Solution Code: 1HIE
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Case Scenario/ Task
Case 1
Key Issue | Needs | Priority |
Tom is a disruptive who is aged at 13 and has to be disciplined
|
Alice needs financial support along with help to discipline Tom and help her through depression | The remove Alice from depression and ensure that Tom gets the required help |
Case 2
Key Issue | Needs | Priority |
John is being physically abused by someone from home and he is hearing impaired | John needs help to stop being abused and ensure that he is shifted to a safe environment where he feels protected | The priority is to deal with the current wounds of John and ensure that he is shifted to a safe place and help him with his hearing
Provide him with a case manger on an immediate basis |
Case 3
Key Issue | Needs | Priority |
Ben is an abandoned child who has no place to stay and his hungry along with agitation and aggression issues | He needs to take care of and be provided with shelter and food. He also need someone who can listen to him in patient manner and calm him down by addressing his anxiety issues | The priority is to calm him down and provide him with food such that he does not get anxious.
Attend to him in the most immediate manner possible |
Case 1
Key potential referral agencies | Other support which might be needed | Relevant information and resources |
Beyond blue
Access to Allied Psychological Services (ATAPS) |
Help in communication with the service providers | Website of service providers |
Case 2
Key potential referral agencies | Other support which might be needed | Relevant information and resources |
Older Persons Abuse Prevention Referral and Information Line (APRIL)
NSW Elder Abuse Helpline
Seniors Rights Victoria
Advocare Inc. |
Help the client deal with the existing bruises till the case is completely referred to someone else | Website of service providers |
Case 3
Key potential referral agencies | Other support which might be needed | Relevant information and resources |
Beyond blue
Head space
Youth services Australia |
Website of service providers
|
The potential referral group Access to Allied Psychological Services (ATAPS) ha the following Referral protocol and requirements are given as below
All ATAPS services are given in a manner where the population that requires it the most or has major difficulty to access the heath treatment related to mental disorders are given on priority. It is an important referral group with respect to combating and the encouragement of the following type of requirement from the people
Relevant information
Things that one can do in order to combat depression or anxiety
Suicidal
Ideation |
Homicidal
Ideation |
Physical
Aggression |
Suspected Child Abuse/Neglect | Domestic
Violence |
Elder
Abuse |
Substance
Abuse |
Psychotic
Thought
Processes |
|
Past Issues: onset, duration, severity | Onset | Not applicable | Present since one year | Present | Na | NA | Onset | severe |
Current Risk Rating
|
Low
1 |
Na
0 |
High
3 |
High
3 |
Na
0 |
Na
0 |
Moderate
2 |
High
3 |
Method of Assessment
|
Talking to the client | Na | Medical testing | Talking to the children | Na | Na | Drug testing and medical evaluation | Testing and talking to client |
Actions Taken
|
Referral to a depression help diagnosis centre | Suggesting exercise and meditation techniques which will help the client to calm down | Child care centres | Rehabilitation centre | Rehabilitation centre |
Risks
Responsibilities ‘
Risks
Responsibilities
Risk
Responsibilities
Risk
Responsibilities
Risks
Case 1
Potential barriers | How might such barriers be addressed |
Alice may not be willing to seek help since she may not understand the gravity of the situation with respect to her depression
May not understand the kind of help required hence may be apprehensive to receive it
|
Explain the client about the ways that they will be able to help Alice in and give her a comforting environment
Explain to her as to why the help will be beneficial and ensure that she understand the way the provision will help her to lead a better life |
Potential barriers | How might such barriers be addressed |
Unwilling to reveal all the details to the case manager since it may include revelation of the family member
May not easily understand what the person in charge has to say since client suffers from hearing disability |
By speaking to the family members in a way that they don’t come to know that someone has come from the services agency
Speaking to Mara in order to get more details abbot Johns family
Speaking slowly to John such that he understands all the details and feel that he is an environment where is understood
|
Potential barriers | How might such barriers be addressed |
Unwilling to listen to the person in charge
Continuous agitated Behaviour
May bring more harm to himself since he is already picking his arm
|
Have someone else continuously speak to Ben till the other client is done
Request the other client if Ben can be attended to first such that he does not create more ruckus
Be stern and explain that if he is going to continue picking his arm it will only cause further distress and will make his case weaker
Offer him a glass of water and maybe some cookies to cool him down |
The steps involved in case management process is given below
These steps consist of the collection and analysis of the information from the client. The client is asked about all the information regarding their back ground, family structure etc. this also involves the determination of their needs and the determination of their appropriateness for service and the making of referral.
The planning steps involve the identification of the services and the various strategies that are involved in the intervention. This also include the consultation with the relevant parties and the the setting of goals for the client. This process involves the formal writing of the case management plan
In this phase the execution of the case management plan is done which mainly involves the sourcing and engagement of the service in line with the plan. The source as well as the provision of resources is done in the implementation step.
