Chapter Ten Objectives: Case Management

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Knowledge (Declarative Knowledge)

By the end of this chapter you should posses declarative knowledge about:

1. The characteristics that distinguish social work case management from other     models of social work practice; especially therapy
2. The historical context of case management as a model of practice
3. Who benefits from case management services; client populations
4. How the worker-client relationship differs in case management compared to the    relationship needed in other clinical models e.g. often multiple workers over time    and/or multiple helpers from different disciplines at the same time
5. The two basic models of case management: system driven and consumer driven
6. The explanatory roots (declarative knowledge) of system driven case management     e,g,  General Systems theory and theories of management especially bureaucracy
7. The explanatory roots (declarative knowledge) of consumer driven case management     e.g. Empowerment theory and the principles of post-modernism
8. The client-centered and task-focused nature of case management
9. The nine common needs characteristic of highly vulnerable client populations
10. How highly vulnerable client populations differ from other populations served by      social work
11. The distinction between two clinical direct practice paradigms: care versus cure
12. The role outreach plays as a technique of intake for highly vulnerable clients served       by case management
13. How the client"s primary condition and the parameters of the care setting influence        the contracting phase of the helping process
14. How talk therapy models assist recipients of case management meet service eligibility criteria and adhere to program regulations

Skills (Application of Knowledge " Procedural and Tacit Knowing)

By the end of this chapter you should demonstrate beginning competency in case management by being able to:
1. Determine client eligibility for programs and services
2. Determine the strengths the client brings to the helping situation
3. Determine the environmental accommodations needed to maximize client autonomy
4. Draw an ecomap of the client"s environment
5. Provide concrete services to highly vulnerable clients in a timely manner
6. Take actions consistent with assuring client safety and your own safety
7. Use the decision schema in this chapter to guide assessment and intervention consistent with theory choice and the evidence relevant to case management efficacy

Values

1. Respect highly vulnerable client populations as beneficiaries of direct clinical social work practice e.g. care
2. Respect highly vulnerable client populations as beneficiaries of direct clinical social     work practice through the application of appropriate models of talk therapy
3. Respect case management as a model of practice having value equal to other models of social work practice and having differential value in its proper or improper application
   
4. Recognize the need for an ethical decision making process when ethical dilemmas    arise between client self-determination and the worker"s duty to protect



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