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Case Management
Name of the writer
Name of the institution
There will be specific parameters within which an organisation expects staff to operate these will be formulated in the organisations vision, mission, policies and procedures. With reference to these factors explains the following
How would you ensure that client rights are fully supported
In order to ensure that the rights of the client are fully supported, the hospital management needs to follow certain steps. First of all, the hospital management needs to inform clients as possible about their rights and responsibilities. It is notable to mention that in the referral and assessment stage client must be provided with comprehensive information about the eligibility criteria, services offered, confidentiality exclusions, complaints procedure, and client rights and responsibilities. It is the core responsibility of hospital management to ensure that clients know how to complain as it is their right to complaint about unsatisfactory services. Legitimate clients complaints help to improve the services and staff as they act as a source of valuable feedback. Therefore, it is also important for hospital management to provide an opportunity for the client in order to understand the areas of improvement.
How would you involve clients in decision making
It is noteworthy to mention that the involvement of clients in the decision-making process is of utmost importance to make effective decisions regarding their care plan. Clients need to be encouraged to make their own decision by staying within the boundaries of any conditions placed on them by authorities. However, hospital management needs to provide practical support for the client to motivate them to set goals for themselves. There is a need to pay attention to practical matter like the cost of equipment in order to increase the chance of success. The client should not be involved in the decision making process if they do not have the capacity to accept and access particular programs. It is useful to shift focus towards solution building in order to encourage the client to involve themselves in the decision making the process.
How would you ensure that both you, as a case manager, and the organisation you are working in are operating within the necessary legislative parameters
The inclusion of other individuals in the case management process is realised when there is no development or improvement tracked in conditions of the client. For instance, if a person with bipolar disorder is not seeking handled effectively with his current medical practitioner then there is a need for seeking consultation from another expert. A significant attribute of case management is the assurance of safeguarding and protection of clients rights. I would depict primary laws and legislation that are valid according to the clients situation to the family members and stakeholders. It will help in assuring the responsibilities of family and the stakeholders towards the client.
What systems are in place for sharing information and how privacy law affects information sharing
Confidentiality is a fundamental component of service provision. It is the basic right of client that his/her sensitive information should be communicated in confidence, which ultimately promotes trust between the service providers and clients. The privacy law restricts an organisation to share confidential documents with anyone who is not involved with the clients. Confidentiality and information sharing are often governed by a set of laws and policies. In health care organisations, disclosing personal information to any other agency is strongly prohibited. Many rules and policies are in place to ensure that the personal details of clients must not be revealed in certain public forums like seminars, workshops, conferences, or meetings. Privacy laws ensure that confidentiality of personal information instead in various circumstances. Under the police powers and responsibilities act 200, the information can be given to police upon request. However, it is important to mention that privacy laws often not allow authorities to share personal information in certain circumstances as it needs to take permission from the client.
How do you identify statutory mandates relating to interventions that might be necessary for the care of the client
It is notable to mention that a statutory intervention often occurs when a department has a legal obligation to involve itself in the health care of a client to ensure effective health care services. The use of community support intervention helps clients to acknowledge their need for this support. The statutory mandates related to interventions are essential to enable the client and their families to accept a referral to an appropriate service. Community support places an obligation on health care organisations and clients to achieve the stated goals by following certain tasks. If a person is not willing to participate in the case plan, then it comes under court-based interventions to protect the client in order to promote effective health care services.
With regards to duty of care, when a client presents with the following issues name two potential risks and two responsibilities we have as a worker in this field
Victim of Child Abuse
Potential risk Potential risk for a victim of child abuse include childhood trauma, chronic or serious illness, and certain physical and emotional disabilities. It is notable to mention that the victim of a victim of child abuse suffers from cognitive disabilities that may hinder their intellectual progress.
Responsibilities It is the responsibility of parents and guardians to safeguard their children and report any abuse.
Victim of Domestic violence
Potential risk Domestic violence can affect their personality factors such as depression and feeling of insecurity that lead towards mental illness.
