1061765- CAS203 CASE NOTES & REFLECTION

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Kenyatta University *

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3

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Computer Science

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Nov 24, 2024

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ASSESSMENT COVER SHEET Family Name : WAMBUI Given Name(s) : ANGELA JANE Student ID : 1061765 Course : BACHELORS OF COMMUNITY SERVICES Unit Code: CAS203 Unit Name: PRINCIPLES OF CASE MANAGEMENT Tutor : CARLY BRISBY Assessment Number/Title : 2 Semester/Trimester and Year: 2 2023 Word Count: 500-600
IDENTITY: Client name Client Date of Birth Address Contact Number: JANE 11 TH JANUARY 1989 SALVATION ARMY 11 – 15 WRIGHT ST, HIGHGATE WESTERN AUSTRALIA. 08 92278068 Case worker: ANGELA WAMBUI Date of Contact: 28 TH JULY 2023 SITUATION : Include who made the referral, for what reason and the presenting issues; Jane was recommended to our service after completing the Salvation Army's 7-day inpatient detox program, and she is now connected to the post-detox Outpatient Drug and Alcohol service. The referral was made to provide ongoing case management support to Jane, whose goals include maintaining a drug-free lifestyle, securing a job and stable housing, and engaging with the Department of Communities (Child Protection) to resume contact with her older children while caring for the young one. The presenting issues include family separation, a history of drug abuse, and the recent death of her partner due to a drug overdose. OBSERVATION: Include observations of the client, behaviour, engagement, and environment if contact is in the client’s home. During the case management meeting, Jane appeared motivated to make positive changes in her life, especially after her partner’s death which affected her and decided to change her lifestyle for 1
the better. She engaged openly in discussing her goals and challenges she had faced during her 7-day Inpatient program, but she was able to overcome them. The meeting took place at Palmerston Association where she took her time of day to come in and have a session with me which was successful. BACKGROUND : Information reported by client including information of the family system, supports, health, financial circumstances, Living environment. Jane comes from a fractured home environment, having experienced periods of foster care as a child and later as a refugee for both homelessness and domestic violence. She has no contact with her family of origin. She has a history of drug abuse primarily Methamphetamine, she has been in and out of rehabilitation and has only managed one month before relapsing. Jane’s work history is limited as she has only worked for a limited amount of time as a cleaner in a nursing home. Currently, she only receives financial support from Centrelink. She has 3 children aged 12, 10 and 2. The older children are placed in long-term foster care due to an inability to take care of them. The younger child is in foster care and is subject to a two-year care order. Jane's emotional well- being has been harmed by the recent loss of her partner, who was a long-term substance user and 2
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abuser. ASSESSMENT : How is the client’s functioning being impacted by their circumstances. If Risk identified Include a risk Assessment: What is the risk, how is it being managed, is there a safety plan. Jane’s functionality is impacted by her history of drug abuse, her family separation with her kids, her childhood trauma, and the death of her recent partner due to a drug overdose. The main concern in Jane’s situation is her ability to remain consistent as it was known before with her relapsing. 3
Completing the detox program has set the pace as she sounds determined to make her life better for herself and her family. However, careful monitoring is necessary to ensure her progress to live a drug-free lifestyle is sustained. Jane is at risk of relapsing into drug usage, especially given the past patterns of her behaviour. Her avoidance of interacting with the Department of Communities (Child Protection) is concerning as it shows her commitment to reuniting with her young daughter is minimal. A safety plan will be prepared with a focus on preventing relapse and encouraging participation in support groups to be well engaged with the community which is a good strategy to keep her occupied. RECCOMENDATIONS- Goals and tasks required to achieve the goals (include who is responsible for the task and by what date). A) Drug-Free lifestyle To achieve this, Jane will make sure she will attend therapy sessions. This therapy session will help Jane address any trauma that she may have experienced and develop coping strategies. Jane will be utterly responsible for this goal. Her aim to accomplish it will be by the (In 2 weeks after the first session 11 th August 2023) In addition, the case manager will provide support and monitor the progress throughout. The case manager will play a vital role in helping Jane stay on track by maintaining a drug- free lifestyle. 4
