Case planning (Initial engagement with Josh)
This case management portfolio is based on the case study assessment 1 ‘Josh angry behaviour’. In addition, few critical segments are progressed in this portfolio, for example, engagement, assessment, intervention and termination to help Josh. In the segment of intervention, both Josh and the case manager aim to develop critical understanding of how past relationship and different traumatic experiences that are responsible for his current situation. Moreover, this case management portfolio also aims to discuss problem solving process to enable overarching framework for better future of Josh by identifying individual strength and weakness (Floersch, 2012).
The engagement stage can be considered as the initial stage to build a professional connection and relationship along with Josh and the case manager. In addition, the engagement stage also covers problem solving perspective to evaluate the understanding as per the situation of Josh. The engagement phase also aims to extract the needs of Josh as per case study to build initial goals and throughout the process and collaboration. Moreover, the engagement phase of the portfolio includes case planning and case note.
In is very important to make contact with Josh to access the service and accommodation. Josh needs to been diagnosed with a psychiatric health condition at the age of 13 and he can access the program. In order to reduce the anger of Josh, this self-care program should be applied by the case manager (Girard, 2014).
During the contact with the sincere case manager, Josh is advised to keep all information confidential. In the case of personal violation, the case manager is required to consult with a senior professional at the organization. Moreover, Josh needs to provide proper authorization in written format in order to release information to a specific party. In addition, case manager needs to analyse all related information for the treatment process of Josh.
In the event of case management portfolioand case management services, the case manager needs to recognise the external services including a counselling of Criminal offencesreferredto a calm supportive child. The case manager also required to release information after the consultation process. Moreover, the organizational guideline would be followed to implement the legislative requirements (Ling, 2010).
It is advised that, Josh should record the case notes, assessments to refer other services and referral letters from different agencies. In addition, these records should be stored electronically for evaluating factual information and action plans regarding the case management portfolio. In order to fulfil the legal requirements of Josh, the case manager should record all information to supervise all contemporary issues.
Assessment
The assessment phase of the helping process is ongoing and forms the foundation for future directions and intervention (Mullahy, 2016). The assessment phase in this case study will be guided by attachment theory to explain why Josh experiences insecure attachments and how insecure attachments can lead to substance abuse disorders. Past traumatic experiences and insecure attachments are leading risk factors in the development of substance abuse disorders and can be attributable to the development of neuro developmental disorders including schizophrenia. By incorporating a client specific focused assessment from a solutions focused perspective, the case manager will focus on what Josh hopes to achieve in the future rather than focusing on the past experiences and current problems. This is an inherent approach where Josh will define what his hopes feelings and what changes are required, the case manager facilitates the collaboration between various service providers in working towards a common goal in which Josh has identified (Poole, 2013).
Risk assessments are used to assist in predicting situations where an individual is at risk of harm to themselves or to others. In Josh’s case, the risk assessment will provide an alert to his immediate needs including housing and substance abuse and will guide the case manager in undertaking further comprehensive assessments in moving towards intervention strategies. A risk assessment will form the beginning of the assessment phase and provide a foundation in which to divert future directions (Rose, 2011).
A solutions focused assessment enables the individual to view their situation from a different perspective and allows them to recognize their inherent strengths and desired future directions as opposed to focusing on the problem. The case manager will propose a number of questions to Beth that will aim to promote change by looking at past exceptions where Beth’s perception of life was positive and drawing on those positive times, by drawing on inherent strengths from times where Beth has achieved success and by celebrating change to promote further positive change (Schibanoff, 2016). This conversation will assist to inform the direction of the intervention phase.
Case manager: “In our last meeting you mentioned that you have a good relationship with Mr. Philips who is your games teacher?”
Josh: “Yes he is my favorite teacher and I sense a fatherly figure in Mr. Philips. He always confide in me”.
Case manager: “Tell me why you avoid going to school and think that education is pointless?”
Intervention
Josh: “Going to school is a pointless endeavor as I feel that my popularity is rising from the other activities that I do and I really enjoy all the extra attention that I receive”.
