Is case management commonly

used at urban missions?

How is “chronic homelessness”

defined by the government?

Term used by the Federal Department of Housing and Urban Development and the Federal Interagency Council on Homelessness to describe an unaccompanied homeless individual with a disabling condition who has either been continuously homeless for a year or more OR has had at least four (4) episodes of homelessness in the past three (3) years.

What is “Housing First?”

Housing First moves the homeless individual or household immediately from the streets or homeless shelters into their own apartments.

What is “Harm Reduction?”

Harm reduction (or harm minimisation) refers to a range of public health policies designed to reduce the harmful consequences associated with recreational drug use and other high risk activities.

What is the difference between SSDI and SSI?

Social Security is responsible for two major programs that provide benefits based on disability:  Social Security Disability Insurance (SSDI), which is based on prior work under Social Security, and Supplemental Security Income (SSI).  Under SSI, payments are made on the basis of financial need.

How is a person who has been homeless for

a short time due to major illness is classified?

3  Short term homelessness vs long term homelessness.

Situational poverty is the decline in resources because of the loss of a job, a death, a divorce or other catastrophic event that forces a family to change their style of living temporarily – one to five years.1 Generational poverty breeds generational poverty. The focus is on survival with skewed methods for achieving it. Limited resources may be unwisely spent on ways to relieve momentary pain.

Episodic homelessness  refers to circumstances in which persons have recurrent problems with housing. Often these persons have substance addictions, seasonal/minimum wage income or sporadic domestic situations that affect stable housing.

What is the new name for the welfare program that provided aid to unemployed families.

TANF - Temporary Assistance for Needy Families

How often is the definition of poverty that includes an income level updated?

US Census every 10 years.

US Health and Human Services annual report.

Rescue missions often require which activities from case managers that can seem counter-productive to the normal functions of case managers?

Answer is not found.

Guess: Manual Labor

Which population group has been least

researched regarding case management

results and best practices?

Homelessness

List the six basic functions as published by NASW.

Not findable.

CASE MANAGER REPSONSIBILITIES

The role of a case manager is multi-faceted and complex. A case manager functions in different roles in a mission, depending on the situation and need. There are six common activities as a case manager, which are central to their role in a client's stay at a mission.

ASSESSMENT: A case manager is the primary individual conducting the assessment of a client.

Along with assessing the client's needs, a case manager finds out what a client's strengths and limitations are. The assessment will be an ongoing process and is a fundamental role in a case manager's responsibility.

PLANNING: A great deal of planning goes into working with a client as a case manager. At times the planning includes how to acquire services, while at times, a client and case manager work together to plan how to reach goals. Included in the planning role, a case manager also holds the client-case manager team accountable to sticking to the plan. LINKAGE: Coordinating services and individuals in a client's life can be complicated and overwhelming. A large part of a case manager's role is to be a link between the multiple services and people in a client's life. It is important that throughout the process of linking, the client feels empowered and learns by example how to navigate "the system".

ADVOCACY: A case manager can be a powerful advocate for the client. Through a trusting relationship, the case manager will often have a deeper insight into the client and thus be able to advocate on their behalf. Advocacy can occur on many levels, from legal to spiritual.

MONITORING: Similarly to holding the client accountable, a case manager monitors the

quality of services being provided. A case manager will be responsible for making appropriate recommendations to ensure that a client is receiving appropriate services and making strides to reaching their goals.

EVALVALUATION: Case managers need to consistently monitor the overall process of service and change. Being in tune with what is happening is crucial so that a case manager can objectively evaluate the process. An effective case manager has many responsibilities. However, equally important are empathy, genuineness, warmth and good listening skills.

What are the six CASE MANAGER REPSONSIBILITIES?

ASSESSMENT

PLANNING

LINKAGE

ADVOCACY

MONITORING

EVALUATION

What is the role of the CASE MANAGER?

The role of a case manager is multi-faceted and complex. A case manager functions in different roles in a mission, depending on the situation and need.

CASE MANAGER REPSONSIBILITIES

 There are six common activities as a case manager,

which are central to their role in a client's stay at a mission.