Responsibilities Family counselling
Suicidal ideation
Potential risk suicidal ideation deals towards mental depression, excessive mood swings, and reckless actions.
Responsibilities Parents and caretakers need to provide affection and mental support.
Victim of Elder Abuse
Potential risk potential risks for a victim of elder abuse include anxiety and excessive fear, refusal to take medications, and eating disorders.
Responsibilities Nurses and care providers
A person with disabilities who is being abused
Potential risk potential risks for that person includes anxiety, depression, loss in focus, and decreased productivity.
Responsibilities Management needs to support individuals who have been abused. The report must be filled to secure that individual in the future.
From the list below, select one of the Acts
Outline the basic tenets of the Act and explain how it impacts on the work that you do
The community advocate act 1991 is to support a cause or issue in order to bring about change and help others in the community services. It ensures the provision of services to safeguard the rights of patients in order to ensure that treatment is carried out in the least preventive setting. This act provides clarity to certain definitions of mental illness to ensure effective health care. As a worker, they will impact on some effective advocacies such as lack of credibility and organisation, and resistance to change. It is notable to mention that the given act will place a variety of restrictions on psychiatric hospitals in terms of access to hospitalisation and discharge.
Give examples of its application
It is noteworthy to mention that the Community Advocate Act of 1991 aims to bring reform to meet the expressed needs of individuals. Individuals can be inevitably empowered with the help of effective advocacy. For instance, an individual is suffering from various kinds of discriminations in society. He can get help with this act as it changes the balance of power by differentiating between right and wrong. Advocacy also helps in addressing injustice to that specific person in order to alter attitude and values to promote effective health care services. This act helps to manage the process in the community by focusing on the system.
Read the Ottawa Charter for Health Promotion which can be found at the link below, and use it to answer the following questions.
What is the purpose of this document
The purpose of the Ottawa Charter is to promote health care in individuals. Its primary aim is to enable a person to control over in order to achieve better health. It provides an opportunity for the individual to realize aspirations and to satisfy needs by achieving a state of complete psychical and psychological wellbeing. Health promotion motivates an individual to cope with the changing environment in order to secure good health. It is notable to mention that the document creates awareness among individual. It promotes a positive concept about health which emphasizes on the physical capacities along with social and personal resources.
What are the fundamental conditions and resources for good health
The fundamental conditions and resources are essential for an individual to attain better health in order to obtain a good lifestyle. There are various fundamental conditions and resources that are associated with good health. These include peace, income, food, education, shelter, social justice, equity, sustainable resources, and a stable ecosystem. Having a healthy diet which is rich in fruits and vegetables can improve the quality of life. A healthy diet contains fibres that reduce the risk of obesity and various heart diseases. Moreover, social justice and equity help to promote opportunity, growth, and social wellbeing. It is notable to mention that improvement in health requires a secure foundation in the above basic prerequisites.
What is health promotion Describe some actions it expects that countries will do
Health promotion covers a wide range of social and environmental interventions in order to enable persons to enhance their control over their health. It encourages individuals to make choices that are beneficial for their own health. It is important to mention that the conference calls of the WHO and other international bodies encourage countries to advocate the promotion of health care service through effective programs. That conference expects countries to introduce strategies for health promotion. Countries need to counteract the pressures towards harmful products and to focus on public health issues. Countries also need to eliminate injustice in the provision of health care services to minimize the health gap within societies.
Working with clients to set goals is an important part of the case management process.
Describe how you might include clients in this process
The goal of the case management plan is to enable clients to manage their lives without any dependency in order to promote self-sufficiency. As it is a tool to assist client for the establishment of self-sufficiency, so it is important that clients are added in this process. In order to commit the client to the case management plan, it is effective to provide him/her with a copy of the support plan. The client should be provided with an education that the support plan has been made to determine short-term and long-term goals in order to improve his/her care. As a case manager, I will operate as an enthusiastic person to take client along with the support plan. Moreover, I will also be flexible to deal with the service environment and the change in client needs.
