manager relationship. In the second stage we assist the client in identifying their goals and develop hope that their problems can be solved. The third stage is when the case manager discusses with the client what they are willing to do to meet their goals and help them choose strategies to meet them.
The process of assessment involves both the client and case manager identifying the issues, strengths, and service/support requirements that will inform the planning process. A comprehensive analysis of the information gathered through interaction with the client will support a detailed assessment. Case planning is a multifaceted exercise that sets the scene for what follows between a client, the case manager and formal and informal supports. Case plans are client centered and may be developed over the course of several meetings with the client. Monitoring of the case plan with the client helps to identify progress, priorities next steps and ensure efficiency in achieving goals.
As clinicians, there is a duty to provide as clear of a diagnostic assessment as possible, particularly in relation to substance use, in order to provide the best care. In Substance Abuse Counseling: Theory and Practice, the authors state “as with other diseases and disorders, the earlier a therapist diagnoses a substance abuse problem, the better the prognosis for the client.” (Stevens & Smith, 2013) This makes assessment crucial to the diagnostic process. In “Screening, brief intervention, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple heathcare sites,” written by Madras, Compton, Avula, Stegbauer, Stein, & Clark (2009), the reported 2006 NSDUH survey statistics estimated that “22.6 million people harbor a diagnosable alcohol or illicit drug use disorder.” (Madras et.al, 2009) Over the years, researchers have developed
It is important for a counselor to proper an action plan to overcome barriers for the client during treatment. Counseling is not about taking and not taking the proper actions. When a client is having barriers it is very important for the counselor to identify those barriers and set an action plan to help client overcome the obstacles. The counselor should identify the principles for a well action plan, discuss barriers that a client might encounter, outline intervention that will help with the barriers, list of community resources that will help client if need it and outlined aftercare plan when treatment is over.
The treatment plan can help the case manager see if what are the needs and what are the strength of the client and also an opportunity to move on.
Bering the uniqueness of each individual, people seek psychotherapy propelled by unique problems and conditions. Generally, many people will look for therapy because of sense of dissatisfaction with emotional pain or life. Sometimes it can be from immediate distress that is related to a definite crisis like addiction, separation or a loss, maybe on ongoing difficulty in part of their lives like work or relationship. For some people it might be due to suffering strong sadness, worry or fear. To some extent individuals might not have a clear external problem, but having inner sense of emptiness, dissatisfaction, or missing something. Screening and assessment play a critical role in psychotherapy. Extend of collecting details during assessment always differ depending on the settings of treatment as well as circumstances. For example, within primary settings like hospitals and medical practices, the aim of screening tends to be for determining hazardous or dependent drinkers.
While implementing the client's treatment plan, I would conduct individual, family, and group therapy sessions that provides various of interventions and strategies to which the client would be able to use when services
In the past, as well as currently, I have worked with individuals who have been charged with drug dealing offenses, who have also developed a dependency issue. This specific group of individuals who demonstrate addictive behaviors can be incredibly different and challenging to work with. One of the assessment methods that I would use with this client in
The initial screening process begins once a person contacts Chattard Center for Addictive Disorders. This contact can be over the phone or face to face contact. This is the first chance for treatment and providers away to establish a relationship with the potential client. When Alexia first entered the center, her pupils seemed to be dilated and the color was very red. She showed signs of having a lot of energy however, her words were slurred. Alexia was given the Leeds Dependence Questionnaire (LED). LED is “a self-completion 10-item instrument to measure dependence upon a variety of substances” (Ferrari et al., 2006). The outcome of this self-assessment determines any additional treatment. Alexia scored a 22, which is right at high dependence.
When developing a treatment plan for any complex case, it is critical to consider any factors that contribute to the client’s situation. One must generate a plan of action that will support the client appropriately and yet not be overwhelming. It often takes a long time for a client to come to terms that they need help. For many, seeking mental health services can be both a daunting and intimidating laden with feelings of failure and disappointment.
Client-centred Case Consultation primary goal is to develop a plan for dealing with the clients difficulties
The author states that the best way to set up an intervention plan for our clients is “to start with the client. Ask the client about what it is that he or she wants to work on” (Ward & Mama, 2006, 131). The author suggests that we may see the obvious things that the client wont and that we should see if it would be an interest for them to work on it as well. (Ward & Mama, 2006, 131) But that we should wait until the end of our meeting after the client has told us what they want to work on. After we have done out intervention plan the author explains that we need to take our plan to our supervisors and explain the client and the presenting issues and goals to them so that they have sense
The first initial question is what brings the person in today and have they seen a counselor before. The influences the screening process has for the professional is assist them to make the appropriate decisions for the well-being of the client during each of the assessment steps and treatment strategy plan. For instance, for screening, referral, determining eligibility, program planning, program monitoring, program evaluation, and economically. Therefore, the client may have a chance of complete the programs will out the financial distress to deter them from receiving the needed help. In the meantime, the decision points allow the team to use the information to make decisions regarding treatment based on the disorder or addiction to provide