The on-going formal or informal process is monitored to ensure that here is no lapse in the implementation of effectiveness. It also consists of the constant evaluation of the strategies that are used in case management and ensure they are progressing in the correct manner. Also makes the necessary adjustments in this phase in case any issue have been encountered while monitoring the process (Austin, 2013)
The client’s family or the client are given access to the appropriate services and ensured that they get all relevant help and advocacy help, also the identification in gaps in provision of services and arrangement of termination is done.
It is the need of the provision of services to the client and it includes a part of the case management plan. The clients may terminate the provision service in an early manner if they feel that the provision of services are nota according to their needs or are inadequate or inappropriate (Swayne, Duncan & Ginter, 2012).
There are several models which can be used that are relevant and appropriate in case management.
The first type of model is the broker and generalist model. In this type of model it mainly encompasses the usually accepted purposes of a case manager. The case manager mainly recognizes the needs of the person and then links them to suitable service providers by their own referrals. The generalist model is based on the assumption that the function of the case management and will do referrals but also there is a close interaction with the client. Both the models whether it is brokerage and generalist model there are no outreach done by the case worker or the multi-disciplinary team allocated to the client. These types of model is very relevant to the Alice since she has a gambit of problems and by using the various referral service she can get herself out of depression, get financial aid and help in the evolvement of her children which id her prime need of the hour.
The second type of model is intensive case management model where the support is provided to the client for a long period of time and the provision of services is done under the roof of one association as opposed to the brokerage model which is completely based on referrals. This model is useful for tacking the case of John since housing for a longer period will help the case manager to find an appropriate solution and he does not have to go back to the place where he is physically abused (Naleppa & Reid, 2003).
The third type of model is the Strengths-based case management model and this mainly consists of the ways the case management has evolved. The main focus is on the strengths of the client instead of the focus on their weakness and the barriers they encounter to take the relevant steps. The main drive is to build on the client’s informal health networks as contrasting to the reliance on structured programs within a support centre. The success factor of this model is mainly dependent on follow-up process with the client in order to safeguard their interest with respect to obtaining the services they need. This type of model plays a role to address any denial and resistance, and its philosophy promotes positive effects. This type of model is apt and relevant while dealing with Ben since he needs to be reminded of his positive growth (Fisher, 2005).
Evidence-Based Practice (EBP) is defined as the conscientious, judicious and the explicit usage of its most useful evidence which is currently present and make decisions which is for the best interest of the individual client. The integration of the individual clinical expertise of the client with the available clinical evidence in an external manner based on systematic research forms a part of this model. It is mainly the amalgamation of clinical know-how, patient values, along with the finest research evidence into a decision making process for client care. (Campbell et al, 2007). The EBP has the following steps
A list of case managers principles are also given below
The issues faced by clients, their family and carers accessing multiple services is give below
Impact of service duplication
The case management principles and practice is given below
The guiding principles are given below
The practice of case management includes the following
It is important to consider the various ethics or principles and practices when one is working across multiple services that will have a range of different funding arrangements. They are given below
In case a client requires help, it is done in formal manner by setting a meeting between the organizational and the client. The steps and several roles involved in formal meeting processes
The following things are very important to understand from the perspective of case management
A Family systems and dynamics
When a case is being approached by an organization it is extremely important to understand the family system and the dynamics that the person belongs to. A person cannot be understood in isolation to their family since their family has a deep influence in the way they work and carry out their tasks. there are many rituals which are unspoken due to the influence that the family rituals have on them and each family member is expected toad her to these rules. The way family members interact with each other is analysed when it is viewed as change. The preparation stage for case management consists of the changes that an individual makes in their life and the way these changes will impact there family interactions and members and the consequences of these changes will be examined during the preparation phase
B Cultural considerations, history, protocols and systems of culturally and linguistically diverse clients and Aboriginal and/or Torres Strait Islander client
The Aboriginal and/or Torres Strait Islander client are culturally different from the common Australian due to the diversity in culture that they face. Culture determines how comfortable a person is with respect to asking for help and the accepting the help. It helps the mangers to determine how these client may collaborate with them on the basis of a different gender, communicate participate and trust. This client may feel that since they are culturally so different, case managers may find it difficult to understand them and their needs. The understanding of the dynamics of their culture, it will help the case managers to build rapport with their client and make them feel at ease which will generate a greater commitment from the client side. Also knowing there history may help the managers understand the way their clients functional and what is acceptable to them and what is nota acceptable to them. It’s very important for these mangers to gain the trust of these culturally diverse clients in order to help them in the correct manner (Naleppa & George, 2013).