Case manager: “Tell me why don’t you visit your grandparents?”
Josh: “I generally tend to avoid them because they don’t agree with my methods and we always end up arguing”.
Case manager: “Why do you visit your brother each Saturday travelling for almost 4 hours?”
Josh: “I have a special bond with my brother and he is the only one who supports me and believes in me”.
Case manager: “Do you feel lonely after the birth of your step-sister”
Josh: “Yes I feel that after the birth of my step-sister my father and my step-mother has stopped loving me and feels distracted because of this” (Smiers, 2016).
In the intervention stage, the case manager shift focus from collecting information to implement the action plan for helping Josh. Besides that, the intervention phase allows the case manager and Josh for implementing required changes that informed through previous phases. Along with that, the case manager can analyse required strengths of Josh that help to survive in the past. With the help of action plan of the intervention phase, the counselling process of Josh can be measured and developed. According to the case scenario, Josh was arrested for first time due to shoplifting that critically defined the psychology of stealing things. In other words, attraction of precious items is a barrier that can incorporated in this intervention phase to move forward in life. The case manager can concentrate on the applied solutions to enhance the strengths of Josh to fight against this criminal psychology. Along with that, Josh can identify desirable outcomes by investigating all resources, fund restrictions and potential options to develop a successful case plan (Smith, 2014).
Previous interventions are being focused by the case plan to refer a suitable custody for Josh. In addition, the case plan also aims to design a framework by reducing the anger of Josh by implementing medication program. Medication focused approach also suggested a controlled mind set of the individual to develop the capability for maintaining healthy relation with others. According to case scenario, Josh was living with his older brother in their grandparent’s home till 8 years. After certain time, Josh’ father came back along with his step mom and baby step sister. Josh started to feel that, his parents gave more attention on new born baby and he was feeling depressed. Moreover, the case plan can assist Josh to realise how important he is for his parents and family. The ability and concerns of Josh can be developed with the help of this case plan (Veterans, 2013).
In the segment of termination, both the case manager and Josh would review the changes that occurred during the intervention phase. In addition, the case manager can highlight both external and internal resources to increase the behavioural approach of Josh for making healthy relationship with others. The case manager suggested eight week period for the intervention process of Josh. Moreover, the case manager also needs to plan for the termination of the service provision at the final meeting stage with Josh. In the final meeting process, both Josh and the case manager would review the precious intervention process that took place for the identification of unreserved goals to discharge plans (Wilson, 2003).
Conclusion
This case management portfolio has evaluated multiple practice and approaches of the case manager to develop a specific assessment and intervention plan for Josh. The case manager also evaluated different practice and tasks to reduce the anger of Josh to maintain a good relation in the society. With the help of medication theory, the behavioural approach of Josh can be improved and the father of Josh needs to focus on the activities of this son. Moreover, the case manager needs to store the record information regarding the case management portfolio for future assessments (Sigelman, Rider & De George-Walker, 2013).
References
Floersch, J. (2012). Meds, money, and manners. New York: Columbia University Press.
Girard, N. (2014). Case management. Philadelphia: W.B. Saunders.
Ling, C. (2010). Case management. Englewood, Colo.: Skidmore-Roth Pub.
Mullahy, C. (2016). Essential readings in case management. Gaithersburg, Md.: Aspen Publishers.
Poole, N. (2013). Case management. Welwyn Garden City, Hertfordshire: Emis Professional Pub.
Rose, S. (2011). Case management & social work practice. New York: Longman.
Schibanoff, J. (2016). Case management. [Washington, D.C.]: Milliman.
Sigelman, C. K., Rider, E. A.,& De George-Walker, L. (2013). Life-span human development: Australian and New Zealand Edition. South Melbourne, Vic: Cengage Learning
Smiers, L. (2016). Oracle case management solutions. Boca Raton, Fla.: CRC Press.
Smith, D. (2014). Case management. UK. Sega Publication
Veterans Affairs Canada. (2013). Case management. [Charlottetown, PE].
Wilson, R. Lewis, (2003), The Emotional Life of Children; Keon Publications
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