Describe ASSESSMENT

ASSESSMENT:

A case manager is the primary individual conducting the assessment of a client. Along with assessing the client's needs, a case manager finds out what a client's strengths and limitations are. The assessment will be an ongoing process and is a fundamental role in a case manager's responsibility.

Determining the specific needs and range of needs and strengths. In this the caseworker and the client work together to identify and define the client’s needs and assets, both obvious and latent. The case manager is acting as a facilitator to the service(s) being sought.

CASE MANAGER REPSONSIBILITIES

There are six common activities as a case manager, which are central to their role in a client's stay at a mission.

Describe: PLANNING

PLANNING:

A great deal of planning goes into working with a client as a case manager. At times the planning includes how to acquire services, while at times, a client and case manager work together to plan how to reach goals. Included in the planning role, a case manager also holds the client-case manager team accountable to sticking to the plan.

Setting goals for treatment or services and a plan of action. The caseworker and the client discuss and agree on a plan of action that is appropriate to the client’s needs and strengths and the eligibility determination.

CASE MANAGER REPSONSIBILITIES

 There are six common activities as a case manager, which are central to their role in a client's stay at a mission.

Descibe LINKAGE

LINKAGE:

Coordinating services and individuals in a client's life can be complicated and overwhelming. A large part of a case manager's role is to be a link between the multiple services and people in a client's life. It is important that throughout the process of linking, the client feels empowered and learns by example how to navigate "the system".

CASE MANAGER REPSONSIBILITIES

There are six common activities as a case manager, which are central to their role in a client's stay at a mission.

Describe ADVOCACY.

ADVOCACY:

A case manager can be a powerful advocate for the client. Through a trusting relationship, the case manager will often have a deeper insight into the client and thus be able to advocate on their behalf. Advocacy can occur on many levels, from legal to spiritual.

CASE MANAGER REPSONSIBILITIES

 There are six common activities as a case manager, which are central to their role in a client's stay at a mission.

Describe MONITORING.

MONITORING:

Similarly to holding the client accountable, a case manager monitors the quality of services being provided. A case manager will be responsible for making appropriate recommendations to ensure that a client is receiving appropriate services and making strides to reaching their goals.

CASE MANAGER REPSONSIBILITIES

There are six common activities as a case manager, which are central to their role in a client's stay at a mission.

Describe EVALUATION.

EVALUATION:

Case managers need to consistently monitor the overall process of service and change. Being in tune with what is happening is crucial so that a case manager can objectively evaluate the process. An effective case manager has many responsibilities. However, equally important are empathy, genuineness, warmth and good listening skills.

Assessing the extent to which the available resources moved the client in the direction of the goals set out in the case plan. This is the case worker and the client working together to look at the effectiveness of the services in meeting the goals set out in the case plan and may involve additional assessment and eligibility
determination.

Case management began back with settlement houses but it has been utilized with the homeless population what year?

What should be the purpose of the initial interview?

However, the first interview/intake is crucial in developing a safe relationship where a thorough assessment can be started. There are two vital skills in beginning of an assessment. First, allow the client to tell her own story, in her own words. Whether or not you agree or accept what she says does not matter at this stage; it is important you hear her story directly from her. The second skill is to convey understanding and empathy in that first interview. Be an interested listener and pay attention to subtle hints and the underlying storyline.

Intake has several forms. First there is the determination of theclient’s strengths and needs and then there is the matching of the client’s needs and strengths to the services for which the client is eligible for those kinds of services for which an eligibility determination is required.

What does “positive support” mean?

Highlighting strengths and abilities. Praise and encouragement when goals are met. Counseling from a strengths perspective.

Why is there is a movement to change

the term case management to management?

What is the function of monitoring like?

See Case Manager Responsibilies.

MONITORING

Similarly to holding the client accountable, a case manager monitors the quality of services being provided. A case manager will be responsible for making appropriate recommendations to ensure that a client is receiving appropriate services and making strides to reaching their goals.

There are 6 basic functions and many recognized tasks of case managers. What do most agree that the focus of case management should be?

What does “advocacy” for the case manager mean?

Not a clear answer in the course materials.

Giving time for self care.