Cultural considerations are a necessary part of case management planning in offering an inclusive service to all clients.
Outline the strategies for including diverse cultures in the planning process.
Culture inclusion strategy is necessary to identify the cultures that make up a community of interest.
Consultation consultation meetings vary according to the cultures, but there is a need to arrange an introduction in order to determine the community leaders. Meetings with identified community leaders help to evaluate a common issue.
Cross-Cultural Training Cross-cultural training should be provided to personnel to ensure that they learn specific information about certain cultures. This training can easily be achieved with the help of guest speakers from relevant communities.
Community participation In order to gain access to a community, it is essential to participate in the cultural life of the community. One must interact with multicultural community groups to make an alliance with them.
Dealing with high risk or complex situations requires an understanding of the risk process and the necessary strategies to use.
Outline the processes that can be used to assist clients in these situations.
There is a need to establish an honest working environment in the organisation to promote a positive attitude. Cultural conflict and alienation, shame and guilt, stress caused by social processes, and trauma of grief and loss can be managed by building trust with the client. There is an immense need to main confidentiality of clients personal data in order to ensure his safety from various risks. Management needs to be empathetic with the needs of the client to promote a sense of the honest relationship between organisation and client. Furthermore, there is a need to show compassion and empathy to the client in certain sensitive situations.
What strategies could you implement when dealing with high risk or complex situations
In order to determine strategies for a client who is dealing with high risk or complex situations, there is a need to access the level of risk. The assessment of the risk helps in identifying the strategies that can be useful in such circumstances. Create an honest and positive relationship with the client to establish a positive environment as it helps to build trust with the client. Different questions should be asked to observe and identify the issues of the client. These questions can also be used to evaluate the level of risk. Establishing an interpersonal relationship with a client is beneficial to respond holistically to their issues. One must need to encourage the client to share its concerns, so they can easily be managed.
Identify the multi facet needs and issues affecting Max and Aida and any potential interrelationships between them.
Max is suffering from alcohol misuse which is catastrophic for his physical and mental health. Excessive use of alcohol often made him unconscious due to which he is unable to remember anything that occurred to him during unconsciousness. Now, Max is stuck with an undisclosed matter that the police wants to enquire from him. On the other hand, Aida is facing the hardships of separation after getting apart from her husband due to domestic violence. She is in need of shelter and financial support as her family has disowned her. In these cases, the support is the mutual concern in both the cases as they both require some form of assistance.
Describe the process you would undertake to gather existing information with regards to Max and Aida.
There is a need for considering different practical measures to gather important information regarding these cases. In the case of Max, the medical record from the hospital can be used as a valid source to attain a historical background of the entire incident. A social worker can provide better information about the whole scenario. We can get information about excessive alcohol consumption from Max as well by establishing an interpersonal relationship. In the case of Aida, information can be collected from the neighbours as they have a better understanding of the overall scenario claimed by Aida. We can give the necessary confidence to Aida, so she feels conformable to describe her personal issues in an effective manner. The approach of communication can be enhanced through the development of flexible counselling environment.
To assist Aida to get the services she requires you need to
Identify one service she requires
As Aida is in search of accommodation and food, so she can be provided with emergency shelter.
Research this service and describe the characteristic of the services eligibility
Emergency shelter is a place for the victims of domestic violence to live temporarily. It is a good source to provide immediate shelter to individuals who are in need of accommodation. Only those can avail this service who are facing serious circumstances or the ones who are abandoned by their families.
Does Aida meet the eligibility of this service
Aida meets the eligibility of this service as she is a victim of domestic violence and her family has abandoned her. Now, she has no one to provide her accommodation and shelter.
Briefly describe the characteristics of a client who would not require a needs assessment.
A need assessment is a systematic process that helps in the identification of needs between current conditions and desired conditions. Need assessment is done by the health care authorities to determine the need of the local population towards health care facilities. Need assessment is not for a person who is financially stable enough to get health care services on his own. A needs assessment is for the needy person who does not have the power to utilise these services on his own.
