Case Management

| November 21, 2015

 

Course: Case Management

Text Book:  Fundamentals of Case Management Practice: Skills for the Human Services (HSE 210 Human Services Issues) Author: Summers, Nancy

 

Instructions: Read the following material, and then write a paragraph of no more than six sentences (2 pages in length) that covers the following

Chapter 24 Pgs. 381

 

The below is a conversation between Case Manager & Client (Mr. Dudley)

Critique the CM’s responses:

 

  1. For empathy
  2. Neutrality, and staying on task
  3. What was the strength of the CM’s worker?
  4. What could have been better? And are there any other impression
  5. The focus of the interview
  6. Your assessment based on a concise summary of behavior, appearance, and affect
  7. Any resolution that takes place
  8. The reason for the next contact or the follow-up that will occur

 

Mr. Dudley comes to your office in a rumpled plaid shirt. He has oily hair. He appears to have neglected his appearance since he stopped drinking, which is not typical. He has in an outpatient alcohol treatment program for 4 weeks. He sits in the chair beside your desk and appears sad and ready to weep.

You: How are you?

Mr. D.: Not so hot

You: Can you tell me a little bit about what’s going on?

Mr. D.: I quit the treatment program.

You: Tell me something about what happened.

Mr. D.: Well, I got tired of going; I figured I could do this myself.

You: So you wanted to try not to drink on your own.

Mr. D.: Yeah. I thought most of the people in that program were whiners and complainers-         all the time whining about how hard life had been, and I got tired of listening to it.

You: So you went out on your own.

Mr. D: Yes,

You: How did that work?

Mr. D.: Not so hot

You: Could you tell me a bit more about that?

Mr. D.: What does it look like? I started drinking again. There isn’t a whole lot more to tell.

You: So, in other words, you left the program and immediately started to drink?

Mr. D.: Well, no. I was sober for about 4 days, went to work and everything happen. Stuff was happening at work. Some guys got laid off, and I thought I might be next.

You: It sounds like you got off to a good start on your own, but then things began to happen at your work and you decided to drink.

Mr. D.: (hesitatingly): Well, yeah.

You: And the drinking helped you deal better with the possibility that you might be laid off.

Mr. D.: Well, yes it did. I was upset. I thought I might be next. I don’t know. It all happened so fast. I just thought I’d stop with the fellows for one drink on the way home from work, and one thing led to another, and I’ve been drinking.

You: For several days?

Mr. D.: Yea, I can’t stop

You: Tell me a little more about what’s going on with your job.

Mr. D.: The first day I called in sick, but today I didn’t do anything. I came here because I’m afraid I’m heading right back where I was before.

You: Sounds like you really want to stop this binge.

Mr. D.: I do. I didn’t know where else to go.

You: It looks to me like you could use a detox unit. What do you think of that as a place to start?

Mr. D.: I could use getting away from bars and getting cleaned out. I would really like to start over-trying again.

You: Well you had 4 days where you did fine. We can begin by getting you into detox, and from there we can talk about a plan for when you are sober. What do you think of going into detox?

Mr. D.: Yeah. Well, I suppose to missus and the boss would appreciate that.

You: What about you?

Mr. D.: That’s why I came here. I can’t stop drinking. I’m a looser.

You:  You must be feeling pretty bad about yourself?

Mr. D.: Well I screwed up again. Wouldn’t you?

You: It’s hard to feel like a loser. We can’t address that while you are drunk, but after you sober up I will be happy to talk to you about making some changes. There are some things you did that tell me that you can handle things. First you had those 4 days on your won where you didn’t drink at all, and then when you started to drink you knew where to go for help in stopping the binge you were headed on.

Mr. D.: Haven’t we been through all this before?

You: I didn’t think we have. We only started his 5 weeks ago. It might be helpful for you to know that people often have relapses as they are moving toward healthier choices. It might be that you learned something valuable here. That’s just my opinion. What do you think?

Mr. D.: I hadn’t thought of it as a learning experience or anything. Hmm. I don’t know. I just wouldn’t have thought of it that way

You: I would like to see you go to the detox unit for 7 days, and then we could sit down and look at this together.

Mr. D.: Yeah, I will.

You: Good. I’m not willing to talk to you about changes when you’ve been drinking. I’ll call First Step Detox, and I will see you there during your stay so that we can plan what happens next.

Mr. D.: Thanks

 

 

 

 

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