There is a list of protocols, policies, standards, legislations and statuary mandates which apply to case management. It is important that the organizations follow these guidelines since it will help them to service the client in a better manner and ensure that the case is managed in an in-depth manner, these are given below
Statuary place requirements are
Organizational polices, protocols and procedure are given as follows
Relevant legislation include the following
Document protocols are given below
There are various ways in which it can be determined whether a client requires an interpreter or not. They are outlined as given below
By providing such client with interpreter the organization ensures that no part of the details is left out and everything can be recorded in a complete manner.
The steps involved in arranging an interpreter should be followed in a meticulous manner. The first step is to speak to the client and find out the language in which the interpreter is required. It is essential that the interpreter that the organization provides is accredited and paid interpreters should not be family members or friends. The option of telephone interpretation should be given and the client should be asked a bunch of questions. If telephonic interpreters not suitable in the particular circumstances that the organization should arrange for location convenient to the organization and client. The interpreter should be accredited by the National accreditation Authority for Translator’s and Interpreters for them to be hired by the agency and can interact effectively with each other, particularly when accessing medical, government and other services (Austin, 2013).
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a. Summarise the key issues, needs and priorities for this particular client?
Case 1
Key issues | Needs | Priority |
Case 2
Key issues | Needs | Priority |
Case 3
Key issues | Needs | Priority |
b. Determine in each case potential / likely referral agencies; other support the person may need and relevant information and resources which may be of use
Case 1
Key potential referral agencies | Other support which might be needed | Relevant information and resources |
Case 2
Key potential referral agencies | Other support which might be needed | Relevant information and resources |
Case 3
Key potential referral agencies | Other support which might be needed | Relevant information and resources |
c. Contact one of these potential service referral agencies and attach or describe their referral protocol and requirements
d. Download, or collect potentially relevant information and resources to be submitted as attachment here and also provided to the client if appropriate
e. Using the provided risk assessment worksheet determine by observation and discussion with the client you feel is most at risk what are their indicators of imminence of self-harm or harm to other
RISK ASSESSMENT WORKSHEET
Suicidal
Ideation |
Homicidal
Ideation |
Physical
Aggression |
Suspected Child Abuse/Neglect | Domestic
Violence |
Elder
Abuse |
Substance
Abuse |
Psychotic
Thought
Processes |
|
Past Issues: onset, duration, severity | ||||||||
Current Risk Rating
|
||||||||
Method of Assessment
|
||||||||
Actions Taken
|
Ratings:
0 Not applicable
1 Minimal risk
2 Low risk
3 Medium risk
g. Name any potential barriers which may impact on the progress of this client to a case plan, and how might such barriers be addressed?
Case 1
Potential barriers | How might such barriers be addressed |
Case 2
Potential barriers | How might such barriers be addressed |
Case 3
Potential barriers | How might such barriers be addressed |
CASE STUDIES:
Alice is a single parent, with four children: Ellie aged 15, Tom aged 13, Laura aged 10 and Beccy aged 3.
Alice contacts your agency for help with parenting Tom who has been disruptive at school. Alice (mother) has been diagnosed with depression 12 months ago by her GP. She also said on referral that she is struggling financially, separated from her husband 4 months ago, is in the family home for now but also needs help with figuring out court – children’s access and custody arrangements and property settlement. In passing she mentioned that she is also worried about Beccy because she didn’t seem to be at the same stages as other children in the playgroup she attends and another parent had commented recently to her about this.
John, 80 years old, who is hearing impaired, has been attending a Men’s Shed group which recently had an outing to the coast. Although John said he couldn’t swim, because of the heat he did expose more of his leg and arm than he normally would and the worker noticed that he had several bruises and what looked like cigarette burns exposed. The worker approached him and tentatively asked him about the burns and John immediately covered up and withdrew. You are aware (service case notes) that John is a long term relationship with Barry and that John has a grown son Ted aged 60, and grandchildren Mara aged 29, and Alice 32. John turned up the week after the coast trip with his face cut and a black eye with Mara asking for help and he was referred to you.
Ben, 16 years old, drops in to see you, slurring his words and swaying, saying he has “no where to live, no money, he’s starving” and when you ask if he can take a seat, you are already talking to another client, almost immediately he begins swearing at you demanding that you fix everything for him immediately. Eventually you manage to calm him down but notice he is still agitated (tapping his foot) and is picking at his arm making it bleed.
Asmara has contacted your program needing help to feed her two children, Sara, 11 and Naseef, 6.
Asmara’s husband, Syed, died from lung cancer last month, and she has been left with the care of two children, Sarah 11 and Geoffrey, 9. Asmara’s English is not the best, but it soon becomes clear that food is not the only issue she has. From what you have understood you have concerns also about her mental health, (very agitated and manic behaviour); and her housing (her husband worked and their savings are depleted. They were renting and the landlord has been visiting a lot and Sarah says ‘threatening’ them. Some of Syed’s family (a brother and his wife) are in Perth and encouraging her to come to them.
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