Support and encouragement.

Proper supervision.

Pier support.

What is a major reason that persons from minority communities perceive that they are treated disrespectfully?

Minority communities perceive it as an act of disrespect when a mainstream agency appoints someone to "represent their interests." Instead, communities believe that they should choose their own representatives.

What are “Anglo Americans?”

"White" also seems to mean "normative" or "non-minority." Why? If one examines recent federal reports from many of the most authoritative sources, such as the Centers for Disease Control, one finds that each "minority" group is identified in terms of ethnicity; the majority group, in contrast, is identified by skin color.

If one views "whites" as one more ethnic group, instead of the "normative" group, then the proper term would be "Anglo American" or "European American." The term "Anglo Americans" is commonly used and understood as referring to persons who are not ethnic minorities. However, it literally refers to people of English origin or descent, so it is not inclusive. The term "European American" is preferred by many specialists in multicultural communication, but is not yet common in everyday language. It is not even

included in Merriam-Webster's Collegiate Dictionary (1993). In addition, "European American" can also refer to citizens who are immigrants, such as those who have recently arrived from Eastern Europe and

the former Soviet Union.

What is one word that research shows at great variance

between ethnic minority communities and all others?

Give an example of how the same behavior can

have different meanings in different cultures.

Looking someone in the eye vs. looking

downand away as signs of respect.

Standing when those who are

older than you enter the room.

Waiting to eat until all are served.

Bowing to those who are from

Middle Eastern or Asian decent.

(Google it - President Obama was

criticized when he showed this type of respect.)\

Many other examples.

Which ethnic group believes "Written

information is more reliable and valid?"

Ethnic minorities have what _____ percent of drop out rate

for mental health referrals as compared to 30% rate for whites?

Ethnic minorities have what 50% percent of drop out rate

for mental health referrals as compared to 30% rate for whites?

What is “Resistance?”

A component of ambivalence.  Roll with resistance.

Don't argue with it.

Much of the focus in the Motivational Interviewing model is on working with clients' countermotivations; that is, any motivations that lead individuals away from a decrease in substancerelated problems or other problematic behaviors.

Psychological resistance is the phenomenon often encountered in clinical practice in which patients either directly or indirectly oppose changing their behavior or refuse to discuss, remember, or think about presumably clinically relevant experiences.

Define “Defensiveness.”

• Excessive sensitivity to criticism; "his defensiveness was manifested in hurt silence"; "the fear of being sued for malpractice has magnified physicians' defensiveness"
• In Freudian psychoanalytic theory, defence mechanisms or defense mechanisms (see -ce/-se) are unconscious psychological strategies brought into play by various entities to cope with reality and to maintain self-image. Healthy persons normally use different defences throughout life. ...
  
  
• The state or quality of being defensive
  
  
• Defensiveness is a way of avoiding taking responsibility for setting things right by denying responsibility, making excuses, attributing negative thoughts to a partner, countering a partner's complaints with one's own complaints, and repeating oneself.
  
  

Release of client information to another ministry or

agency is OK as long as_____________.

What should you do if your files are subpoenaed by a judge?

Must turn them over to him/her.

What should you do if a relative calls and asks

information regarding your clients?

Politely refuse access.

Remind them of clinet confidentiality.

Are ethical principles are universal for all service providers? 

According to the developers of the process of Motivational Interviewing, what is the most difficult job a case manager has is to deal with? 

When can a person claim to be practicing

“motivational interviewing?”

When the client is coming up with solutions to his/her problems. When client is overcoming ambivalence.  When they are helping the client resolve ambivalence. Cliet is resolveing ambivalence.

Give an example of “ambivalence?”

"I want to but I don’t want to."

From the PPT

What is the most effective method

for resolving ambivalence?

Motivational interviewing

 What is “motivational interviewing?”

A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. From the PPT

Motivational intervention is broadly defined as any clinical strategy designed to enhance client motivation for change.

\

How is “assessment” defined according to Frankel and Gelman?

Determining why a client has problems. p. 22

What does DAP stand for?

