Case Management – Flashcards
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A danger when a client displays helpless or overly dependent behavior is
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that you will underestimate her problem-solving potential. One effective way of addressing such behavior is to communicate your expectation that the client is capable of autonomous behavior and to convey your understanding of the feelings that underlie her behavior.
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When client is consistently aggressive or manipulative toward you, it can be effective to
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respond authentically by describing how the behavior is affecting you/the feelings the behavior evokes in you.
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The technique known as "reframing" involves
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relabeling a behavior by putting it in a new, usually more positive, light so it can be understood n a different way and the client is more open to change.
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If a client is consistently aggressive in sessions, the social worker is most likely to respond authentically by
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describing how the aggression is affecting him.
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A social worker would be MOST likely to suspect that a client's motivation is low if
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the client displays indifference to her problem.
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At the beginning of treatment, it would be most effective for a social worker to self-disclose
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at a moderate level.
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It would be MOST appropriate to use a warm-up period with a client who is
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highly defensive.
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Generally, it is most appropriate to evaluate a client's progress in treatment
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every two to three sessions.
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When treatment goals are partialized goals are
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ranked according to priority and divided into smaller more manageable parts.
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You would be LEAST likely to recommend family therapy if the 17-year-old son needs to
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separate psychologically from his family.
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Discussions about issues related to termination should ideally occur
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throughout the course of the helping process.
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According to McGowen (1974), the most productive advocates emphasize
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communication and mediation, rather than power.
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Case advocacy involves working with and on behalf of a client to ensure that she receives the services and benefits to which she is entitled and that these services are provided in a humane way.
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Case advocacy is indicated, for example, when the client is unable to act on her own behalf; when a client in crisis has an unusual need for an immediate service or benefit that does not exist/is unavailable; and when a client's legal or civil rights have been denied or violated.
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Before performing case advocacy, you should determine whether the environment is interfering with the client's
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self-determination and/or resulting in social injustice and the extent to which the client can be empowered to deal with the problem in her environment. In addition, to honoring the client's right to self-determination, your effort must address the client's interests and needs as she defines them.
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It has been suggested that most productive advocates emphasize communication and
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mediation rather than power.
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Caplan distinguishes among 4 types of mental health consultation. Client-centered case consultation, for example, involves working with the consultee to develop a plan that will enable him to work more effectively with a particular client.
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Consultee-centered consultation's goal is to improve a consultee's performance in delivering services to a particular population of clients - the focus is on the consultee's skills, knowledge, abilities and/or ability to be objective.
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Consultation differs from supervision in a number of important ways.
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A supervisor has administrative authority over a supervisee. But in consultation, a consultee can, if he chooses, reject the consultant's suggestions.
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An additive empathic response is
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interpretive.
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The primary purpose of confrontation is
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to make a client aware of inconsistencies.
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Compared to a supervisor, a consultant
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has no administrative authority over a social worker.
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When a client, due to a mental disorder, cannot be empowered to improve her situation, her social worker/advocate should
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pursue the advocacy intervention, respecting the client's right to self-determination to the greatest extent possible.
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Ideally, social worker self-disclosure it should NOT begin
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immediately in the first session to demonstrate that the social worker is a "real person".
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It is MOST appropriate to provide a client with direct advice when she is
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too overwhelmed to choose her own direction.
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SOAP charting arranges client records according to four components, including
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1. subjective information, 2. objective information, 2. assessment, and 4. plan.
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Case managers are PRIMARILY responsible for
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coordinating all of the activities performed on a client's behalf.
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assessment, diagnosis, goals, and termination
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Clinical Treatment Plan
