Valerie Griffith HSP 345 3/20/13 Final Exam 1. Discuss the Rehabilitation Act of 1973.

Why is this law important in case management? How does the Rehabilitation Act influence how we case manage clients today? How do you think the Rehabilitation Act has influenced the development of the case management models discussed in class? The Rehabilitation Act of 1973 prohibited discrimination against individuals with disabilities and made sure that services were more easily accessible. This act aimed to increase satisfaction, involvement and opportunity to clients seeking help. It is important that case managers do not discriminate against their clients, because one of the main principles of case management is client involvement. Its also important that the buildings are handicap accessible, there are ASL interpreters for the deaf and any other services that would aid in successful case management with the clients. The Rehabilitation Act influences case management today by helping severely disabled clients to become self-sufficient and live more independently. Laws, such as the Rehabilitation Act, are set in place to help in the development of models. Laws and case management models work together to discover best practices to the many different types of clients that case managers work with. Laws and models are constantly changing to better the services that are provided to the clients.

2. Discuss how values, attitudes, and ethics are integrated into the case management process. How does your personal value system impact your ability to work as a case manager? Case management is a job that involves interpersonal relationships with clients. These relationships can be intimate and fragile, which requires the case manager to pay close attention to how they treat their client and what they say. It is important for the case manager to be selfaware of their values and beliefs. Everyone has their own beliefs, but it is not appropriate for a case manager to force those beliefs onto a client, so being aware of their beliefs can help the case manager avoid doing so. It is also important for them to be aware of their values so that they can keep in mind why it is that they are doing this type of work and their overall purpose and goals as a case manager. The values of the organization, for which the case manager is representing, should also be understood and embodied. It is important that their values and the values of the organization that they work for align to really be effective at their job and successfully represent the organization. Also, the case manager should know and understand their clients values and beliefs to avoid offending them. Attitude is everything, and the case manager should be aware of their attitude to avoid negative situations. The overall atmosphere of the workplace all begins with attitude. When one is aware of their attitude, they can control it and use it for good and avoid the negative. Case management requires a client- worker dynamic, which can be difficult due to the interpersonal and intimate relationships that are created. Since there is a lot of personal dialogue taking place, it is critical that case managers maintain ethical boundaries. Crossing boundaries does not help the client and can make the client- worker interaction difficult and halt the process for the client. One personal value that I think could get in the way of me being a case manager is kindness. I have been walked all over before by many people in my life because I am

too kind. I have been working on standing up for myself and being sterner with people to avoid the hurt of being taken advantage of. 3. Chose two of the models discussed in class and/or online. Compare and contrast these models of interventions. The crisis intervention model is a temporary solution to a crisis. It aims to correct a serious problem that is currently present. During a crisis intervention, a case manager will often take charge and do what is necessary because the client is often unable to help themselves at the time of the crisis. This model typically involves the client and the case manager, and services are usually acted upon and implemented quickly. The wraparound model of intervention aims at providing a client with all the resources and support that they need, making sure the client has absolutely everything needed to help improve their situation. Providing the resources to a client, empowers the client to go out and better their situation, as opposed to the crisis intervention model where the case manager takes charge. This wraparound model is implemented by involving the larger community, in contrast to the crisis intervention model. Another difference between the two models, is that the crisis intervention model is a quick act while the wraparound services model can take many client- worker meetings. Both models have the overall goal to help clients out in the most appropriate way. They take into account the needs of the client and provide them with the best practice for those needs. They both are effective and valuable when applied in relevant situations to help the client. 4. Outline the basic process of case management from intake to termination. Discuss the steps you, as a case manager, need to take to ensure your clients are receiving the best services you can offer.

The first step in case management is assessment, which is done during the first meeting with the client. This involves initial contact with the client as well as gathering and assessing information. Assessment focuses on evaluating the needs of the client, request for service and determining their eligibility for the services that the organization offers. It is important that the case managers notes are reliable, accurate and without assumption throughout the whole client- worker relationship to avoid false information being relayed onto future case managers. After eligibility is determined, the case manager will perform an intake interview. An intake interview involves asking the clients basic questions about their demographics. The intake is to learn more about the client and their needs. During this time, the case manager should go over important documents such as confidentiality, consent forms and information about the organization and the roles of the client- worker relationship. When these are discussed, the client- worker relationship will be operating within legal, ethical, organizational and personal boundaries. Next, the case manager will move on to service delivery planning. The case manager will work with the client to determine their goals that the client will work towards, taking into consideration the clients strengths and limitations. After these steps have been implemented, the case manager will continue to build the case file and coordinate services. During this step, the case manager will continually evaluate the clients medical, psychological and social needs, as well as their progression towards their goals. It is crucial for the case manager to find resources and make referrals to organizations out in the community that can help satisfy the clients needs. All of these steps require teamwork and rapport to successfully help the client in which the case manager is advocating for. When the clients needs are met and they are able to take care of themselves, then the case manager will terminate and release the client.