Conduct research using suitable methods (internet, library, resource materials ) to
Identify an appropriate assessment tool for clients with substance misuse issues
Alcohol Use Disorders Identification Test (AUDIT) is an appropriate assessment tool for clients with substance misuse issues to assess the problem of alcohol dependence.
Include information regarding the purpose and scope of the assessment tool
It is a 10-item assessment tool to access the consumption of alcohol and alcohol-related problems. The aim of this assessment tool is to provide a framework for intervention in order to provide support for individuals to cease alcohol consumption. It is notable to mention that AUDIT helps to determine the dependency of an individual towards alcohol along with certain consequences of harmful drinking.
Describe using research on how valid and reliable the tool is
Alan, Shields, and John made extensive research to determine the significance of the Alcohol Use Disorders Identification Test (AUDIT). In accordance with various researches on AUDIT, Alan, Shields, and John research have found that AUDIT is capable of generating reliable results to determine the alcohol dependence. Many researchers have found that the AUDIT provides a convenient and time-efficient risky drinking screening.
Identify the client cohort that the assessment tool would be suitable for, and identify the type of assessment process you would use this tool as part of including how you would obtain consent from the client.
AUDIT is useful for client cohort who are misusing alcohol on daily basis and suffering from high blood pressure, arrhythmias, and stroke. Alcohol misuse also leads to certain problems such as cirrhosis and alcoholic hepatitis. AUDIT will help to get information about the clients alcohol consumptions through a series of questions. In order to obtain consent from the client, it is essential to create an interpersonal relationship with the client to build trust. Explain the importance of this assessment tool to encourage them to take AUDIT.
11)
Identify the multi faceted needs and issues affecting Tom and any potential interrelationships between them.
Tom is suffering from severe vision impairment which is making it hard for him to navigate his way inside and outside the apartment. As an elderly person, Tom is facing problems to climb the stairs due to the age factor. His vision impairment has made it difficult for him to climb the stairs of his apartment. Being alone in an apartment is hard for Tom to handle himself so he needs home services. There is an immense need to provide him with home services so that he can easily navigate his path with someones help.
Describe the type of assessment you would conduct and how you will conduct the assessment at an appropriate time and place for Tom.
I would use the geriatric assessment for Tom as it is a multidisciplinary assessment designed to examine the functional abilities, psychological aspects, mental health, physical health, and socio-environmental circumstances.
What considerations do you need to factor in the assessment process for Tom
Tom is an elderly person who is suffering from severe symptoms of vision impairment. In the assessment process, there is a need to include an extensive review of prospection and consumption of drugs and vitamins along with reviewing his immunization status. It will help in the diagnosis of Toms medical status, which can be used to develop an effective treatment plan along with the evaluation of long term care needs.
Name any specialists need to be considered within this assessment process and describe why you would be seeking their services
It is notable to mention that Tom is suffering from vision impairment, so there is a need to refer him to the ophthalmologist. An ophthalmologist is a specialist in ophthalmology that can easily diagnose a vision impairment. In the assessment process, ophthalmologist help to determine the severity of vision impairment by performing an extensive examination of Toms eye. It will be useful to develop a medical plan accordingly.
Describe the process of how you would maintain and store Toms information according to confidentiality requirements.
Confidentiality is an important aspect of every organisation to protect the personal information of the client. As Tom is seeking home services, so it is the responsibility of the home service agency to lock and secure individual files. Support workers do not need to disclose the information about Tom unless Tom or his family give them permission to do so. Home service agency needs to prohibit the disclosure of Toms information to unauthorized personnel. Workers should only access personal information of the client if it is covered by their job description.
Identify the multi faceted needs and issues affecting Eric and any potential interrelationships between them.