B) Employment and Accommodation Goals. Jane will plan to participate in an assessment that will help identify job opportunities and training programs for her. The Vocational Assessment service is responsible for assisting Jane to have experience with the task required. (Responsibility: Jane) (In 3 weeks after the first session 18 th August 2023). Furthermore, the case manager will offer assistance to Jane in applying for job opportunities as they arise. The case manager understands that it is important for Jane to find employment to support her drug-free lifestyle hence their support and guidance will be ongoing. Moreover, it is crucial for Jane to secure accommodation for herself and her daughters. For Jane to accomplish this goal, her case manager will collaborate closely with housing services to find living arrangements for her and her daughters and this will be accomplished in (1 month). C) Reconnecting with her children. Lastly, it is important for Jane to reconnect with her children who’re under the care of the Department of Communities (Child Protection). It is Jane’s responsibility to engage with the department as it is essential for her to resume contact with her children on the basis to show that she is determined to take care of them again. Jane will receive support from her case manager who will provide assistance in ensuring Jane is attending appointments alongside me and maintaining communication channels, with the department. 5
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Signed By Client: A.M Signed By Case Manager: A.J.W Date: 28/07/2023 Date: 28/07/2023 Date of next appointment / review: 4 th AUGUST 2023 REFLECTION . During our first meeting with Jane, she engaged really well with me by expressing the challenges she has faced in the past and also the goals that she would like to achieve. She also expressed the challenges she has faced in the past such as the recent death of her partner has really impacted her in which she displayed having a genuine desire to make positive changes in her life. To enhance my interaction with Jane in future sessions, I would engage in attending Trauma Informed care training for myself and also for my team. (Harris and Fallot 2001) suggested that a system needs to be put in place for administrators and staff to better understand that traumatic experiences tend to negatively impact a person's life and by doing this it is essential that the staff has been provided education and training in Trauma Informed Care. According to Jane’s story, it is important to implement a trauma- informed approach to avoid re-traumatizing and promote healing. Another strategy I would implement in our future sessions with Jane would be, using a strength-based approach. Strength- based approach is working collaboratively with clients and ensuring the support services is drawn towards the client's strengths. Allowing clients to participate in Strength-based case management, is 6
revealed that they feel freer in expressing their strengths and weaknesses which is important in helping them to set goals they want to achieve and make positive changes to their lives (Brun and Rapp, 2001) . In Jane’s situation, it is important for the case manager to identify Jane’s strengths for her to feel empowered in recognizing the obstacles she has faced and focusing on the strategies that will work in achieving her goals, thus it is essential to recognize Jane’s achievements, despite how small it may seem, it would boost her confidence and motivation in getting her life better. In ensuring my role as a case manager is improved, in working with future clients facing similar challenges, I would apply different strategies to better improve my engagement with them. Firstly, I would collaboratively engage with clients in the decision-making process. It has been stated that the more clients are involved in decision making the more likely they will be more informed, involved, satisfied, and feeling valued. (Trede & Higgs 2003). By doing this, it enables clients to actively participate in the case management process. Secondly, I would clearly set the desired goals for them. With this, it empowers the clients to take ownership of their progress. During my interaction with Jane, I was able to utilize some case management skills during our session. This included providing support and advocacy for Jane. I advocated Jane’s needs by referring her to appropriate services that would offer a variety of services all in one. This would help Jane engage in different services that would suit her needs to achieve her goals. It is essential for case managers to be able to promote client advocacy by ensuring the client is engaged in making informed decisions(Tahan, H.M 2016). Thus, to be successful at client advocacy, case managers are encouraged to possess knowledge, skills, and competencies in advocacy (Tahan, H.M 2016). REFERENCES . 1. Harris M, Fallot RD. Trauma-informed inpatient services. In: Harris M, Fallot RD, editors. Using trauma theory to design service systems. San Francisco: Jossey-Bass; 2001. pp. 33–46. 2. Brun and Rapp (2001) Strengths-based case management: Individuals' perspectives on strengths and the case manager relationship, Social Work 46 ( 3), 278-88 3. Trede, F., & Higgs, J. (2008). Collaborative decision making. Clinical reasoning in the health professions , 43-54. 7
4. Tahan, H. M. (2016). Essentials of advocacy in case management: Part 2: Client advocacy model and case manager's advocacy strategies and competencies. Professional case management , 21 (5), 217-232. 8
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