Professional Documents
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REPORT OUTLINE
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Overview of Case Management Stages of Case Management Intake Assessment -Checklists -Ecomap -Genogram -Mental Status Examination
CONTINUATION
Social work case management is both micro and macro in nature: intervention occurs at both the client and system levels. It requires the social worker to develop and maintain a therapeutic relationship with the client, which may include linking the client with systems that provide him or her with needed services, resources, and opportunities. Services provided under the rubric of social work case management practice may be located in a single agency or may be spread across numerous agencies or organizations.
Source: NASW
The Registered Social Worker is the Case Manager that functions significant role in the case management process such as resource provider, social broker, enabler, counselor/therapist, mediator and advocate.
INTAKE
The initial contact between the client and the case manager. It is the process by which a potential client achieves the status of a client. It may come in different ways: 1. The client initiates the contact. 2. The client is referred to the worker or agency by some interested or concerned party. 3. The agency, through the social worker reaches out to the (potential) clients and offers help.
COMPONENTS OF INTAKE
Obtaining basic information about the client Case history Clarifying the presenting problem
A good intake interview should provide the client with adequate understanding of the agency and its policy and program in relation to the need or the problem, as well as the responsibilities and obligation from both the client and the worker.
ASSESSMENT
Assessment of the case is the hardest part of case management. It differs from the perceived problem of the client and it lies on the professional judgment of the social worker. Assessment should be biopsychosocial meaning all aspects should be viewed and it should be individualized. It answers the question, Given what we know about the clients problem or concern, what needs to be changed and how can it be changed?
CHARACTERISTICS OF ASSESSMENT
It is ongoing. Although it is the primary focus of the early stages, it takes place throughout the helping relationship. As new information becomes available, new understanding of the client and the situation develops, and becomes part of the ongoing assessment. It focuses on the understanding the client in the situation and in providing a base for planning and action. It is a mutual process involving both client and the worker.
CHARACTERISTICS OF ASSESSMENT
There is a movement within the assessment process. Both horizontal and vertical exploration are important. Assessment identifies needs in situations, defines problems, and explains their meanings and patterns. Assessment is individualized. No assessment is ever complete.
CHECKLIST
It is a tool which provides a set of meaningful characteristics about a clients present functioning indicators and future oriented characteristics are also included. Altogether, this tool is about the clients functioning in all aspects: physical, socioemotional, behavioral, spiritual, educational, aspirations and interests both positive and negative.
It demonstrates the flow of resources or the lacks and deprivations. This mapping procedures highlights the nature of the interfaces and points to conflicts to be mediated, bridges to be built and resources to be sought and mobilized.
USES OF ECO-MAP
Its primary value is in its visual impact and its ability to organize and present the concurrently not only a great deal of factual information but also the relationship between variables in a situation.
GENOGRAM
A genogram (pronounced: jen-uh-gram) is a graphic representation of a family tree that displays detailed data on relationships among individuals. It goes beyond a traditional family tree by allowing the user to analyze hereditary patterns and psychological factors that punctuate relationships. Genograms allow a therapist and his patient to quickly identify and understand various patterns in the patient's family history which may have had an influence on the patient's current state of mind. The genogram maps out relationships and traits that may otherwise be missed on a pedigree chart.
GENOGRAM
Genograms contain a wealth of information on the families represented. First, they contain basic data found in family trees such as the name, gender, date of birth, and date of death of each individual. Additional data may include education, occupation, major life events, chronic illnesses, social behaviors, nature of family relationships, emotional relationships, and social relationships. Some genograms also include information on disorders running in the family such as alcoholism, depression, diseases, alliances, and living situations. Genograms can vary significantly because there is no limitation as to what type of data can be included. A genogram can give you a more expansive view of the clients place in family history.
CONSTRUCTING GENOGRAMS
Mapping the Family Structure- Graphic representation of how difference family members are biologically and legally related to one another from one generation to the next.
Recording Family Information-Demographic, Functional and Critical Family Events. Delineating Family Relationships
The mental status examination provides a way to structure data about aspects of the individuals mental functioning. It typically follows a specific form followed by all health professionals with observations recorded under headings. Some data can be obtained informally, or while obtaining other components of the persons history. However some questioning is usually needed. It may be necessary to include some technical terms when writing up the MSE but where possible verbatim accounts of the persons speech and thought content should be used.
MSE involves observation of the following: 1. General Appearance 2. Psychomotor behavior 3. Mood and Affect 4. Speech 5. Cognition 6. Thought Pattern
REFERENCES
www.socialworkers.org http://www.genopro.com/genogram/ www.testandcalc.com Training on Case Management Cum Technical Documentation Mendoza, Thelma L, (2002). Social Welfare and Social Work. Philippines: Megabook Company.