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 …show more content…
management although there are several different models that can be applied to a client. The case manager will determine the model that they may use that will suit the patient’s goals and needs. The six types of case management include ‘The broker model and the clinical case management model’, ‘Assertive community treatment’, ‘Intensive case management’, ‘The strengths model’, ‘The rehabilitation model’ and the ‘community model’ (Elder et al, 2012, p 445). A closer look at the rehabilitation model, this model is more focused on delivering services to the patient that they want rather than the focusing on the goals that of the mental health delivery system.
This model aims to develop the patient’s skills and constantly assess the skills the patient currently has to allow the patient to lead a normal life within the community. The focus is not only to keep the patient out of hospital but to enable the patient to live a meaningful life within the community. The focus is on improving the patient’s health and not focusing on the patient’s mental illness or disability. Training is usually offered to assist the patient in daily activities such as how to work a washing machine and dryer (Elder et al, 2012, p …show more content…
446). The case management individual/team may chose a model to apply to a patient although not all of these models will meet every individual therefore it is the case manager responsibility to ensure a holistic approach is taken for the individual. Once the case manager or team have gathered all the data through the assessment phase, a treatment plan is then designed for the client specifically to meet the patient’s needs this applies to all models of case management. The patient along with the patient’s family, carer or advocate will also be in involved in the creation of the treatment plan (Elder et al, 2012, p 448). Treatment plans could include additional support to assist with daily living skills, socialisation, physical health, and mental health. Treatment plans are individualised to essentially meet the needs of each individual, no one treatment plan will suit everyone. As with any service put in place to ensure the treatment plan is effective this will be evaluated on a regular basis. An evaluation may include a physical assessment by a medical officer, a mini mental assessment and assessment of any further assistance or services required. Other patterns of nursing models include; Task-orientated nursing, team nursing, patient allocation or total patient care, primary nursing and case management.
Looking at the case management in other areas of health the difference is that often case management involves a management of a group of patients rather than focusing on the one patient. The nurse that is the case manager is usually a clinical specialist and the group of patients will have similar healthcare needs (Koutoukidis et al, 2013, p 129). Another example of other nursing models is the task orientated model; the nurse will ensure specified tasks relating to a group of patients have been completed to meet the patient’s needs (Koutoukidis et al, 2013, p 129). These other nursing models main goal is to promote the patients independence and the ability to live and cope with the health condition and continue with everyday life. Whereas the case management for mental illness patients is continually ongoing, so as to enable the patient to live in community and assist in keeping the patient out of hospitals through constant management of the patients mental health
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The aim of the agency is to develop knowledge and skills to cater the residents and ensure they enjoy their life at the aged care. Furthermore, the agency aims to enhance local expertise in mental and physical health care, improve care through training and foster a collaboration with academics, researchers, institutions, volunteers, therapists, doctors and other health care professionals.
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.
Nursing case management does not take the place of the nursing care delivery model in place to provide direct patient care, but supplements nursing care in a health care facility (Jacob & Cherry, 2007). For example, if a hospital’s medical-surgical unit uses a team nursing approach to patient care, a system of case management might also be in place to assist with coordinating the patient’s total care through discharge (Jacob & Cherry, 2007). Moreover, case management is not always necessary for every patient in a health care facility. Typically, case management is generally reserved for the seriously ill or injured, chronically ill, and high cost cases (Jacob & Cherry, 2007). In brief, case managers are a unique segment of the healthcare workforce.
The CPA is a care management process for people with mental health and social care needs, including managing associated risks. The CPA main elements are: Assessment, Care coordinator, Care planning, Review, Transfer and Discharge. The National Standard Framework for Mental Health introduced it to supply a framework for effective mental health care (DOH, 1999; DOH, 2008; Gamble, 2005). Under CPA, John may use an Advance statement to illustrate his personal preferences and what he would like to happen in regards to his personal and home life should they come to lack capacity. These are important mechanisms for safeguarding and promoting a patient’s interests and health. The CPA is grounded in values and principles that are central to personalisation brought about when in March 2008 ‘Refocusing the Care Programme Approach’ was issued. This updated guidance highl...