Data, Assessment, Plan:

The DAP is broken down into three parts:

Data: What are the FACTS about the client, such as age, drug of choice, amount of time clean, medical/psychological diagnosis, etc. (If this is a continuing client, you may want to record what goals were reached and classes completed in the previous quarter/ month, etc.)

Assessment: What is the overall picture you get of the client? Do they seem resistant to help? Do they have a depressed affect? Do they seem oriented towards one particular goal? Do they seem to put a lot of pressure on themselves? How seriously do they seem to take the program and so on? This part is tricky, because in a sense, you are giving your opinion based on your initial intake, but it is very important that the assessment be based on objective data. Remember, these notes need to be able to hold up in court, if needed.

Plan: What are the goals for the quarter? These are goals for the next few months, so they can be larger goals.

DAP Form (Data, Assessment, Plan): 

Define Data.

Data: What are the FACTS about the client, such as age, drug of choice, amount of time clean, medical/psychological diagnosis, etc. (If this is a continuing client, you may want to record what goals were reached and classes completed in the previous quarter/ month, etc.)

DAP Form (Data, Assessment, Plan)

Define Assessment.

 Assessment:

What is the overall picture you get of the client? Do they seem resistant to help? Do they have a depressed affect? Do they seem oriented towards one particular goal? Do they seem to put a lot of pressure on themselves? How seriously do they seem to take the program and so on? This part is tricky, because in a sense, you are giving your opinion based on your initial intake, but it is very important that the assessment be based on objective data. Remember, these notes need to be able to hold up in court, if needed.

DAP Form (Data, Assessment, Plan)

Define  Plan.

 Plan:

What are the goals for the quarter? These are goals for the next few months, so they can be larger goals.

What is the purpose of an assessment?

There are four categories to an assessment, which always need to be addressed. These include, biological, psychological, social, and spiritual.

Psycho-social, demographics, personal history, presenting problem, current   state, current needs-immediate plans – Information to construct hypotheses.  p. 86

What is a “multidimensional assessment?”

An assessment that takes into account micro and macro and mezzo aspects of a person’s life. All of the factors in the persons life.

Psycho-social-spiritual-physical-enviroment-past-present

When is a daily log is used?

The daily log is a key element in staff communication. It should be read by all staff as they begin their shift. This is where all staff record anything that needs to be communicated to all other staff. This may include changes in dinner arrangements, a heads up regarding a guest who is having outbursts, behavior patterns noticed by staff, communication about client needs that are met so that other staff members aren’t scrambling to take care of a client who has already been taken care of, etc. You also want to list any curfew violations and any exceptions to guidelines that have been approved by staff.

Describe the ACT model of case management?

Assertive Community Treatment (ACT)

Sometimes referred to as Program of Assertive Community Treatment (PACT), is a team-based approach to the provision of treatment, rehabilitation, and support services.  ACT/PACT models of treatment are built around a self-contained multidisciplinary team that serves as the fixed point of responsibility for all patient care for a fixed group of patients.  In this approach, normally used with clients with severe and persistent mental illness, the treatment team typically provides all patient services using a highly integrated approach to care. (National Association of State Mental Health Program Directors Research Institute, Inc. (1996). Proposed new HCPCS procedure codes for mental health services [definitions].  Alexandria, VA: Author, 4. Retrieved October 27, 2010 http://www.nasmhpd.org/glossary.cfm)

Assertive community treatment (ACT) programs represent another common approach for homeless people with serious mental illness. (For this review, the ACT approach is meant to encompass programs identified in the literature as Continuous Treatment Teams or CTTs. The terms ACT and CTT are sometimes may represent subtle programmatic differences but often in practice and research they are synonymous terms, or indistinguishable from one another.) The ACT model has been highly researched and well-established as an effective community-based intervention for non-homeless people with severe mental illness (see Stein & Test, 1985; Burns & Santos, 1995). It has also been widely disseminated throughout a number of states as a model program for some people with severe mental illness (Deci et al, 1995). ACT proponents eschew the term case management (e.g., Stein, 1992); despite the validity of these objections,

What does the term "Systems Theory"

in case management refer to?

People’s behavior and attitudes are affected by everything around them. Every problem is

affected by a combination of many things.