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Case management principles
Case management principles
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According to the Case Management Society of America, 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" (Case Management Society of America [CMSA], 2010). As a method, case management has moved to the forefront of social work practice. The social work profession, along with other fields of study, recognizes the difficulty of locating and accessing comprehensive services to meet needs. Therefore, case managers work with these Case management is a problem-solving practice method that has had a growing momentum over time. This is due in part to federal and state funded program mandates and the desire for continuity of care. The National Association of Social Workers (NASW) (1992) and the Case Management Society of America (CMSA) (2010) have developed practice standards to establish uniformity in case management functions and pra...
This paper highlights the unique contributions that social workers can bring to the field by using diagnosis in clinical social work. Though it has been debatable whether it is significant in the practice being that social workers are not doctors, but rather clinicians. Some people believe that social workers should practice diagnosis in clinical social work while others feel that it’s unjustified. This paper will explore the pros and cons to diagnosis in clinical social work practice through the history of social work, DSM, labeling, misdiagnosis. While applying strength perspective and empowerment in Clinical Social Work Practice. As a result, Social workers are competent to diagnosis patients, due to their level of education that has taught the ways of assessing, diagnosing and providing counseling to clients through the code of ethics.
Sheafor, B. W., & Horejsi, C. R. (2012). Techniques and guidelines for social work practice (9th ed.). Upper Saddle River, NJ: Pearson Allyn & Bacon. (Sheafor & Horejsi, 2011)
The four roles of a case manager consist of coordinating services, documenting (administration), supervision for intensive high-risk clients, and case managing targeted populations.
To begin with the people who partake in this profession prefer being “referred to as care coordinators” versus case managers, since many don’t care for the way it sounds that they’re dealing with clients, rather than helping them. The way the process is currently set up case management will take place in three phases: assessment, which deals with the initial learning aspect of what their client is dealing with and how it is affecting them, followed by the planning phase which will put into works the most proficient strategy in place, and then implementation which executes what has been set up for the client. Each of these requires the case manager to be well versed and knowledgeable in the specific parts of the process. The end goal of any case manager is to give relief to those in need by assisting with management of client’s lives, or by providing helpful advice which is needed when a major issue occurs. In addition there are certain principles of case management that one needs to follow.
Only within recent decades case management has been introduced, but has been proven to be a significant segment of the healthcare workforce today. There have been several changes to case management over the last few decades, and the future for case management is very diverse. Case management offers many benefits to both the client and the health care organization. In addition, case management plays a key role in a client’s road to recovery. Most importantly, case managers have a vital role overseeing their client’s transition from the hospital setting back into the community and ensuring all service needs are met. Moreover, the opportunities and need for case managers working with many populations and settings are great, and may ultimately lead to better health for individuals.
First off, clinical social workers work one-on-one with individuals by utilizing psychosocial casework to improve their client’s lives. Social workers at the micro level typically provide case management by coordinating and monitoring services, developing a treatment plan, advocating for new services, providing psychoeducation, and by helping clients learn more about their specific disorder (Marx). They also provide psychotherapy through three major therapeutic approaches- psychodynamic, cognitive-behavioral, and humanistic (Marx). When it comes to the mezzo level social worker work with groups and families. They may initiate therapy groups, support groups, psychoeducational groups, and socialization groups all in order to uplift their clients about their mental disorder (Marx). On top of that, social workers also offer family therapy with the goal of helping families learn and function effectively by meeting the needs of a family member with a mental illness (Marx). Finally, social workers also work on a macro level through advocacy and policy changes, and in an administrative setting. Through advocacy, social workers may lobby for policy changes on a local, state, or national level in order to promote positive
[The term case management can have many different applications. In this paper, it will refer to the managing of individual’s cases who find themselves in the criminal justice system, in a corrections setting or in the community who require an advocate to assist them. These persons could have one of any number of issues that require special attention or connection with resources that will enable them to improve their functioning and possibly result in avoiding a return to the criminal justice system. The case managers who work with client’s who have various issues which require specific resources and techniques. In addition, this paper will define the process and what role ethics and confidential information play in working with clients.
Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client's health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. A Case Manager is a person (as a social worker or nurse) who assists in the planning, coordination, monitoring, evaluation of medical services for a patient with emphasis on quality of care, continuity of services, and cost-effectiveness. ("Definition and Philosophy of Case Management", 2015).
For any case manager, a patients wellbeing and the rehabilitation of a patients welfare is a priority. Part of being an effective case manager is being a good advocate for your patient or client at all times. It is the job of the case manager to make sure their patient is heard and that their need are effectively met. If the latter is handled appropriately, the outcome would be favorable because it could mean the clients support system has enlarged (Hussein, 2016) . Targeted support systems for the client can range anywhere from big corporations to small time charity bids. A case manager would be practicing such skills just by reaching out to certain health clinics or lobbying for certain policies that would be beneficial for their client. Part of advocacy process for a case manager includes educating their patients on any services that are deemed vital to the success of their condition. An example of this would be a case manager educating their patients on the benefits of choosing a good healthcare plan (AHC Medias, n.d.). No matter the case, this advocacy process, if effective, can lead to empowerment practices that further improves the rehabilitation process for the
Each worker strives to ensure the patients are taken care of and that their needs are meet. The Social Worker truly shows the use of the NASW in this seating. There are times that they must make an ethical decision based on the best interest of the client. There are many clients that feel they are able to go home and care for them self’s but truly are not. The Social Worker along with the doctor and other staff members make the difficult decision of taking the individual’s right away making them a ward of the state or putting them in other necessary
The three phases of case management are assessment, planning, and implementation. Assessment includes identifying difficulties the person may be experiencing in areas of their life including personal and community relationships, their health, and environment. It is also appropriate at this time to bring together other sources of information such as verbal and written reports, to help build a picture. Planning is a holistic ongoing process, occurring in a variety of ways including informal and formal elements. It explores the interests and life circumstances of the person. Implementation of any plan can occur at three significant levels. They are; the person with a disability, family, friends, supporters and community, and intervention at a
Case management applies to the ongoing care that a patient can receive in the community. Case management involves either one individual directing the care or a team of people; this includes coordinating all necessary medical and mental health care, along with supportive services. The main functions of case management is to conduct an assessment on the patient, plan the patients care, monitor the patient, linking, outsource services and evaluate the patients health and the effectiveness of the interventions in place (Elder et al, 2012, p 445). In the assessment phase the case manager will identify the patient’s needs and endeavour to meet these needs either by providing the service or outsourcing the service. There is not set definition of case
Patient case management is one of major features that PCMHs incorporate to mitigate negative effects of fragmentation care (Parker et al., 2010; Wells et al., 2008) and improve health outcomes with lower medical and administrative cost [3]. Case managers are playing an increasingly vital role in care coordination to educate patients with disease self-management skills and connect patients to community and social services within the PCMH network (Horný et al., 2017). Case managers are usually licensed health care professionals who work with PCMHs and directly contact with patients to coordinate various health care services based on each individual’s conditions (Taylor et al., 2013; Grumbach & Bodenheimer,
Case management services to achieve and maintain personal independence. Reference copies of service plans in the procurement library;
The entity must respect fair business practices in areas where they operate and endeavor to deal fairly with the entity’s customers, suppliers and competitors. The entite should not take unfair advantage of anyone through manipulation, concealment, abuse of confidential information or unfair ethical practices breaking the code of conducts