There are many nursing theories that are being used in the emergency room when the employees are treating psychiatric patients. Jean Watson’s caring theory is seen being used in the emergency room when the staff members are involved in the care of the psychiatric patients (McEwen & Wills, 2014, p. 182). The staff members are trying to provide the patients with holistic care and having a therapeutic environment is important for the patient to receive holistic care. The nurses and staff members are taking time out of his or her busy assignment to sit down, talk with these patients, and make sure that the patient is comfortable and has everything that he or she needs. Hildegard Peplau’s theory of nurse to patient relationship is another nursing theory that is currently being used in the emergency
One of such early interventions may be offered by Roper, Logan, Tierney (1980) called the activities of daily living model. As explained in the presentation, the model consists of an individual’s ability to carry out self-care tasks such as functional mobility, self-feeding, personal hygiene and grooming (Roper, Logan & Tierney, 1980). Thus, any change in these may be considered as a deteriorating patient.
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.
Rehabilitation has been described as a secondary goal of incarceration. The concept of rehabilitation was not adapted until the 1870s as delegates in Cincinnati encouraged the reformation of prisoners. Rehabilitation remained a primary goal of incarceration for nearly one hundred years, until the 1970s. It was then that Americans began to reject the notion of rehabilitation. With a shift away from rehabilitation, Americans adopted punishment, deterrence, and incapacitation as the primary goals of imprisonment. It can be argued that there was a shift away from rehabilitation due to high recidivism rates; however, it becomes questionable whether or not offenders were continuing to commit crime because they were not given adequate support and
Previously able to walk to familiar locations and utilize public transportation - Mood appears stable today - Compliant with medications and OT interview today - Client able to demonstrate understanding of reason for receiving treatment - Willingness to attend PHP group sessions - Client socializes with other male clients at PHP ACL 4.4- (Champagne, 2003). Client demonstrates ability to accomplish goal directed actions that are simple and familiar, seems to do well with assistance of visual cues, is able to remain focused on an activity for 1 hour, does best with familiar actions, and is capable of asking for help. KELS- (Tomson, 1992). Self Care: Independent Self Care today based on appearance, self-reports frequent of self-care activities Safety & Health: Demonstrates awareness of dangerous household situations from photographs, Identifies appropriate action if experiencing sickness or if an accident occurs, client demonstrates knowledge of emergency numbers, client is able to locate medical and dental facilities Problem areas (3 points): - Premorbid functioning: Mother did majority of cooking and cleaning - Due to poor health, mother expresses inability to continue allowing client to reside in her household - Multiple hospitalizations for psychotic symptoms - Complains episodically about hearing voices - Responds briefly, difficulty initiating conversation or volunteering information - Needs moderate assistance to participate in group activities ACL 4.4- (Champagne, 2003).
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.
Patients that had a mental illness and attended intervention and rehabilitation classes did better in society than those who didn't have intervention. Providing health care for those who have mental health problems can be difficult at times especially if you don't know what problem they have. Vast testing can be done in hospitals, mental health centers, rehabilitation centers and psychiatric asylums to diagnosis the problem so treatment so clinical monitoring and evaluations can be done. Mental health illness is much more than just an illness, it is a disease that requires a lot of scientific research as well as therapy and knowledge. Mental health workers work aside with psychiatrist, psychologist, nurses, o and occupational therapist so patients can have a better social life where they can live in society and not feel neglected. Patients who have severe mental illness may require more psychiatric care and social workers who are working with these patients have to be attentive to the social consequences so their patients can have a better understanding of whats going on with
The open university (2008) K101 An introduction to health and social care, block 1, unit 2, Illness, health and care, pg. 84, Milton Keynes, The open university.
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
As a case manager we are “to coordinate needed services provided by any number of agencies, organizations, or facilities” (Kirst-Ashman & Hull, 2015, p. 31). Not only did she advocate for health services for Brenna but she also working on her housing issue, helped her set up a monthly food budget, helped her find counseling, and helped her build a support network (Kirst-Ashman & Hull, 2015, p. 32). By providing Brenna with all of these resources the case manager is building up her self-worth and showing her that even though she had some hard times she can survive and make better for herself and her