Reference no: EM132887360
Exercises: Case Management Instructions: In each of the following situations, develop a tentative plan for the client. List the various services you believe each person needs initially. Include in your plan for each client both formal and generic services, and where appropriate, use social supports and support groups. Suggest other services the person might use later once the case is stabilized. Think about how you can involve others close to the person and how you will involve the client in planning.
1.You are called by the daughter of an elderly woman who lives alone. The daughter lives in another city and is concerned because her mother does not drive and has seemed unhappy and listless on the phone. The daughter expresses concern that her mother seems lonely and is perhaps depressed. The daughter does not know her mother's neighbors and calls you instead at the Office of Aging. She has told her mother she is going to call your agency for help, and the mother had no objection to that.
2. A man with an intellectual disability lives alone with his widowed mother. She has fallen and broken her hip and will be at the rehabilitation hospital for about 6 weeks. He cannot stay alone. He has a job at Goodwill Industries. County transportation takes him there every morning at 8:30 a.m. and brings him home at 5:00 p.m.
3. A woman and her two children are waiting to receive their welfare check. They came to your state from another to escape an abusive husband and father. The woman is frail and appears sick. They have no place to go and have not eaten in several days. The children smell as if they need a bath and are listless.
4. A mother of two preteens has brought her son in for services. The woman is a widow. She confides that she has been having trouble controlling the boy, who is the oldest, and that the girl is disgusted with her brother's behavior and does not want to be involved in helping him. Lately the boy has become involved with teens his age and older. They have been drinking and coming home when they feel like it. The mother allowed them to smoke pot in the garage in hopes that she could keep the boy at home, but now she feels that backfired. The boy makes it clear that he thinks coming for help is ridiculous and says the one thing he will not do is give up his friends.
5. A man has been referred by his family physician for help. The man seems extremely inebriated. His wife brings him in and says she is worried that he may go into delirium tremens if he withdraws from alcohol too quickly. His family physician did not see him but sent the couple straight to your office.
6. A father brings in his 14-year-old daughter who is running the streets, refusing to listen, and failing in school. He is at his wits' end, saying he must work and cannot be home when the girl returns from school. Her mother died 4 years ago, and the trouble started when the daughter was about 12. The father feels that he and his daughter have a difficult time communicating with one another.
7. A police officer asks you to come to the home of an older man he has been concerned about for several weeks now. The man is delighted to see you and tells you that he is having pains in his legs and is unable to walk. During your visit, he asks you to get things for him that are nearby, but obviously it is too painful for him to get up. He says he does not go to the kitchen often to prepare meals, but the police officer has stopped by several times with sandwiches, and Mrs. Jones from up the street, an old friend of the man's late wife, has brought a casserole on occasion. He is adamant that he wants to stay in his home as long as he can.
8. A woman comes in complaining of depression. She says it started when her husband left with a younger woman and she has not been "right since." She reports having difficulty falling asleep and complains of no appetite. She says she has missed more than 3 weeks of work since he left last month. There are no children, but she tells you she has neglected the dog and cannot remember if she fed him last night or not. She appears listless and very sad, weeping off and on during the interview.
9. A man in his 60s comes in on the recommendation of his doctor. He had a back injury some years ago and was placed on codeine at the time. After the back injury, other things went wrong. The plant where he worked closed down and his mother died. He found himself feeling very alone and uncertain about finances. "It was then that I started to drink too," he tells you. When you ask what he means by "too," he says his doctor believes he has become addicted to codeine. "I don't know," he says. "I've gotten to the point that I can't get through a day without a lot of help."
10. A single mother brings her 12-year-old son in because they are "not getting along." She reports that he does not listen and comes and goes as he pleases. His homework has fallen off and his grades have slipped, but he is still doing well in math and likes his math teacher. The boy's father was killed in a railroad accident 2 years ago. The mother tells you that the boy and his father enjoyed a close and warm relationship, and that she has felt her influence on him slipping away since the accident.
11. A woman comes to your agency on a referral by the courts after she was arrested for selling various prescription medications on the street. She tells you she currently has some amphetamines, Xanax, and a popular addictive pain medication in her bag. The court is ordering her to show within the next week that she has enrolled in a program that will get her help with her own addiction to some of the medications she sells. "I have regular customers," she tells you. "And they are going to crap when I stop coming around." Asked where she gets her medications, she smiles mysteriously and says, "The police are looking into that-you don't need to." She denies she is addicted to anything, but court records, including an evaluation by a psychologist, which she has brought with her, indicate that she is addicted to several different medications.
12. A woman who was recently placed in the community after 3 years in a state mental hospital is having trouble adjusting to the living arrangement made for her by the hospital. She is not going out and does not participate in any activities. She is friendly when you talk to her and seems glad to have your company, but she does not seem to know how to take care of the details of everyday living. She has a roommate who is more competent and independent. The two get along well.
13. A woman with two small children is referred to you because she recently lost her apartment. She has a meager income from a part-time job as a clerk in a convenience store and was unable to pay the rent and take care of other bills. She seems unaware that she might be eligible for financial assistance. She is not sure where her children's father is at the moment. All her belongings are packed in five bulging garbage bags. She and her children seem malnourished and thin.
14. A man comes in who was referred by his job for possible crack use. The man admits he uses crack, but rarely and certainly not to the extent that it would interfere with his work. He will be given 4 weeks off if he enrolls in a legitimate program for detoxification. He seems reluctant and torn. Eventually, he agrees to work with you on a plan.
15. An older woman comes to you for help after a particularly abusive incident with her husband. She admits that she is becoming increasingly afraid of him. She has no friends and no job, "because he wouldn't let me out of the house-or out of his sight." She has a number of old bruises and lost two teeth in this last incident. She is asking for help and says, "I don't know. I really fear for my life. It's just gotten out of hand and I don't know where it will end."