Independent Care Paper
CJHS/420
Rebecca Howell
Independent Care Paper
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.
Termination of services provided by case management can occur for a large variety of reasons. The main goal of a case manager is to provide the client with all the resources available to meet the client’s needs. By the end of the action plan the client should be prepared and skilled enough to continue without
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Other less desirable outcomes can include termination due to client noncompliance.
Once the client’s needs have been established and the resources have been located the case manager must constantly review the progress of the client and determine if continuing case management service is needed. Terminating the relationship is never an easy process; the case manager must carefully create a termination process depending on the client’s level of dependence in him or her. If a client is heavily dependent on the support of the case manager, the need for a gradual decrease in the amount of contact with the client may need to occur before termination.
When planning a termination strategy the case manager determine if the client will lose access to the services and resources once the relationship is terminated. While this may not always be the case often times case management services provided through community based waiver programs will be terminated. So when planning this type of termination the case manager can look for other resources to help the client or decide not to terminate the relationship because the client is still in need of those services. Since the case manager’s main goal is to help the client often times “Case Conferences”, a meeting between client, caregiver, service provider, and legal counsel, may be needed so the client will not be terminated before he or she receives the needed services (Case Management Society of America, 2010). If a
· As we’ve learned from this week’s reading, there are many different forms of advocacy. Discuss the role of advocacy in case management. What are some examples of ways we as case managers can appropriately advocate for our clients?
Moore and colleagues (2009) defines Case Management as an approach to practice that ensures vulnerable people with multiple, complex and sometimes lifelong needs are provided with a mix of personal, health and welfare supports and services, which enable them to establish and sustain their optimal independent personal and social functioning.
Case Managers have a challenging job, often dealing with patients, community agencies and facilitating their hospital discharge to the next level of care. They collaborate and communicate with the entire healthcare team and mostly with the patient during the hospitalization process. They act as support for all stakeholders to achieve positive patient outcomes. In this paper, I will be interviewing Ian Mopas, who is a Patient Care Coordinator at Kaiser Permanente in Redwood City about his education, work training, goals, and objectives as a Care Coordinator, and his responsibilities in his organization.
The best outcome for the client is to focus on her own needs and not get deeply involved in a relationship. The case manager should be providing support, appreciative responses, building trust, inviting collaboration, and providing positive feedback for the client. The case manager can ask the client what she thinks about leaving the home. If ultimately agreed upon, the case manager can provide resources to complete a transfer. In addition, the case manager can implement a plan for intervention that consists of family therapy. A case manager should be a reflective listener and try to their
“Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes” (CMSA. p.6, 2010). Case management plans are an integral part that help to develop and contribute to the care and services that will be needed to provide services to the client to achieve optimal health outcomes (CMSA, 2010).
Yes, they remain similar to and align with the 2010 Standards of Practice for Case Management except for some changes that are meant to convey the value of professional case management practice and demonstrate adherence to relevant laws and regulations.
According to an article published in Case Management Advisor (2008), education assists case managers with being as knowledgeable as possible to identify and coordinate all the resources that their patients need and continued education is an ethical responsibility of a case manager. The article also suggests that advocacy is an ethical responsibility of a case manager. When advocacy is forgotten ethical issues occur. Fraser and Strang (2004) explain that case managers must be given the tools to allow them to function in their role with confidence and competence to act as strong advocates for their patients. Support for decision making is also a key component of case management. Coffman (2001) offers key points from The Code of Professional Conduct for Case Managers advising that case managers are guided by the principle of autonom. Case mangers achieve autonomy through advocacy. If case managers are expected to function with complete autonomy, then case managers require the assusrance that their leader ship will support them when difficult decisions have to be made, (Fraser and Strang, 2004). The concept of employer employees explains that by involving employees in developing the mission and values of the company, this allows employees feel empowered (Porter-O’Grady & Malloch, 2007). By allowing the case manager to be part of the development of the
A. The client and case manager agree it is time to move on-The goal is for the client to be successful and eventually don’t require services anymore.
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.
Case management can come in many different forms depending on the place you work or are going to. The main idea of case management is help clients have a plan after treatment and make sure they are informed of their referrals. As defined case management is a collaborative process of assessment, planning, facilitation and advocacy for options and service to meet an individual’s holistic needs through communication and available resource to promote quality cost-effective outcomes” (www.cmsa.org.au/definition.html)Case managers also help coordinate care, and help the clients and families find services that can be offered to them to the area. Case managers would do this by using the clients insurance or finding low cost referrals in the area that
To select a case management model for a human service issue, problem, or consumer group, the first thing a person would have to do an assessment of the situation. They would have to collect all the facts containing to the individuals situations, possessions, difficulties, essentials, and objectives. Assessment frequently consists of organizing and assisting a 'multidisciplinary or multiagency ' group to complete an extensive centered natural calculation. Then they need to plan events that determine how to accomplish the person 's objectives, and encourage the person how to decipher their difficulties and how to get their necessities; then they need to figure out who will do what. Planning frequently includes participation from people close to the person, like the parents of a youngster 's. Next, they need to use 'Service implementation which could encompass connection to facilities and requirements of amenities. Case managers could obtain 'broker services ', as well as familiar and unconventional backings. The case manager will usually find different facilities to help with the situation. After that, the case worker needs to connect different organizations or persons intricate through a facility to the individual. The 'case manager ' is the one that gets everything linked together for the individual to contact. The 'case manager ' would be the main person that should know all the facts about the individual.
Reading your discussion made me reflecting my daily work as Case Manager; the everyday “wasting resources” as you mentioned and the readmission I have to deal with just because the noncompliance. It is a problem without a satisfactory solution.
What I understand of case management is that it helps Social Workers in helping their clients, meaning social workers take actions to manage the various aspects of cases they are working on. Case management is also a shared process of assessment, planning, facilitation and advocacy for decisions and services to meet an individual’s need through communication and available resources. Case management examines the person’s physical, emotional, environmental state, and promotes quality and cost-effective outcomes. In addition, in Case management the worker helps to empower the clients to become self-sufficient. Moreover, Case management is structure into six principles
The history of case management was associated with not for profit organizations funded publicly. These services were usually targeted towards low-income elderly. The services were used to keep the elderly at home with services that offer support instead of putting them in a nursing home. The term care management originated when higher income families needed care for their elderly but did not qualify for a case manager. Families would pay care managers for the services that a case manager provided. ((Lencioni, McConnell, & Cress, 2012). The history of case management on the development of “Fee for Service” care management is that not for profit organizations had to get use to charging clients fees when they were not use to charging clients.