Eric is an immigrant from the Central African Republic who migrates in search of a better lifestyle. During the war, Eric was suffered from an injury that resulted in limb deformation. Living circumstance during the war and the hardships of immigration results in post-traumatic stress disorder. Post-traumatic stress disorder results in severe anxiety and uncontrollable thoughts about the event which is worsening his condition. Eric is searching for support to get accommodation as he has not enough money to manage the shelter. There is a significant relationship with Erics need for supported housing as he is suffering from limb deformations and has no one to look after him.
Describe the type of assessment you would conduct with Eric
In order to assess post-traumatic stress disorder, there is a need to perform a physical examination of Eric to evaluate the medical concerns that are causing these symptoms. It is noteworthy to mention that a psychological evaluation of Eric helps to determine the events that led up to these symptoms of PTSD. The medical condition and symptoms of Eric can also be determined by using the criteria in the Diagnostic and Statistical Manual of Mental Disorders in the Australian Psychiatric Association. X-ray and medical examination of arms and legs can be useful in order to determine the severity of limb deformation.
What considerations do you need to factor into the assessment process for Eric
Eric is an immigrant from the Central African Republic who migrated to Australia in search of a better lifestyle. During the assessment of his post-traumatic stress disorder, one must need to consider his cultural preferences. English is not his first language which can hinder the process of his assessment and diagnosis. Therefore, communication needs to be effective with the help of a translator in order to provide effective health care services to Eric. Eric must be treated with respect and dignity by building an interpersonal relationship with him. He is suffering from PTSD, so he must be treated gently and politely to create a positive environment during his assessment.
Describe how you will ensure that Eric is informed and understand the privacy and principles and organisational policies and procedures regarding consent and confidentiality requirements.
Department of Health creates national standards to protect personal health information and medical records of an individual. The patient will be educated on how the policies and regulations of the organisation to give him control over his health information. Eric will be told that the organisation is fully responsible to protect his personal information and medical record and in case of a breach, the organisation will be held accountable. Eric will be provided with information that his personal information can only be shared by taking his formal permission.
i. When engaging the suitability of a translator or interpreter, what areas do you need to consider
A trained interpreter is needed in the case of Eric as English is not his First Language. The interpreter needs to be qualified and experienced enough to be offered to a patient with limited English proficiency. The ability of the interpreter to address the signs and half-spoken words of the patient should be assessed during the process. The interpreter must have the capabilities to tell the patient about the questions of the clinician in an effective manner. The clinician needs to determine the ability of the interpreter to address sentence by sentence interpretation.
ii. As the person conducting the assessment, what processes must you advise the interpreter/translator regarding the assessment process
There is a need to tell the interpreter about the background of Eric so he can get a better understanding of the entire situation. It is notable to mention that I would like the interpreter to sit next to the patient in order to facilitate better communication. An interpreter will be addressed to interpreter sentence by sentence in order to deliver clear information to patient and client.
To assist Eric to get the services he requires you need to
Identify one service he requires
Eric needs the support of psychiatric to help him combat the symptoms of post-traumatic stress disorder.
Research this service and describe the characteristic of the services eligibility
A psychiatrist is beneficial for patients like Eric as they to minimize the symptoms of post-traumatic stress disorder in an effective manner. It is worthy to mention that psychiatric helps in the diagnosis of post-traumatic stress disorder with various psychological treatments. It is the ability of a psychiatrist to reduce depression and anxiety in a person suffering from PTSD through different psychological interventions. Psychiatric services are only available for those who are suffering from serious psychological issues such as depression and anxiety.
Does Eric meet the eligibility of this service
Yes. Eric does meet the eligibility criteria to get the services of a psychiatrist as he is suffering from PSTD due to an uncontrollable event which results in limb deformation.
Identify three of Phuongs needs and prioritise them, explaining why you have placed them in that order and if they are urgent, high, moderate or low priority.
Phuong is in need of an interpreter, psychiatric, and job. He is unable to describe the symptoms of his depression and anxiety, so there is an immense need for an interpreter to make effective communication with a psychiatrist. The interpreter can effectively deliver his concerns with doctors regarding depression. When he is treated from anxiety and depression from psychiatrists, then he can easily focus his intention towards the job.
