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Case management - What is it
Principles of nursing case management
Case management - What is it
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Case management refers to when a person or people in need require an environmental intervention. The Conrad Hilton Association defines case management as “one of the primary services offered to individuals and families who face multiple challenges, including severe mental illness, addiction, and homelessness.” Case management often helps those who are struggling or who are in need, however, the term tends to be used very loosely within organizations. Historically, case management is a relatively new term. There have, of course, been interventions and assistance for those in need in the past, however the actual concept of case management has only been introduced within the last few decades. Joel Kanter states “Although environmental interventions have been conducted for many years, the term case management did not enter our professional vocabulary until 1976, when it was articulated as a key element of the Principles for Accreditation of Community Mental Health Service Programs, issued by the Joint Commission on Accreditation of Hospitals.” Case management is a complex term, often hard to define, which historically caused issues. No person’s issues are exactly the same, and there was not much of a guideline to address both environmental and psychological components. Finally, as Kanter states, a case management model was created to help alleviate these historical issues. The Case Management Model helped define what case management case, and that there are both psychological and environmental issues that need to be addressed when using case management. The model helped address the issue of case management being a “loose” term, and gave it more definition and structure. There are several key components needed in order to ma... ... middle of paper ... ...well being on their shoulders. If a patient is not doing well in treatment, it is often looked at as what is case management doing wrong. They are relied on to make any changes if a patient is not doing well. I can imagine a lot of case managers getting burnt out, with the pressure of having tremendous responsibility for patients, as well as having to complete several tasks for them. They must fulfill a patients needs on several levels, and do not receive much assistance. I am sure it takes a lot of energy to be in case management, and can, at times, be a thankless job. Working in the mental health field, I see first hand the importance of case management. Kanter helped show me the complexity of what case managers do, and all that they provide for patients. Case management is definitely needed, however, and I am a little surprised it is a relatively new term
- If all of the options were explored, and patient is given antibiotics and is treated without any pain or suffering than the treatment identifies with the ethnical principles of autonomy, non-maleficence, and veracity. In turn, Mrs. Dawson will be happy with the outcome of the procedure.
Although I was not new in the field of mental health, my work with Susan brought excitement and insecurities. An extreme hoarding case was completely new to me. Even more challenging was, that Susan mental illness and past trauma affected her daily. The use of supervision serves three functions: its educational, supportive, and administrative (Supervision and Clinical Social Work, 2003). I was grateful to have a well-educated, patient supervisor who gave me constructive criticisms as well as support which encourage my growth and development as therapeutic case worker.
Case conceptualization and treatment planning is used by therapist to assist in determining a client’s diagnosis, goals, and treatment plan that is most effective in determining the issues surrounding the clients diagnosis. It is crucial that the client’s treatment plan is specific to the individual, is relational and appropriate to the needs of the client.
In brief, case managers are a unique segment of the healthcare workforce. They share the same goals and standards of practice but are multidisciplinary and have diverse academic educational backgrounds and work environments (Park & Huber, 2009). case management leads to better manage health of individuals.
Case management – Case managers help aftercare patients locate the resources they need to build successful lives in the community.
Kisthardt, W. (1992). A strengths model of case management: The principles and functions of a helping partnership with persons with persistent mental illness. New York: Longman.
without a shelter, and homeless due to release from any institutionalized facilities. People living in a shelter and are monitored by the facility under case management. Case management is position held by the facility administrator who makes sure that the individual applies themselves the best way possible to the assorted task...
Overall, case management provides community mental health care to clients who often suffer from severe mental disorders or other various illnesses. Case management practices are person-centered, as they focus on improving individual support systems. These practices also maintain a person in environment framework, which allow
This is an area where advocacy and empowerment are essential, especially if a client feels less than able to go deal with major systems in society alone. It is also an area where a client may be coming to use for many different reasons and we should look further than just a diagnosis. It is also a field as we discussed in class that is not always culturally competent. Many other cultures can show signs for mental illness when in reality it is their way of functioning in that group. This is major reason practitioners should ask clients about their backgrounds and questions about their behavior if they are unfamiliar before placing
Those with mental illness would live in the community with an array of services and be able to be free from the constraints of confinement. In the early 1960’s the United States began an initiative to reduce and close publicly-operated mental hospitals. This became known as deinstitutionalization. The goal of deinstitutionalization was to allow people suffering from mental illness to live more independently in the community with treatments provided through community health programs. Unfortunately, the federal government did not provide sufficient ongoing funding for the programs to meet the growing demand. States reduced their budgets for mental hospitals but failed to increase funding for on-going community-based mental health programs. As a result of deinstitutionalization hundreds of thousands of mentally ill people were released into the community without the proper resources they needed for their treatment. (Harcourt,
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 Edition). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates,
My understanding of case management comes from an accumulation of lecture, readings, and a little bit of research. At first I thought case management meant to manage a case, which it kind of does, but it is a lot of background work that goes unnoticed from the workers part. One thing for sure I can say about case management is that is a very stressful and demanding job for the worker, therefore, you have to be a responsible worker, so that your client can hopefully get the services and resources he or she may need. As a case management worker your responsibilities are many, for example you are to educate, empower and enable your client to be self sufficient.
Averill, DeWitt, and Zimmer (1978), stated a person is commonly considered less responsible if their actions are interpreted as emotional rather than deliberate. While working for a previous employer as a Case Manager for persons receiving case benefits from social services, a popular and well-liked supervisor failed to provide consistent leadership for those in her unit. Her mood of the day, rather than policy dictated how circumstances were to be handled. Although most situations should be treated on a case-by-case basis, there should and must be a certain set of criteria followed to maintain program integrity. Based on this, as case managers, we assisted our clients based upon past practices; however, we were sometimes called-in to explain our actions. While we were working within the rules, if she felt our actions were not in compliance, we had to defend our decisions. To bolster the direction I took with my own cases, I would often use the supervisors past case actions as a precedent. Without a fair and equitable way to determine who received what, our program tended to rely on subjectivity rather than objectivity. Never quite knowing what was acceptable, even if it was within the rules and regulations, made for a fru...
By utilizing the form, biophysical, emotional, and cognitive issues were assessed. The intervention used focused on the person-in environment perspective and concentrated on the environmental systems that influenced the functioning of the client. Through the interview process, the client’s definition of the problem was used to determine the goals for intervention. The goals of prominent importance were developed to meet the client’s most urgent needs. Along with the assessment, the treatment plan was utilized during the treatment process to articulate clear and measurable objectives. As part of the treatment plan, a review of the client’s strengths was incorporated into the intervention. Another strength of the interview was that the client was able to assess the resources provided and determine which ones that she wanted to utilize. After the client identified the resources that she wanted to pursue, a treatment plan was developed. Adequate resources were provided to meet the client’s most pressing needs. The resources proved incorporated known researched intervention
In this paper I try to describe the scope and actual experience of case work ...