The purpose of this literature review is to critique the effectiveness of the strengths model of case management when working with people with psychiatric disabilities Literature Review Abstract: The strengths model is not just a philosophy or perspective, although it is that. It is rather a set of values and principles, a theory of practice, and explicit and rigorous practice methods that have been developed and refined over the last 25 years (Rapp & Goscha, 2006). The empirical testing of the case management model has shown consistent results that are superior to traditional approaches to serving people with severe psychiatric disabilities. The purpose of this literature review is to critique the effectiveness of the …show more content…
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: • Principle 1: People with Psychiatric Disabilities Can Recover, Reclaim, and Transform Their Lives • Principle 2: The Focus Is on Individual Strengths Rather than Deficits • Principle 3: The Community Is viewed as an Oasis of Resources • Principle 4: The Client Is the Director of the Helping Process • Principle 5: The Case Manager-Client Relationship Is Primary and Essential • Principle 6: The Primary Setting for Our Work Is the Community Case managers working in the theoretical framework of the strengths model work to identify, secure and sustain resources that are both external (i.e., social relations, opportunities, resources) and
Bonney and Stickley (2008) note the theme of power is often raised by service users. If, as predicted by the DOH in 2003, services are to become increasingly individual focused, the system needs to place power with service users. There is increasing amounts of service user literature that places an emphasis on individuals defining their own journey of recovery (Unit 21, pg 66) rather than having it imposed on them by workers. Peter Beresford (Audio 4) notes that currently there are inequalities in mental health services with limited service user power but considerable professional power. Bonney and Stickley mention Martyn (2002, cited in Bonney and Stickley 2008) who proposes professionals should be present by service user invitation only. A less radical aim is that of a gradual transfer of responsibility in power from services to individuals during recovery. It is important such involvement confers genuine power to individuals, rather than being tokenistic (Jacobson 2004, cited in Bonney and Stickley 2008).
The strengths are that the right uses and medications is used to control the illnesses also behaviours that are different to normal are noticed and seen to. The limitations are that sometimes people are categorised in the inappropriately because the DSM-IV does not explain the causes of different psychological disorders
I am inspired to embark on this path because I want to gain an in depth understanding within the Learning Disability and Mental Health field for example professional aspects of care, biological basis for health and well being, identifying knowledge for nursing practice, origins and expressions of Mental Health and wellbeing, I want to be able to carry out the tasks of providing care and support for people with mental in capabilities, knowing that I am doing so with the full comprehension and grasp of what each patient needs.
The interview of a case manager is designed to give students the chance to create an opportunity of interaction with case management. During the interview, the focus is to establish connection in understanding the purpose of their duty, adapted theory of function, ability to maintain self-poise, intellectual thinking process to maneuver from one case load to another, and demand of the population to whom the service benefits. The interview process provides an overview adjustment to distinguish the relevance between the provider mission statement in contrast with the employee who transforms the vision to concrete, workable possibilities of wonders while helping the client. The reinforcement of speaking live with a case management employee helps to understand the purpose, the process of initiating help, and placing individuals with community resources to help support individual needs.
There are many factors to be considered when analyzing a case. Evaluating these factors is essential to understanding client perceptions, recognizing client strengths, identifying client supports and resources, and determining the appropriate treatment and outcomes for clients. Every person has various systems of whthey are apart. Each system has a role in the life of the person. This analysis of Emma’s case study will examine the possible roles that the systems in her life have played in her current situation.
This paper explores the scenario of a client and looks at the presenting problem from an ecological and strengths perspective. It will also explore advanced clinical skills, intervention strategies and ethical dilemmas encountered. Methods for evaluating progress will be discussed within the social context of the case. Termination and follow-up approaches, and any ethical dilemmas will be included. Any problems with oppressed populations will also be discussed. Finally, the limits of the chosen model and limits of the practitioner, evolution of client and practitioner identities, any ethical or social justice issues for the agency, and an evaluation of the practitioner’s effectiveness will conclude the paper.
In order to demonstrate an understanding of social work explanatory and practice theories within DFATS, I will complete a critical analysis of the use of Cognitive behavioral therapy in rehabilitation of clients with disabilities and discuss this in supervision.
Rothman, J., & Sager, J. (1998). Case Management: Integrating Individual and Community Practice (2nd ed.). Boston, MA: Allyn and Bacon.
The author will also discuss the principles of the Mental Capacity Act (2005) and the Mental Health Act (1983) and how it protect an adult who is vulnerable and lacks capacity. Likewise, the author will discuss ranges of nursing interventions, person-centred care, and ethical dilemmas.
The strength based approach is a groundbreaking concept that has changed the paradigm of problem solving within social work. Instead of focusing on the trials, problems and adversity that face a consumer. We acknowledge the difficulty, we do not underestimate it or belittle it, yet we try and change the focus of the situation and outlook of the individual, to focus on their skills, achievements, qualities, gifts and strengths.
The case manager regulates use of resources to provide the most efficient care for their clients, which can possibly lead to the client being able to care for himself/herself. They focus on good transitions of care, reducing the fragmentations of care within the system. Further, the case manager’s main goals are to improve the safety, satisfaction, and outcomes of their clients, moving their client into the best levels of health possible (Marion et al., 2010).
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 find solutions in this social problem, it is essential to use strengths perspective on an advanced generalist model. In using strengths perspective with children and adolescences, the approach directs focus away from their mental illness and instead focuses on their strengths and positive attributes to overcome obstacles. The attention is directed towards helping the child or adolescent develop confidence and self-reliance on their journey to recovery. This perspective is an effective strategy when working with the individual, communities and organizations to promote social justice. Using this perspective in a micro, mezzo and macro level will help to identify strengths of the individual.
The patient in this particular case study is an adult man of 45 years with Down syndrome and a moderate intellectual disability. This man also has a chronic illness, which is type 2 diabetes. This man lives in a community group home that is staffed by support workers and he attends a disability-specific day program Monday to Friday. This case study will be reviewed from the point of view of the community nurse managing the holistic case needs of this particular patient. Holistic needs involve a number of different considerations, and must include an overall understanding of the patient’s medical needs, as well as his physical and emotional needs. The goal as the nurse will be to develop a holistic care plan, including an analysis of the health challenges of this individual, an analysis of activity and participation using the ICF model, and an overall recommendation for an intervention strategy for the patient. The intervention strategy will include consideration of all the different aspects of this individual’s difficulties and disabilities.
The meeting with a caseworker occurred in Kevin on October 25, 2013 at 11:00am and it was done around at 12:15pm. What we will assess in this meeting utilizing the survey as a manual for better comprehend case administration. The poll or review utilized for this meeting has twenty-four question identified with case administration, which we will investigate one question at once. The initial segment of the overview address distinctive capacity of case administration. Kevin was ask in view of his own involvement in the branch of Mental Health, would he dispose of any capacities from the rundown given that included: Client distinguishing proof and effort, Intake, Psychosocial appraisal, Goal setting, Resource recognizable proof and ordering, Getting