List three (3) specialists you might consult when conducting an assessment on Phuongs current status Briefly explain your reasoning ensuring you describe the role the specialist play in the assessment process.
The psychiatrist will help to identify and diagnose depression and anxiety. A psychiatrist can effectively assist Phuong to minimize the symptoms of anxiety and depression. A psychiatrist can prescribe antidepressants and other medications. Psychologists can help the client to engage in therapies that can take his focus away from the depressing environment. Furthermore, doctors can prescribe certain medications that can help the client to reduce the symptoms of depression and anxiety. Doctors can further run some tests to ensure the severity of the clients conditions in order to handle the situation accordingly. A doctor can also check for an underlying physical health issue that might be associated with depression.
Within the field of working with people, different contexts have different assessments and processes.
Briefly describe the roles and responsibilities of the different people who conduct assessments
Psychiatrist
Psychiatrists evaluate, diagnose, and treat patients who are suffering from certain psychological and mental disorders. Psychiatrists are responsible to treat a patient with mental disorder with the help of medications of therapy in accordance with the needs of patients (Galster, 2017, pp.13). They are also responsible to admit the patient to hospital and order tests. They are in constant contact with patients to provide them with effective health care services to diagnose their mental disorders. They have the responsibility to employ therapy to get a better understanding of the past events that result in certain psychological disorder in a patient. They find coping methods to minimise the symptoms of mental disorders.
Psychologist
Psychologists play a major role in the promotion of healthy behaviour by diagnosing and treating the psychological problems in patients that are associated with physical and mental health. Psychologists are responsible to prevent diseases in order to improve the quality of life. They often work along with doctors to establish effective health care course to treat an individual who is suffering from certain physical and mental disorders. They work to promote good mental health and positive environment in the workplace or at home. They can focus on the mental and emotional reaction of the client to recover the illness. They have the capability to treat psychological problems and behavioural dysfunctions to improve a patients quality of life.
Case Manager/Mental Health Worker/Counsellor
A mental health counsellor helps patients to achieve emotional wellness. They are responsible to work with a variety of patients who are suffering from addiction or trauma to overcome the obstacles in order to provide quality health care. They provide mental health counselling services to clients who are in need to get rid of depression, trauma, and addiction. They work with individuals and families to address and treat mental and emotional disorders. They use various therapeutic techniques to address issues like addiction, substance abuse, stress, anxiety, and problems with self-esteem.
Briefly describe when you would use the following assessment tools
DSM5
DSM-5 is used as a criterion to assess the mental disorders of a client. DSM-5 is a valid and reliable assessment tool as it provides an effective understanding of the intensity of patie 34ijklY Z
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K10
K10 is a screening instrument that helps to identify people in need of an assessment regarding their depression and anxiety. K10 is an effective instrument as it helps to evaluate the level of psychological distress in the client. It is a reliable assessment tool as it often used as an outcome measure to determine the intensity of psychological distress. It also assists in treatment planning and monitoring in an effective way.
CANSAS short
In Australia, CANSAS is the most widely used assessment tool to diagnose the mental health characteristics of an individual. It is a reliable tool as it provides the worker with the rationale to link this to the outcomes of the patient. It is a part of routine clinical research and practice. It is feasible to report more unmet needs as compared to the CAN interview. It is a reliable tool to detect unmet needs in individuals who are suffering from certain mental illnesses.
RAS DS (Recovery Assessment Scale)
Recovery Assessment Scale Domains and Stages (RAS-DS) is used as a preferred recovery measure. It is a feasible tool due to its relevance, acceptability, simplicity, w FGHVnrfhYefoXTXTXh.kjh.kUhh.CJ OJQJaJ3hh6CJOJQJaJfHq
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References
Galster, G.C., 2017.Why people go to psychiatrists. Routledge.
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